Self-Care, Burnout, Job Satisfaction, and Performance Among Nurses in Government Hospitals
Decegyl Baniola-Cubillan | Jayson S. Digamon
Discipline: Mental Health Nursing
Abstract:
The demands of the nursing profession in government healthcare institutions often result in overwhelming workloads and insufficient staffing, which hinder nurses’ ability to practice adequate self-care. These conditions can contribute to burnout and diminished job satisfaction, ultimately impacting the quality of care provided. Nurses play a critical role in healthcare, yet they often face challenges that impact their well-being and job performance. This study examined the relationship between self-care, burnout, job satisfaction, and job performance among nurses in government hospitals. The study aimed to assess the levels of self-care, burnout, job satisfaction, and job performance and determine the relationships among these variables. A descriptive-correlational and causal-comparative research designs were employed, involving 311 nurses from seven government hospitals in Agusan del Sur. Data were collected through Google Forms and hard copies of survey questionnaires. Findings revealed that nurses consistently practiced self-care, experienced low levels of burnout, and had moderately high job satisfaction, though some expressed dissatisfaction. Additionally, nurses frequently perform their job responsibilities effectively with high job performance. Statistical analysis indicated a significant relationship between self-care and job satisfaction, suggesting that nurses who engaged in self-care were more satisfied with their jobs. Furthermore, cognitive impairment and job satisfaction emerged as the strongest predictors of job performance, highlighting the importance of mental well-being and workplace fulfillment in maintaining high job effectiveness. The study concluded that supporting nurses' self-care practices and addressing job satisfaction concerns could enhance overall job performance and reduce burnout risk. Healthcare institutions are recommended to implement structured wellness programs, provide mental health support, and foster positive work environments to sustain high job performance and employee well-being.
References:
- Aiken, L. H., Sloane, D. M., Griffiths, P., Rafferty, A. M., Bruyneel, L., & McKee, M. (2016). Burnout among nurses and hospital outcomes. New England Journal of Medicine, 374(19), 1891-1900. https://doi.org/10.1056/NEJMsa1606301
- Akinwale, O. E., & George, O. J. (2020). Work environment and job satisfaction among nurses in government tertiary hospitals in Nigeria. Rajagiri Management Journal, 14(1), 71–92. https://doi.org/10.1108/ramj-01-2020-0002
- Al Magbali MA. Job satisfaction of nurses in a regional hospital in Oman: a cross-sectional survey. J Nurs Res 2015; 23: 206–216. https://journals.sagepub.com/doi/full/10.1177/0969733019836151#bibr22- 0969733019836151
- Albott, C. S., Wozniak, J. R., McGlinch, B. P., Wall, M. H., Gold, B. S., & Vinogradov, S. (2020). Battle Buddies: Rapid deployment of a Psychological Resilience intervention for health care workers during the COVID-19 pandemic. Anesthesia & Analgesia, 131(1), 43–54. https://doi.org/10.1213/ane.0000000000004912
- Aldarawsheh, A. A., Saifan, A. R., Sawalha, M. A., Assaf, E. A., Alrimawi, I., Elshatarat, R. A., Saleh, Z. T., Almagharbeh, W. T., Mohamed, N. A., & Eltayeb, M. M. (2024). Exploring the causes and consequences of non-nursing tasks among nurses in Jordan: An in-depth qualitative investigation. Applied Nursing Research, 77, 151791. https://doi.org/10.1016/j.apnr.2024.151791
- Ali, B. J., & Anwar, G. (2021). An empirical study of employees’ motivation and its influence job satisfaction. SSRN. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3822723
- Ali, R. M. N., Ali, H. D., & Zaki, S. M. (2021). Effect of occupational adjustment on nurse’s counterproductive work behavior and job burnout. Assiut Scientific Nursing Journal, 9(24), 51-61.
- Alibudbud R. (2023). Addressing the Burnout and Shorta of Nurses in the Philippines. SAGE Open Nursing, 9, 23779608231195737. https://doi.org/10.1177/23779608231195737
- Alloubani, A. (2024). Anxiety of nurses in hospital. In Springer eBooks (pp. 1–27). https://doi.org/10.1007/978-3-031-32046-0_154-1
- Ausar, K., Lekhak, N., & Candela, L. (2021). Nurse spiritual self-care: A scoping review. Nursing Outlook, 69(4), 660–671. https://doi.org/10.1016/j.outlook.2021.01.015
- Babapour, A., Gahassab-Mozaffari, N., & Fathnezhad-Kazemi, A. (2022). Nurses’ job stress and its impact on quality of life and caring behaviors: A cross-sectional study. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-00852-y
- Bagnasco, A., Timms, C., & Hildon, Z. (2018). Enhancing nurse well-being through self-care: An integrative review. Nursing Ethics, 25(1), 56-68.
- Bamforth, K., Rae, P., Maben, J., Lloyd, H., & Pearce, S. (2023). Perceptions of healthcare professionals’ psychological wellbeing at work and the link to patients’ experiences of care: A scoping review. International Journal of Nursing Studies Advances, 5, 100148. https://doi.org/10.1016/j.ijnsa.2023.100148
- Barakou, I., Sakalidis, K. E., Abonie, U. S., Finch, T., Hackett, K. L., & Hettinga, F. J. (2023). Effectiveness of physical activity interventions on reducing perceived fatigue among adults with chronic conditions: A systematic review and meta-analysis of randomised controlled trials. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-41075-8
- Bashir, N., Naseer, W., & Siddiqui, M. H. (2023). Stress Management and Self-Care. Crucial Communication: Improving Conversations at Workplace, 1.
- Baye, K. (2023). A Comprehensive Guide to Health Management: Nurturing Well-being in the Modern World. Health Science Journal, 17(12), 1-3.
- Bhatti, S. H., Iqbal, K., Santoro, G., & Rizzato, F. (2022). The impact of corporate social responsibility directed toward employees on contextual performance in the banking sector: A serial model of perceived organizational support and affective organizational commitment. Corporate Social Responsibility and Environmental Management, 29(6), 1980–1994. https://doi.org/10.1002/csr.2295
- Bijalwan, P., Gupta, A., Johri, A., & Asif, M. (2024). The mediating role of workplace incivility on the relationship between organizational culture and employee productivity: A systematic review. Cogent Social Sciences, 10(1). https://doi.org/10.1080/23311886.2024.2382894
- Boamah, S. A., Kalu, M. E., Havaei, F., McMillan, K., & Belita, E. (2023). Predictors of nursing faculty job and career satisfaction, turnover intentions, and professional outlook: a national survey. Healthcare, 11(14), 2099. https://doi.org/10.3390/healthcare11142099https://doi.org/10.1177/0969733017733696
- Brown, A., & Green, T. (2023). Exploring gaps in research on job performance among nurses: A literature review. Journal of Nursing Management, 31(4), 450-460. https://doi.org/10.1111/jonm.13456
- Caldwell, J. A., Caldwell, J. L., Thompson, L. A., & Lieberman, H. R. (2018). Fatigue and its management in the workplace. Neuroscience & Biobehavioral Reviews, 96, 272–289. https://doi.org/10.1016/j.neubiorev.2018.10.024
- Campbell, J. P. (1990). Modelling the Performance Prediction Problem in Industrial and Organizational Psychology. In M. D. Dunnette & L. M. Hough (Eds.), Handbook of Industrial and Organizational Psychology (pp. 687-732). Consulting Psychologists Press.
- Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies, 52(1), 240-249. https://doi.org/10.1016/j.ijnurstu.2014.07.001
- Cancelliere, C., Cassidy, J. D., Ammendolia, C., & Côté, P. (2016). Are workplace health promotion programs effective at improving presenteeism in workers? A systematic review and best evidence synthesis of the literature. BMC Public Health, 11, 395. https://doi.org/10.1186/1471-2458-11-395
- Carpenter, N. C., Whitman, D. S., & Amrhein, R. (2020). Unit-Level Counterproductive Work Behavior (CWB): A conceptual review and quantitative summary. Journal of Management, 47(6), 1498–1527. https://doi.org/10.1177/0149206320978812
- Chami-Malaeb, R. (2021). Relationship of perceived supervisor support, self-efficacy and turnover intention, the mediating role of burnout. Personnel Review, 51(3), 1003–1019. https://doi.org/10.1108/pr-11-2019-0642
- Chirico, F., Crescenzo, P., Sacco, A., Riccò, M., Ripa, S., Nucera, G., & Magnavita, N. (2021). Prevalence of burnout syndrome among Italian volunteers of the Red Cross: A cross-sectional study. Industrial Health. https://doi.org/10.2486/indhealth.2020-0246
- Chirico, F., Leiter, M., Tackling, M., & Buonomo, I. (2021). Burnout has many characteristics, including fatigue, exhaustion, disruption of emotional and cognitive processes, depression, anxiety, insomnia, irritability, and mental distance. International Journal of Environmental Research and Public Health, 18(14), 7601. https://doi.org/10.3390/ijerph18147601
- Cho, H., Han, K., & Baek, H. (2024). Teamwork, psychological detachment from work during nonwork time, and burnout experienced by hospital‐based nurses. International Nursing Review. https://doi.org/10.1111/inr.13079
- Cohen, C., Pignata, S., Bezak, E., Tie, M., & Childs, J. (2023). Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. BMJ Open, 13(6), e071203. https://doi.org/10.1136/bmjopen-2022-071203
- Coronado, R. A., Brintz, C. E., McKernan, L. C., Master, H., Motzny, N., Silva, F. M., Goyal, P. M., Wegener, S. T., & Archer, K. R. (2020). Psychologically informed physical therapy for musculoskeletal pain: Current approaches, implications, and future directions from recent randomized trials. PAIN Reports, 5(5), e847. https://doi.org/10.1097/pr9.0000000000000847
- Correia, I., & Almeida, A. E. (2020). Organizational justice, professional identification, empathy, and meaningful work during COVID-19 pandemic: Are they burnout protectors in physicians and nurses? Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.566139
- Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications.
- Cunningham, T. R., Guerin, R. J., Ferguson, J., & Cavallari, J. (2022). Work‐related fatigue: A hazard for workers experiencing disproportionate occupational risks. American Journal of Industrial Medicine, 65(11), 913–925. https://doi.org/10.1002/ajim.23325
- Dall’Ora C, Ball J, Reinius M, & Griffiths P (2020). Burnout in nursing: a theoretical review. Human Resources for Health, 18(41), 1–17.
- Dall’Ora, C., Ejebu, O., Ball, J., & Griffiths, P. (2023). Shift work characteristics and burnout among nurses: cross-sectional survey. Occupational Medicine, 73(4), 199–204. https://doi.org/10.1093/occmed/kqad046
- Danaci, E., & Koç, Z. (2019). The association of job satisfaction and burnout with individualized care perceptions in nurses. Nursing Ethics, 27(1), 301–315. https://doi.org/10.1177/0969733019836151
- Dhanabhakyam, N. D. M., & M, N. S. (2023). Psychological Wellbeing: Asystematic Literature Review. International Journal of Advanced Research in Science Communication and Technology, 603–607. https://doi.org/10.48175/ijarsct-8345
- Dorta-Afonso, D., Romero-Domínguez, L., & Benítez-Núñez, C. (2022). It’s worth it! High performance work systems for employee job satisfaction: The mediational role of burnout. International Journal of Hospitality Management, 108, 103364. https://doi.org/10.1016/j.ijhm.2022.103364
- Duarte J, Pinto-Gouveia J. (2016). Effectiveness of a mindfulness-based intervention on oncology nurses’ burnout and compassion fatigue symptoms: A non-randomized study. International Journal of Nursing Studies, 64, 98-107. doi: 10.1016/j.ijnurstu.2016.10.002. Epub 2016 Oct 8. PMID: 27744228.
- Dyrbye, L.N., Shanafelt, T.D., Johnson, P.O. et al. (2019). A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses. BMC Nurs 18, 57. https://doi.org/10.1186/s12912-019-0382-7
- Elger, D. (2007). Theory of performance. In Faculty guidebook: A comprehensive tool for improving faculty performance (4th ed., pp. 19-22). Pacific Crest.
- Fayiz Almashayekh, M., Eivazzadeh, N., & Yeşiltaş, M. (2023). The impact of job satisfaction on nursing performance: The moderating effect of job stress. Balıkesir Sağlık Bilimleri Dergisi, 12(3), 473-479. https://doi.org/10.53424/balikesirsbd.1080326
- Field, A. (2018). Discovering Statistic Using IBM SPSS Statistics (5th ed.). Sage Publications.
- Figueroa, P., & García, M. (2017). Self-care practices among nurses: A systematic review. Journal of Nursing Management, 25(5), 371-381. https://doi.org/10.1111/jonm.12456
- Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021). Supporting the Health and Professional Well-Being of Nurses. The Future of Nursing 2020-2030 - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK573902/
- Fraenkel, J., Wallen, N., & Hyun, H. (2018). How to design and evaluate research in education (10th ed.). McGraw-Hill Education.
- Freudenberger HJ. (1974). Staff burn-out. Journal Social Issues, 30(1):159–65.
- Gavelin, H. M., Domellöf, M. E., Åström, E., Nelson, A., Launder, N. H., Neely, A. S., & Lampit, A. (2021). Cognitive function in clinical burnout: A systematic review and meta-analysis. Work & Stress, 36(1), 86–104. https://doi.org/10.1080/02678373.2021.2002972
- Ge, J., He, J., Liu, Y., Zhang, J., Pan, J., Zhang, X., & Liu, D. (2021). Effects of effort-reward imbalance, job satisfaction, and work engagement on self-rated health among healthcare workers. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10233-w
- Ghossoub, Z., Nadler, R., & El-Aswad, N. (2020). Emotional Intelligence, Resilience, Self-care, and Self-leadership in Healthcare Workers Burnout: A Qualitative Study in Coaching. Universal Journal of Public Health, 8(5), 155–162. https://doi.org/10.13189/ujph.2020.080501
- Ghubari , M. H. A., Faqeeh , M. A. A., Alsulami, K. F., Alsulami , F. F., Alsulami, A. F., Alzahrani, R. S., & Alawi , A. T. (2023). The relationship between nursing burnout and job performance in Eradah Complex: A Cross-Sectional Study. Journal of Pharmaceutical Research International, 35(30), 1–13. https://doi.org/10.9734/jpri/2023/v35i307456
- Gómez-Urquiza, J. L., De la Fuente-Solana, E. I., Albendín-García, L., Vargas-Pecino, C., Ortega-Campos, E., & Cañadas-De la Fuente, G. A. (2017). Prevalence of burnout syndrome in emergency nurses: A meta-analysis. Critical Care Nurse, 37(5), e1-e9.
- Gragnano, A., Simbula, S., & Miglioretti, M. (2020). Work–Life Balance: Weighing the importance of Work–Family and Work–Health balance. International Journal of Environmental Research and Public Health, 17(3), 907. https://doi.org/10.3390/ijerph17030907
- Green, A. A., & Kinchen, E. V. (2021). The effects of mindfulness meditation on stress and burnout in nurses. Journal of Holistic Nursing, 39(4), 356–368. https://doi.org/10.1177/08980101211015818
- Gupta, N. (2023). The Impact of Spiritual Practices on nurse burnout: Exploring ways to enhance well-being and resilience. LinkedIn. https://www.linkedin.com/pulse/impact-spiritual-practices-nurse-burnout-exploring-ways-gupta/
- Guttormson, J. L., Calkins, K., McAndrew, N., Fitzgerald, J., Losurdo, H., & Loonsfoot, D. (2022). Critical care nurse burnout, moral distress, and mental health during the COVID-19 pandemic: a United States survey. Heart & Lung, 55, 127–133. https://doi.org/10.1016/j.hrtlng.2022.04.015
- Halcomb, E., & Bird, S. (2020). Job satisfaction and career intention of Australian general practice Nurses: A Cross‐Sectional Survey. Journal of Nursing Scholarship, 52(3), 270–280. https://doi.org/10.1111/jnu.12548
- Hunsaker, S., Chen, H. C., Maughan, D., & Heaston, S. (2015). Factors related to nurse burnout and its implications for patients’ safety. Journal of Healthcare Management, 60(3), 230-243. https://doi.org/10.1097/JHM-D-15-00053
- Imam, A., Obiesie, S., Gathara, D. et al. (2023). Missed nursing care in acute care hospital settings in low-income and middle-income countries: A systematic review. Human Resources for Health 21, 19 https://doi.org/10.1186/s12960-023-00807-7
- Isac, N., & Saleh, A. M. A. H. (2024). THE IMPACT OF JOB BURNOUT ON EMPLOYEES’PERFORMANCE. Scientific Bulletin-Economic Sciences/Buletin Stiintific-Seria Ştiinţe Economice, 23(1).
- Juczyński, Z., & Ogińska-Bulik, N. (2021). Ruminations and occupational stress as predictors of post-traumatic stress disorder and burnout among police officers. International Journal of Occupational Safety and Ergonomics, 28(2), 743–750. https://doi.org/10.1080/10803548.2021.1907986
- Karaferis, D., Aletras, V., Raikou, M., & Niakas, D. (2022). Factors influencing motivation and work engagement of healthcare professionals. Materia Socio Medica, 34(3), 216. https://doi.org/10.5455/msm.2022.34.216-224
- Katić, I., & Nešić, A. (2020). Socio-psychological effects of stress in organizations’ absenteeism problems. Work, 66(3), 689–697. https://doi.org/10.3233/wor-203211
- Khammar, A., Nabiamjad, R., Rohani, M., Yari, A., Noroozi, M., Poursadeghian, A., Hami, M., & Poursadeghiyan, M. (2017). Survey of shift work disorders and occupational stress among nurses: A cross-sectional study. Annals of Tropical Medicine and Public Health, 10(4), 978. https://doi.org/10.4103/ATMPH.ATMPH_305_17
- Khammissa, R. A., Nemutandani, S., Feller, G., Lemmer, J., & Feller, L. (2022). Burnout phenomenon: neurophysiological factors, clinical features, and aspects of management. Journal of International Medical Research, 50(9), 030006052211064. https://doi.org/10.1177/03000605221106428
- Kline, R. B. (2023). Principles and practice of structural equation modeling. Guilford Press.
- Koopmans, L., Bernaards, C. M., Hildebrandt, V. H., de Vet, H. C. W., & van der Beek, A. J. (2014). Measuring individual work performance: Identifying and selecting indicators. Work, 48(2), 229–238. https://doi.org/10.3233/WOR-131659
- Koutsimani, P., Montgomery, A., Masoura, E., & Panagopoulou, E. (2021). Burnout and cognitive performance. International Journal of Environmental Research and Public Health, 18(4), 2145. https://doi.org/10.3390/ijerph18042145
- Kramer, M., & Schmalenberg, C. (2016). Empowerment and engagement in nursing: The value of effective leadership. Journal of Nursing Management, 24(5), 659-665. https://doi.org/10.1111/jonm.12371
- Kuhn, M., & Johnson, K. (2019). Applied predictive modeling. Springer.
- Kutney-Lee, A., & Aiken, L. H. (2015). Job satisfaction and burnout among nurses: A systematic review. Journal of Nursing Scholarship, 47(3), 254-266. https://doi.org/10.1111/jonm.12332
- Labrague, L. J., McEnroe–Petitte, D. M., Leocadio, M. C., Van Bogaert, P., & Cummings, G. G. (2017). Stress and ways of coping among nurse managers: A literature review. Journal of Nursing Management, 25(4), 266-275.
- Labrague, L. J., Nwafor, C. E., & Tsaras, K. (2020). Influence of toxic and transformational leadership practices on nurses’ job satisfaction, job stress, absenteeism and turnover intention: A cross‐sectional study. Journal of Nursing Management, 28(5), 1104–1113. https://doi.org/10.1111/jonm.13053
- Lee S-H, Joo M-H. (2023). The Moderating Effects of Self-Care on the Relationships between Perceived Stress, Job Burnout and Retention Intention in Clinical Nurses. Healthcare. 11(13):1870. https://doi.org/10.3390/healthcare11131870
- Lin, Y., Jiang, C., Pan, Y., & Xu, Z. (2024). The impact of mindfulness on nurses’ perceived professional benefits: the mediating roles of workplace spirituality and work-life balance. Frontiers in Psychology, 15. https://doi.org/10.3389/fpsyg.2024.1346326
- Locke, E. A. (1976). The Nature and Causes of Job Satisfaction. In M. D. Dunnette (Ed.), Handbook of Industrial and Organizational Psychology (pp. 1297-1349). Chicago: Rand McNally
- López-Ibort, N., Cañete-Lairla, M. A., Gil-Lacruz, A. I., Gil-Lacruz, M., & Antoñanzas-Lombarte, T. (2021). The quality of the Supervisor–Nurse relationship and its influence on nurses’ job satisfaction. Healthcare, 9(10), 1388. https://doi.org/10.3390/healthcare9101388
- Lovell, T., Mitchell, M., Powell, M., Cummins, B., Tonge, A., Metcalf, E., Ownsworth, T., O’Neill, K., Morris, L., & Ranse, K. (2022). Fostering positive emotions, psychological well-being, and productive relationships in the intensive care unit: A before-and-after study. Australian Critical Care, 36(1), 28–34. https://doi.org/10.1016/j.aucc.2022.08.001
- Lu, Y., Zhao, A., While, A., Nantsupawat, W., Kunaviktikul, R., Nantsupawat, O. A., Wichaikhum, H., & Poghosyan, L. (2017). Effects of nurse work environment on job dissatisfaction, burnout, and intention to leave. International Nursing Review, 64(1), 91-98. https://doi.org/10.1111/inr.12342
- Ma, J. Y., Kerulis, A. M., Wang, Y., & Sachdev, A. R. (2020). Are workflow interruptions a hindrance stressor? The moderating effect of time-management skill. International Journal of Stress Management, 27(3), 252.
- Maharaj S, Lees T, & Lal S (2019). Prevalence and risk factors of depression, anxiety, and stress in a cohort of Australian nurses. International Journal of Environmental Research and Public Health, 16(1), 6171. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007545/
- Markaki, A., Malhotra, S., Billings, R., & Theus, L. (2021). Training needs assessment: tool utilization and global impact. BMC Medical Education, 21(1). https://doi.org/10.1186/s12909-021-02748-y
- Maslach C. (1999). A Multidimensional theory of burnout. In: Cooper CL, editor. Theories of Organizational Stress Oxford University Press Inc. https://human-resources- health.biomedcentral.com/articles/10.1186/s12960-020-00469-9#ref-CR5
- Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout Inventory (3rd ed.). Consulting Psychologists Press.
- McClelland, D. C. (1973). Testing for Competence Rather than for Intelligence. American Psychologist, 28(1), 1-14.
- Mcvicar, Andrew. (2016). Workplace Stress in Nursing: A Literature Review. Journal of advanced nursing. 44. 633-42. 10.1046/j.0309-2402.2003.02853.x.
- Missed Nursing Care. (2019). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.
- Molina-Praena, J., Ramirez-Baena, L., Gómez-Urquiza, J. L., Cañadas, G. R., De la Fuente, E. I., & Cañadas-De la Fuente, G. A. (2018). Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study. International journal of environmental research and public health, 15(12), 2800. https://doi.org/10.3390/ijerph15122800
- Morton, D., Topper, K., Bowers, C., Jardien-Baboo, S., Nyangeni, T., & Mabitja, M. (2020). Job satisfaction of nurses working in public hospitals: perceptions of nurse unit managers in South Africa. British Journal of Nursing, 29(17), 1024–1029. https://doi.org/10.12968/bjon.2020.29.17.1024
- Mossburg, S. E., & Himmelfarb, C. D. (2018). The Association between Professional Burnout and Engagement with Patient Safety Culture and Outcomes: A Systematic review. Journal of Patient Safety, 17(8), e1307–e1319. https://doi.org/10.1097/pts.0000000000000519
- Munnangi, S., Dupiton, L., Boutin, A., & Angus, L. (2018). Burnout, Perceived Stress, and Job Satisfaction Among Trauma Nurses at a Level I Safety-Net Trauma Center. Journal of trauma nursing: the official journal of the Society of Trauma Nurses, 25(1), 4–13. https://doi.org/10.1097/JTN.0000000000000335
- Nabizadeh-Gharghozar, Z., Adib-Hajbaghery, M., & Bolandianbafghi, S. (2020). Nurses’ Job Burnout: A Hybrid concept analysis. Journal of Caring Sciences, 9(3), 154–161. https://doi.org/10.34172/jcs.2020.023
- Nantsupawat, A., Kunaviktikul, W., Nantsupawat, R., Wichaikhum, O.-A., Thienthong, H., & Poghosyan, L. (2017). Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. International Nursing Review, 64(1), 91–98. https://doi.org/10.1111/inr.12342
- Nikensari, G. A., & Yudhistira, P. G. A. (2024). Spirituality in the workplace: Enhanced job satisfaction through employee well-being and work-life balance. Jurnal Manajemen Teori Dan Terapan. Journal of Theory and Applied Management, 17(2), 316–332. https://doi.org/10.20473/jmtt.v17i2.57090
- Nkabinde‐Thamae, G., Downing, C., & Nene, S. (2022). Self‐care neglect through the voices of nurses working in primary healthcare clinics in Gauteng, South Africa. Nursing Forum, 57(6), 1330–1338. https://doi.org/10.1111/nuf.12812
- Nurmeksela, A., Mikkonen, S., Kinnunen, J., & Kvist, T. (2020). Relationships between nursing management, nurses’ job satisfaction, patient satisfaction, and medication errors at the unit Level: A correlational study. Research Square, 1(1), 1-22.
- Orem, D. E. (2001). Nursing: Concepts of practice. (6th ed.). St Louis, MO: Mosby.
- Panagioti M, Khan K, Keers RN, Abuzour A, Phipps D, Kontopantelis E et al. (2019) Prevalence, severity, and nature of preventable patient harm across medical care settings: Systematic review and meta-analysis. BMJ. 366:l4185. doi:10.1136/bmj.l4185
- Pedersen, M. (2024). Understanding cognitive workload: what is it and how does it affect us? - iMotions. iMotions. https://imotions.com/blog/insights/understanding-cognitive-workload-what-is-it-and-how-does-it-affect-us/
- Permatasari, P., & Febryani, D. R. (2018). Analysis Factors Associated with Performance of Nusrses in RSUD Kota Depok, 2017. KnE Life Sciences, 4(9), 220. https://doi.org/10.18502/kls.v4i9.3574
- Polit, D. F., & Beck, C. T. (2018). Nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins.
- Pollock, A., Campbell, P., Cheyne, J., Cowie, J., Davis, B., McCallum, J., McGill, K., Elders, A., Hagen, S., McClurg, D., Torrens, C., & Maxwell, M. (2020). Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review. Cochrane Library, 2020(11). https://doi.org/10.1002/14651858.cd013779
- Rahimpoor, R. (2023). Physiological and Physical Effects of Sleep Disorder among Shift Work Nurses. In IntechOpen eBooks. https://doi.org/10.5772/intechopen.110417
- Rasoal, C., & Schaufeli, W. B. (2020). Exploring the relationship between burnout and job satisfaction among Swedish nurses: A longitudinal study. Journal of Advanced Nursing, 76(2), 395-406. https://doi.org/10.1111/jon.14938
- Redus, R. D. (2020). Factors Affecting Burnout among Social Workers in Arkansas: A Causal-Comparative Study (Doctoral dissertation, Grand Canyon University).
- Robert Wood Johnson Foundation. (2021) Nurses and nursing. Retrieved from https://www.rwjf.org/en/our-focus-areas/topics/nurses-and-nursing.html. Accessed December 13, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007545/
- Robredo J. P., Ong B., Eala M. A., Naguit R. J. (2022). Outmigration and unequal distribution of Filipino physicians and nurses: An urgent call for investment in health human resource and systemic reform. The Lancet Regional Health. Western Pacific, 25(1), 100512. https://doi.org/10.1016/j.lanwpc.2022.100512
- Roh, T., Kim, M., & Hong, Y. (2023). Does servant leadership decrease bad behaviors? the mediating role of psychological safety and the moderating effect of corporate social responsibility. Sustainability, 15(22), 15901. https://doi.org/10.3390/su152215901
- Ross A, Bevans M, Brooks AT, Gibbons S, Wallen GR. Nurses and health-promoting behaviors: Knowledge may not translate into self-care. AORN Journal, 105(3):267-275. doi: 10.1016/j.aorn.2016.12.018.
- Saakvitne, K. W., Pearlman, L. A., & Staff of TSI/CAAP. (1996). Transforming the pain: A workbook on vicarious traumatization. W.W. Norton & Company.
- Saggu, S. Q., Aqiq, M. U., Khan, F. A., Rameen, M., Tabassum, M. F., & Qudus, A. (2022). Counterproductive work behaviors in healthcare workers: Uncovering the role of perceived injustice. Migration Letters, 19(S8), 1824-1834.
- Samson U., Amir K. (2022) Burnout and associated factors among hospital-based nurses in Northern Uganda: A cross-sectional survey, BioMed Research International, 2022, Article ID 8231564, 8 pages. https://doi.org/10.1155/2022/8231564
- Schaufeli, W. B., De Witte, H., & Desart, S. (2019). Handleiding Burnout Assessment Tool (BAT). https://www.sciencedirect.com/science/article/pii/S2049080122013516#bib12
- Scotter J, Motowidlo S. (1996). Interpersonal Facilitation and job dedication asseparate facets of contextual performance. Journal of Applied Psychology 81(5):525–31
- Shanafelt, T. D., & Noseworthy, J. H. (2017). Executive summary: “Burnout in the American workforce”. Journal of the American Medical Association, 317(5), 515-516. https://doi.org/10.1001/jama.2016.18902
- Shanafelt, T. D., Goh, J., & Sinsky, C. (2017). The business case for investing in physician well-being. JAMA Internal Medicine, 177(12), 1826-1832. https://doi.org/10.1001/jamainternmed.2017.4340
- Sist, L., Savadori, S., Grandi, A., Martoni, M., Baiocchi, E., Lombardo, C., & Colombo, L. (2022). Self-care for nurses and midwives: Findings from a scoping review. Healthcare, 10(12), 2473. https://doi.org/10.3390/healthcare10122473
- Slawomirski L, Auraaen A, Klazinga N. The economics of patient safety in primary and ambulatory care: Flying blind. (OECD Health Working Papers No. 106). Organisation for Economic Co-operation and Development. https://doi.org/10.1787/baf425ad-en
- Slawomirski L, Klazinga N. (2020). The economics of patient safety: from analysis to action. Paris: Organisation for Economic Co-operation and Development.
- Smith, J., & Jones, A. (2022). Research gaps in healthcare settings: Focus on provincial hospitals. Journal of Nursing Research, 30(2), 123-135.
- Smith, M. E., & Lutz, B. J. (2019). Exploring self-care strategies in nurses: An integrative review. Nursing Outlook, 67(2), 178-185. https://doi.org/10.1016/j.outlook.2018.09.004
- Sorn, M. K., Fienena, A. R. L., Ali, Y., Rafay, M., & Fu, G. (2023). The effectiveness of compensation in maintaining employee retention. OALib, 10(07), 1–14. https://doi.org/10.4236/oalib.1110394
- Søvold, L. E., Naslund, J. A., Kousoulis, A. A., Saxena, S., Qoronfleh, M. W., Grobler, C., & Münter, L. (2021). Prioritizing the Mental Health and Well-Being of Healthcare Workers: an urgent global public health priority. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.679397
- Spector, P. E. (1994). Job Satisfaction: Application, Assessment, Causes, and Consequences. Sage Publications.
- Tabachnick, B. G., & Fidell, L. S. (2019). Using multivariate statistics (7th ed.).
- Talab, F. S., Ahadinezhad, B., Khosravizadeh, O., & Amerzadeh, M. (2024). A model of the organizational resilience of hospitals in emergencies and disasters. BMC Emergency Medicine, 24(1). https://doi.org/10.1186/s12873-024-01026-6
- Team, C. (2024). 15 Powerful benefits of emotional intelligence training. Continu. https://www.continu.com/blog/15-benefits-of-emotional-intelligence-training
- Tosam, M. J. (2022). The biomedical and the relational model of the body, the meaning of illness and quality of care: A comparative analysis. South African Journal of Philosophy, 41(2), 131–147. https://doi.org/10.1080/02580136.2022.2059984
- Tsucuneli, M. (2022). Experiences of critical care nurse managers in addressing nurses’ work-related stress. Walden University.
- Van Bogaert, P., Timmermans, O., Weeks, S. M., van Heusden, D., Wouters, K., & Franck, E. (2017). Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events—A cross-sectional survey. International Journal of Nursing Studies, 69, 109-119. https://doi.org/10.1016/j.ijnurstu.2017.01.003
- Villanueva R. (2023). Nurses’ group urges ILO to probe work standard violations. PhilStar. https://www.philstar.com/headlines/2023/01/24/2239743/nurses-group-urges-ilo-probe-work-standard-violations#:∼:text=The%20Filipino%20Nurses%20United%20(FNU,group%20said%20in%20a%20statement
- Waltz, L. A., Muñoz, L., Johnson, H. W., & Rodriguez, T. (2020). Exploring job satisfaction and workplace engagement in millennial nurses. Journal of Nursing Management, 28(3), 673–681. https://doi.org/10.1111/jonm.12981
- Wang, H. H., & Liu, Y. L. (2017). Relationship between job satisfaction, burnout, and job performance among nurses. Journal of Nursing Management, 25(6), 441-452. https://doi.org/10.1111/jonm.12483
- Wang, Z., Zaman, S., Rasool, S. F., Zaman, Q. U., & Amin, A. (2020). <p>Exploring the Relationships Between a Toxic Workplace Environment, Workplace Stress, and Project Success with the Moderating Effect of Organizational Support: Empirical Evidence from Pakistan. Risk Management and Healthcare Policy, 13, 1055–1067. https://doi.org/10.2147/rmhp.s256155
- Watson, A. L. (2024). Nurses’ Professional Quality of Life and Self-Care: A Mixed-Methods Study. American Journal of Critical Care, 33(1), 66–69. https://doi.org/10.4037/ajcc2024714
- Williams, S. G., Fruh, S., Barinas, J. L., & Graves, R. J. (2022). Self-Care in Nurses. Journal of radiology nursing, 41(1), 22–27. https://doi.org/10.1016/j.jradnu.2021.11.001
- Woerkom, M. (2020). A quasi‐experimental study into the effects of naps and therapy glasses on fatigue and well‐being. Journal of Nursing Management, 29(3), 562–571. https://doi.org/10.1111/jonm.13172
- Woo, T., Ho, R., Tang, A., & Tam, W. (2020). Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. Journal of Psychiatric Research, 123, 9-20. https://doi.org/10.1016/j.jpsychires.2019.12.015
- World Health Organization. (2019). International classification of diseases (ICD-11). World Health Organization. https://www.who.int/classifications/icd/en/
- World Health Organization. (2022). Guideline on self-care interventions for health and well-being: 2022 revision. World Health Organization. Geneva, Switzerland.
- Wright, T. A., & Cropanzano, R. (2016). The role of emotional exhaustion in the relationship between job stressors and job performance. Journal of Applied Psychology, 101(5), 666-675. https://doi.org/10.1037/apl0000120
- Wu, A., Roemer, E. C., Kent, K. B., Ballard, D. W., & Goetzel, R. Z. (2021). Organizational best practices supporting mental health in the workplace. Journal of Occupational and Environmental Medicine, 63(12), e925–e931. https://doi.org/10.1097/jom.0000000000002407
- Yanamala, K. K. R. (2024). Integrating machine learning and human feedback for employee performance evaluation. Integrating Machine Learning and Human Feedback for Employee Performance Evaluation, 2(1), 1–10. https://doi.org/10.69987/jacs.2022.20101
- Yun, M. R., & Yu, B. (2021). Strategies for reducing hospital nurse turnover in South Korea: Nurses’ perceptions and suggestions. Journal of Nursing Management, 29(5), 1256–1262. https://doi.org/10.1111/jonm.13264
- Zhang, Y., Feng, X., Zhang, L., Wang, J., & Deng, Y. (2018). The impact of job satisfaction on job performance: A study of nurses in Chinese hospitals. Journal of Nursing Management, 26(8), 992-998. https://doi.org/10.1111/jonm.12636
- Zulu, A. (2024). Causes of employees’ job dissatisfaction among health workers in selected public hospitals in Zambia. https://dspace.unza.zm/items/b5886369-a44f-4e90-98b3-e34498bc7233.