Burnout, self- and supervisor-rated job performance, and absenteeism among nurses
Abstract
This study examined how job stress and work support predict the experience of burnout and how burnout is related to absenteeism and job performance in a sample of 73 registered nurses. The current study expanded on previous findings by including supervisor ratings of performance and employee records of absenteeism in addition to self-report measures. It also examined the extent to which burnout may mediate the relationships of job stress and social support with these performance indicators. Analyses indicated that levels of work support and job stress were both significant predictors of burnout. Additionally, higher burnout levels were significantly associated with poorer self-rated and supervisor-rated job performance, more sick leave, and more reported absences for mental health reasons. Finally, further analyses suggest that level of burnout served as a mediator of the relationships between social support and self-rated job performance, absences for mental health reasons, and intentions to quit. The findings suggest that burnout not only may negatively impact healthcare providers, but also may influence objective absenteeism and supervisor perceptions of employee performance.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Sample sizes ranged from hundreds of hospitals (max = 927) with hundreds of thousands of nurses (max = 326,750) to small single-site studies with the smallest sample being 73 nurses.
“Sample sizes ranged from hundreds of hospitals (max = 927) with hundreds of thousands of nurses (max = 326 750) [20] to small single-site studies with the smallest sample being 73 nurses [21] (see Additional file 3).”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [21]
Social support is associated with lower Emotional Exhaustion and higher Personal Accomplishment.
“and social support was associated with lower Emotional Exhaustion and higher Personal Accomplishment [21]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [21]
Only Emotional Exhaustion affects intentions to leave the job in four studies.
“four studies reported that only Emotional Exhaustion affected intentions to leave the job [21, 32, 37, 100]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [21]
Emotional Exhaustion is significantly associated with reported mental health absenteeism, but not reported physical health absenteeism, and sickness absence from administrative records.
“Emotional Exhaustion was significantly associated with reported mental health absenteeism, but not reported physical health absenteeism, and sickness absence from administrative records [21]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [21]
Only Emotional Exhaustion is associated with self-rated and supervisor-rated job performance of 73 RNs.
“Only Emotional Exhaustion was associated with self-rated and supervisor-rated job performance of 73 RNs [21]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [21]
Cites
Stress, social support, and the buffering hypothesis
Cohen, S., & Wills, T. A. (1985) · Psychological Bulletin · doi:10.1037/0033-2909.98.2.310 · Cited by 18,093 · see citing works
Convergent and discriminant validation by the multitrait-multimethod matrix.
Campbell, D. T., & Fiske, D. W. (1959) · Psychological Bulletin · doi:10.1037/h0046016 · Cited by 17,116 · see citing works
A personality scale of manifest anxiety
Taylor, J. A. (1953) · The Journal of Abnormal and Social Psychology · doi:10.1037/h0056264 · Cited by 3,131 · see citing works
‘Burnout’, absence and turnover amongst British nursing staff
Firth, H., & Britton, P. (1989) · Journal of Occupational Psychology · doi:10.1111/j.2044-8325.1989.tb00477.x · Cited by 249 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Using the job demands-resources model to predict burnout and performance
Bakker, A. B., Demerouti, E., & Verbeke, W. (2004) · Human Resource Management · doi:10.1002/hrm.20004 · Cited by 2,565 · see citing works
Burnout and self-reported patient care in an internal medicine residency program
Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-136-5-200203050-00008 · Cited by 2,165 · see citing works
Burnout in nursing: a theoretical review.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020) · Human Resources for Health · doi:10.1186/s12960-020-00469-9 · Cited by 1,181 · see citing works
Nurse Burnout and Patient Satisfaction
Vahey, D. C., Aiken, L. H., Sloane, D. M., Clarke, S. P., & Vargas, D. (2004) · Medical Care · doi:10.1097/01.mlr.0000109126.50398.5a · Cited by 977 · see citing works
Born to burnout: A meta-analytic path model of personality, job burnout, and work outcomes
Swider, B. W., & Zimmerman, R. D. (2010) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2010.01.003 · Cited by 929 · see citing works
Baltes, B. B., Briggs, T. E., Huff, J. W., Wright, J. A., & Neuman, G. A. (1999) · Journal of Applied Psychology · doi:10.1037/0021-9010.84.4.496 · Cited by 837 · see citing works
Shanafelt, T. D., Sloan, J. A., & Habermann, T. M. (2003) · The American Journal of Medicine · doi:10.1016/s0002-9343(03)00117-7 · Cited by 813 · see citing works
<p>Burnout in Healthcare Workers: Prevalence, Impact and Preventative Strategies</p>
De Hert, S. (2020) · Local and Regional Anesthesia · doi:10.2147/lra.s240564 · Cited by 746 · see citing works
Using a Single Item to Measure Burnout in Primary Care Staff: A Psychometric Evaluation
Dolan, E. D., Mohr, D., Lempa, M., Joos, S., Fihn, S. D., Nelson, K. M., & Helfrich, C. D. (2015) · Journal of General Internal Medicine · doi:10.1007/s11606-014-3112-6 · Cited by 599 · see citing works
Salanova, M., Schaufeli, W., Martínez, I., & Bresó, E. (2010) · Anxiety, Stress & Coping · doi:10.1080/10615800802609965 · Cited by 612 · see citing works
Relationship between nurse burnout, patient and organizational outcomes: Systematic review
Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.103933 · Cited by 606 · see citing works
Burnout syndrome among critical care healthcare workers.
Embriaco, N., Papazian, L., Kentish-Barnes, N., Pochard, F., & Azoulay, E. (2007) · Current Opinion in Critical Care · doi:10.1097/mcc.0b013e3282efd28a · Cited by 569 · see citing works
Recovery, health, and job performance: effects of weekend experiences
Fritz, C., & Sonnentag, S. (2005) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.10.3.187 · Cited by 462 · see citing works
Stress, burnout and coping strategies in preclinical medical students
Fares, J., Al Tabosh, H., Saadeddin, Z., El Mouhayyar, C., & Aridi, H. (2016) · North American Journal of Medical Sciences · doi:10.4103/1947-2714.177299 · Cited by 381 · see citing works
Boamah, S. A., & Laschinger, H. (2016) · Journal of Nursing Management · doi:10.1111/jonm.12318 · Cited by 261 · see citing works
Stress symptoms and burnout in obstetric and gynaecology residents
Castelo‐Branco, C., Figueras, F., Eixarch, E., Quereda, F., Cancelo, M., González, S., & Balasch, J. (2007) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2006.01155.x · Cited by 94 · see citing works
Braun, S. E., Kinser, P. A., & Rybarczyk, B. (2019) · Translational Behavioral Medicine · doi:10.1093/tbm/iby059 · Cited by 56 · see citing works
Hoarding symptoms and workplace impairment
Mathes, B. M., Henry, A., Schmidt, N. B., & Norberg, M. M. (2019) · British Journal of Clinical Psychology · doi:10.1111/bjc.12212 · Cited by 15 · see citing works
- Authors
- Parker, P. A., & Kulik, J. A.
- Affiliations
- San Diego State University (US)
- University of California San Diego (US)
- ORCID
- Parker, Patricia A.
- Venue
- Journal of Behavioral Medicine
- Published
- 1995-12
- Volume
- 18
- Issue
- 6
- Pages
- 581-599
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2008298693
- Cited by
- 314
- References
- 4
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 10 · 2023: 10 · 2022: 15 · 2021: 18 · 2020: 19 · 2019: 14 · 2018: 12 · 2017: 13 · 2016: 19 · 2015: 22 · 2014: 18 · 2013: 13 · 2012: 10
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- burnout, nurses, occupational stress, social support, absenteeism, employee performance, sick leave, supervisor ratings, self-perceived performance, turnover intention, mediation
- MeSH terms
- Absenteeism, Adult, Aged, Burnout, Professional, Employee Performance Appraisal, Female, Humans, Job Satisfaction, Male, Middle Aged, Nurses, Stress, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
