The Effect of Burnout on Turnover Intention with Job Satisfaction as an Intervening Variable
Abstract
Pharmaceutical personnel are a very important part of health services in hospitals. Based on a preliminary study at three private hospitals in Padang City, it was found that the turnover of pharmaceutical personnel reached 14.8-19.6% in the last three years. Severe burnout, low job satisfaction and increased turnover intention among pharmaceutical personnel which still receive little attention in the literature. The purpose of this study is to determine the effect of burnout on turnover intention mediated by job satisfaction in pharmaceutical personnel in five private hospital pharmaceutical installations in Padang City. The design of this study was cross-sectional by sampling using a questionnaire involving 118 respondents consisting of pharmacists and pharmaceutical technical personnel. The research data was analyzed using Structural Equation Modelling Partial Least Squares (SEM-PLS) and the results of the study were obtained. Job satisfaction significantly mediates the effect between burnout and turnover intention. Burnout and job satisfaction have a significant effect on turnover intention. Burnout has a significant effect on job satisfaction. Demographic factors do not have a significant effect on burnout and job satisfaction. Job satisfaction significantly mediates the influence between demographic factors and turnover intention. Burnout did not significantly mediate the influence between demographic factors and turnover intention. Based on the results of the study, burnout and job satisfaction affect turnover intention. Therefore, the hospital can determine a burnout management strategy and maintain good job satisfaction to prevent an increase in actual turnover.
References
Abilmona, R., Dimassi, H., Aboulhosn, R., & Chamoun, N. (2023). Burnout and coping strategies among health system pharmacists in Lebanon: a cross-sectional study. BMC Health Services Research, 23(1), 424. https://doi.org/10.1186/s12913-023-09422-7
Ahmed, F. R., & Timmins, F. (2024). Prioritizing Well-Being: Fostering a Healthy Work Environment for Emergency Nurses. Journal of Emergency Nursing, 50(5), 582-585. https://doi.org/10.1016/j.jen.2024.07.002
Ali, S. A. M., Said, N. A., Yunus, N. A. M., Abd Kader, S. F., Ab Latif, D. S., & Munap, R. (2014). Hackman and Oldham's job characteristics model to job satisfaction. Procedia-Social and Behavioral Sciences, 129, 46-52. https://doi.org/10.1016/j.sbspro.2014.03.646
Al-Muallem, N., & Al-Surimi, K. M. (2019). Job satisfaction, work commitment and intention to leave among pharmacists: A cross-sectional study. BMJ Open, 9(9), 1–12. https://doi.org/10.1136/bmjopen-2018-024448
Aluko, O. I. S. A. (2023). Work Related Stress Management and the Performance of Workers in Public Health Facilities in Kwara State, Nigeria (Doctoral dissertation, Kwara State University (Nigeria)).
Alzahrani, A., Mubarak, F., Judayba, A., Alqahtani, D., Alqahtani, O., Alqahtani, B., ... & Almasoud, F. (2024). Medication Errors Among Pharmacists In Hospitals And Health Care Centers Affiliated With The Ministry Of Health: A Systematic Review. International Journal, 5(12), 1773-1780. https://doi.org/10.61707/g6pky360
Andrade, M. S., Westover, J. H., & Peterson, J. (2005). Job satisfaction and gender. Oxford Economic Papers, 57(3), 479–496. https://doi.org/10.1093/oep/gpi015
Anjayani, D., Meliala, A., & Hendrartini, Y. (2022). Hospital readiness in the implementation of the global budget payment system in Purworejo Regency. Journal of National Health Insurance (JJKN), 2(2), 123–141. https://doi.org/10.53756/jjkn.v2i2.89
Arifah, N., Triharini, M., & Wahyudi, A. S. (2021). Analysis of external and internal factors of nurse turnover: A systematic review. Journal of Health Dr. Soebandi, 9(2), 67–78. https://doi.org/10.36858/jkds.v9i2.312
Arifin, B. (2022). Do limited-resource hospitals improve medical care utilization in underdeveloped areas: Evidence from mobile hospitals in Indonesia. Value in Health Regional Issues, 30, 67–75. https://www.elsevier.com/locate/vhri
Azim, M. T., Haque, M. M., & Chowdhury, R. A. (2013). Gender, marital status and job satisfaction: An empirical study. International Review of Management and Business Research, 2(2), 488–498.
Azwar, S. (2020). Basics of psychometrics (2nd ed.). Student Library.
Azwar, S. (2021). Compilation of psychological scales (3rd ed.). Student Library.
Bae, S. H. (2024). Nurse staffing, work hours, mandatory overtime, and turnover in acute care hospitals affect nurse job satisfaction, intent to leave, and burnout: A cross-sectional study. International Journal of Public Health, 69, 1–9. https://doi.org/10.3389/ijph.2024.1607068
Bakker, A. B., & Demerouti, E. (2017). Job demands–resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273–285. https://doi.org/10.1037/ocp0000056
Bevins, D. T. (2018). Herzberg’s two-factor theory of motivation: A generational study [Undergraduate thesis, Eastern Kentucky University]. https://encompass.eku.edu/honors_theses
Bulan, P. (2019). The effect of burnout on turnover intention through job satisfaction as an intervening variable in employees of PT Bank of Nagari headquarters [Unpublished thesis].
Carandang, R. R., Puguon Jr, F., Santos, M. L., Ilagan, E., Gamboa, K. G., & Aquino, J. G. (2024). Burnout and Turnover Intention Among Community and Hospital Pharmacists in Metro Manila, Philippines. Merits, 4(4), 463-474. https://doi.org/10.3390/merits4040033
Chen, X., Ran, L., Zhang, Y., Yang, J., Yao, H., Zhu, S., & Tan, X. (2019). Moderating role of job satisfaction on turnover intention and burnout among workers in primary care institutions: a cross-sectional study. BMC public health, 19(1), 1526. https://doi.org/10.1186/s12889-019-7894-7
Connelly, D. (2024). Special report: The stressors burning out pharmacists. The Pharmaceutical Journal, 313, 1–11.
Dee, J., Dhuhaibawi, N., & Hayden, J. C. (2023). A systematic review and pooled prevalence of burnout in pharmacists. International Journal of Clinical Pharmacy, 45(5), 1027–1036. https://doi.org/10.1007/s11096-022-01520-6
Desselle, S. P. (2005). Job turnover intentions among certified pharmacy technicians. Journal of the American Pharmacists Association, 45(6), 676–683. https://doi.org/10.1331/154434505774909535
Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: A preliminary study at private hospitals in Indonesia. BMC Nursing, 17(Suppl 2), 1–7. https://doi.org/10.1186/s12912-018-0317-8
Director General of Health Services, Ministry of Health of the Republic of Indonesia. (2020). Action plan of the director general of health services 2020–2024. Ministry of Health of the Republic of Indonesia.
Edú-Valsanía, S., Laguía, A., & Moriano, J. A. (2022). Burnout: A review of theory and measurement. International Journal of Environmental Research and Public Health, 19(3), Article 1780. https://doi.org/10.3390/ijerph19031780
Ernest, C., & Meilani, Y. F. (2023). The effect of job security and burnout on turnover intention mediated by job satisfaction. Journal of Indonesian Health Management, 11(1), 79–90. https://doi.org/10.36441/jamr.v3i1.1347
Ezeanyim, O. C., Nwabunwanne, E. C., Igbokwe, N. C., & Nwamekwe, C. O. (2025). Patient Flow and Service Efficiency in Public Hospitals. Journal Health of Indonesian, 3(2), 104-124. https://doi.org/10.58471/health.v3i02.228
Febiani, A. N. (2022). The effect of work stress, job satisfaction, and commitment on employee turnover intention [Unpublished thesis].
Golbach, A. P., McCullough, K. B., Soefje, S. A., Mara, K. C., Shanafelt, T. D., & Merten, J. A. (2022). Evaluation of burnout in a national sample of hematology-oncology pharmacists. JCO Oncology Practice, 18(8), e1278-e1288. https://doi.org/10.1200/OP
Griffeth, R. W., Hom, P. W., & Gaertner, S. (2000). A meta-analysis of antecedents and correlates of employee turnover: Update, moderator tests, and research implications for the next millennium. Journal of Management, 26(3), 463–488. https://psycnet.apa.org/doi/10.1177/014920630002600305
Kumar, R. S. (2024). Pharmacotherapy and the Critical Role of Pharmacists in Rehabilitation Medicine. Pharmacotherapy, 1(1). https://doi.org/10.2490/prm.20220025
Mawuena, E. K., & Mannion, R. (2022). Implications of resource constraints and high workload on speaking up about threats to patient safety: a qualitative study of surgical teams in Ghana. BMJ quality & safety, 31(9), 662-669. https://doi.org/10.1136/bmjqs-2021-014287
Padang City Health Office. (2024). Padang City health profile in 2023 (2024 ed.).
Rajan, D. (2021). Organization structure and management practice related factors causing employee turnover: An empirical study among nurses. Eurasian Journal of Higher Education, (3), 36-65. https://doi.org/10.31039/ejohe.2021.3.34
Rožman, M., Oreški, D., & Tominc, P. (2023). Artificial-intelligence-supported reduction of employees’ workload to increase the company’s performance in today’s VUCA Environment. Sustainability, 15(6), 5019. https://doi.org/10.3390/su15065019
Secretariat General of the House of Representatives of the Republic of Indonesia. (2022). Annotation of Law Number 44 of 2009 concerning hospitals: Compilation with amendment laws, constitutional court decisions, and implementing regulations. Center for Monitoring the Implementation of the Law, Expertise Body of DPR RI.
Selvakumar, P., Uprikar, V., Bhagat, S., Agrawal, R. K., Nimkar, N. S., & Manjunath, T. C. (2026). Job-Related and Life-Related Stress. In Strategies and Solutions for Public Sector Burnout (pp. 315-342). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3373-0169-3.ch011
Shin, P., Desai, V., Hobbs, J., Conte, A. H., & Qiu, C. (2023). Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. The Permanente Journal, 27(2), 160. https://doi.org/10.7812/tpp/23.015
Tavares, M. C., Azevedo, G., & Marques, R. P. (2022). The challenges and opportunities of era 5.0 for a more humanistic and sustainable society—a literature review. Societies, 12(6), 149. https://doi.org/10.3390/soc12060149
Zenjari, A., Allouani, S. A., Zaki, A., & Sidqui, O. (2024). Technological Innovation and Human Resources Management (HRM) in the Era of Industry 5.0: Navigating Impacts and Opportunities. In Industry 5.0 and Emerging Technologies: Transformation Through Technology and Innovations (pp. 371-391). Cham: Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-70996-8_18
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