ArticleJournal of occupational health2021
The mediating effect of exhaustion in the relationship between effort-reward imbalance and turnover intentions: A 4-year longitudinal study from Sweden.
Article in Journal of occupational health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Incidence of effort-reward imbalance among nurses: a systematic review and meta-analysis.Frontiers in psychology · 2024Pooled it
- Psychological Empowerment as a Mediator of Effort-Reward Imbalance Effects on Burnout, Anxiety and Depression Among Nursing Home Professionals: A Cross-Sectional Study.Journal of advanced nursing · 2025Article
- Factors Affecting Cypriot Nurses' Roles in the Care and Education of Patients with CKD: An Interpretive Phenomenological Study.Healthcare (Basel, Switzerland) · 2025Article
- The moderating effect of the psychosocial working conditions (effort/reward/overcommitment) on the association between noise annoyance and cognitive performance among adolescents.BMC psychology · 2025Article
- Work hours, appraisal at work, and intention to leave the medical research workforce in Japan.Journal of occupational health · 2025Article
- Turnover Intention Among Male Nurses in Jiangsu, China: A Structural Equation Modeling Study Based on Social Cognitive Theory.Journal of nursing management · 2025Article
- Reward frustration and withdrawal from work in health care-a cross-sectional study among health professionals.Frontiers in health services · 2025Article
- Validation of the Hungarian version of the 6-item turnover intention scale among elderly care workers.Scientific reports · 2024Article
- Relationship Between Companies' Responses to Near-Miss Reports and Turnover Intentions of Workers: A Nationwide Cross-Sectional Study.Safety and health at work · 2024Article
- Evaluating the association between effort-reward imbalance and suboptimal health status among hospital nurses: a cross-sectional study.International journal of occupational medicine and environmental health · 2024Article
- Prospective effects of work-time control on overtime, work-life interference and exhaustion in female and male knowledge workers.Scandinavian journal of public health · 2024Article
- How do Effort, Reward, and Their Combined Effects Predict Burnout, Self-rated Health, and Work-family Conflict Among Permanent and Fixed-term Faculty?Annals of work exposures and health · 2023Article
- Relationship Between Effort-Reward Imbalance, Over-Commitment and Occupational Burnout in the General Population: A Prospective Cohort Study.International journal of public health · 2023Article
- Overbenefitting, underbenefitting, and balanced: Different effort-reward profiles and their relationship with employee well-being, mental health, and job attitudes among young employees.Frontiers in psychology · 2023Article
- Analysis on the relationship between effort-reward imbalance and job satisfaction among family doctors in China: a cross-sectional study.BMC health services research · 2022Article
- Evaluating effort-reward imbalance among nurses in emergency departments: a cross-sectional study in China.BMC psychiatry · 2021Article
- The Effort-Reward Model and Its Effect on Burnout Among Nurses in Ecuador.Frontiers in psychology · 2021Article
- The mediating effect of exhaustion in the relationship between effort-reward imbalance and turnover intentions: A 4-year longitudinal study from Sweden.Journal of occupational health · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesEarlier studies suggest that imbalance between effort and reward at work associates with exhaustion. Others have found that exhaustion increases turnover intentions; an important precursor of actual turnover that also associates with counterproductive work behaviors. Few, however, have studied the associations between effort-reward imbalance (ERI) and employees' intentions to leave their current employment, and whether exhaustion is underpinning that relationship. Here, we investigate the mediating role of exhaustion in the effort-reward imbalance - turnover intentions relationship.
methodsData from three waves covering a time span of four years from the Swedish Longitudinal Occupational Survey of Health (SLOSH) were analysed using structural equation modeling. Cross-lagged mediation analyses were conducted to estimate if associations from ERI to subsequent turnover intentions were mediated by exhaustion. Other causal directions (direct and reversed direct effects, reversed mediation) were also examined.
resultsA direct path from ERI T1 to turnover intentions T2 was found, but not from ERI T2 to turnover intentions T3. Additionally, results showed that ERI at time points T1/T2 associated significantly with exhaustion two years later (T2/T3). Also, exhaustion at T1 showed a small but statistically significant direct association with turnover intentions at T2 (no association was found between exhaustion T2 and turnover intentions T3). A small, but statistically significant indirect effect from ERI to turnover intentions was found (estimate 0.005; 95% CI 0.002-0.010).
conclusionsProviding a good balance between effort and reward for workers is essential to protect employee health and help retain employees in the organization.
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