The results of the present study showed that workplace violence increased the intensity of emotional labor. In particular, workplace violence was found to significantly increase the emotional labor scale scores for the subcategories “emotional demanding and regulation” (β = 9.27, p < 0.001), “overload and conflict in customer service” (β = 9.54, p = 0.005), “emotional disharmony and hurt” (β = 13.36, p < 0.001) and “organizational surveillance and monitoring” (β = 15.53, p < 0.001). In the present study, the emotional labor and workplace violence status among toll collectors were found to be serious. In addition, the toll collectors showed “at-risk” level scores in all 5 emotional labor sub-categories, and performed a higher intensity of emotional labor than did workers in other service occupations. The results of our comparison with the emotional labor scores of 2221 workers from 13 other service occupations revealed that the toll collectors had the highest emotional labor scores for the subcategories “emotional disharmony and hurt,” “organizational surveillance and monitoring,” and “organizational supportive and protective system” [7].
A previous working conditions survey on toll collectors also used the K-ELS [16]. When compared with the results of the present study, there were differences in the subcategories indicating “at-risk” level scores. Unlike the results of the present study showing at-risk levels of emotional labor in all 5 categories, the previous study showed “at-risk” level scores on 3 categories, “overload and conflict in customer service,” “emotional disharmony and hurt,” and “organizational surveillance and monitoring.” However, the previous study was a nationwide survey, and the toll collectors working in similar areas to the subjects of the present study had higher scores for all categories. This is considered to be due to the fact that toll gates are concentrated on the Seoul Outer Ring Road and the number of passing vehicles is much higher than that on roads in other areas. In addition, the previous study assessed workplace violence using the Korean Workplace Violence Scale (K-WVS), and found that the experience of psychological and sexual violence from customer was at the “at-risk” level. Although the present study did not use the K-WVS, the results showed that most of the workplace violence was caused by “customers” (94.4%), which was consistent with the results of the previous study.
The International Labor Organization (ILO) categorizes workplace violence into the following 3 types: “external intruder workplace violence” by criminal intruders (or Type 1), “client or customer perpetrators of workplace violence” by dissatisfied clients, recipients or patients of a service (or Type 2), and “internal perpetrators of workplace violence” by co-workers or supervisor/managers (or Type 3) [17]. Such violence includes threat, physical violence, psychological violence, and verbal violence.
In the present study, 89.0% of the toll collectors experienced workplace violence, and the proportion of those who experienced verbal violence such as insulting remarks (83.7%) and swearing/verbal abuse (75.4%) was greater than that of those who experienced other forms of violence. For those who experienced workplace violence, the scores for the 4 subcategories of emotional labor scale were significantly high and they were at the “at-risk” level for emotional labor, which suggests that preventing workplace violence can significantly reduce the intensity of emotional labor among workers.
The 5th subcategory of emotional labor, “organizational supportive and protective system,” assesses the presence of a system to support workers when problems arise during emotional labor and the degree of co-workers’ support. Thus, it is a measure of whether the workplace and its employees are properly protected. The scores for other 4 subcategories were in the “at-risk” range for those who experienced workplace violence and in the “normal” range for those who did not. However, the score for the category “organizational supportive and protective system” was high and in the “at-risk” range even for those who did not experience workplace violence. This means that, regardless of the experience of workplace violence, the workers feel a lack of “organizational supportive and protective system.” It is evident that they work under the anxiety that they may not be protected by the organization even if workplace violence does not occur.
This can be confirmed by the results of our survey on the measures that can be taken in the event of workplace violence. Only 32.8% of the subjects responded that they “can report to a security guard or supervisor about the incident,” 19.1% responded that they “can decline unreasonable demand,” and only 4.5% responded that they “can avoid the encounter when it is unmanageable.”
Toll collectors are not simply involved in collecting the toll fee. They are also expected to respond to customers asking for directions, and if this causes any delay, they have to listen to the complaints and verbal abuse of customers who are waiting in the back. Customers do not just stop here, and may harass them through filing civil complaints. If such civil complaints occur, the tool collectors may face disciplinary action or may have their pay cut. They are thus forced to accept the verbal abuse or unreasonable demands of customers. Even if they suffer from depression due to the high intensity of emotional labor, they are often afraid of being dismissed, and they have to hide their feeling or do not receive proper treatment or counseling. Unlike situations in other workplaces, any perpetrator of verbal abuse at tollgates can pass by in his/her vehicle. In addition, toll collectors are prohibited from carrying mobile phones while on duty, and thus they cannot take recordings and follow-up actions [18]. As such, workplace systems, by which toll collectors exposed to workplace can be protected, are very vulnerable, suggesting that improving emotional labor-related protection systems in the workplace should be prioritized.
Emotional labor has both positive and negative effects on workers. Grandey suggested that emotional labor affects health, and individuals and organizations in the following three stages: situational cues, emotional regulation process, and long-term consequences [19]. Positive effects related to emotional labor include smiling expressions affecting blood circulation and neurotransmitters to induce pleasant internal emotions [20], and the sense of accomplishment and sense of self-efficacy derived from fulfilling job demands [21].
The negative effects of emotional labor include both physical and mental effects, and several studies have been conducted in this regard. As the level of emotional labor increases, so does the level of job [22]. Stress can act as a causal and exacerbating factor for cerebral and cardiovascular diseases [23], and can further increase the risk of cerebral and cardiovascular diseases in conjunction with shift work [24]. In addition, it is known that emotional labor workers are at a higher risk of developing mental illnesses such as depression [25, 26] and are at a significantly higher risk of developing musculoskeletal disorders [14]. There is also a previous study showing that emotional labor was associated with dysmenorrhea in female workers [27]. It is also known that those who experienced workplace violence are at a significantly high risk of subjective dysthesia, depressive symptoms, and presenteeism and absenteeism [3].
According to a report analyzing occupational accident claims, 502 occupational accident claims for mental illness were submitted from 2005 to 2012, of which, 40 claims (8.2%) were related to emotional labor workers. Further, of the occupational accident claims for mental illness, 31.1% were submitted by those who had experienced workplace violence [3].
To minimize the negative physical and mental health effects of emotional labor, personal, legal, and institutional measures for the protection of emotional labor workers are needed. At the individual level, workers must be aware of whether his/her work is applicable to emotional labor. For this, publicity and education about the concept, prevention, and countermeasures of emotional labor in the workplace are needed. The Occupational Safety and Health Act, Article 5 states the employers’ obligations related to employees’ mental stress, and the Enforcement Rules to Occupational Safety and Health Standards, Article 669 stipulates the employers’ obligations to prevent health problems caused by job stress. In the past, there were many occupations that were classified as exempted from the law, but with changes in the industrial structure, the application of the law expanded to a considerable number of service industries which were previously exempted from the law. However, several occupations are still exempted under the Occupational Safety and Health Act, Article 31 (Health and Safety Education). Considering that a considerable number of workers in those exempted occupations are emotional laborers working in interactions with customers, safety and health education about emotional labor and the prevention of and countermeasures against workplace violence should be provided to them through expanded application of related laws to these occupations.
The most urgent part of legal and institutional measures is about violence by “third parties.” As found in the present study, most of the perpetrators of workplace violence were “customers,” but domestic laws and regulations do not have provisions on violence by third parties and there is no related obligation and liability of employers. Meanwhile, in Europe, such as in the UK, Germany, and Belgium, violence by third parties is specified separately and related obligations and liabilities of employers are imposed by the law [28,29,30].
Considering the results of this study showing that the score for the category “organizational support and supportive system” indicated scores at the “at-risk” level regardless of the experience of workplace violence, it is necessary to establish a step-by-step and systematic protection system for emotional laborers. The Canada Occupational Safety and Health Regulations sets out a 7-step approach to address workplace violence [31], and the guide on related legal regulations also presents 6 steps for workplace violence prevention [32].
The protection of workers from workplace violence by third parties and the establishment of protection system related to emotional labor can be achieved through the provision of legal and institutional devices. However, a report published in 2008 by the Health and Safety Executive (HSE) in the UK pointed out that there are limitations to the establishment of laws and institutions concerning emotional labor [33]. In this report, it is stated that the relationship between the characteristics of emotional labor and associated health impact may be context-specific, and thus, presenting overall management of emotional labor across all occupations should be avoided. In addition, it was pointed out that because emotional labor has both positive and negative aspects, approaches to reduce or control emotional labor may not be appropriate. Therefore, it was concluded that dealing with emotional labor together with job demands may be more effective than dealing with emotional labor alone.
As such, despite the fact that the level of emotional labor among emotional labor workers is very high, there are many difficulties in preparing measures to reduce the associated negative impact on workers. Because each service has different characteristics and related job demands vary, objective indicators of job demands related to emotional labor should be established along with assessments of emotional labor. In addition, guidelines should be developed for each of the 5 sub-categories of the K-ELS, and institutional frameworks that specify related obligations of employers and employees should be provided.
The present study has several limitations. First, the difference in the workload of the toll collectors was not considered. For toll collectors, the number of customers they meet may vary due to the difference in traffic volume depending on where they work, which can change the intensity of emotional labor. Second, there was a lack of further investigation of working conditions that could affect emotional labor among the toll collectors. The job of toll collectors is characterized by high exposure to exhaust gases, inability to go to the toilet when required, and the expectation to perform asymmetrical and repetitive movements. It is regrettable that the working environment factors were not assessed in the present study, with no evaluation of respiratory, urinary, and musculoskeletal diseases, and no analysis of the effects of those factors on emotional labor.
However, despite these limitations, our study is significant and has some strengths. This study is significant in that this study used a standardized instrument, the K-ELS, and reconfirmed that the emotional labor status among toll collectors was serious. In addition, the present study examined the relationship between workplace violence status and the sub-categories of emotional labor and thus presented direction for the improvement of the working environment of toll collectors. Overall assessments of workers in other service occupations using the K-ELS are needed in the future, and the assessment results of emotional laborers will play an important role in establishing related legal and institutional frameworks.