ArticleJournal of occupational health2021
Long working hours and burnout in health care workers: Non-linear dose-response relationship and the effect mediated by sleeping hours-A cross-sectional study.
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 74 papers.
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Who cites it
74 citing papers in PubMed.
- Prevalence and Predictors of Burnout Among Medical Interns in 2 Major Cities of the Eastern Province of Saudi Arabia: A Cross-Sectional Study.Medical science monitor basic research · 2026Article
- Psychosocial Job Characteristics and Job Strain Among Nurses in Urban Primary Healthcare Centers in Vietnam: A Multicenter Cross-Sectional Study.International journal of environmental research and public health · 2026Article
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- Voice-Based Structured Nursing Documentation Using Automatic Speech Recognition and Large Language Models: Development and Evaluation Study.JMIR nursing · 2026Article
- Changes in working hours and burnout levels among physicians: a cohort study.Human resources for health · 2026Article
- Measurement Properties of the Burnout Assessment Tool Used in the Population of Employees of Long-Term Care Facilities in Poland.Safety and health at work · 2026Article
- Article
- Demographic and occupational factors associated with work-life balance among physician assistants/associates: a cross-sectional study.BMJ open · 2026Article
- Gender as a moderator of the relationship between workplace violence and burnout among healthcare professionals.Frontiers in public health · 2026Article
- Latent profile analysis of sleep quality and associated factors on sleep patterns in night-shift nurses: a cross-sectional study.Frontiers in public health · 2026Article
- Job burnout and perceived humanistic management: a cross-sectional study of hospital logistics support staff.Frontiers in psychology · 2026Article
- Burnout and well-being in obstetricians and gynaecologists in Hong Kong: a territory-wide cross-sectional survey.Frontiers in public health · 2026Article
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- Article
- Observational
- [Situational analysis of nursing professionals to develop a strategic plan in a highly complex hospital].Anales del sistema sanitario de Navarra · 2025Article
- Supervising physicians' perceptions on physician work-hour regulations in Japan: a nationwide cross-sectional study.BMC medical education · 2025Article
- Association Between Perceived Stress and Burnout Among Neonatal Intensive Care Nurses.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025Article
- The relationship between burnout, quality of life, and associated factors among public health professionals in Shanghai: a cross-sectional study.BMC public health · 2025Article
- The Moderating Effect of Atypical Events on the Relationship Between Heart Rate and Stress in Medical Residents Working in an Intensive Care Unit: Longitudinal, Observational Daily Diary Study.JMIR formative research · 2025Observational
14 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesBurnout among health care workers is highly prevalent and has profound impact on quality of care. Hospital on-duty schedules lead to long working hours and short sleeping hours; both are common factors associated with burnout. We examined the dose-response relationship and the potential mediating role of sleeping hours on the association between working hours and burnout among health care workers.
methodsWe collected data on the burnout status, using the Mandarin version of the Copenhagen Burnout Inventory (subscales measure work-related and personal burnouts), working hours, sleeping hours, and relevant measures for 2081 health care personnel who underwent a routine health examination in a medical center in Taiwan during 2016-2017. Four subgroups were compared: physicians (n = 369), nurses (n = 973), technicians (n = 391), and administrators (n = 348).
resultsAverage weekly working hours are associated with burnout scores in a non-linear dose-response manner. Compared with a work week of 40 hours, the odds ratio of work-related burnout doubled when hours exceeded 60, tripled when hours exceeded 74, and quadrupled when hours exceeded 84. Physicians' burnout is less susceptible to incremental increases in working hours, compared to the situations in other health care workers. The proportions eliminated by reducing sleeping hours were 25%-73% for physicians and 7%-29% for nurses respectively.
conclusionsOur findings suggest that working hours are associated with burnout, and the association was partially mediated by sleeping hours.
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