Akademik Veri Yönetim Sistemi
Journal of Emergency Nursing, 2025 (SCI-Expanded, SSCI, Scopus)
Introduction: Emergency nurses face significant occupational challenges that affect workplace interactions. This study examined whether weekly working hours mediate the relationship between occupational anxiety and argumentativeness among emergency nurses. It was hypothesized that increased levels of both occupational anxiety and argumentativeness were associated with longer working hours. Methods: A cross-sectional correlational study was conducted in a full-service public hospital located in an urban area in eastern Turkey. A total of 114 emergency nurses participated in the study. The inclusion criteria required current emergency department employment and consent; nurses on long-term leave were excluded. Occupational anxiety and argumentativeness were measured using validated scales, with weekly working hours as a potential mediator of this relationship. The analysis included correlation, regression, mediation analysis, and structural equation modeling. Results: Nurses reported high occupational anxiety (mean = 101.83; SD = 9.74) and slightly above-average argumentativeness (mean = 31.69; SD = 4.15). Strong positive correlations were found among weekly working hours, occupational anxiety, and argumentativeness (r = 0.58–0.74; P<.001). Male sex (β = 3.75; P = .033) and longer working hours (β = 4.52; P<.001) were significant predictors of higher occupational anxiety. Mediation analysis confirmed that working hours partially mediated the anxiety-argumentativeness relationship, verified by structural equation modeling with good fit indices (χ2/df = 2.01; comparative fit index = 0.952; root mean square error of approximation = 0.056). Discussion: Emergency nurses experience heightened occupational anxiety directly related to argumentativeness, with weekly working hours serving as a partial mediator. The results emphasize the need for psychosocial workload management and communication training programs in demanding health care environments.