INTRODUCTION: Stress and burnout can negatively affect performance, mental health, and the overall well-being of healthcare workers. The study aims to examine the prevalence of stress and burnout, and investigate links between stress, burnout, mental state, and well-being among healthcare workers in the Czech Republic. METHODS: A cross-sectional survey was conducted in the Czech Republic, focusing on healthcare professionals working in various healthcare settings. A total of 1,064 healthcare workers participated in the study. A standardized questionnaire battery was used, consisting of the Maslach Burnout Inventory (MBI), Perceived Stress Scale (PSS) and Supso-7 measuring mental state. Separate correlation and multiple regression analyses were conducted. RESULTS: 46.24% of the healthcare workers reported high levels of emotional exhaustion, 25.56% reported high levels of depersonalization, 24.15% reported low levels of personal accomplishment, while 11.18% reported high levels of perceived stress. The findings revealed that emotional exhaustion, a core component of burnout, was associated with increased feelings of anxiety and depression. Perceived stress was also linked to anxiety and depression, while personal accomplishment appeared to mitigate depression and support positive psychological well-being. CONCLUSION: The study provides promising evidence suggesting that addressing stress and emotional exhaustion, while fostering a sense of personal achievement, could lead to improvements in the mental health and work performance of healthcare workers. These findings highlight the importance of addressing burnout and stress management strategies to support the overall well-being of healthcare professionals.

Department of Humanities and Social Sciences Faculty of Health Science Palacký University Olomouc Olomouc Czechia

Department of Nursing Midwifery and Health Faculty of Health and Life Sciences Northumbria University Newcastle upon Tyne United Kingdom

Department of Psychology and Abnormal Psychology Faculty of Education Palacký University Olomouc Olomouc Czechia

Department of Psychology Faculty of Arts Palacký University Olomouc Olomouc Czechia

Science and Research Centre Faculty of Health Science Palacký University Olomouc Olomouc Czechia

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Bridgeman P. J., Bridgeman M. B., Barone J. (2018). Burnout syndrome among healthcare professionals. Bull. Am. Soc. Hospital Pharmac. 75, 147–152. doi: 10.2146/ajhp170460 PubMed DOI

Çelmeçe N., Menekay M. (2020). The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life. Front. Psychol. 11:597624. doi: 10.3389/fpsyg.2020.597624, PMID: PubMed DOI PMC

Choi B.-S., Kim J. S., Lee D.-W., Paik J.-W., Lee B. C., Lee J. W., et al. (2018). Factors associated with emotional exhaustion in south Korean nurses: a cross-sectional study. Psychiatry Investig. 15, 670–676. doi: 10.30773/pi.2017.12.31, PMID: PubMed DOI PMC

Cohen S., Kamarck T., Mermelstein R. (1983). A global measure of perceived stress. J. Health Soc. Behav. 24, 385–396. doi: 10.2307/2136404 PubMed DOI

Colville G. A., Smith J. G., Brierley J., Citron K., Nguru N. M., Shaunak P. D., et al. (2017). Coping with staff burnout and work-related posttraumatic stress in intensive care. Pediatr. Crit. Care Med. 18, e267–e273. doi: 10.1097/PCC.0000000000001179, PMID: PubMed DOI

Dall’Ora C., Ball J., Reinius M., Griffiths P. (2020). Burnout in nursing: a theoretical review. Hum. Resour. Health 18, 41–17. doi: 10.1186/s12960-020-00469-9, PMID: PubMed DOI PMC

Durbin J., Watson G. S. (1992). “Testing for serial correlation in least squares regression” In: Breakthroughs in Statistics. Eds. Kotz S., Johnson N. L. (New York, NY: Springer Series in Statistics). doi: 10.1007/978-1-4612-4380-9_20 DOI

Edward K.-l., Hercelinskyj G. (2007). Burnout in the caring nurse: learning resilient behaviours. Br. J. Nurs. 16, 240–242. doi: 10.12968/bjon.2007.16.4.22987, PMID: PubMed DOI

Embriaco N., Papazian L., Kentish-Barnes N., Pochard F., Azoulay E. (2007). Burnout syndrome among critical care healthcare workers. Curr. Opin. Crit. Care 13, 482–488. doi: 10.1097/MCC.0b013e3282efd28a PubMed DOI

Ghahramani S., Lankarani K. B., Yousefi M., Heydari K., Shahabi S., Azmand S. (2021). A systematic review and meta-analysis of burnout among healthcare workers during COVID-19. Front. Psych. 12:758849. doi: 10.3389/fpsyt.2021.758849, PMID: PubMed DOI PMC

Gray B. (2009). The emotional labour of nursing–defining and managing emotions in nursing work. Nurse Educ. Today 29, 168–175. doi: 10.1016/j.nedt.2008.08.003 PubMed DOI

Hakanen J. J., Schaufeli W. B. (2012). Do burnout and work engagement predict depressive symptoms and life satisfaction? A three-wave seven-year prospective study. J. Affect. Disord. 141, 415–424. doi: 10.1016/j.jad.2012.02.043 PubMed DOI

Hellesøy O., Grønhaug K., Kvitastein O. (2000). Burnout: conceptual issues and empirical findings from a new research setting. Scand. J. Manag. 16, 233–247. doi: 10.1016/S0956-5221(99)00028-7 DOI

Hoaglin D. C., Iglewicz B., Tukey J. W. (1986). Performance of some resistant rules for outlier labeling. J. Am. Stat. Assoc. 81, 991–999. doi: 10.1080/01621459.1986.10478363 DOI

Hobfoll S. E. (1989). Conservation of resources: a new attempt at conceptualizing stress. Am. Psychol. 44, 513–524. doi: 10.1037/0003-066X.44.3.513, PMID: PubMed DOI

Hou J., Binbin X., Zhang J., Luo L., Pen X., Chen S., et al. (2022). Psychological status and job burnout of nurses working in the frontline of the novel coronavirus in China during the delta variant outbreak: a cross-sectional survey. Psychol. Res. Behav. Manag. 15, 533–546. doi: 10.2147/PRBM.S343749, PMID: PubMed DOI PMC

Huber A., Strecker C., Hausler M., Kachel T., Höge T., Höfer S. (2020). Possession and applicability of signature character strengths: what is essential for well-being, work engagement, and burnout? Appl. Res. Qual. Life 15, 415–436. doi: 10.1007/s11482-018-9699-8, PMID: PubMed DOI PMC

Imo U. O. (2017). Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors. BJPsych Bull. 41, 197–204. doi: 10.1192/pb.bp.116.054247, PMID: PubMed DOI PMC

Jezzini-Martinez S., Martinez-Garza J. H., Quiroga-Garza A., Quiroz-Perales X. G., Gil-Flores L., de la Fuente-Villarreal D., et al. (2023). Assessment of burnout syndrome and associated factors among medical students during the COVID-19 pandemic. J. Affect. Disord. Rep. 14:100616. doi: 10.1016/j.jadr.2023.100616, PMID: PubMed DOI PMC

Konstantinou A.-K., Bonotis K., Sokratous M., Siokas V., Dardiotis E. (2018). Burnout evaluation and potential predictors in a Greek cohort of mental health nurses. Arch. Psychiatr. Nurs. 32, 449–456. doi: 10.1016/j.apnu.2018.01.002 PubMed DOI

Koren H., Milaković M., Bubaš M., Čvrljak J. (2023). Psychosocial risks emerged from COVID-19 pandemic and workers’ mental health. Front. Psychol. 14:1148634. doi: 10.3389/fpsyg.2023.1148634 PubMed DOI PMC

Koutsimani P., Montgomery A., Georganta K. (2019). The relationship between burnout, depression, and anxiety: a systematic review and meta-analysis. Front. Psychol. 10:429219. doi: 10.3389/fpsyg.2019.00284 PubMed DOI PMC

Luna D., Figuerola-Escoto R. P., Sienra-Monge J. J. L., Hernández-Roque A., Soria-Magaña A., Hernández-Corral S., et al. (2023). Burnout and its relationship with work engagement in healthcare professionals: a latent profile analysis approach. Healthcare 23:3042. doi: 10.3390/healthcare11233042 PubMed DOI PMC

Macaron M. M., Segun-Omosehin O. A., Matar R. H., Beran A., Nakanishi H., Than C. A., et al. (2023). A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: a hidden healthcare crisis. Front. Psych. 13:1071397. doi: 10.3389/fpsyt.2022.1071397, PMID: PubMed DOI PMC

Maddock A. (2024). The relationships between stress, burnout, mental health and well-being in social workers. Br. J. Soc. Work 54, 668–686. doi: 10.1093/bjsw/bcad232 DOI

Makara-Studzińska M., Załuski M., Biegańska-Banaś J., Tyburski E., Jagielski P., Adamczyk K. (2021). Perceived stress and burnout syndrome: a moderated mediation model of self-efficacy and psychological comfort among polish air traffic controllers. J. Air Transp. Manag. 96:102105. doi: 10.1016/j.jairtraman.2021.102105 DOI

Maslach C., Jackson S. E., Leiter M. P. (1996). Maslach Burnout Inventory Manual (3rd ed.). Mountain View, CA: CPP, Inc.

Maslach C. (1998). A multidimensional theory of burnout. Theor. Organ. Stress 68:16.

Maslach C., Jackson S. E., Leiter M. P. (1997). Maslach Burnout Inventory. In: Evaluating Stress: A Book of Resources, 3rd Edition, Lanham: Scarecrow Education, 191–218.

Maslach C., Leiter M. P. (2016). “Burnout” in Stress: concepts, cognition, emotion, and behavior (Academic Press; ), 351–357.

Mikšík O. (2005). Dotazník SUPSO (Sv. T- 264). Brno: Psychodiagnostika.

Molina-Praena J., Ramirez-Baena L., Gómez-Urquiza J. L., Cañadas G. R., De la Fuente E. I., Guillermo A., et al. (2018). Levels of burnout and risk factors in medical area nurses: a meta-analytic study. Int. J. Environ. Res. Public Health 15:2800. doi: 10.3390/ijerph15122800, PMID: PubMed DOI PMC

Morales-Rodríguez F. M., Pérez-Mármol J. M., Brown T. (2019). Education burnout and engagement in occupational therapy undergraduate students and its associated factors. Front. Psychol. 10:485892. doi: 10.3389/fpsyg.2019.02889 PubMed DOI PMC

Moss J. (2021). The burnout epidemic: the rise of chronic stress and how we can fix it. Boston, MA: Harvard Business Press.

Potter J. M., Cadiz M. L. (2021). Addressing burnout in pharmacy residency programs. Am. J. Pharm. Educ. 85:8287. doi: 10.5688/ajpe8287, PMID: PubMed DOI PMC

Qiu P., Yan L., Zhang Q., Guo S., Liu C., Liu H., et al. (2023). Organizational display rules in nursing: impacts on caring behaviors and emotional exhaustion through emotional labor. Int. Nurs. Rev. doi: 10.1111/inr.12876 PubMed DOI

Rotenstein L. S., Brown R., Sinsky C., Linzer M. (2023). The association of work overload with burnout and intent to leave the job across the healthcare workforce during COVID-19. J. Gen. Intern. Med. 38, 1920–1927. doi: 10.1007/s11606-023-08153-z, PMID: PubMed DOI PMC

Rotenstein L. S., Torre M., Ramos M. A., Rosales R. C., Guille C., Sen S., et al. (2018). Prevalence of burnout among physicians: a systematic review. JAMA 320, 1131–1150. doi: 10.1001/jama.2018.12777, PMID: PubMed DOI PMC

Scanlan J. N., Still M. (2013). Job satisfaction, burnout and turnover intention in occupational therapists working in mental health. Aust. Occup. Ther. J. 60, 310–318. doi: 10.1111/1440-1630.12067, PMID: PubMed DOI

Shanafelt T. D., Boone S., Tan L., Dyrbye L. N., Sotile W., Satele D., et al. (2012). Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch. Intern. Med. 172, 1377–1385. doi: 10.1001/archinternmed.2012.3199, PMID: PubMed DOI

Shanafelt T. D., Mungo M., Schmitgen J., Storz K. A., Reeves D., Hayes S. N., et al. (2016). Longitudinal study evaluating the association between physician burnout and changes in professional work effort. Mayo Clinic Proceedings, 91, 422–431. doi: 10.1016/j.mayocp.2016.02.001 PubMed DOI

Shuck B., Reio T. G. (2014). Employee engagement and well-being: a moderation model and implications for practice. J. Leader. Organ. Stud. 21, 43–58. doi: 10.1177/1548051813494240 DOI

Smeds M. R., Janko M. R., Allen S., Amankwah K., Arnell T., Ansari P., et al. (2020). Burnout and its relationship with perceived stress, self-efficacy, depression, social support, and programmatic factors in general surgery residents. Am. J. Surg. 219, 907–912. doi: 10.1016/j.amjsurg.2019.07.004 PubMed DOI

Štěpánek L., Nakládalová M., Janošíková M., Ulbrichtová R., Švihrová V., Hudečková H., et al. (2023). Prevalence of burnout in healthcare Workers of Tertiary-Care Hospitals during the COVID-19 pandemic: a cross-sectional survey from two central European countries. Int. J. Environ. Res. Public Health 20:3720. doi: 10.3390/ijerph20043720, PMID: PubMed DOI PMC

Taranu S. M., Ilie A. C., Turcu A.-M., Stefaniu R., Sandu I. A., Pislaru A. I., et al. (2022). Factors associated with burnout in healthcare professionals. Int. J. Environ. Res. Public Health 19:14701. doi: 10.3390/ijerph192214701 PubMed DOI PMC

Valero-Chillerón M. J., González-Chordá V. M., López-Peña N., Cervera-Gasch Á., Suárez-Alcázar M. P., Mena-Tudela D. (2019). Burnout syndrome in nursing students: an observational study. Nurse Educ. Today 76, 38–43. doi: 10.1016/j.nedt.2019.01.014, PMID: PubMed DOI

Vňuková M. S., Sebalo I., Brečka T., Anders M., Ptáček R. (2023). Burnout syndrome in the Czech Republic: the decreasing trend over the years. Front. Public Health 11:1099528. doi: 10.3389/fpubh.2023.1099528, PMID: PubMed DOI PMC

Wang L., Wang H., Shao S., Jia G., Xiang J. (2020). Job burnout on subjective well-being among Chinese female doctors: the moderating role of perceived social support. Front. Psychol. 11:435. doi: 10.3389/fpsyg.2020.00435, PMID: PubMed DOI PMC

Woo T., Ho R., Tang A., Tam W. (2020). Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis. J. Psychiatr. Res. 123, 9–20. doi: 10.1016/j.jpsychires.2019.12.015, PMID: PubMed DOI