Workload and Work Stress on Nurses’ Transfer Intention: Mediating Role of Burnout
DOI:
https://doi.org/10.47709/ijmdsa.v5i1.7896Keywords:
Workload, work stress, burnout, turnover intentionAbstract
This study examines the effects of workload and work stress on nurses’ turnover intention, with burnout as a mediating variable, at Indriati Hospital, Boyolali. A quantitative causal design was applied using data collected through structured questionnaires from 65 contract nurses. Inferential statistical analysis was employed to evaluate both direct and indirect relationships among the variables.
The results indicate that workload has a significant direct effect on turnover intention, implying that higher workload levels increase nurses’ intentions to leave their jobs. In contrast, work stress does not directly influence turnover intention but has a significant positive effect on burnout. Burnout, in turn, significantly affects turnover intention and mediates the relationship between work stress and turnover intention, confirming its role as a key psychological mechanism in nurse retention. Conversely, workload does not significantly influence burnout and therefore does not mediate its relationship with turnover intention, suggesting that workload operates through a direct pathway. These findings highlight the importance of organizational strategies focused on stress management, burnout prevention, and effective workload allocation to reduce turnover intention among nurses. Future research is recommended to involve broader samples and additional organizational factors to strengthen the generalizability of the findings in healthcare contexts.
References
Afifudin, M. F., & Kussudyarsana, K. (2025). Analysis of the Effect of Workload, Work Life Balance, and Work Environment, on Turnover Intention with Burnout as a Mediating Variable PT SGS (Sumber Graha Sejahtera) Semarang Branch. International Journal of Science and Environment (IJSE), 5(3), 428-435.
Akbar, M. and Ahmad, L. (2020). Analysis of the needs of general practitioners in public health centers using health workload method. Public Health of Indonesia, 6(2), 63-69. https://doi.org/10.36685/phi.v6i2.336
Al Haura, A., & Mardhiyah, A. (2025). Pengaruh Psychological Capital Dan Stres Kerja Terhadap Turnover Intention. Jurnal Ilmiah Wahana Pendidikan, 11(5. C), 144-155.
Azura, Z., & Fitria, Y. (2025). The Effect of Workload on Turnover Intention with Work Stress as a Mediating Variable Among Employees of “Budiman Swalayan” Ulak Karang Padang A R T I C L E I N F O. 8(2).
Bacon, C., Gontarz, J., & Jenkins, M. (2023). Nurses' experiences with change from nurse-patient ratios to workload intensity staffing. Nursing Management, 54(2), 24-31. https://doi.org/10.1097/01.numa.0000918216.61768.f4
Baek, G. and Cha, C. (2025). ai?assisted tailored intervention for nurse burnout: a three?group randomized controlled trial. Worldviews on Evidence-Based Nursing, 22(1). https://doi.org/10.1111/wvn.70003
Bai, Y., Zhou, J., & He, W. (2023). How employee job burnout, work engagement, and turnover intention relate to career plateau during the epidemic. Social Sciences, 12(7), 394.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of personality and social psychology, 51(6), 1173.
Bingöl, Ü., Bilgin, N., Çetinkaya, A., & Kutlu, A. (2025). Variables that predict nurses' job stress and intention to leave during the COVID?19 pandemic in Turkey. Journal of Advanced Nursing, 81(2), 878-886.
Bramasta, Randhy Vico, Survival Survival, and Adya Hermawati. "Efek tekanan pekerjaan terhadap stres kerja serta implikasinya pada keinginan untuk pindah pada karyawan." Inisiatif: Jurnal Ekonomi, Akuntansi Dan Manajemen 2.4 (2023): 236-247.
Cabrita, C., Lucas, P., Teixeira, G., & Gaspar, F. (2022, December). Translation and Validation of the Individual Workload Perception Scale—Revised for Portuguese Nurses. In Healthcare (Vol. 10, No. 12, p. 2476). MDPI.
Diwyarthi, N. and Prawira, K. (2024). The impact of workload and job insecurity toward employee work stress due to covid-19 pandemic. Multidisciplinary Journal of Education, Economic and Culture, 2(1), 1-6. https://doi.org/10.61231/mjeec.v2i1.170
Dwitanti, E., Murwani, F., & Siswanto, E. (2023). The effect of work-life balance on employee performance through work stress and workload. International Journal of Business Law and Education, 4(2), 569-586. https://doi.org/10.56442/ijble.v4i2.211
Eskander, J., Rajaguru, P., & Greenberg, P. (2020). Evaluating wellness interventions for resident physicians: a systematic review. Journal of Graduate Medical Education, 13(1), 58-69. https://doi.org/10.4300/jgme-d-20-00359.1
Fadilah, N., Afianti, V. P. P., & Wildan, M. A. (2025). Pengaruh Stres Kerja Dalam Kepuasan Kinerja Karyawan Terhadap Keinginan Berhenti Bekerja. EKOMA: Jurnal Ekonomi, Manajemen, Akuntansi, 4(2), 3491-3496.
Fatima, M., & Risnawaty, W. (2023). Gambaran strategi coping stress karyawan sistem kerja remote. Phronesis: Jurnal Ilmiah Psikologi Terapan, 12(2), 78-87.
Febriantina, S., Fathin, A., Rahma, M., Lestari, N. Y., & Nurwati, U. (2025). Determinan Stress Kerja Dalam Organisasi: Kajian Literatur Sistematis. Character Jurnal Penelitian Psikologi, 12(01), 89-102.
Flores, C., & Gabriel, C. (2020). Estudio del papel mediador del engagement en el trabajo entre las demandas y recursos laborales. Psicología Iberoamericana, 26(2), 1–14.
Hashemi, S., Ghazanfari, F., Merzah, M., Rezaei, M., Astaraki, P., & Birjandi, M. (2023). Relationship between job stress and work-related quality of life among emergency medical technicians: a cross-sectional study. BMJ Open, 13(6), e066744. https://doi.org/10.1136/bmjopen-2022-066744
Hermawati, A., Purbaningsih, Y., Iwe, L., Junaedi, I. W. R., & Wibowo, T. S. (2022). Motivasi Kerja Terhadap Kinerja Tenaga Kesehatan Berbasis Implementasi Kompetensi dan Komunikasi Organisasi. Jesya (Jurnal Ekonomi Dan Ekonomi Syariah), 5(2), 2199-2209.
Hermawati, Adya, and Yosiana Yosiana. "Optimalisasi Kinerja Perawat Berbasis Beban Kerja Dengan Intervining Stres Kerja Pada Perawat Di Puskesmas." Equilibrium: Jurnal Ilmiah Ekonomi, Manajemen dan Akuntansi 10.1 (2021).
Hermawati, Adya, Martaleni Martaleni, and Totok Hendarto. "Maksimalisasi kinerja pegawai dengan efek penguatan kepuasan kerja." Jurnal Ilmu Ekonomi & Sosial Unmus 12.1 (2021): 16-25.
Hermansyah, Notosudjono, D., & Yusnita, N. (2024). Determinant of Role Stressors on Job Stress and Counterproductive Work Behavior among Employees in the Automotive Industry. International Journal of Behavior Studies in Organizations, 10, 18–28. https://doi.org/10.32038/jbso.2023.10.02
Idris, M. M. R., & Suhaeb, S. (2025). Dilema Multitasking dan Kinerja: Mengungkap Pengaruh Konflik Peran Ganda, Stres, dan Beban Kerja Karyawan Wanita melalui Lensa Lingkungan Kerja. BJRM (Bongaya Journal For Research in Management), 8(2), 53-64.
Jamal, M. T., Anwar, I., Khan, N. A., & Ahmad, G. (2023). How do teleworkers escape burnout? A moderated-mediation model of the job demands and turnover intention. International Journal of Manpower, 45(1), 169-199.
Kusnadi, A. S., Wiliandi, G., & Sulistyowati, L. H. (2025). The Impact Of Work Life Balance And Work Stress On Turnover Intention In Millennial Generation. In Indonesian Interdisciplinary Journal of Sharia Economics (IIJSE (Vol. 8, Number 3).
Lee, M. M., Gensimore, M. M., Maduro, R. S., Morgan, M. K., & Zimbro, K. S. (2021). The impact of burnout on emergency nurses’ intent to leave: a cross-sectional survey. Journal of Emergency Nursing, 47(6), 892-901.
Lewchuk, W. (2002). Workload, work organization and health outcomes: The Ontario Disability Support Program. Ontario Public Service Employees Union.
Lin, M.-H., Chen, H.-J., & Chen, C.-H. (2024). The impact of job stress on job satisfaction and turnover intention: Evidence from employees in Taiwan. Frontiers in Psychology, 15, 1482968. https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1482968/full
Lineuwih, I. I., Sariwulan, T., & Fidhyallah, N. F. (2022). Pengaruh Beban Kerja, Stres Kerja, dan Work Family Conflict Terhadap Burnout Karyawan. Jurnal Bisnis, Manajemen, dan Keuangan, 3(3), 879-890.
Markovi?, S., Kosti?, O., Terzi?-Šupi?, Z., Mihajlovic, S., Milovanovi?, J., Radovanovic, S., … & Šorak, M. (2024). Exposure to stress and burnout syndrome in healthcare workers, expert workers, professional associates, and associates in social service institutions. Medicina, 60(3), 499. https://doi.org/10.3390/medicina60030499
Milicia, A., Handley, J., Boxley, C., Busog, D., Krevat, S., Apathy, N., … & Franklin, E. (2023). Are they aligned? an analysis of social media-based nurse well-being concerns and well-being programs. Patient Safety, 5(3). https://doi.org/10.33940/001c.88305
Nora, M. Y. D., Fanggidae, R. E., Maak, C. S., & Nursiani, N. P. (2025). Pengaruh Overtime Dan Workload Terhadap Turnover Intention Dengan Burnout Sebagai Variabel Intervening (Studi Kasus Pada Pt. Besi Baja Metalindo Mojokerto Jawa Timur). GLORY Jurnal Ekonomi dan Ilmu Sosial, 6(2), 609-617.
Novia, K., Bakri, A., Komariah, E., & Situngkir, R. (2023). Relationship of workload to employee stress levels in pt. wahyu pradana binamulia makassar. Indonesian Journal of Health Sciences Research and Development (Ijhsrd), 5(1), 6-12. https://doi.org/10.36566/ijhsrd/vol5.iss1/137
Padmanabhanunni, A., & Pretorius, T. B. (2024). Beyond Role Conflict and Ambiguity: A Global Measure of Role Stress among South African School Teachers. Revista de Investigacion e Innovacion En Ciencias de La Salud, 6(2), 40–55. https://doi.org/10.46634/riics.276
Rahmansyah, I., Aji, B., Khotimah Arum, K., & Kesehatan Masyarakat, M. (2025). Science Midwifery Factors influencing nurse turnover intention at private Hospitals in Purwokerto in 2024. In Science Midwifery (Vol. 13, Number 2). Online. www.midwifery.iocspublisher.orgJournalhomepage:www.midwifery.iocspublisher.org
Roy, A., Druker, S., Hoge, E., & Brewer, J. (2020). Physician anxiety and burnout: symptom correlates and a prospective pilot study of app-delivered mindfulness training. Jmir Mhealth and Uhealth, 8(4), e15608. https://doi.org/10.2196/15608
Salama, W., Abdou, A. H., Mohamed, S. A. K., & Shehata, H. S. (2022). Impact of work stress and job burnout on turnover intentions among hotel employees. International Journal of Environmental Research and Public Health, 19(15), 9724.
Salliyuana, C., & Hidayat, M. R. (2024). Employee Engagement, Beban Kerja, dan Kepuasan Kerja terhadap Kinerja Karyawan. Jurnal Alwatzikhoebillah: Kajian Islam, Pendidikan, Ekonomi, Humaniora, 10(1), 159-172.
Silva, K. M., Pessi, L., Penido, V. S. N., Silva, F. A. da, Carvalho, F. E. de, & Vilas Boas, A. A. (2022). Estresse, Carga de Trabalho, Burnout e Satisfação no Trabalho: Algumas Considerações Teóricas. Revista FSA, 19(12), 268–279. https://doi.org/10.12819/2022.19.12.13
Sintyadewi, N. P. M. N., & Dewi, I. G. A. M. (2020). Peran burnout memediasi pengaruh stres kerja terhadap turnover intention karyawan Kutabex Beach Front Hotel Bali (Doctoral dissertation, Udayana University).
Sorrell, S. (2022). Understanding burnout. part 1: veterinary?specific factors, progression and consequences. In Practice, 44(5), 301-304. https://doi.org/10.1002/inpr.210
Sugiyono. (2020). Metode Penelitian Kuantitatif, Kualitatif dan R&D. Bandung: Alfabeta.
Suri, M., & Putri, V. S. (2021). Gambaran Tingkat Stress Perawat Pelaksana dalam Melakukan Intervensi Keperawatan pada Masa Pandemi Covid-19 di Rumah Sakit Jiwa Daerah Provinsi Jambi. Jurnal Akademika Baiturrahim Jambi, 10(2), 439-445.
Vallasamy, S. K., Muhadi, S. U., & Vijaya Retnam, S. K. (2023). Underlying Factors that Contributed to Job Stress in an Organisation. International Journal of Academic Research in Business and Social Sciences, 13(5). https://doi.org/10.6007/ijarbss/v13-i5/16906
Wang, Y., Jiang, N., Zhang, H., & Liu, Z. (2021). Organizational justice, burnout, and turnover intention of social workers in China. Journal of Social Work, 21(3), 456-475.
Widyaningrum, S., & Nora, E. (2020). The Effect of Role Ambiguity on Job Satisfaction Mediated by Employee Work Stress in Trading Business Barokah, Trenggalek East Java. KnE Social Sciences. https://doi.org/10.18502/kss.v4i9.7336
Wilis, I., Sitorus, G., & Siregar, E. (2025). Pengaruh Beban Kerja, Lingkungan Kerja Dan Kompensasi Terhadap Turnover Intention Perawat Melalui Stres Kerja. Jurnal Satya Mandiri Manajemen dan Bisnis, 11(1), 54-67.
Winarno. (2013). Metodologi Penelitian Dalam Pendidikan Jasmani. Malang: UM. Press.
Wulanda, N., Irawan, A., Putriani, D. A., Herlina, T., & Natalia, T. S. (2024). Determinasi Faktor-Faktor Penyebab Turnover Intention Karyawan Di Encar Daihatsu Cabang Baturaja. Jurnal Bisnis Darmajaya, 10(2), 1-14.
Wulandari, D., Meutia, K. I., & Dewi, N. K. (2024). Pengaruh Beban Kerja, Stres Kerja, dan Lingkungan Kerja terhadap Tingkat Turnover Intention pada PT. Sepulsa Teknologi Indonesia. Manajemen Kreatif Jurnal, 2(3), 276-292.
Zheng, J., Wang, Y., & Wang, Y. (2024). Relationship between burnout and turnover intention among nurses: A network analysis. BMC Nursing, 23, 132. https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-024-02624-2
Yulfanani, Y., & Roziana, R. (2022). Dampak kelelahan mental (burnout) terhadap kinerja karyawan PT. Duta Merpati Indonesia. ETNIK: Jurnal Ekonomi Dan Teknik, 1(4), 299-305.
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