ArticleHeliyon2023
Mental workload profile and its relationship with presenteeism, absenteeism and job performance among surgeons: The mediating role of occupational fatigue.
Article in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Occupational differences in sickness presenteeism in the baseline survey of the German National Cohort (NAKO).Journal of occupational medicine and toxicology (London, England) · 2026Article
- Decision Fatigue in the Attending Surgeon: The Neural Accumulation of Micro-decisions Across an Operating Day.Cureus · 2026Review
- Prevalence and Multivariate Impact of Musculoskeletal Disorders on General Health, Occupational Fatigue, and Productivity in an Industrial Workforce.La Medicina del lavoro · 2026Article
- Construction and evaluation of a predictive model for high mental workload risk among clinical nurses: a cross-sectional study.Frontiers in public health · 2026Article
- Visualizing fatigue mechanisms in non-communicable diseases: an integrative approach with multi-omics and machine learning.BMC medical informatics and decision making · 2025Article
- Work-related stress of nurses in Poland and Lithuania: countries under the influence of war circumstances in Ukraine.BMC nursing · 2025Article
- Objective assessment of cognitive fatigue: a bibliometric analysis.Frontiers in neuroscience · 2024Review
- Hard shell, soft core? Multi-disciplinary and multi-national insights into mental toughness among surgeons.Frontiers in surgery · 2024Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Introduction: Surgeons are one of the most significant jobs in the health care system that plays an important role in the patients' health promotion and their treatment. In the current study, the effect of mental workload on the work performance of surgeons was tested by considering the mediating effect of fatigue on this relationship. Method: This study was done analytically on 165 surgeons working in the operating rooms of hospitals in Iran. To determine of mental workload, the SURG-TLX method was used. The job performance was measured using the short version of the job performance questionnaire provided by the World Health Organization (WHO-HPQ), and accordingly relative presenteeism, relative absenteeism and job performance variables were calculated. The Swedish Occupational Fatigue Inventory (SOFI) questionnaire was used to determine occupational fatigue. A conceptual model was built to determine the direct and indirect relationship between mental workload and job performance, and the mediating effect of occupational fatigue on the relationship between mental workload and job performance was tested using structural equation modeling (SEM). Results: Out of 165 distributed questionnaires, 140 questionnaires were completed and delivered to the researchers (85% response rate). The mean ± standard deviations of mental workload, fatigue, and work performance were 16.57 ± 5.83, 6.32 ± 2.86, and 0.65 ± 0.28, respectively. The results of model fit indexes revealed that all indexes are within the acceptable range. Regarding this model, the direct effect of mental workload on job performance was not significant (β = -0.21; p = 0.072). A significant positive relationship was observed between mental workload and fatigue (β = 0.36; p < 0.001). The direct effect of fatigue on job performance was also the opposite and statistically significant (β = -0.39; p < 0.001). Finally, results indicated that the effect of mental workload on work performance mediated by occupational fatigue. Conclusion: Surgeons suffer a high level of mental workload during their work, and this factor can have a negative effect on surgeons' job performance. The effect of mental workload on job performance in surgeons can be detected, directly and indirectly, through the mediating effect of occupational fatigue. Improving the mental and physical conditions of the work environment can reduce occupational fatigue and improve surgeons' job performance.
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