THE EFFECT OF JOB STRAIN AND DEFENSE MECHANISMS ON BURNOUT OF HEALTH WORKERS WITH RESILIENCE AS AN INTERVENING VARIABLE (Study at Dr. Nur's Clinic, Cimahi City)
Published:
2026-03-28Downloads
Abstract
Burnout is a psychological problem frequently experienced by healthcare workers due to high work demands, emotional stress, and patient care responsibilities. This study aims to analyze the influence of job strain and defense mechanisms on healthcare worker burnout, with resilience as an intervening variable at Dr. Nur Clinic in Cimahi City. This study used a quantitative approach with a survey method of healthcare workers working at Dr. Nur Clinic. The data analysis technique used Structural Equation Modeling (SEM) based on Partial Least Square (PLS) to test the relationship between the research variables. The results showed that job strain significantly influenced resilience, while defense mechanisms also had a significant influence on resilience. Resilience was shown to have a significant influence on healthcare worker burnout. Job strain did not directly influence burnout, while defense mechanisms had a significant effect on burnout. In addition, resilience was shown to mediate the relationship between job strain and defense mechanisms on burnout. The findings of this study indicate that burnout in healthcare workers is not only influenced by work pressure, but also by the individual's psychological ability to deal with work stress. Therefore, strengthening resilience and developing adaptive coping strategies are important to reduce the risk of burnout in healthcare workers.
Keywords:
job strain defense mechanisms resilience burnout health workersReferences
(International Reference 2020–2024)
Bakker, A. (2021). Job demands resources theory. Journal of Applied Psychology.
Brooks, S. (2021). Psychological impact of healthcare workers. Occupational Medicine.
Chen, Q. (2021). COVID healthcare burnout research. Lancet Psychiatry.
Cooper, C. (2020). Occupational stress research. International Journal of Stress Management.
Demerouti, E. (2020). Job demands burnout. Work & Stress.
Dyrbye, L. (2020). Physician burnout research. Mayo Clinic Proceedings.
Grant, A. (2021). Psychological resilience workplace. Management Academy.
Greenberg, N. (2020). Mental health healthcare workers. BMJ.
Harvey, S. (2021). Workplace stress. Occupational Medicine.
Hobfoll, S. (2020). Conservation of resources theory. Stress and Health.
Kim, H. (2022). Healthcare worker burnout. Healthcare Management Review.
Lee, J. (2021). Job stress healthcare workers. BMC Health Services Research.
Leiter, M. (2021). Burnout and engagement. Journal of Organizational Behavior.
Luthans, F. (2021). Psychological capital research. Organizational Dynamics.
Maslach, C., & Leiter, M. (2021). Burnout research. Annual Review of Psychology.
Montano, D. (2021). Workplace health research. Social Science Medicine.
Quick, J. (2020). Stress management research. Journal of Management.
Robertson, I. (2021). Resilience training. Journal of Occupational Health.
Salanova, M. (2021). Work engagement research. Journal of Happiness Studies.
Shanafelt, T. (2022). Physician burnout. JAMA.
Sihag, P. (2021). Resilience leadership research. Leadership & Organization Development.
Smith, B. (2021). Psychological resilience research. Frontiers Psychology.
Tugade, M. (2021). Positive psychology of resilience. Journal of Positive Psychology.
Vaillant, G. (2020). Defense mechanisms theory. American Journal of Psychiatry.
West, C. (2021). Burnout interventions. Lancet.
License
Copyright (c) 2026 Feni Oktafiani, Sri Rochani Mulyani, Raden Ricky Agusiady T.S., Ayu Laili Rahmiyati, Vip Paramarta, Farida Yuliaty

This work is licensed under a Creative Commons Attribution 4.0 International License.




