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December 16, 2025Occupational Medicine2 citationsOpen Access

Relative impact of psychosocial factors on burnout across healthcare professional roles

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PGPer GustavssonLBLeon T. De BeerEKElin Karlsson

Key Points

  • This study investigates how psychosocial factors affect burnout in various healthcare roles.
  • Data from the Longitudinal Occupational Health Survey in Healthcare in Sweden (2022-2023) were analyzed.
  • 4132 healthcare professionals participated, including physicians, registered nurses, and nurse assistants.
  • The Burnout Assessment Tool measured burnout; scales assessed job demands and resources.
  • Dominance analysis evaluated the impact of psychosocial work factors on burnout complaints, followed by moderation analysis.
  • Work-life interference significantly predicted burnout complaints.
  • Physicians experienced greater burnout from work tasks and effort-reward imbalance compared to registered nurses.
  • Nurse assistants showed a stronger negative effect from effort-reward imbalance than registered nurses.

Abstract

Abstract Background High demands and limited resources characterise the work of healthcare professionals, often resulting in negative outcomes, including burnout. Yet, how burnout is affected by demands and resources may vary depending on professional roles. Aims This study examines (i) the relative impact of psychosocial work factors (high job demands and low job resources) on subsequent burnout complaints, and (ii) how different healthcare professional roles may moderate the relationship between psychosocial work factors and burnout complaints. Methods Data were drawn from the Longitudinal Occupational Health Survey in Healthcare in Sweden in 2022 and 2023. The analytical sample comprises 4132 healthcare professionals, with 40% being physicians, 39% registered nurses (RNs) and 21% nurse assistants (NAs). The Burnout Assessment Tool was used to assess burnout complaints, and various scales were used to measure different job demands and resources. Dominance analysis investigated the relative impact of each exposure included in the analysis (psychosocial work factors) on burnout complaints. Thereafter, a moderation analysis was performed by the healthcare professional role, that is physicians, RNs and NAs. Results Generally, work-life interference was the most important psychosocial work factor in the development of subsequent burnout complaints. Further, work tasks, effort-reward imbalance and work-life interference had a stronger negative effect on physicians’ burnout complaints than on RNs. Effort-reward imbalance also had a stronger negative effect on NAs’ level of burnout complaints compared to RNs. Conclusions Addressing burnout and supporting healthcare professionals’ well-being requires tailored interventions for specific work-related factors alongside broader strategies for the widespread challenges of burnout.

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Cite This Study

Gustavsson et al. (2025) studied this question.

synapsesocial.com/papers/6940acc83507a57a7f7a443bhttps://doi.org/10.1093/occmed/kqaf121
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