1. Burnout and the stigma of help-seeking in nurses : a cross-sectional studyAljana Smajlović, Leona Cilar Budler, 2025, original scientific article Abstract: Aims: The aim of this study is to examine the association between burnout and the stigma of seeking professional psychological help among nurses working in surgical nursing field.
Background: Nurses working in surgical settings face high levels of occupational stress, which increases their risk of burnout. Burnout, characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, can significantly impact both the well-being of healthcare professionals and the quality of patient care. Despite the availability of professional psychological support, many nurses hesitate to seek help due to stigma, cultural perceptions, and workplace norms. Understanding the relationship between burnout and help-seeking stigma is essential to developing targeted interventions that promote mental health support and reduce barriers to psychological care in nursing professionals.
Methods: A cross-sectional study was conducted in Central Slovenia Region, from December 2024 to January 2025. 322 nurses completed the questionnaire on burnout and help-seeking stigma. Descriptive statistics, Spearman's correlation test, Mann-Whitney U test and Kruskal-Wallis U test were performed. p < 0.05 was considered statistically significant.
Results: The study included 322 surgical nurses, with the majority reporting moderate to high levels of emotional exhaustion. A weak but statistically significant negative correlation (ρ = -0.178, p = 0.002) was found between burnout and attitudes toward seeking professional psychological help, indicating that nurses experiencing higher burnout levels were less likely to seek support. Nurses with high emotional exhaustion showed more stigmatized views (U = 2091.5, p = 0.010), though post-hoc power for this subgroup comparison was low (≈ 0.22). Gender differences were observed, with men reporting higher stigma against psychological help-seeking (p = 0.036), while women experienced higher burnout levels, particularly emotional exhaustion (p = 0.001). No significant associations were found between personal fulfillment and help-seeking attitudes (p = 0.807), nor between burnout and years of work experience (p = 0.325).
Conclusion: These findings highlight the persistent stigma surrounding mental health support among surgical nurses, particularly those experiencing higher burnout. Emotional exhaustion appears to play a critical role in shaping attitudes toward help-seeking, suggesting that burnout interventions should incorporate mental health education to reduce stigma and encourage psychological support utilization. Gender disparities in burnout and stigma further emphasize the need for tailored interventions addressing the unique challenges faced by male and female nurses. Future research should explore organizational and cultural factors influencing psychological help-seeking behaviors and assess the effectiveness of workplace-based mental health interventions. Keywords: occupational burnout, psychological wellbeing, help-seeking stigma, mental health Published in DKUM: 18.11.2025; Views: 0; Downloads: 2
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2. Understanding the impact of burnout on decision-making stylesMatea Cvjetković, Dinko Primorac, Katerina Fotova Čiković, 2025, original scientific article Abstract: Background and purpose: This study aimed to fill a gap in the literature by identifying how employee burnout shapes decision-making styles in the post-COVID-19 business environment. The main goal was to examine the impact of three dimensions of burnout—exhaustion, cynicism, and professional efficacy—on four conflict-related decision-making styles: vigilance, buck-passing, procrastination, and hypervigilance.
Design/Methodology/Approach: A total of 567 employees from various companies in Croatia participated in the online survey conducted in March 2023. Multiple regression analysis examined the impact of exhaustion, cynicism, and professional efficacy on decision-making styles under conflict.
Results: The results of the multiple regression analysis revealed that professional efficacy leads to a vigilant decision-making style, while simultaneously diminishing procrastination, buck-passing, and hypervigilance. Cynicism, in contrast, was a positive predictor of procrastination, buck-passing, and hypervigilant decision-making. Finally, exhaustion was found to have a positive impact on hypervigilance.
Conclusion: The study is significant because it contributes to the body of knowledge on the impact of burnout dimensions on professional decision-making styles in organisational settings, and it also offers practical implications of considerable importance. Keywords: employee burnout, decision-making style, work-related stress, Croatian companies, post-COVID-19 period Published in DKUM: 14.11.2025; Views: 0; Downloads: 4
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3. Mental health, burnout and stress-related symptoms among youth : prevalence and pandemic effectsGordana Kuterovac Jagodić, Darja Maslić Seršić, Sandra Antulić Majcen, 2025, independent scientific component part or a chapter in a monograph Abstract: The chapter examines youth mental health in Croatia and Slovenia through validated measures of depression, anxiety, stress (DASS-9), burnout (BAT-12), and self-reported worries. Results indicate elevated levels of impairment, with over one-quarter of young people in both countries reporting severe depressive symptoms, around 20% reporting severe anxiety, and nearly one-third reporting high stress, with Croatian respondents consistently showing slightly higher levels of depression and stress. Burnout symptoms were more pronounced among students than employed youth, which underlines the role of educational settings as environments of heightened psychological strain. There were statistically significant gender and age disparities observed: young women, particularly in the youngest cohorts, reported the highest levels of mental health difficulties, whereas older women showed improvement. Among men, different age-related trends emerged. Socio-economic status also influenced outcomes, with financially better-off youth reporting fewer symptoms. Keywords: youth, mental health, burnout, Croatia, Slovenia Published in DKUM: 16.09.2025; Views: 0; Downloads: 6
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4. How workplace friendships impact burnout among social care leaders : a job demands-resources framework analysisRéka Schutzmann, Anna Kozak, Klára Soltész-Várhelyi, Katalin Nistor, Beáta Dávid, 2025, original scientific article Abstract: Background and purpose: The purpose of this study, guided by the Job Demands-Resources Model, is to investigate the role of workplace friendships in mitigating burnout. This research is notable for its unique focus on a relatively rare sample: social care leaders. These individuals play a crucial role in shaping and influencing social services, making their insights invaluable for understanding the challenges and opportunities within this sector. Methods: Using a cross-sectional and quantitative design, data were collected from a convenience sample of Hungarian social care leaders, including sociodemographic information, the Copenhagen Psychosocial Questionnaire (COPSOQ II), and professional core discussion network (pCDN) questions. The analysis of 449 Hungarian social care leaders employs a saturated model of moderated mediation (controlling for age and gender) to examine how stress mediates the relationship between quantitative demands and burnout and how workplace friendships moderate this mediation effect. Results: The results indicate that stress significantly mediates the relationship between quantitative demands and burnout, with workplace friendships acting as a buffer under moderate stress levels. Having at least one workplace friend reduces the impact of stress on burnout; however, this protective effect diminishes under higher stress intensities. Conclusions: These findings underscore the importance of fostering quality and balanced workplace friendships rather than merely increasing the number of supportive relationships. Given the systemic challenges in Hungarian social care, these insights are particularly relevant for leaders seeking to improve workforce resilience and well-being. Keywords: workplace friendship, burnout, stress, quantitative demands, social care leaders, social work Published in DKUM: 05.09.2025; Views: 0; Downloads: 2
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5. Mental health challenges in the educational landscape of Serbia : exploring academic and legal perspectivesMilena Škobo, Sanja N. Stojković Zlatanović, Marta Sjeničić, 2024, original scientific article Abstract: This research paper investigates the mental health challenges faced by teachers in Serbia, emphasizing both educational and legal perspectives in the post-pandemic and AI-driven era. Recognizing teachers as vital contributors to human capital and societal progress, the study aims to shed light on the pressing concerns impacting their well-being. By exploring evidence-based practices, the research seeks to contribute to policy recommendations that foster a supportive work environment, acknowledging the integral role of teacher mental health in shaping a successful education system and positively influencing student well-being as they enter theworkforce. Keywords: education, mental well-being, teachers’ burnout, educational aspects, legal aspects Published in DKUM: 28.08.2025; Views: 0; Downloads: 2
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6. Burnout and job satisfaction of healthcare workers in Slovenian nursing homes in rural areas during the COVID-19 pandemicLjiljana Leskovic, Karmen Erjavec, Robert Leskovar, Goran Vukovič, 2020, original scientific article Abstract: Introduction and objective: Since there is no study on burnout and job satisfaction in Slovenian nursing homes during the COVID-19 pandemic, this study aims to analyse job satisfaction and burnout levels of healthcare professionals working in Slovenian nursing homes in rural areas during the COVID-19 pandemic, and make a comparison with the results of the same services in 2013.
Material and methods: The study is based on a cross-organisational and descriptive quantitative study conducted in spring 2013 (n = 556) and spring 2020 at the peak of the pandemic in Eastern Europe (n = 781) to identify the relationships and the changes in the satisfaction and burnout levels of healthcare professionals working in Slovenian nursing homes in rural areas, and on a qualitative study conducted in 2020, to identify in-depth relationships and changes in both studies during the COVID-19 pandemic.
Results: An increase in burnout syndromes between 2013 – 2020 was observed. The respondents experienced intensified emotional exhaustion and lack of personal accomplishment during the COVID-19 pandemic; however, depersonalisation did not differ statistically over the years. During the pandemic crisis, healthcare workers were less satisfied with their job than in spring 2013. Their job satisfaction was related to satisfaction with the work of nursing homes and with the work of state institutions and politicians who directly affected their working conditions and recognition in society.
Conclusions: The COVID-19 pandemic significantly exacerbated already existing burnout syndromes of nursing homes healthcare workers in Slovenian rural areas. Job satisfaction proved to be a relevant predictor of burnout syndrome. A negative correlation was observed between job satisfaction in 2020 and emotional exhaustion and personal accomplishment in 2013 and 2020. Keywords: job satisfaction, professional burnout, healthcare workers, nursing homes, COVID-19 pandemic Published in DKUM: 28.01.2025; Views: 0; Downloads: 10
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7. The impact of psychological interventions with elements of mindfulness (PIM) on empathy, well-being, and reduction of burnout in physicians : a systematic reviewSara Onuk Tement, Zalika Klemenc-Ketiš, Špela Miroševič, Polona Selič-Zupančič, 2021, review article Abstract: Introduction: Physician's burnout has been recognized as an increasing and significant work-related syndrome, described by the combination of emotional exhaustion (EE) and depersonalization (D), together with low personal accomplishment (PA). It has many negative consequences on personal, organizational, and patient care levels. This systematic review aimed to analyze research articles where psychological interventions with elements of mindfulness (PIMs) were used to support physicians in order to reduce burnout and foster empathy and well-being.
Methods: Systematic searches were conducted in May 2019, within six electronic databases PubMed, EBSCOhost MEDLINE, PsycArticles, Cochrane Library, JSTOR, and Slovenian national library information system. Different combinations of boolean operators were used-mindfulness, empathy, medicine/family medicine/general practice/primary care, burnout, doctors/physicians, intervention, and support group. Additional articles were manually searched from the reference list of the included articles. Studies with other healthcare professionals (not physicians and residents) and/or medical students, and those where PIMs were applied for educational or patient's treatment purposes were excluded.
Results: Of 1194 studies identified, 786 screened and 139 assessed for eligibility, there were 18 studies included in this review. Regardless of a specific type of PIMs applied, results, in general, demonstrate a positive impact on empathy, well-being, and reduction in burnout in participating physicians. Compared with other recent systematic reviews, this is unique due to a broader selection of psychological interventions and emphasis on a sustained effect measurement.
Conclusions: Given the pandemic of COVID-19, it is of utmost importance that this review includes also interventions based on modern information technologies (mobile apps) and can be used as an awareness-raising material for physicians providing information about feasible and easily accessible interventions for effective burnout prevention and/or reduction. Future research should upgrade self-reported data with objective psychological measures and address the question of which intervention offers more benefits to physicians. Keywords: mindfulness, psychological intervention, physicians, empathy, burnout, well-being, MBSR Published in DKUM: 18.10.2024; Views: 0; Downloads: 7
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8. The importance of intergenerational leadership praxes and availability of key information for older employee burnout and engagement in the context of firm sizeMaja Rožman, Borut Milfelner, 2022, original scientific article Abstract: The main aim of this study was to analyze the effects of availability of key information and intergenerational leadership on burnout divided into physical symptoms of burnout and emotional symptoms of burnout and work engagement regarding the firm size during the coronavirus disease 2019 (COVID-19). The empirical study included 583 older employees in Slovenia who participated in the survey during the COVID-19 pandemic. Structural equation modeling was used to explore the effects between constructs. We analyzed structural paths for the entire sample and for the two groups (small and large companies). According to the results concerning both groups, the impact of the availability of key information on emotional burnout is negative only for small companies. Contrary to that the negative impact of intergenerational leadership on emotional burnout is much stronger in large companies. Concerning the impact of physical burnout on emotional burnout, the positive impact of physical burnout exists in both types of companies but is stronger in small companies. The findings will contribute to a clearer picture and the adoption of further measures to prevent burnout in the workplace and increase work engagement concerning the firm size, especially during the COVID-19 pandemic. Keywords: leadership, burnout, work engagement, older employees, firm size, quality Published in DKUM: 03.07.2024; Views: 124; Downloads: 10
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9. The impact of psychological interventions with elements of mindfulness on burnout and well-being in healthcare professionals : a systematic reviewPolona Selič-Zupančič, Zalika Klemenc-Ketiš, Sara Onuk Tement, 2023, review article Abstract: Background
Healthcare professionals are highly likely to experience various causes of work-related stress, which often leads to burnout. This became even more obvious during the Covid-19 pandemic. This systematic review aimed to analyze articles where psychological interventions with elements of mindfulness (PIM) were used to support healthcare professionals to foster well-being and reduce burnout levels. Compared to other recently published reviews, it is unique, due to its focus on a wide group of healthcare professionals, a broader selection of psychological interventions, and the evaluation of any sustained effects.
Methods
Systematic searches were carried out in February 2021 with different combinations of Boolean operators within six electronic databases: PubMed, EBSCOhost, MEDLINE, PsycArticles, Cochrane Library, JSTOR and Cobiss. We included articles that had been published in the last ten years (2011 to 2021) and which reported on original research focused on evaluating the influence of PIM on healthcare professionals. MERSQI was used to assess the quality of the included studies.
Results
Of 1315 identified studies, 15 were included in this systematic review. Regardless of the specific type, duration and setting (individual vs group) of PIM applied, the results demonstrated a positive impact on well-being and burnout in participating healthcare professionals. The most studied interventions involved MBSR (mindfulness-based stress reduction) and other mindfulness training programmes, in online as well as in-person versions.
Conclusion
Given the new reality with the presence of the SARS-Cov-2 virus, it is of the utmost importance to offer feasible, effective interventions for burnout reduction to vulnerable groups of healthcare professionals. By focusing on their needs, several key aspects of burnout and mindfulness could be efficiently improved; this review demonstrates that short, online interventions could be as effective as longer, in-person ones. Keywords: mindfulness, burnout, perceived stress, well-being, Covid-19, MBSR Published in DKUM: 26.03.2024; Views: 178; Downloads: 12
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10. Development and validation of the Work-home-integration questionnaire (WHIQ)Andrea Noja, Bettina Kubicek, Nejc Plohl, Sara Tement, 2022, original scientific article Abstract: The boundaries between work and private life are gradually blurring. More and more employees are involved in work during leisure time through cognitions, emotions or behaviours, in both negative and positive ways. This so-called work-home integration (WHI) can, on the one hand, hampers the necessary recovery from work and result in strain but, on the other hand, also restores resources and result in beneficial outcomes. In order to enhance our understanding of WHI and capture all its different forms, we suggest a new conceptualisation and measure of WHI. We therefore developed and validated the Work-Home Integration Questionnaire (WHIQ) in English, German and Slovene simultaneously using two cross-sectional studies (Study 1: N = 848; Study 2: N = 555) and a two-wave longitudinal study with a time lag of 1 month (Study 3: N = 379). Confirmatory factor analysis confirmed a three-factor structure with (1) negative cognitive-affective involvement, (2) positive cognitive-affective involvement and (3) behavioural involvement. Moreover, the WHIQ showed measurement invariance across the three languages and the results provide evidence for convergent, discriminant and incremental validity. Overall, the WHIQ is a reliable, valid and short measure to assess the extent to which employees are involved in work during leisure time. Keywords: work-home integration, burnout, well-being, work-family conflict, scale validation Published in DKUM: 17.07.2023; Views: 609; Downloads: 100
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