Relationship between emotional labor strategies and the quality of work life of operating room nurses

Emotional labor involves regulating one's emotional state at work to align with organizational expectations. For operating room (OR) nurses, emotional labor is an inherent part of their roles, with different strategies potentially impacting their work-related quality of life (WRQoL) in distinct ways. This study aimed to examine the relationship between emotional labor strategies and WRQoL among OR nurses. A cross-sectional study was conducted using convenience sampling, recruiting 395 OR nurses from 11 secondary and tertiary hospitals in Shandong Province. Data were collected using the General Information Questionnaire, Emotional Labor Scale, and Work-Related Quality of Life scale. Statistical analyses, including descriptive statistics, Pearson correlation analysis, and multiple stratified regression, were applied to explore the relationships between variables. A total of 372 valid responses were obtained, with an effective response rate of 94.18%. The mean WRQoL score was 114.17 ( = 16.54). Among emotional labor strategies, expressing naturally felt emotions was the most frequently used. Surface acting showed a significant negative correlation with WRQoL ( = -0.437,