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
Burnout: From tedium to personal growth
(1983) · Children and Youth Services Review · doi:10.1016/0190-7409(83)90036-1 · Cited by 790
The Role of Acceptance and Job Control in Mental Health, Job Satisfaction, and Work Performance
Bond, F. W., & Bunce, D. (2003) · Journal of Applied Psychology · doi:10.1037/0021-9010.88.6.1057 · Cited by 711
Acceptance and Commitment Therapy
Strosahl, K. D. (2002) · Elsevier eBooks · doi:10.1016/b0-12-343010-0/00001-5 · Cited by 647
Piko, B. F. (2005) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2005.05.003 · Cited by 576
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
Handbook of work and health psychology
Schabracq, M. J., Winnubst, J. A. M., & Cooper, C. L. (2003) · Cited by 525
Critical Care Nurses’ Perceptions of Futile Care and Its Effect on Burnout
Meltzer, L. S., & Huckabay, L. M. D. (2004) · American Journal of Critical Care · doi:10.4037/ajcc2004.13.3.202 · Cited by 476
Burnout: Summary and Future Research
Perlman, B., & Hartman, E. A. (1982) · Human Relations · doi:10.1177/001872678203500402 · Cited by 451
The role of sex and family variables in burnout
Maslach, C., & Jackson, S. E. (1985) · Sex Roles · doi:10.1007/bf00287876 · Cited by 403
Editorial: Holistic Nursing Practice
Slater, V. E. (2005) · Journal of Holistic Nursing · doi:10.1177/0898010105278885 · Cited by 391
Occupational Stress and Variation in Cigarette, Coffee, and Alcohol Consumption
Conway, T. L., Vickers, R. R., Ward, H., & Rahe, R. H. (1981) · Journal of Health and Social Behavior · doi:10.2307/2136291 · Cited by 300
Acceptance and Commitment Therapy
Hayes, S. C., & Sackett, C. (2014) · Encyclopedia of Behavior Modification and Cognitive Behavior Therapy: Volume 1: Adult Clinical Applications Volume 2: Child Clinical Applications Volume 3: Educational Applications · doi:10.4135/9781412950534.n1 · Cited by 279
Burnout in psychiatric nursing
Kilfedder, C., Power, K. G., & Wells, T. J. (2001) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2001.01769.x · Cited by 271
Burnout and Its Correlates in Emergency Physicians: Four Years' Experience with a Wellness Booth
Goldberg, R., Boss, R. W., Chan, L. S., Goldberg, J., Mallon, W. K., Moradzadeh, D. S., Goodman, E. A., & McConkie, M. L. (1996) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.1996.tb03379.x · Cited by 251
Handbook of work and health psychology
de Vliert, E. V., & van de (1996) · Wiley eBooks · Cited by 213
Origins of ruminative thought: Trauma, incompleteness, nondisclosure, and suppression
Gold, D. B., & Wegner, D. M. (1995) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.1995.tb02617.x · Cited by 202 · cited 1×
“Over time, the increasingly intense efforts to avoid or change the unpleasant events resulting from BOS can result in progressively higher levels of stress, psychopathology, and a poorer quality of life (Gold and Wegner, 1995).”
BackgroundInsomnia and sleep quality among primary care physicians with low and high burnout levels
Vela‐Bueno, A., Jiménez, B. M., Rodríguez‐Muñoz, A., Olavarrieta‐Bernardino, S., Fernández‐Mendoza, J., de la Cruz, J. J., Bixler, E. O., & Vgontzas, A. N. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.10.014 · Cited by 200
Gundersen, L. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-135-2-200107170-00023 · Cited by 196
Validez factorial de la adaptación al español del Maslach Burnout Inventory-General Survey
Gil-Monte, P. R. (2002) · Salud Pública de México · doi:10.1590/s0036-36342002000100005 · Cited by 190
Aspectos epidemiológicos del síndrome de Burnout en personal sanitario
Martínez, J. C. A. (1997) · Revista Española de Salud Pública · doi:10.1590/s1135-57271997000300008 · Cited by 167
Investigating stress effect patterns in hospital staff nurses: Results of a cluster analysis
Hillhouse, J., & Adler, C. M. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(97)00109-3 · Cited by 154
Gender Differences in Perceived Burnout of College Coaches
Caccese, T. M., & Kubiniec, C. M. (1984) · Journal of Sport Psychology · doi:10.1123/jsp.6.3.279 · Cited by 139
Burnout and coping strategies among hospital staff nurses
Ceslowitz, S. B. (1989) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1989.tb01590.x · Cited by 138
Grau, A., Soler, R. S., & García-Gil, M. (2005) · Gaceta Sanitaria · doi:10.1016/s0213-9111(05)71397-2 · Cited by 123
Occupational demands, psychological burnout and anxiety among hospital personnel in norway
Richardsen, A. M., Burke, R. J., & Leiter, M. P. (1992) · Anxiety Stress & Coping · doi:10.1080/10615809208250487 · Cited by 122
Síndrome de Burnout en el personal de enfermería de un hospital de Madrid
Albaladejo, R., Villanueva, R., Ortega, P., Astasio, P., Calle, M. E., & Dominguez, V. (2004) · Revista Española de Salud Pública · doi:10.1590/s1135-57272004000400008 · Cited by 118
Stress in critical care nurses: Actual and perceived
Sawatzky, J. V. (1996) · Heart & Lung · doi:10.1016/s0147-9563(96)80084-7 · Cited by 98
Handbook of work and health psychology
Schaufeli, W. B., & Buunk, B. P. (1996) · Wiley eBooks · Cited by 93
Critical care nurses, ethical decision‐making and stress
Erlen, J. A., & Sereika, S. M. (1997) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1997.00418.x · Cited by 89
(2004) · Dialnet (Universidad de la Rioja) · Cited by 81
Rasgos de personalidad y burnout en médicos de familia
Cebrià, J., Segura, J., Corbella, S., Sos, P., Comas, Ó., García, M., Rodríguez, C., Pardo, M. J. M., & Pérez, J. (2001) · Atención Primaria · doi:10.1016/s0212-6567(01)78836-1 · Cited by 78
Burnout among intensive care nurses
Bartz, C. C., & Maloney, J. P. (1986) · Research in Nursing & Health · doi:10.1002/nur.4770090210 · Cited by 73
Burnout as a crisis in professional role structures: Measurement and conceptual issues
Leiter, M. P. (1992) · Anxiety Stress & Coping · doi:10.1080/10615809208250489 · Cited by 68
The Psychology of Work and Organizations
Woods, S. A., & West, M. A. (2010) · Lancaster EPrints (Lancaster University) · Cited by 59
Job stress and burnout in acute and nonacute pediatric nurses
Oehler, J. M., & Davidson, M. G. (1992) · American Journal of Critical Care · doi:10.4037/ajcc1992.1.2.81 · Cited by 56
Predictors of burnout in critical care nurses.
Stechmiller, J. K., & Hn, Y. (1994) · PubMed · Cited by 48
Los medicamentos ante las nuevas realidades económicas
Lobo, F., & Velásquez, G. (2000) · Revista Española de Salud Pública · doi:10.1590/s1135-57272000000500017 · Cited by 48
Castrillon, C. O., Morán, S. G., & Suárez, M. (1999) · PubMed · Cited by 45
Síndrome de Burnout en profesionales de enfermería de cuidados críticos
Ruiz, M., Vidal, P. H., Moreno, M., & Reig-Ferrer, A. (2002) · Enfermería Intensiva · doi:10.1016/s1130-2399(02)78049-8 · Cited by 42
Davies, W. R. (2008) · Holistic Nursing Practice · doi:10.1097/01.hnp.0000306326.56955.14 · Cited by 42
Burnout in Doctorally Prepared Nurse Faculty
Dick, M. J. (1992) · Journal of Nursing Education · doi:10.3928/0148-4834-19921001-04 · Cited by 29
Burnout among healthcare professionals.
Wood, B. D., & Killion, J. B. (2008) · PubMed · Cited by 28
Frone, M. R., & Windle, M. T. (1997) · Substance Use & Misuse · doi:10.3109/10826089709027313 · Cited by 25
Substance use as an employee response to the work environment
Gupta, N., & Jenkins, G. D. (1984) · Journal of Vocational Behavior · doi:10.1016/0001-8791(84)90068-x · Cited by 23
[Burnout syndrome in nursing: etiology, complications, prevention].
Maunz, S., & Steyrer, J. M. (2001) · PubMed · Cited by 17
[Study of the work climate in four critical care units in a hospital].
Perales, M. G., Magariño, A. S., Benayas, S. M., Sánchez, S. R., & Soria, M. J. T. (1999) · PubMed · Cited by 16
[Work-related stress factors and the psychological well-being of hospital nurses].
Agüir, V. E., Pons, R. M., Echegaray, M. C., Ramos, D. B., & Sánchez, R. F. (2000) · PubMed · Cited by 13
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
Risk factors and prevalence of burnout syndrome in the nursing profession
Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2014.07.001 · Cited by 547
Age as a Risk Factor for Burnout Syndrome in Nursing Professionals: A Meta‐Analytic Study
Gómez‐Urquiza, J. L., Vargas, C., la Fuente, E. I. D., Castillo, R. F., & la Fuente, G. A. C. (2016) · Research in Nursing & Health · doi:10.1002/nur.21774 · Cited by 223
The role of psychological factors in oncology nurses' burnout and compassion fatigue symptoms
Duarte, J., & Pinto‐Gouveia, J. (2017) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2017.04.002 · Cited by 224
Monte, C. D., Monaco, S., Mariani, R., & Trani, M. D. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.567201 · Cited by 166
Mindfulness in nursing: an evolutionary concept analysis
White, L. (2013) · Journal of Advanced Nursing · doi:10.1111/jan.12182 · Cited by 165
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