The DOI matches its Crossref record; 61 of the 61 references it cites were found in a registry or an index.
Reactions to Increased Workload: Effects on Professional Efficacy of Nurses
Abstract
Les résultats de recherches empiriques impliquant plusiers échantillons de travailleurs différents supportent l’idée que la charge de travail est un stresseur significatif associéà une variété de réactions psychologiques nuisibles, incluant l’épuisement professionnel. La présente étude propose un modèle théorique dans lequel la charge de travail contribue à la détresse et à la dépression. De plus en plus, les organisations vivent des changements en conséquence à des restructurations majeures. Par exemple, face aux restrictions budgétaires, les hôpitaux ont été forcés à la restructuration, aux fusions, à la compression d’effectifs, voire même à la fermeture. La charge de travail des employés, et plus particulièrement des infirmières, a augmenté. Cette étude applique un modèle théorique pour mieux comprendre l’impact de la charge de travail sur les infirmières—et plus particulièrement sur leur détresse, épuisement professionnel, et dépression—à l’emploi d’hôpitaux subissant des compressions d’effectifs. Les participants ( n = 488) sont des infirmières à l’emploi d’hôpitaux ayant vécu des restructurations dans lesquels des unités ont déjàété fermées en conséquence à ces restructurations. Les résultats d’analyses d’équations structurelles montrent que les données correspondent partiellement au modèle et que la charge de travail a contribué de façon substantielle aux niveaux de dépression via les réactions de détresse. D’autres résultats ont démontré que le cynisme, la colère, et l’épuisement émotionnel ont significativement opérationnalisé les réactions de détresse. En liant la colére, le cynisme et l’épuisement émotionnel dans un seul modèle prédisant les niveaux de détresse dus à la charge de travail, cette étude est unique d’un point de vue théorique. Les résultats indiquant que la colère, le cynisme, et l’épuisement émotionnel ont opérationnalisé la détresse dénotent l’importance d’étudier les modèles de réactions négatives et leurs conséquences sur la dépression. Les implications des résultats sont discutées en regard d’interventions pouvant être utilisées par les organisations pour réduire les charges de travail. Research findings support the idea that workload is a significant stressor associated with a variety of deleterious psychological reactions, including burnout, in several different samples of workers. A theoretical model is put forth in the present study in which workload is seen as contributing to distress and depression. Increasingly, organisations are experiencing changes as a result of extensive downsizing, restructuring, and merging. As a result of fiscal restraint, hospitals have been forced to merge, close, downsize, and restructure. Workloads have increased among hospital staff, particularly nurses. This study applies a theoretical model to the understanding of the impact of workload on nurses employed in hospitals experiencing downsizing, particularly on their distress, burnout, and depression. Respondents were 488 nurses who were employed in hospitals that were undergoing restructuring and in which units had already been closed as a result of restructuring. Results of structural equation modeling showed that the data partially fit the model and that workload contributed substantially to levels of depression through distress reactions. Further results showed that cynicism, anger, and emotional exhaustion significantly operationalised distress reactions. This study is unique theoretically in linking anger, cynicism, and emotional exhaustion in a single model that predicts distress levels from workload. The findings that anger, cynicism, and emotional exhaustion operationalised distress indicate the importance of studying patterns of negative reactions and their consequences for depression. Implications of the results are discussed for interventions that can be taken by organisations in order to reduce workloads.
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“Work-related stress is known to compromise efficacy in professional care-givers, therefore also having negative implications for practice with service users (Greenglass et al., 2003).”
From Critical Mindfulness in Social Work: Exploring the Potential of Reflexive Self-Care in the Journey from Student to Social Worker (2022) · cites this paper as Greenglass et al., 2003
Citations
Cites
Tabachnick, B. G., & Fidell, L. S. (1983) · Cited by 79,882
Alternative Ways of Assessing Model Fit
Browne, M. W., & Cudeck, R. (1992) · Sociological Methods & Research · doi:10.1177/0049124192021002005 · Cited by 27,200
Significance tests and goodness of fit in the analysis of covariance structures.
Bentler, P. M., & Bonett, D. G. (1980) · Psychological Bulletin · doi:10.1037/0033-2909.88.3.588 · Cited by 20,015
Structural Equations with Latent Variables
Bollen, K. A. (1989) · Wiley series in probability and statistics · doi:10.1002/9781118619179 · Cited by 17,944
Structural Equations with Latent Variables.
Clogg, C. C., & Bollen, K. A. (1991) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2072165 · Cited by 17,475
Testing Structural Equation Models.
Mueller, C. W., Bollen, K. A., & Long, J. S. (1994) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2074955 · Cited by 14,211
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863
The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974) · Behavioral Science · doi:10.1002/bs.3830190102 · Cited by 4,604
LISREL 7 : a guide to the program and applications
Jöreskog, K. G., & Sörbom, D. (1989) · Medical Entomology and Zoology · Cited by 3,787
Psychological and implied contracts in organizations
Rousseau, D. M. (1989) · Employee Responsibilities and Rights Journal · doi:10.1007/bf01384942 · Cited by 3,699
Flagged first, then by citations
Research works printed but not linked: 10
- Arbuckle J., 1996, Amos user's guide V3.6
- Canadian Nurses Association, 1990, Nurse retention and quality of work life: A nationalperspective
- Davidson J., 1996, Cited in D. Bell. Costing the cure, CA Magazine, 28
- Fiksenbaum L., Stress and emotion: Anxiety, anger, and curiosity
- Freudenheim M., 1999, Bitter pills for ailing hospitals, Sunday New York Times
- Greenglass E.R.(2000).Work rage and its psychological implications. Invited paper presented at the 21st International STAR Conference Bratislava Slovakia 20–22 July.
- Greenglass E., Stress and emotion: Anxiety, anger, and curiosity
- Kleinfield N.R., 1996, The downsizing of America, 37
- McDonald L., 1991, Sources of stress and ways of coping among male and female managers, Journal of Social Behavior and Personality, 6, 185
- Schaufeli W.B., 1996, MBI—General Survey
Cited by
Sorted by citations
Items 101–174 of 174
Predictores de distrés en médicos hospitalarios: factores protectores y de vulnerabilidad
Martínez‐Zaragoza, F., Gil, G. B., Ato‐García, M., Puchol, Á. S., del Río, B. M., Castro, J. F., & Ruiz, Y. P. (2014) · Anales de Psicología · doi:10.6018/analesps.30.2.161421 · Cited by 3
CHALLENGE-STRESS AND HINDRANCE-STRESS IN THE SOUTHEAST ASIAN HOTEL SECTOR
Bakar, K. A., Salleh, A. M. M., Muda, M. S., Ahmad, A., & Manshor, R. (2016) · Journal of Indonesian Economy and Business · doi:10.22146/jieb.9953 · Cited by 3
Mortuja, S. G., Dasgupta, S., Bhattacherjee, S., & Mukherjee, A. (2023) · Indian Journal of Public Health · doi:10.4103/ijph.ijph_1678_22 · Cited by 2
Tejeda, M. J. (2021) · Current Psychology · doi:10.1007/s12144-021-01445-9 · Cited by 2
Quality of therapy and mental health among occupational therapists during the COVID-19 pandemic
Ito, A., Sawamura, D., Kajimura, S., Miyaguchi, H., Nakamura, H., & Ishioka, T. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1053703 · Cited by 2
The Determinants of Work-Life Balance among Nurses in Public Hospitals in Klang Valley
Ali, N. H. B. S., Ahmad, S. F. S., Nawi, N. R. C., Sabar, S., & Husin, L. I. A. (2023) · Information Management and Business Review · doi:10.22610/imbr.v15i3(si).3498 · Cited by 2
Kasa, M. E., bin Yatim, A., Enchang, F., Yong, D., & Ramli, N. (2020) · Research in World Economy · doi:10.5430/rwe.v11n6p207 · Cited by 2
“Reduced professional efficacy is defined as a sense of decrease in professional accomplishment and competence (Greenglass et al, 2003).”
BackgroundThe effects of employee perceptions of organizational change on health and well-being
Crown, S. N. (2007) · Saint Mary's University Institutional Repository (Saint Mary's University) · Cited by 2
What Is The Impact Of Job Burnout Antecedents On Georgia Nursing Home Administrators?
Wilson, F. L. (2016) · American Journal of Health Sciences (AJHS) · doi:10.19030/ajhs.v7i1.9695 · Cited by 2
“According to Greenglass, Burke, and Moore (2003), burnout occurs from excessive workload and stress.”
Background송훈화, & Lee, S. (2011) · Korean Journal of Industrial and Organizational Psychology · doi:10.24230/ksiop.24.1.201102.29 · Cited by 2
Camgöz, S. M., Ekmekci, Ö. T., & Karapınar, P. B. (2017) · Journal of Business Research - Turk · doi:10.20491/isarder.2017.286 · Cited by 2
HOW ICT TEACHERS FEEL ABOUT TEACHING: A COMPARATIVE STUDY BETWEEN GREECE AND INDONESIA
Paraskevopoulou-Kollia, E.-A., Kurniasih, N., & Michalakopoulos, C.-A. (2021) · European Journal of Education Studies · doi:10.46827/ejes.v8i1.3516 · Cited by 2
Azizoğlu, F., Hayran, O., & Terzi̇, B. (2022) · Adıyaman Üniversitesi Sağlık Bilimleri Dergisi · doi:10.30569/adiyamansaglik.1112208 · Cited by 2
Are self-sacrificing employees liked by their supervisor?
Bande, B., Kimura, T., Ferrín, P. F., Castro‐González, S., & Goel, A. (2023) · Eurasian economic review : · doi:10.1007/s40821-023-00243-6 · Cited by 3
“Previous studies have revealed that experiencing work overload results in negative emotions and negative psychological states such as cynicism, emotional exhaustion, and anger (Greenglass et al., 2003; Grobelna, 2021).”
Aliane, N., Gharbi, H., Ayad, T. H., Seraj, A. H. A., Abdelwahed, N. A. A., & Semlali, Y. (2023) · Journal of Law and Sustainable Development · doi:10.55908/sdgs.v11i12.2205 · Cited by 2
Doğan, A., & Basim, H. N. (2021) · Mehmet Akif Ersoy Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi · doi:10.30798/makuiibf.911304 · Cited by 2
Job satisfaction in the Royal Swaziland Police Service : a case study of Manzini and Hhohho regions
Mabila, N. O. (2014) · doi:10.51415/10321/1099 · Cited by 2
Göransson, S. (2009) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 2
Analyse du burnout en entrepreneuriat : étude empirique sur les dirigeants de PME
Tahar, Y. B. (2014) · theses.fr (ABES) · doi:10.70675/9139499cz406cz4814z804ez41bbf6080e3c · Cited by 2
Martín, M. F. (2014) · Buleria (Universidad de León) · doi:10.18002/10612/3508 · Cited by 2
When and Why Demands Reveal Their Challenging Potential during Change
Blum, C., & Rigotti, T. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413076 · Cited by 1
“[25], for example, identified the strong negative effect of nurses’ increased workload due to restructuring, leading to emotional exhaustion.”
BackgroundLaiman, B., Erika, Laurensia, K., Sun, P., & Djoenarko, R. H. (2023) · TIJAB (The International Journal of Applied Business) · doi:10.20473/tijab.v7.i2.2023.42947 · Cited by 1
“…employees feel their workload exceeds their capacity or they must complete their tasks in a short amount of time and with limited resources, they may perceive an imbalanced work-life balance (Avery, Tonidandel, Volpone, & Raghuram, 2010; Greenglass, Burke, & Moore, 2003; Leiter & Schaufeli, 1996).”
BackgroundPrasetyo, I., & Purnamasari, A. (2021) · Psychology Journal of Mental Health · doi:10.32539/pjmh.v3i1.51 · Cited by 2
Exploring undergraduate medical imaging students’ perception of clinical stressors in Ghana
Razak, W. A., & Asamoah, A. S. (2025) · Radiography · doi:10.1016/j.radi.2025.102963 · Cited by 1
Intrinsic Benefits of Preference Satisfaction: Impact on Surgeons’ Service Performance
Jia, Z., Hu, K., Hu, J.-Q., & Ahuja, V. (2020) · Manufacturing & Service Operations Management · doi:10.1287/msom.2022.0435 · Cited by 2
Nie, T., & Zhang, L. (2014) · International Conference on Management Science and Engineering (ICMSE) · doi:10.1109/icmse.2014.6930318 · Cited by 1
Park, Y.-S., & Kim, J. H. (2015) · Journal of Digital Convergence · doi:10.14400/jdc.2015.13.9.397 · Cited by 1
“이는 간호사의 효능감이 높은 경 우 스트레스 증상 정도가 낮다고 보고한 Greenglass, Burke와 Moore[26]의 연구와 유사한 결과로, 원격대학 성인학습자로서 학업과 직업을 병행하는 간호사의 자기 효능감 향상은 스트레스반응을 경감시킴으로써 결과적 으로 스트레스 완충효과를 가져올 수 있음을 시사하는 것으로 생각된다.”
Effects of Shortage of Nurses at St. Dominic's Mission Hospital, Ndola, Zambia
Njovu, E. (2017) · TEXILA INTERNATIONAL JOURNAL OF NURSING · doi:10.21522/tijnr.2015.03.02.art010 · Cited by 1
Butt, M., Waqas, A., Kausar, S. T., & Amir, Z. (2019) · International Journal of Academic Research in Business and Social Sciences · doi:10.6007/ijarbss/v9-i3/5652 · Cited by 1
정효선, & Yoon, H. H. (2013) · Culinary Science & Hospitality Research · doi:10.20878/cshr.2013.19.2.009 · Cited by 1
The Influence of Workplace Harassment in Psychological Burnout and Turnover Intention
김영중, & 최욱희 (2017) · FoodService Industry Journal · doi:10.22509/kfsa.2017.13.2.005 · Cited by 1
Kulualp, H. G. (2019) · Journal of Business Research - Turk · doi:10.20491/isarder.2019.789 · Cited by 1
Workload and Burnout From a Gender Perspective
Yılmaz, N. (2021) · Advances in public policy and administration (APPA) book series · doi:10.4018/978-1-7998-7772-1.ch022 · Cited by 1
Theresia, L., Ranti, G., & Sudri, N. M. (2021) · International Conference on Industrial Engineering and Operations Management (IEOM) · doi:10.46254/an11.20210417 · Cited by 1
Work Stress Reactivity and Health Outcomes: A Study of Nurses
Jacobs, L. M. (2000) · doi:10.15760/etd.1505 · Cited by 1
“Greenglass et al. (2003) found that workload stressors were related to anger, cynicism, and emotional exhaustion, as well as to depression.”
BackgroundInvestigating job satisfaction of supervisors in the chrome industry
Dreyer, W. (2012) · Boloka Institutional Repository (North-west University) · Cited by 1
Downsizing, Stress and Forgiveness: A US Perspective
Aylsworth, J. (2009) · doi:10.1002/9780470749456.ch12 · Cited by 1
Laso, J. D. L. T. (2015) · Gredos (University of Salamanca) · doi:10.14201/gredos.128124 · Cited by 1
Moobi, E. K. (2006) · Nelson Mandela University Research Repository · Cited by 1
TRABAJOLISMO: RADIOGRAFÍA CONTINGENCIAL DE UNA ADICCIÓN
Pozo, M. D. R. H. (2010) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · doi:10.5514/rmac.v36.i3.08
Törnroos, M. (2015) · Työväentutkimus Vuosikirja
Utbrändhet i vården: Betydelsen av krav och resurser på tre sjukhus med olika driftsformer
Hansen, N., Sverke, M., & Näswall, K. (2008) · Arbetsmarknad & Arbetsliv
Trabajolismo: Radiografía contingencial de una adicción
Pozo, M. D. R. H. (2010) · Revista Mexicana de Análisis de la Conducta · doi:10.5514/rmac.v36.i3.21401
Staffing Request and Documentation Form (SRDF) Summary Report May 2012 - May 2014
Brown, C. J., & Cadiz, D. (2014)
Gil-Monte, P. R., & García-Juesas, Y. J. A. (2008)
한금선, 김정화, 이광미, & 박지선 (2004)
UTBRENTHET SOM BEGREP OG FENOMEN En analyse av teori og empiri
Svendsen, K. B. (2006) · NORA - Norwegian Open Research Archives
Moriana, J. A., & Herruzco, J. (2005)
KimminJeong, & 최경주 (2015) · The Korean Journal of Human Resource Development Quarterly · doi:10.18211/kjhrdq.2015.17.1.002
Psychological Impacts of Downsizing Trauma
Simuth, J. (2017) · Advances in human resources management and organizational development book series · doi:10.4018/978-1-5225-2021-4.ch005
Vårdtyngdsmätning inom allmänkirurgisk vård
Olsson, F. (2011) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
일부 병원 간호사의 기분상태, 자원동원성 및 건강지각이 건강증진행위에 미치는 영향
Yeun, E. J., 김희정, & Jeon, M. (2011)
Work Stress Among Nurses of Hospitalized Patient Room at RSI Siti Rahmah
Putri, N. W., & Rahayu, D. N. (2020) · Andalas International Public Health Conference (AIPHC) · doi:10.4108/eai.9-10-2019.2297233
Antecedents of Employee Burnout in the Oil and Gas Industry
Noor, A. N. M., Nazir, E. N. M., Khalid, S. A., Ahmad, Z., & Rizal, I. H. M. (2021) · International Journal of Academic Research in Business and Social Sciences · doi:10.6007/ijarbss/v11-i9/10921
“As a result, the detrimental impact of organizational transition on workers' work lives and psychological well-being is not a new phenomenon (Bourbonnais et al., 2005; Greenglass et al., 2002).”
BackgroundDíaz, B. Q., Becquer, A., & Marquez, L. L. (2021) · Liminales · doi:10.54255/lim.vol10.num20.557
Dewe, P. J., O’Driscoll, M. P., & Cooper, C. L. (2010) · Wiley eBooks · doi:10.1002/9780470711712.refs
GERİDE KALANLAR SENDROMU ÖLÇEĞİ TÜRKÇE FORMUNUN GEÇERLİLİK VE GÜVENİLİRLİK ÇALIŞMASI
BAŞPINAR, N. Ö., Çakıroğlu, D., & Altınöz, M. (2022) · Tarih okulu · doi:10.29228/joh.53683
Stress, burn-out, harcèlement moral
(2016) · Dunod eBooks · doi:10.3917/dunod.couta.2016.03.0255
Psychological Impacts of Downsizing Trauma
Simuth, J. (2020) · IGI Global eBooks · doi:10.4018/978-1-7998-3432-8.ch085
OCCUPATIONAL HEALTH AND SAFETY RISK ASSESSMENT FOR ENTREPRENEURS
KOÇALİ, K. (2024) · European journal of managerial research. · doi:10.62666/eujmr.1563551
“• Factors Arising from the Structure of Work: Factors arising from the nature of the work include workload and nature of the work, pressure from supervisors, monotony, diversity or versatility of the task, pressure to work in a group (Greenglass et al., 2003).”
Factors Explaining Adaptive Performance in Indonesian Government Employees: A Theoretical Approach
Sakti, P., Parimita, W., & Widyastuti, U. (2024) · Australasian Accounting Business and Finance Journal · doi:10.14453/aabfj.v19i2.06 · Cited by 2
Beller, J., Graßhoff, J., Safieddine, B., Epping, J., & Geyer, S. (2025) · BMC Public Health · doi:10.1186/s12889-025-25898-w
“Several studies have shown that work over-load predicts psychological distress, including increased stress, fatigue, feelings of burnout and depression [2, 5, 6].”
Yu, C. W. (2014) · UUM Electronic Theses and Dissertation [eTheses] (Northern University of Malaysia)
Kang, Y., Sun, X. S., Zhu, G., Wang, X., & Wu, J. (2026) · IEEE Transactions on Education · doi:10.1109/te.2025.3649008
“Research further suggests that higher workloads can increase anxiety during training, particularly for individuals with lower self-confidence [55].”
Tahar, Y. B., & Rossi, M. (2025) · De Boeck Supérieur eBooks · doi:10.3917/dbu.torre.2025.01.0029
Kang, Y., Lawson, G., & Sun, X. S. (2026) · CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA) · doi:10.1145/3772363.3798560
“Prior work further indicates that heavy workload can raise anxiety during training, particularly for individuals who have lower self-confidence [13].”
Fatores promotores de estresse em docentes dos cursos de ciências contábeis no Brasil
Silva, E. D. C., da Cunha, J. V. A., & Durso, S. D. O. (2026) · Educação em Foco · doi:10.36704/eef.v29i58.8651 · Cited by 1
Aralan, T., Yeşilaydın, G., & Gül, B. (2026) · Fırat Üniversitesi Sosyal Bilimler Dergisi · doi:10.18069/firatsbed.1682608
Työn vaatimusten, työholismin ja työuupumuksen väliset yhteydet
Turunen, S. (2009) · Tampere University Institutional Repository (Tampere University)
von Krassow, L. (2015) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
Metadata
- Authors
- Greenglass, E. R., Burke, R. J., & Moore, K. A.
- Affiliations
- York University (CA)
- Corresponding author
- Greenglass, Esther R.
- Venue
- Applied Psychology
- Publisher
- Wiley
- Published
- 2003-08-18
- Volume
- 52
- Issue
- 4
- Pages
- 580-597
- ISSN
- 0269-994X (ISSN-L)
- 1464-0597
- OpenAlex
- W2052898791
- Cited by
- 176
- References
- 60
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 3 · 2023: 8 · 2022: 10 · 2021: 17 · 2020: 10 · 2019: 6 · 2018: 5 · 2017: 10 · 2016: 10 · 2015: 11 · 2014: 13 · 2013: 8 · 2012: 8
- FWCI
- 3.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Applied Psychology (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- workload, nurses, occupational stress, professional burnout, depression, distress, cynicism, anger, emotional exhaustion, organizational restructuring, workplace interventions, professional efficacy, budget cuts, burnout prevention programs, burnout prevention training
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