Peran Burnout Syndrome sebagai Variabel Intervening dalam Hubungan antara Work–Life Balance dan Turnover Intention pada Dokter Umum RSUD Balaraja
DOI:
https://doi.org/10.55606/jurrikes.v5i1.8072Keywords:
Burnout Syndrome, General Practitioners, Public Hospital, Turnover Intention, Work–Life BalanceAbstract
General practitioners play a crucial role in the delivery of healthcare services in public hospitals, where limited organizational resources and high service demands often place significant pressure on medical personnel. These conditions may disturb work–life balance, increase the risk of burnout syndrome, and ultimately lead to higher turnover intention. This study aimed to analyze the effect of work–life balance on turnover intention, with burnout syndrome acting as an intervening variable among general practitioners at RSUD Balaraja. An observational analytic design with a cross-sectional approach was applied, involving all 40 general practitioners working in the emergency department and inpatient units through a total sampling technique. Data were collected using standardized instruments, namely the Work–Life Balance Scale, Maslach Burnout Inventory, and the Intention to Quit Questionnaire. Data analysis was conducted using Spearman correlation and Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results revealed a significant relationship between work–life balance and burnout syndrome, as well as between work–life balance and turnover intention. Burnout syndrome was also significantly associated with turnover intention. Further analysis showed that work–life balance had both direct and indirect effects on turnover intention, with burnout syndrome partially mediating this relationship. In conclusion, work–life balance and burnout syndrome are important determinants of turnover intention among general practitioners. Therefore, hospital management should prioritize strategies such as workload regulation, enhanced organizational support, and burnout prevention to retain medical staff and maintain the quality of healthcare services in public hospitals.
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Apaydin, E. A., Yoo, C. K., Stockdale, S. E., Jackson, N. J., Yano, E. M., Nelson, K. M., Mohr, D. C., & Rose, D. E. (2025). Burnout and turnover among Veterans Health Administration primary care providers from fiscal years 2017–2021. Medical Care, 63(4), 273–282. https://doi.org/10.1097/MLR.0000000000002087
Bodendieck, E., Jung, F. U., Conrad, I., Riedel-Heller, S. G., & Hussenoeder, F. S. (2022). The work–life balance of general practitioners as a predictor of burnout and motivation to stay in the profession. BMC Primary Care, 23(1), 218. https://doi.org/10.1186/s12875-022-01831-7
Boyle, A. B., Shay, D., Martyn, T., Savage, E., MacLean, S. B. M., & Every-Palmer, S. (2025). Burnout in New Zealand resident doctors: A cross-sectional study of prevalence and risk factors. BMJ Open, 15(1), e089034. https://doi.org/10.1136/bmjopen-2024-089034
Cohen, C., Pignata, S., Bezak, E., Tie, M., & Childs, J. (2023). Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: A systematic review. BMJ Open, 13(6), e071203. https://doi.org/10.1136/bmjopen-2022-071203
Dharmahayu, N. P. M., & Andriani, R. (2025). Pengaruh self-efficacy dan workload terhadap turnover intention dengan work–life balance sebagai variabel mediasi (Studi pada perawat non-PNS di RS Bhayangkara Denpasar). Journal of Scientech Research and Development, 7(1), 437–448. https://doi.org/10.56670/jsrd.v7i1.902
Feng, J., Sang, W., Lei, Z., Qu, G., Li, X., Ferrier, A., Jiang, H., Pu, B., & Gan, Y. (2023). The impact of burnout on turnover intention among Chinese general practitioners: The mediating effect of job satisfaction and the moderating effect of professional identity. International Journal of Social Psychiatry, 69(3), 705–713. https://doi.org/10.1177/00207640221133939
Ferguson, J., Scallan, S., Lyons-Maris, J., & Ball, K. (2020). Exploring work–life balance at appraisal and how this links with organisational support. British Journal of General Practice, 70(697), 411–412. https://doi.org/10.3399/bjgp20X712109
Guo, B., Li, Y., Fu, Y., Li, M., Wang, Y., Liu, S., Zhou, Y., Liu, Y., & Tang, P. (2025). Strengthening workforce resilience to sustain community health services during crises: Evidence from Chinese general practitioners. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1633175
Oh, R. C., Mohr, D. C., & Schult, T. M. (2025). VA physicians’ intent to leave and correlations to drivers of burnout: A cross-sectional study. BMC Health Services Research, 25(1), 125. https://doi.org/10.1186/s12913-024-12079-5
Parida, S., Aamir, A., Alom, J., Rufai, T. A., & Rufai, S. R. (2023). British doctors’ work–life balance and home-life satisfaction: A cross-sectional study. Postgraduate Medical Journal, 99(1169), 198–206. https://doi.org/10.1136/postgradmedj-2021-141338
Rachman, A., Yochanan, E., Samanlangi, A., & Purnomo, H. (2024). Metode penelitian kuantitatif, kualitatif, dan R&D.
Sabatini, M. S. N., Dwiantoro, L., & Dewi, N. S. (2023). Turnover intention perawat di rumah sakit. Jurnal Surya Muda, 5(1), 104–109. https://doi.org/10.38102/jsm.v5i1.150
Schaefer, R., Jenkins, L. S., & North, Z. (2021). Retaining doctors and reducing burnout through a flexible work initiative in a rural South African training hospital. African Journal of Primary Health Care & Family Medicine, 13(1). https://doi.org/10.4102/phcfm.v13i1.2799
Scheepers, R., Silkens, M., van den Berg, J., & Lombarts, K. (2020). Associations between job demands, job resources and patient-related burnout among physicians: Results from a multicentre observational study. BMJ Open, 10(9), e038466. https://doi.org/10.1136/bmjopen-2020-038466
Stehman, C., Testo, Z., Gershaw, R., & Kellogg, A. (2019). Burnout, drop out, suicide: Physician loss in emergency medicine, Part I. Western Journal of Emergency Medicine, 20(3), 485–494. https://doi.org/10.5811/westjem.2019.4.40970
Suaib, A. N. A. I. N., Tayeb, A. M., Thalib, T., & Nurhikmah, N. (2024). Job insecurity dan turnover intention: Studi pada karyawan kontrak. Jurnal Psikologi Karakter, 4(1), 208–214. https://doi.org/10.56326/jpk.v4i1.3626
Victoria Fedorovna Jekova. (2021). Features of occupational stress in doctors and other medical practitioners. World Journal of Biology Pharmacy and Health Sciences, 6(3), 013–019. https://doi.org/10.30574/wjbphs.2021.6.3.0059
Wang, J., Wang, W., Laureys, S., & Di, H. (2020). Burnout syndrome in healthcare professionals who care for patients with prolonged disorders of consciousness: A cross-sectional survey. BMC Health Services Research, 20(1), 841. https://doi.org/10.1186/s12913-020-05694-5
West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018). Physician burnout: Contributors, consequences and solutions. Journal of Internal Medicine, 283(6), 516–529. https://doi.org/10.1111/joim.12752
Widayana, I. G., Agustina, H., & Mediawati, A. (2025). Factors associated with work–life balance among nurses in hospitals: A socio-ecological scoping review. Journal of Multidisciplinary Healthcare, 18, 4511–4521. https://doi.org/10.2147/JMDH.S534729
Wijaya, E., Indriyati, R., Rinawati, R., Utami, R. N., Negsih, T. A., Suharyanto, S., Hermawan, E., Deseria, R., Aziza, N., & Judijanto, L. (2024). Pengantar statistika: Konsep dasar untuk analisis data. PT Sonpedia Publishing Indonesia.
Xie, D., Fan, H., Ren, Z., Fan, J., & Gao, Q. (2019). Identifying clonal origin of multifocal hepatocellular carcinoma and its clinical implications. Clinical and Translational Gastroenterology, 10(2), e00006. https://doi.org/10.14309/ctg.0000000000000006
Yulia, G., Lani, O., Talia, D., Yosefa, D., Mursi, J., Tali, S., Tal, B., & Ayala, B. (2025). The mediating effect of burnout and job satisfaction on the relationship between professional identity, occupational stress, and turnover intentions in the post-pandemic era. Worldviews on Evidence-Based Nursing, 22(2). https://doi.org/10.1111/wvn.70014
Zakerkish, M., Shakurnia, A., Hafezi, A., & Maniati, M. (2024). Association between burnout and empathy in medical residents. PLOS ONE, 19(4), e0301636. https://doi.org/10.1371/journal.pone.0301636
Zhang, T., Feng, J., Jiang, H., Shen, X., Pu, B., & Gan, Y. (2021). Association of professional identity, job satisfaction and burnout with turnover intention among general practitioners in China: Evidence from a national survey. BMC Health Services Research, 21(1), 382. https://doi.org/10.1186/s12913-021-06322-6
Zhou, A. Y., Zghebi, S. S., Hodkinson, A., Hann, M., Grigoroglou, C., Ashcroft, D. M., Esmail, A., Chew-Graham, C. A., Payne, R., Little, P., de Lusignan, S., Cheraghi-Sohi, S., Spooner, S., Zhou, A. K., Kontopantelis, E., & Panagioti, M. (2022). Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in general practitioners working in the United Kingdom. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.936067
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