The DOI matches its Crossref record; 57 of the 60 references it cites were found in a registry or an index.
The relationship between experiential avoidance and burnout syndrome in critical care nurses: A cross-sectional questionnaire survey
Abstract
Background Critical care nurses often face complex stressful situations, and the phenomenon of burnout syndrome has been recognized as an important and increasing problem. Recent research suggests that another phenomenon, experiential avoidance, may be associated with burnout syndrome.Objectives To determine the relationship between burnout syndrome and experiential avoidance in Spanish critical care nurses and to evaluate the relationships between burnout, experiential avoidance, certain health habits, and sociodemographic and job-related factors.Design A descriptive survey.Setting Participants were recruited from the critical care units of five major hospitals in the Northern State of Spain, Principado de Asturias.Participants Of 98 critical care nurses who met the criteria for study inclusion, 80 agreed to participate and completed the survey. The participants were staff nurses who had worked a minimum of 1 year full-time in a critical care unit. Most were women and were aged 22-56 years.Methods The survey instrument consisted of the Maslach Burnout Inventory (to measure burnout) and the Acceptance and Action Questionnaire (to measure experiential avoidance). The survey also collected data regarding age, sex, marital status, type of hospital, years of critical care experience, number of patients per nurse, and self-reported tobacco dependency greater than 6 months.Results Participants showed high levels of emotional exhaustion (25.19+/-10.52), moderate levels of depersonalization (6.53+/-6.04), and low levels of accomplishment (8.95+/-7.890) as measured by the Maslach Burnout Inventory. The Acceptance and Action Questionnaire revealed a mean low pathologic score of 35.29+/-6.56. Pearson product moment correlation analysis indicated a significant inverse correlation between scores on the Maslach Burnout Inventory accomplishment subscale and scores on the Acceptance and Action Questionnaire frequency (r=0.237, p=0.05). More marked and significant was the positive correlation between the Acceptance and Action Questionnaire score and the depersonalization (r=0.525, p=0.01) and emotional exhaustion (r=0.507, p=0.01) subscale scores. Being older than 30 years and having more than 10 years of experience in a critical care environment as a nurse were significantly related to emotional exhaustion as measured by the Maslach Burnout Inventory. Clear evidence was found of an association between marital status and accomplishment (p=0.01) and between tobacco habit and depersonalization (p=0.003).Conclusions This study demonstrates a relationship between experiential avoidance and burnout syndrome in critical care nurses in Spain. Being older than 30 years, having more than 10 years of experience, being single, and smoking were associated with a nurse's vulnerability to burnout syndrome.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
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?
In the citing paper
“Iglesias et al. (2010) who both found that experiential avoidance was negatively associated with the depersonalisation of critical care nurses.”
From Testing Mindfulness Mechanisms of Action on the Stress and Burnout of Social Workers (2024) · cites this paper as Iglesias et al. (2010)
In the citing paper
“Iglesias et al. (2010) who found that experiential avoidance was negatively associated with the emotional exhaustion of critical care nurses.”
From Testing Mindfulness Mechanisms of Action on the Stress and Burnout of Social Workers (2024) · cites this paper as Iglesias et al. (2010)
Citations
Cites
The measurement of experienced burnout
Maslach, C., & Jackson, S. E. (1981) · Journal of Organizational Behavior · doi:10.1002/job.4030020205 · Cited by 14,496
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.64.6.1152 · Cited by 3,595
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
Measuring experiential avoidance: A preliminary test of a working model
Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., Bergan, J., et al. (2004) · The Psychological Record · doi:10.1007/bf03395492 · Cited by 2,140
Acceptance and commitment therapy.
Hayes, S. C., & Lillis, J. (2012) · American Psychological Association eBooks · doi:10.1037/17335-000 · Cited by 1,543
Burnout and Suicidal Ideation among U.S. Medical Students
Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., Durning, S., Moutier, C., Szydlo, D. W., Novotny, P. J., et al. (2008) · Annals of Internal Medicine · doi:10.7326/0003-4819-149-5-200809020-00008 · Cited by 1,532
A model of burnout and life satisfaction amongst nurses
Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2000) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2000.01496.x · Cited by 847
Stress and alcohol use: Moderating effects of gender, coping, and alcohol expectancies.
Cooper, M. L., Russell, M., Skinner, J. B., Frone, M. R., & Mudar, P. (1992) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.101.1.139 · Cited by 817
Professional Burnout in Human Service Organizations.
Stelling, J. G., & Cherniss, C. (1982) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2066683 · Cited by 802
Flagged first, then by citations
3 of the 60 references couldn’t be matched to a known paper.
Research works printed but not linked: 6
- Bernardo, 1997, Burnout evaluation. Troubles and alternatives: the CBB as evaluation of the elements of the process, Revista de Psicología del trabajo y las organizaciones, 13, 18
- Cebriá, 2001, Personality traits and burnout in family doctors, Atencion Primaria, 27, 459
- Lozano, 1999, Psychosocial predictors of burnout, Gestión Hospitalaria, 2, 66
- Maslach, 1976, Burned-out, Human Behavior, 5, 16
- Ortega, 2004, Burnout syndrome in the sanitary professionals: reviews and perspectives, International Journal of Clinical and Health Psychology, 1, 137
- Pando, 2000, Burnout syndrome in health workers, Revista de Salud y Trabajo, 1, 12
Cited by
Sorted by citations
Items 101–140 of 140
Hong, S., Lee, T. R., Ko, H., Kang, J., Jang, G., & Lee, S. M. (2023) · Journal of Counseling & Development · doi:10.1002/jcad.12475 · Cited by 6
Nemati, S., Pourtaleb, N., Badrigargari, R., Hashemi, T., Deetjen-Ruiz, R., & Shojaeian, N. (2022) · Advances in Neurodevelopmental Disorders · doi:10.1007/s41252-022-00307-0 · Cited by 5
A systematic review of the relationship between burnout and coping strategies in emergency workers
Diggin, S., Smith, L., Kirkpatrick, R., & Dempster, M. (2023) · Journal of Workplace Behavioral Health · doi:10.1080/15555240.2023.2215444 · Cited by 8
Geraghty, R., Crossfield, C., Brooks, L. A., & Wynter, K. H. (2025) · Australian Critical Care · doi:10.1016/j.aucc.2025.101415 · Cited by 4
Burnout among Physicians at Medical Departments in Benghazi-Libya
Alsaeiti, K. D., Elkadiki, A., Hamedh, M. A. I., Ezwaie, R. M., Younis, S. M., & Elfigih, S. O. (2022) · Libyan International Medical University Journal · doi:10.1055/s-0042-1758810 · Cited by 4
Nal, M., Sevim, E., Bektaş, G., DİRİCAN, Ü., & SAHIN, E. (2022) · Revista de Cercetare si Interventie Sociala · doi:10.33788/rcis.77.3 · Cited by 4
Tsironi, M., Malliarou, M. M., Alikari, V., & Zyga, S. (2014) · Cited by 4
Pavlova, A., Paine, S., Sinclair, S., O’Callaghan, A., & Consedine, N. S. (2022) · medRxiv · doi:10.1101/2022.11.09.22282159 · Cited by 4
Kent, W., Hulbert-Williams, N., & Hochard, K. D. (2020) · Health Psychology Report · doi:10.5114/hpr.2020.100787 · Cited by 3
Neal, A., Kemp, V., & Williams, R. (2019) · Cambridge University Press eBooks · doi:10.1017/9781911623069.028 · Cited by 3
The Effectiveness of Group Interpersonal Therapy on Burnout Among Long‐Term Care Workers
Oral, M., & Karakurt, N. (2024) · International Journal of Older People Nursing · doi:10.1111/opn.12639 · Cited by 4
Health and Stress Management and Mental-health Disability Claims
Marchand, A., Haines, V. Y., Harvey, S., Dextras-Gauthier, J., & Durand, P. (2015) · Stress and Health · doi:10.1002/smi.2663 · Cited by 3
(2017) · Journal of Nursing and Women s Health · doi:10.29011/2577-1450.100007 · Cited by 3
BURNOUT AND ENGAGEMENT IN FOURTH-YEAR SOCIAL WORK STUDENTS: WHY WE SHOULD BE CONCERNED
Roux, L. L., Steyn, F., & Hall, B. C. (2018) · Social Work/Maatskaplike Werk · doi:10.15270/54-2-632 · Cited by 2
The Presence of Moral Distress among Critical Care Nurses in Saudi Arabia
de Beer, J., Sunari, D., Nasser, S., Alnasser, Z., Rawas, H. O., & Alnajjar, H. A. (2023) · Saudi Critical Care Journal · doi:10.4103/sccj.sccj_29_22 · Cited by 3
CERRAHİ BİRİMLERDE ÇALIŞAN HEMŞİRELERİN HASTA GÜVENLİĞİNE İLİŞKİN TUTUMLARI VE ETKİLEYEN FAKTÖRLER
AYKAÇ, K., & Yeşilyurt, T. (2023) · İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi · doi:10.33715/inonusaglik.1161292 · Cited by 2
A Systematic Literature Review on the Operational Definitions of Burnout Syndrome
Park, S., Lee, H., 박정열, 박봉섭, 정지현, 서정은, 김민규, & Kim, D. (2017) · Journal of Education & Culture · doi:10.24159/joec.2017.23.3.297 · Cited by 2
Burnout syndrome in nurses on neurosurgical wards
Prokelová, P., & Jarošová, D. (2013) · Kontakt · doi:10.32725/kont.2013.017 · Cited by 2
Muñoz-Martínez, A., Otto-Scheiber, C. S., Zuluaga-Jassir, S., Medina-Díaz, A., Pulido-Rozo, J., Venegas-Ramírez, M., & Igua-Jojoa, A. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.07.005 · Cited by 3
Restrepo, M. (2013) · FIU - Digital Commons (Florida International University) · doi:10.25148/etd.fi13080507 · Cited by 2
Investigating the psychological and social predictors of burnout among nurses
Steenkamp, J. (2014) · SUNScholar (Stellenbosch University) · Cited by 2
The Role of Experiential Avoidance in Teacher Stress and Mental Health.
Hinds, E. (2013) · Scholars' Bank (University of Oregon) · Cited by 2
Ebrahimi, A., Khorasani, P., Andalib, S., Ahmadi, M., & Mousavi, S. M. H. (2024) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_908_23 · Cited by 1
Burnout syndrome among nurses at a military medical academy in Serbia
Todorović, J., Nešić, D., Soldatović, I., Popević, M. B., & Terzić-Šupić, Z. (2023) · Central European Journal of Public Health · doi:10.21101/cejph.a6325 · Cited by 1
Síndrome de burnout entre profissionais de enfermagem: revisão integrativa
Sousa, K. H. J. F., Lima, A. D. E. S., Fernandes, S. A., de Carvalho, P. M. G., & de Araújo, L. M. (2016) · Investigación en Enfermería Imagen y Desarrollo · doi:10.11144/javeriana.ie18-2.sbpe · Cited by 1
A programme to reduce burnout among hospital nurses in Gaza-Palestine.
Alhajjar, B. (2014) · University of the Witwatersrand, Johannesburg Institutional Repository on DSpace (University of the Witwatersrand, Johannesburg) · Cited by 1
Evaluating Process Variables in Acceptance and Commitment Therapy
Lugt, A. A. V. (2011) · University of North Texas Digital Library (University of North Texas) · doi:10.12794/metadc84296 · Cited by 1
Promoting clinical scholarship in the clinical arena.
Almaze, J.-P. (2017) · ResearchSpace (University of KwaZulu-Natal)
Abdelhay, I. S., El-sayed, N. M., & Nassar, M. E. (2015) · Mansoura Nursing Journal · doi:10.21608/mnj.2015.149112
Matsuishi, Y., Mathis, B. J., Hoshino, H., Enomoto, Y., Shimojo, N., Kawano, S., Sakuramoto, H., & Inoue, Y. (2021) · Research Square · doi:10.21203/rs.3.rs-144202/v1
El Cojo Rosa: sillas de montar
Varela, P. (2009) · Turismo rural
Nurses Awareness on Work Related Musculoskeletal Disorders in Kakamega County Kenya
Olutende, O. M., Wangui, A. M., Kaniaru, D. K., & Wamukoya, E. K. (2022) · OALib · doi:10.4236/oalib.1108562
Burnout in Secondary School Athletic Trainers, Part II: Correlations With Substance Use
Oglesby, L. W., Gallucci, A. R., Porter, A. K., & Elliott, A. P. (2022) · International Journal of Athletic Therapy & Training · doi:10.1123/ijatt.2021-0101
Chin, R. L., Forde, R., McConnell, D., Eriksson, L.-M., & Goodall, C. (2022) · Clinical Psychology Forum · doi:10.53841/bpscpf.2022.1.350.78
Enhancing Emotional Intelligence in Healthcare
Paul, T. J., Dutta, D., Singh, A., Misbah, M., Aran, K. R., & Raj, R. G. (2024) · Advances in computational intelligence and robotics book series · doi:10.4018/979-8-3693-7011-7.ch010
Mapeo de la investigación científica sobre el síndrome de burnout
Jiménez, M. U., Mallama, Ó. M. L., & Espinosa, A. A. (2025) · Revista Salud Bosque · doi:10.18270/rsb.4833 · Cited by 2
Förekomst av stress och utbrändhet bland röntgensjuksköterskor
Svensson, T. G., & Cengiz, T. (2010) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
Network analysis of burnout, depression, and insomnia among Iranian nurses
Kharatzadeh, H., Farahani, H., & Khorasani, P. (2026) · Journal of Workplace Behavioral Health · doi:10.1080/15555240.2026.2634139
ÜLKE, R., Gedik, Ö., & Kara, D. (2026) · Journal of Health Organization and Management · doi:10.1108/jhom-07-2025-0384
Stressors and Coping Mechanisms of Nurses in Saudi General Hospital Settings: A Mixed-Methods Study
Alrasheadi, B. A. (2026) · Sudan Journal of Medical Sciences · doi:10.18502/sjms.v21i2.20305
Metadata
- Authors
- Losa Iglesias, M. E., Vallejo, R. B. D. B., & Fuentes, P. S.
- Affiliations
- Universidad Complutense de Madrid (ES)
- Universidad Rey Juan Carlos (ES)
- Venue
- International Journal of Nursing Studies
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 47
- Issue
- 1
- Pages
- 30-37
- ISSN
- 0020-7489 (ISSN-L)
- OpenAlex
- W2108409377
- Cited by
- 140
- References
- 60
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 8 · 2022: 16 · 2021: 10 · 2020: 11 · 2019: 5 · 2018: 5 · 2017: 11 · 2016: 12 · 2015: 10 · 2014: 14 · 2013: 7 · 2012: 10
- FWCI
- 19.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Nursing Studies (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- experiential avoidance, intensive care unit nurses, emotional exhaustion, depersonalization, achievement, occupational stress, tobacco use, nursing workload, nurse age and experience, acceptance and action, Maslach Burnout Inventory, Acceptance and Action Questionnaire, Spanish nurses, hospital nursing staff, job-related factors, health habits, sociodemographic factors, occupational health of nurses
- MeSH terms
- Adult, Avoidance Learning, Burnout, Professional, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Nursing Staff, Hospital, Surveys and Questionnaires, Spain
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