Emotional Exhaustion Research Articles

Effect of authentic leadership on nurses' stress, burnout, presenteeism during COVID-19.

The COVID-19 pandemic has burdened the health-care system and exposed nurses to immense stress. This study therefore aims to investigate nurses' mental well-being who are working with COVID-19-positive patients. Burnout leads to decreased productivity and manifests as emotional exhaustion, depersonalisation (cynicism) and low personal accomplishment (professional efficacy). Authentic leadership is built on a humanistic value system, which is the core value of nurses and other health-care professionals. This study therefore used authentic leadership as the independent variable. A cross-sectional quantitative research method was adopted by distributing validated online questionnaires to 1,334 nurses in a private pathology laboratory and 241 questionnaires were analysed with 93.4% female respondents. Multiple linear regression model testing was conducted. Multiple regression analyses showed statistically significant negative correlations between authentic leadership and emotional exhaustion, cynicism, job stress and job-stress-related presenteeism, and a positive correlation between authentic leadership and professional efficacy. This study provides empirical data to encourage organisations to focus on developing authentic leaders to decrease nurses' burnout, job stress and presenteeism. The health-care sector should strive to create an environment where nurses are valued and their talent is recognised to increase employee engagement and commitment. There were two contributions in this study: first, to determine whether there is a relationship between authentic leadership job stress and job-stress-related presenteeism. Second, to determine whether there is a relationship between authentic leadership and the three sub-constructs of burnout.

Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature

BackgroundIn an era of safety systems, hospital interventions to build a culture of safety deliver organisational learning methodologies for staff. Their benefits to hospital staff are unknown. We examined the...

Supplemental Material for How Stable Is Student Teachers’ Emotional Exhaustion? Disentangling Different Components of Stability and Change Using the STARTS Model

Supplemental Material for How Stable Is Student Teachers’ Emotional Exhaustion? Disentangling Different Components of Stability and Change Using the STARTS Model

Comparative study of job burnout in Shanghai-based nurses against Maslach norm and Hangzhou norm.

This study aimed to analyze the trend in job burnout among nurses in Shanghai, China. The nursing profession globally faces a significant challenge due to aging populations, causing a human resources crisis. Job burnout notably impacts nurses' enthusiasm for work and their overall well-being. Understanding the trends in job burnout among nurses is crucial for addressing this issue. A cross-sectional study involving 799 nurses from a tertiary-care hospital and 11 community health service centers in Pudong New Area South, Shanghai, was conducted using convenience sampling. Data were collected through a general information questionnaire and the Maslach Burnout Inventory scale, to assess job burnout levels. These data were compared with the established Maslach and Hangzhou norms in China. 74.6% of the participants experienced job burnout. The emotional exhaustion dimension had an average score of 27.27±13.93, indicating high levels of burnout; the depersonalization dimension had an average score of 7.83±6.68, showing moderate levels of fatigue; and the personal achievement dimension had an average score of 26.75±10.26, also indicating moderate fatigue. Notably, nurses aged 32-33 years with 11-12 years of professional experience were the most affected. The findings suggest that job burnout is a significant issue in Pudong New Area South, Shanghai, with a notable increase in severe burnout cases over the past decade. Nurses, particularly during the COVID-19 pandemic, face high rates of burnout, with emotional exhaustion being particularly prevalent. To support and retain the nursing workforce, hospital administrators must implement external reward mechanisms and develop policies that encourage personal growth, career development, and a humanistic approach to care. From our review of the literature, we identified instances where burnout standards are either not assessed or lack uniformity in their application. Therefore, it is imperative to adopt a standardized occupational burnout scale for a nationwide survey, encompassing nurse populations across various levels, including province, region, city, and institution. This approach will facilitate the establishment of a practical norm for occupational burnout within China. This norm would enable conducting regular assessments and comparisons to understand the evolving trends of job burnout among nurses, which could pave the way for the creation of targeted support interventions for the nursing profession.

Intimate Partner Violence and Academic Emotional Exhaustion among University Students: A Public Health Perspective

Intimate Partner Violence and Academic Emotional Exhaustion among University Students: A Public Health Perspective

Outcomes of Aggression and Victimization in Social Welfare Services.

This study examined two significant phenomena that occur in the workplace, aggression and victimization, and their outcomes. The study's participants were 470 social workers employed by social welfare services in Israel. The examined outcomes were stress symptoms, emotional exhumation, and decline in quality of service climate. The associations between aggression, victimization, and their outcomes were examined via linear regression during Stata 14. The study found that the similar outcomes of aggression and victimization are stress symptoms and emotional exhaustion, while service climate (decline in quality) was associated only with victimization. While most studies have examined mainly victimization outcomes, the current study examined both aggression and victimization outcomes. This article sheds light on the similarities and the difference of outcomes between aggression and victimization and explicates the phenomena of workplace aggression from two important and complementary aspects of aggression and victimization. It is important to refer to either aggression or victimization while considering workplace aggression. Authors recommend for further studies to continue to investigate both aggression and victimization while researching workplace aggression outcomes.

Determinants of Counterproductive Work Behavior: A Moderation and Mediation Analysis

The purpose of the article is to investigate the impact of employment stressors, specifically job insecurity (JI), interpersonal conflicts at work (ICW), and leader–member exchange (LMX), on counterproductive work behaviors (CWB). The stressor-emotion theory of CWB suggests that the connections between these factors could be influenced by emotional exhaustion (EE) and regulated by emotional intelligence (EI). A cross-sectional survey was undertaken online to gather data from 431 IT personnel in India. The model proposed, postulating relationships among the variables, underwent testing through structural equation modeling (SEM) utilizing the process macro in SPSS. The moderation analysis was conducted using Hayes’ PROCESS macro in SPSS. The findings confirmed that all three job stressors have a significant impact on CWB. Additionally, EE partially mediated all three relationships. Similarly, EI moderated only the association between ICW and CWB, but not those of JI and LMX with CWB. It is highly imperative for organizations to comprehend the concept deeply and research further to determine the antecedents that impact CWB, to realize their goals.

Burnout and Life Satisfaction among Healthcare Workers Related to the COVID-19 Pandemic (Silesia, Poland)

Background. The phenomenon of burnout among healthcare workers during the COVID-19 pandemic is a widespread problem with several negative consequences for the healthcare system. The many stressors of the pandemic have led to an increased development of anxiety and depressive disorders in many healthcare workers. In addition, some manifested symptoms of the so-called postpandemic stress syndrome and the emergence of occupational burnout syndrome, commonly referred to as “COVID-19 burnout.” The aim of this study was to assess the burnout and life satisfaction of healthcare workers during the COVID-19 pandemic. Materials and Methods. The study was conducted in 2020-2022 among medical staff working in hospitals in Silesia, Poland. The instruments used to assess life satisfaction and burnout were the Satisfaction with Life Scale (SWLS) and the Maslach Burnout Inventory (MBI), which assesses three dimensions: emotional exhaustion (EE), depersonalisation (DEP), and sense of reduced professional accomplishment (SRPA). Results. The study group included 900 participants. There were 300 physicians (mean age 38±7 years), 300 nurses (mean age 35±6 years), and 300 paramedics (mean age 31±5 years). Life satisfaction as measured by the SWLS was lowest among nurses and paramedics in 2021 and among doctors in 2022. Male respondents and those with fewer years of work had higher levels of life satisfaction. People with more years of work had higher scores in EE and DEP and lower scores in SRPA (p=0.001). We found a negative correlation between life satisfaction and EE (p=0.001), DEP (p=0.001), and SRPA (p=0.002). Conclusions. The results highlight the need for further research into the causes of burnout among medical professionals and the need for effective interventions to promote well-being and prevent burnout in this group.

“We want our freedom back, that’s our only need”: a qualitative study of health and social needs among asylum seekers and undocumented migrants crossing the borders from Belarus to Lithuania

BackgroundThe influx of undocumented migrants and asylum seekers into Lithuania, particularly during the COVID-19 pandemic, presents unique public health challenges. This study employs the Social Determinants of Health framework to explore the healthcare and social needs of this vulnerable population.MethodsIn May 2022, we carried out a qualitative study through semi-structured interviews with asylum seekers across four centers in Lithuania. Employing both purposive and snowball sampling techniques, we selected participants for our investigation. The study comprised 21 interviews—19 conducted in Arabic and 2 in English—with durations ranging between 20 and 40 min each. We audio-recorded all interviews, transcribed them verbatim, and subsequently performed a thematic analysis using Atlas.ti software. This process of design and analysis strictly followed the principles of thematic analysis as outlined by Braun and Clarke, guaranteeing methodological precision and rigor.Findings21 interviews revealed critical insights into the healthcare access challenges, mental health issues, and social integration barriers faced by the participants. Key themes included ‘Healthcare Needs and the Impact of the COVID-19 Pandemic ‘and ‘Social needs and Aspirations Amidst Pandemic-Induced Uncertainty ‘. The findings highlight the multifaceted healthcare and social needs of asylum seekers, juxtaposed against significant barriers they face. Access to medical services is hindered by long waiting times and financial constraints, especially for specialized care such as dental services. Communication issues during medical appointments due to language barriers and the lack of gender-specific healthcare, such as access to gynecological services, further exacerbate the challenges. Additionally, the COVID-19 pandemic introduces hurdles such as limited testing, isolation measures, language-specific information barriers, and insufficient social distancing practices. Mental health has emerged as a critical concern, with asylum seekers reporting significant stress and emotional exhaustion due to uncertainty and restrictive living conditions. Social needs extend to delayed asylum application processes, inconsistent language education opportunities, inadequate clothing, and nutrition that lacks cultural sensitivity, and living conditions characterized by overcrowding and insufficient facilities. The restricted freedom of movement within asylum seeking centres severely impacts their psychological well-being, underscoring a deep longing for autonomy and a better life despite the myriad of challenges faced.DiscussionThe study illustrates the complex interplay between migration, health, and social factors in the context of a global pandemic. It highlights the need for culturally sensitive healthcare services, mental health support, and structured language education programs. Offering educational avenues alongside language courses for children and adults is essential for fostering social inclusion and securing economic prosperity. Addressing the challenge of language barriers is of utmost importance, as these barriers significantly impede undocumented migrants’ and asylum seekers employment opportunities and their access to crucial services. The findings emphasized immigration as a health determinant and underscored the importance of inclusive health policies and advocacy for undocumented migrants and asylum seekers’ rights and needs.ConclusionThere is an urgent need for comprehensive policies and practices that are grounded in the principles of equity, compassion, and human rights. Additionally, advocating for practice adaptations that are culturally sensitive, linguistically inclusive, and responsive to the unique challenges faced by undocumented migrants and asylum seekers. As global migration continues to rise, these findings are crucial for informing public health strategies and social services that cater to the diverse needs of this vulnerable population.

Depression and Smartphone Addiction Among College Students: The Mediating Effect of Emotional Exhaustion

Depression and Smartphone Addiction Among College Students: The Mediating Effect of Emotional Exhaustion

Incivility and engagement: the role of emotional exhaustion and psychological capital in service organizations

Purpose Based on the conservation of resource theory and the affective events theory, the study aims to explore the role of workplace incivility in predicting work engagement through emotional exhaustion and how psychological capital moderates this relationship. Design/methodology/approach Using the questionnaire survey with a sample of 278 restaurant employees in Ghana and through process macro analysis, the hypotheses were tested. Findings The results depict the mediating role of emotional exhaustion on the workplace incivility–engagement relationship. Also, the level of an individual’s psychological capital buffers the impact of workplace incivility on engagement through emotional exhaustion. When psychological capital is high, the negative effect of workplace incivility on work engagement through emotional exhaustion weakens. Practical implications The findings suggest that organizations, particularly those in developing economies in Africa, can derive immense benefit from giving psychological capital training to employees to help buffer the effects of incivility on engagement through emotional exhaustion. Originality/value With a focus on a developing economy in Africa, to the best of the author’s knowledge, this study is novel in exploring the mediating and moderating mechanisms of the incivility–engagement relationship.

Emotional exhaustion, academic self-efficacy, and career aspiration among engineering college students

Emotional exhaustion is described as a psychological state characterized by decreased energy, feelings of emotional and physical exhaustion, and a sense of frustration and failure. This state often arises from the initial phases of stress, leading to emotional and cognitive distance from academic activities. The study aims to check the relationship between emotional exhaustion with career aspiration and academic self-efficacy among engineering college students. A sample of n=201 engineering students (174 Males and 25 Females) was taken with all the participants being between the age range of 18-25. The results obtained indicated no relationship between emotional exhaustion, academic self-efficacy, and Career Aspiration among engineering students. However, there is a significant positive relationship between career aspiration and academic self-efficacy among these students

Physical activity, musculoskeletal disorders, burnout, and work engagement: a cross-sectional study on Italian white-collar employees

IntroductionBoth mental and physical health of office workers had a positive relationship with their work engagement, with the latter relationship being driven by the association of a healthy diet and physical activity (PA). This observational study aimed to investigate the associations between PA levels, musculoskeletal disorders (MSDs), burnout, and work engagement, in a sample of white-collar employees.MethodsA total of 615 workers (age 42.2 ± 9.5 years) successfully completed an online questionnaire comprising work-related information and standardized questionnaires on PA, MSDs, burnout and work engagement.Results36.9% of the participants did not meet the PA guidelines, 19.0% adhered to them, and 44.1% exceeded them. A significant portion of participants reported suffering from MSDs, primarily neck/shoulder and/or low back/hip pain. Those exceeding PA guidelines had fewer MSDs compared to non-compliant participants and exhibited better mental health and work engagement. Compliance with PA guidelines was associated with a 38% reduced risk of emotional exhaustion, with an even greater reduction of 47% among those surpassing the guidelines.DiscussionPA could exert a positive effect on physical and mental health of employees, but only if performed above a certain amount. The study supports the need to identify workplaces as suitable for health-focused interventions and lifestyle changes.

MENGULIK PERAN JOB INSECURUTY YANG MEMPENGARUHI EMOTIONAL EXHAUSTIONAL PADA GEN Z DI DUNIA KERJA YANG DIMEDIASI OLEH DETERMINAN ROLE AMBIGUITY

ABSTRACT Emotional exhaustion is individual fatigue related to personal feelings and depletion of emotional resources, which refers to excessive emotional feelings due to contact with other people or work. Emotional exhaustion can be influenced by factors including job insecurity and role ambiguity. This research aims to determine the influence of job insecurity through role ambiguity which consists of unclear rules, vague responsibilities, vague expectations on emotional exhaustion at work. The sample in this research was Gen Z who worked part time, full time or freelance, amounting to 200 respondents. The data collection technique uses a list of questions such as a questionnaire and the data analysis technique uses Partial Least Square (SmartPls) to test the ten hypotheses proposed in this research. The research results show that job security directly and indirectly through the determinants of role ambiguity has a positive and significant influence on emotional exhaustion.

Exploring the relationships between resilience, burnout, work engagement, and intention to leave among nurses in the context of the COVID-19 pandemic: a cross-sectional study

BackgroundNurses have faced significant personal and professional stressors during the COVID-19 pandemic that have contributed to increased rates of burnout, intention to leave, and poorer work engagement. Resilience has been identified as a critical factor influencing job outcomes; however, the dynamics of this association have not yet been investigated within the context of the Thai workforce. The study objective was to determine the associations between resilience and job outcomes, including burnout, intention to leave, and work engagement among nurses working in Thailand during the COVID-19 pandemic.MethodsThis cross-sectional study gathered data from a sample of 394 registered nurses employed across 12 hospitals. The research instruments comprised the Connor–Davidson Resilience Scale (CD-RISC), the Maslach Burnout Inventory-Health Services Survey (MBI-HSS), a questionnaire assessing the intention to leave the job, and the Utrecht Work Engagement Scale (UWES). To determine the associations among the measured variables, multivariate logistic regression analyses were conducted.ResultsOne-third of nurses experienced emotional exhaustion and depersonalization, and about half experienced reduced personal accomplishment; one-tenth of nurses intended to leave their job. Nurses who exhibited higher levels of resilience were found to have a significantly reduced likelihood of experiencing high emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment. Conversely, these nurses were more likely to report higher levels of work engagement than their less resilience.ConclusionThe COVID-19 pandemic offers important lessons learned about promoting the well-being of the nursing workforce and protecting against adverse job outcomes. While we identified resilience as a significant predictor of several nurse outcomes, other work environment factors should be considered. Government and hospital administrations should allocate resources for individual and organizational-level interventions to promote resilience among frontline nurses so that hospitals will be better prepared for the next public health emergency and patient and nurse outcomes can be optimized.

Burning Bright or Burning Out: A Cross-sectional Study on Burnout among Postgraduate Residents in an Eastern Indian Teaching Hospital

Abstract Introduction: Burnout is a concerning clinical syndrome comprising excessive stress, lack of satisfaction, and a feeling of being overworked. In India, postgraduate residents who shoulder the entire burden of patient care, are prone to suffer from burnout. Only a few Indian studies have been carried out to estimate the prevalence of burnout among postgraduate resident doctors. Our study, the first of its kind from eastern India, aims to address this lacuna. Materials and Methods: This was a single-institution cross-sectional observational study carried out using an online semi-structured form comprising demographic data and the Maslach Burnout Inventory. Appropriate statistical tests were carried out to analyze the data obtained. Results: The study received a response rate of 79.2%. Of the participants, 44.1% were females, 54.9% were males, and 1% identified as other gender. The mean age (standard deviation) of the participants was 28.02 (3.67) years. Overall, 75% of the participants experienced burnout. Younger participants, females, clinical residents, those in a relationship, and 2nd year of residency reported higher emotional exhaustion. Depersonalization was associated with lower age, being in a relationship, metropolitan upbringing, and 2nd year of residency. The lower personal accomplishment was seen in those coming from metropolitan and rural backgrounds. Conclusion: Burnout has serious implications on psychological and physical health of the residents. Interventions for effective management will greatly improve the overall mental health and work performance of the junior doctors.

Occurrence of musculoskeletal disorders, burnout, and psychological suffering in Brazilian nursing workers: A cross-sectional study.

Musculoskeletal disorders (MSDs) pose a pervasive concern among nursing professionals due to the high physical workload. Simultaneously, the complex relationship between MSDs and mental health outcomes in this population remains an area of significant interest and importance. This study aimed to investigate the occurrence of MSDs and their relationships with burnout and psychological suffering within the nursing workforce. A cross-sectional study was conducted in 2020 involving 291 nursing professionals in Brazil. Standardized questionnaires were employed to gather information on MSDs, mental health outcomes, and pertinent work-related factors. Robust statistical analyses were conducted to ascertain the prevalence of MSDs, establish associations between MSDs and mental health outcomes, and delineate the influence of work-related factors on these associations. Statistical analysis was performed using the R software. The study revealed a significant prevalence of musculoskeletal injuries (MSIs) among nursing workers, focusing on regions that include the lower back, upper back, neck, and shoulders. Individuals with MSIs in the lower back showed a marked increase in emotional exhaustion (p = 0.02), as did those with MSIs in the upper back (p <0.01) and depersonalization (p = 0.07). On the other hand, nursing professionals who reported MSIs in the neck and shoulders had considerably higher scores in emotional exhaustion (p <0.01 and p = 0.01, respectively) and depersonalization (p = 0.05 and p = 0.05, respectively). However, no significant correlations emerged between MSIs and depression or work-related factors. This study highlights the urgency of implementing proactive measures to prevent and manage MSDs within the nursing profession. Moreover, it emphasizes the critical need to enhance working conditions and provide robust support mechanisms to safeguard the mental health of nursing professionals.Open AccessOpen Access.

The time-lagged impact of microaggressions at work on the emotional exhaustion of transgender and gender diverse employees

Background Despite the widespread adoption of workplace protections for transgender and gender diverse (TGD) individuals, past research has suggested that microaggressions still occur. Previous literature indicates that microaggressions have a deleterious and cumulative impact on mental health. However, little is known about how microaggressions affect TGD employees over time. Method Using a longitudinal design with lagged measures over a period of three months, we explored the current forms of workplace microaggressions against TGD individuals, as well as their prospective impact on emotional exhaustion. We also examined perceived social support, identity centrality, and identity pride as moderators of the effects of microaggressions on emotional exhaustion as these may inform us of potential mitigating factors and targets for interventions. Results TGD employees chronically experience various types of microaggressions which, in turn, lead to emotional exhaustion over time. None of the hypothesized factors moderated the time-lagged relationship of microaggressions on emotional exhaustion, but direct effects of perceived social support and identity pride on exhaustion were found. Conclusion The findings highlight the urgency to develop strategies that directly reduce microaggressions in organizational settings. In order to provide a safe space for gender minorities in the workplace, we recommend that organizations address microaggressions directly and explicitly within their human resource management policies in an authentic non-tokenistic way. In doing so, organizations should incorporate the experiences of various gender identities and gender expressions, while also defining clear processes for assessment and monitoring, corrective action, and best practice sharing.

Burnout among elementary and high school teachers in three Canadian provinces: prevalence and predictors

BackgroundBurnout is a longstanding issue among educators and has been associated with psychological and physical health problems such as depression, and insomnia.ObjectiveTo assess the prevalence and predictors of the three dimensions of burnout (emotional exhaustion, depersonalization and lack of professional accomplishment) among elementary and high school teachers.MethodsThis is a quantitative cross-sectional study with data collected via an online survey. The Maslach Burnout Inventory-Educator Survey (MBI-ES), the Brief Resilience Scale (BRS) and the Perceived Stress Scale were used, respectively, to assess burnout, resilience and stress among teachers. Data was collected between September 1st, 2022 and August 30th, 2023. SPSS (version 28, IBM Corp) was used for the data analysis.ResultsOverall, 1912 educators received a link to the online survey via a text message, and 780 completed the burnout survey questions, resulting in a response rate of 41%. The prevalence of emotional exhaustion, depersonalization, and lack of professional accomplishment were 76.9, 23.2, and 30.8%, respectively. Participants with high-stress symptoms were 6.88 times more likely to experience emotional exhaustion (OR = 6.88; 95% CI: 3.31–14.29), 2.55 times (OR = 2.55; 95% CI: 1.65–3.93) more likely to experience depersonalization and 2.34 times (OR = 2.34; 95% CI: 1.64–3.35) more likely to experience lack of professional fulfilment. Additionally, respondents with low resilience were 3.26 times more likely to experience emotional exhaustion symptoms (OR = 3.26; 95% CI: 2.00–5.31), than those with high resilience. Males were about 2.4 times more likely to present with depersonalization compared to female teachers, whilst those who indicated their marital status as partnered or cohabiting and those who selected “other” were 3.5 and 7.3 times, respectively, more likely to present with depersonalization compared with those who were single. Finally, Physical Education were 3.8 times more likely to present with depersonalization compared with English teachers.ConclusionThe current study highlights the predictive effects of low resilience and high stress on the three dimensions of burnout among teachers in Canada. Interventions aimed at addressing systemic stress and fostering resilience are needed to reduce burnout among teachers.

Investigating the influence of risk perception on females’ public service motivation during public health emergencies

Since the inception of Public Service Motivation (PSM) by Perry and Wise, substantial research has been conducted in this domain. However, there is a dearth of scholarly investigation into the impact of changing public service environments, specifically the perception of workplace risk, on public service motivation. Recent public health crises, such as the COVID-19 pandemic, have necessitated significant changes in frontline public employees’ work environments. As they frequently engage in epidemic prevention and control activities, which entail direct exposure to the virus, their motivation may fluctuate based on their perceived risks. Female employees, in particular, facing the dual pressures of work and family responsibilities, are more prone to being affected. Drawing upon the human behavioral motivation and Stress-Strain-Outcome framework, this study examines the influence mechanism of risk perception on public service motivation among 214 female employees who participated in epidemic control during the 2022 lockdown period in Shanghai. As the findings indicate, risk perception detrimentally affects their public service motivation both directly and indirectly through emotional exhaustion or anxiety-emotional exhaustion dual mediation, whereas anxiety does not mediate such a relationship. The study’s theoretical significance lies in its potential to broaden the scope of antecedent research on public service motivation and address the research gap about the mechanisms through which risk perception influences public service motivation during public health emergencies. Practically, these insights may assist public organizations in mitigating the adverse effects of risk perception, thereby enhancing their employees’ well-being and service effectiveness.