The mediating role of distributive justice perceptions in the relationship between emotion regulation and emotional exhaustion in healthcare workers

This research proposes that the use of emotion regulation strategies by employees in the service professions determines their perceptions of fairness in interactions with clients, which in turn influences their emotional exhaustion. Based on social exchange theory and models of self-control, the investigation tested whether: (1) the type of emotion regulation strategy that employees use to meet the emotional demands of their job role partially influences their perceptions of distributive justice (i.e. that clients respond to their efforts), and (2) these perceptions mediate the relationship between emotion regulation and emotional exhaustion. To test this, a longitudinal field survey study of a sample of primary care workers in Spain (general practitioners and nurses; N = 233) was conducted. Findings showed that the relationship between emotion regulation and emotional exhaustion was mediated by perceptions of distributive justice. A bootstrapping mediational analysis showed a significant indirect effect of surface acting on emotional exhaustion through distributive justice when inter-individual differences at T1 and when intra-individual changes between T1 and T2 were considered. Deep acting indirect effects were not significant for intra-individual changes. The findings indicate that employees’ perception of distributive justice has implications for understanding the impact of emotion regulation on well-being.