The relationship between job demands, rumination, and burnout among healthcare professionals in Türkiye: a mediation model

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Özdemir B., Özcan H. M., Çil U., Kerse G.

BMC HEALTH SERVICES RESEARCH, cilt.26, sa.1549, ss.1-14, 2026 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 1549
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1186/s12913-026-15345-w
  • Dergi Adı: BMC HEALTH SERVICES RESEARCH
  • Derginin Tarandığı İndeksler: Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Scopus, Science Citation Index Expanded (SCI-EXPANDED), ABI/INFORM, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals
  • Sayfa Sayıları: ss.1-14
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Background While burnout has reached alarming levels globally, the psychological processes linking different job

demands to burnout remain insufficiently understood. Drawing on Conservation of Resources (COR) theory, this

study examines whether rumination is associated with the relationship between job demands (workload, emotional

demands, and emotional dissonance) and burnout.

Methods A cross-sectional design was employed using convenience sampling. Data were collected from 408

healthcare professionals (physicians, nurses, and other staff ) in Türkiye using validated self-report measures. The

proposed relationships were analysed using partial least squares structural equation modelling (PLS-SEM).

Results Among the job demands, workload was positively associated with burnout, with no significant indirect

association through rumination. In contrast, emotional demands and emotional dissonance did not show significant

direct associations with burnout; however, both variables showed significant indirect associations with burnout

through rumination.

Conclusions The findings suggest that rumination-related cognitive processes play a role in the associations of

emotional demands and emotional dissonance with burnout, whereas the association between workload and

burnout appears to be more direct. These findings highlight the potential relevance of emotional experiences and

rumination in understanding burnout among healthcare professionals.

Keywords Workload, Emotional demands, Emotional dissonance, Burnout, Rumination, Conservation of Resources

Theory, Public health, PLS-SEM