Evidence map›Paper›PMID 40096081›Full record

ArticlePloS one2025

Technostress and its associated factors: Burnout and fatigue among Malaysian healthcare workers (HCWs) in state hospitals.

Nor Asiah Muhamad, Nur Hasnah Ma'amor, Nurul Hidayah Jamalluddin, Izzah Athirah Rosli, Fatin Norhasny Leman, Tengku Puteri Nadiah Tengku Baharudin Shah, Nurul Syazwani Misnan, Norni Abdullah, Mohammad Zabri Johari, Norliza Chemi and 2 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Nor Asiah MuhamadSector for Evidence Based Healthcare, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.ORCID https://orcid.org/0000-0002-7772-2103
Nur Hasnah Ma'amorSector for Evidence Based Healthcare, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.
Nurul Hidayah JamalluddinSector for Evidence Based Healthcare, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.
Izzah Athirah RosliSector for Evidence Based Healthcare, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.
Fatin Norhasny LemanSector for Evidence Based Healthcare, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.
Tengku Puteri Nadiah Tengku Baharudin ShahSector for Evidence Based Healthcare, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.
Nurul Syazwani MisnanSector for Evidence Based Healthcare, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.
Norni AbdullahDepartment of Psychiatry & Mental Health, Hospital Tengku Ampuan Rahimah, Ministry of Health Malaysia, Klang, Selangor, Malaysia.
Mohammad Zabri JohariHealth Behavior Research Institute, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.
Norliza ChemiDepartment of Psychiatry & Mental Health, Hospital Kajang, Ministry of Health Malaysia, Kajang, Selangor, Malaysia.
Norashikin IbrahimNational Centre of Excellence for Mental Health, Ministry of Health Malaysia, Cyberjaya, Selangor, Malaysia.
Member of Technostress Study

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTechnostress is defined as a psychological state associated with the increased usage of advanced computer technologies on a daily basis. It is also defined as an anxiety feeling or mental strain due to excessive exposure or involvement with technologies.

aimThis study aimed to determine the level of technostress associated with burnout and fatigue among healthcare workers (HCWs) in the state hospitals of Malaysia.

methodsA cross-sectional study was conducted from September 2022 to November 2023 among HCWs working in the 15-state hospitals in Malaysia. A standardized questionnaire was distributed among the HCWs in the state hospitals in Malaysia. The questionnaire contains information on socio-demography and topic-specific scales on technostress, burnout and fatigue.

resultsA total of 1620 HCWs were included in the analysis, of which 244 (15%) have high level of technostress, 1089 (67%) have moderate technostress, and 287 (18%) have low technostress. Burnout, and fatigue were significantly associated with technostress. HCWs with moderate burnout were less likely to have high technostress compared to those with high burnout (B =  -0.993, 95% CI; 0.231 - 0.594; p <  0.001). Those with moderate fatigue were less likely to have high technostress (B =  -3.844, 95% CI; 0.003 - 0.162; p <  0.001) compared to those with high fatigue.

conclusionsThis study found that majority of the HCWs have moderate level of technostress. Technostress has become more common after the COVID-19 pandemic in 2020 drastically altered working conditions and made remote work using information and communication technologies (ICT) a necessity rather than a luxury. Mitigation measures and programs that include psychological support for individuals who are struggling with the technostress and burnout are needed to overcome this issue.

Indexed as

Burnout, ProfessionalFatigueHealth PersonnelAdultCOVID-19Cross-Sectional StudiesFemaleHospitalsHumansMalaysiaMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID40096081
PMCPMC11913267

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.