Document Type : Original Article


1 Department of Biostatistics and Epidemiology, Research Center of Prevention and Epidemiology of Non‑Communicable Disease, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 PhD Student of Ergonomics, Department of Occupational Health and Ergonomics, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

3 Occupational Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran


BACKGROUND: Administrative staff may be exposed to a great deal of the mental workload (MWL)
due to the long working hours and the responsibility of responding to large numbers of clients.
Occupational burnout (OB) is one of the issues that can be affected by MWL. The aim of the present
study was to investigate the relationship between mental MWL and OB, as well as the internal
interactions between OB dimensions.
MATERIALS AND METHODS: This cross‑sectional and descriptive (correlation) study was conducted
among faculty members and administrative staff of public health school of Yazd province. Samples
were collected through the simple random sampling. NASA task load index and Maslach questionnaire
were used for the assessment of MWL and OB, respectively. Frequency and percentage were used
for the descriptive analysis. Spearman, Mann–Whitney U, and Kruskal–Wallis H tests were used
for inferential statistics.
RESULTS: Ultimately, 29 individuals from faculty members and 82 individuals from administrative
staff participated in this study. Most of the participants (73.9%) had experienced many MWL instances
in performing their jobs duties. No significant relationship between MWL with OB and MWL with
any of the demographic characteristics was found, as well (P > 0.05). In case of OB, a significant
relationship was discovered between depersonalization with gender and personal accomplishment
with work section (P < 0.05).
CONCLUSIONS: MWL cannot be considered as a contributing factor of OB of the administrative
staff because no significant relationship has been noted between them. Reducing working hours,
selection of suitable staff, and allowing a few minutes to rest on a daily basis represent the suggested
solutions for reducing the MWL of staff.


  1. Iraqi IJ, Mahmoudi H, Nir MS, Ebadi A. Burnout in military
    hospital nurses in 2015‑A cross‑sectional study. J Mil Med
    2. Burton J, OrganizationWH. WHO Healthy Workplace Framework
    and Model: Background and Supporting Literature And Practices.
    Geneva, Switzerland: World Health Organization; 2010. p. 25‑37.
    3. Zamanian Z, Roshan Sarvestani M, Sedaghati M, Ghatmiri M,
    Kouhnavard B. Assessment of the relation between subjective
    workload and job satisfaction in university faculty and staff. Iran
    J Ergon 2016;3:1‑10.
    4. Hoonakker P, Carayon P, Gurses AP, Brown R, Khunlertkit A,
    McGuire K, et al. Measuring workload of ICU nurses with a
    questionnaire survey: The NASA Task Load Index (TLX). IISE
    Trans Healthc Syst Eng 2011;1:131‑43.
    5. Neill D. Nursing workload and the changing health care
    environment: A review of the literature. Adm Issues J 2011;1:13.
    6. Shakouri M, Ikuma LH, Aghazadeh F, Nahmens I. Analysis of
    the sensitivity of heart rate variability and subjective workload
    measures in a driving simulator: The case of highway work zones.
    J Ind Ergon 2018;66:136‑45.
    7. Hoover A, Singh A, Fishel‑Brown S, Muth E. Real‑time detection
    of workload changes using heart rate variability. Biomed Signal
    Process Control 2012;7:333‑41.
    8. Foy HJ, Chapman P. Mental workload is reflected in driver
    behaviour, physiology, eye movements and prefrontal cortex
    activation. Appl Ergon 2018;73:90‑9.
    9. Ibeasa A, Mouraa JL, dell’Olioa L, Alonso B. Procedia , Social and
    Behavioral Sciences 162 ( 2014 ) 1 5. XVIII Congreso Panamericano
    10. Teh E, Jamson S, Carsten O, Jamson H. Temporal fluctuations in
    driving demand: The effect of traffic complexity on subjective
    measures of workload and driving performance. Transp Res Part
    F Traffic Psychol Behav 2014;22:207‑17.
    11. Kokoroko E, Sanda MA. Effect of workload on job stress of
    ghanaian OPD nurses: The role of coworker support. Saf Health
    Work 2019;10:341‑6.
    12. Portoghese I, Galletta M, Coppola RC, Finco G, Campagna M.
    Burnout and workload among health care workers: The
    moderating role of job control. Saf Health Work 2014;5:152‑7.
    13. Basirat M. The prevalence of occupational burnout and its
    related factors among dentists in Semnan province. Journal of
    Occupational Hygiene Engineering 2019;6:45‑51.
    14. Hosseininejad SM, Aminiahidashti H, Montazer SH, Elyasi F,
    Moosazadeh M, Ahmadi N. Job burnout among the emergency
    department nurses of medical training centers affiliated to
    Mazandaran University of Medical Sciences. J Emerg Med
    15. Stordeur S, D’hoore W, Vandenberghe C. Leadership,
    organizational stress, and emotional exhaustion among hospital
    nursing staff. J Adv Nurs 2001;35:533‑42.
    16. VimantaiteR, SeskeviciusA. The burnout syndrome among nurses
    working in Lithuanian cardiac surgery centers. Medicina (Kaunas)
    17. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev
    Psychol 2001;52:397‑422.
    18. Cheng TM, Chang SY, Chan YY. I know you are suffering from
    burnout: The moderated mediation effects of “leisure benefits”
    and “leisure coping” on the burnout model of flight attendants.
    J Air Transp 2018;71:119‑29.
    19. Sundin L, Hochwälder J, Bildt C, Lisspers J. The relationship
    between different work‑related sources of social support and
    burnout among registered and assistant nurses in Sweden:
    A questionnaire survey. Int J Nurs 2007;44:758‑69.
    20. Asgari H, Mohebbi I, Khalkhali H. Analytical survey on relation
    between workload with occupational burnout dimensions in ICU
    nurses. Nurs Midwifery Fac 2016;14:30‑8.
    21. Arghami S, Kamali K, Radanfar F. Task performance induced
    work load in nursing. J Occup Hyg Eng 2015;2:45‑54.
    22. Hart SG, Staveland LE. Development of NASA‑TLX (Task Load
    Index): Results of empirical and theoretical research. Adv Study
    Behav 1988;52:139‑83.
    23. Mohammadi M, Mazloumi A, Zeraati H. Designing questionnaire
    of assessing mental workload and determine its validity and
    reliability among ICUs nurses in one of the TUMS’s hospitals.
    Journal of School of Public Health and Institute of Public Health
    Research 2013;11:87‑96.
    24. Asgari H, Khalkhali H, Mohebbi I. Analytical survey on relation
    between workload with occupational burnout dimensions in icu
    nurses. Nurs Midwifery J 2016;14:30‑8.
    25. Basirat M, Kia SJ, Shoar MM, Safarieh M, Javanshir B. Prevalence
    of occupational burnout and its related factors among dentists in
    Semnan, Iran. J Occup Hyg Eng 2019;6:45‑51.
    26. Taherzadeh CK, Madadizadeh F. Popular statistical tests for
    investigating the relationship between two variables in medical
    research (letter to the editor). J Community Health Res 2020;9:1‑3.
    27. Raeisi E, Solati K, Aazami MH, Shamsipour N, Sadeghian Z,
    Ahmady S. The impact to demographic and academic factors
    on metacognition and academic self‑efficacy: A study on Iranian
    students in health sciences. J Educ Health Promot 2020;9:70.
    28. Oah S, Na R, Moon K. The influence of safety climate, safety
    leadership, workload, and accident experiences on risk
    perception: A study of Korean manufacturing workers. Saf Health
    Work 2018;9:427‑33.
    29. Rafiei S, Kiaiei MZ, Makhtoomi V, Asghari D. Assessing the
    moderating role of job burnout on the relationship between
    quality of working life and job performance among nursing staff
    of teaching hospitals affiliated to Qazvin University of Medical
    Sciences. J. Hosp 2019;17:47‑55.
  2. 30. Hoseini M, Sharifzadeh G, Khazaie T. Occupational burnout in
    Birjand dentists. J. Dent. Med 2011;24:113‑20.
    31. MahdiniaM, MohammadbeigiA, DaneshvarK, Reza HaghighatA,
    Sadeghi A. The role of workplace stressors on increased burnout
    in employees of an industrial environment. Qom Univ Med Sci J
    32. Farsi Z, Rajaei N, Habibi H. The relationship between burnout
    and quality of working life in nurses of AJA hospitals in Tehran.
    J. Mil. Caring Sci 2015;1:63‑72.
    33. Greenglass ER, Burke RJ, Fiksenbaum L. Workload and burnout
    in nurses. J Community Appl Soc Psychol 2001;11:211‑5.
    34. Biganeh J, AbolghasemiJ, AlimohammadiI, Ebrahimi H, TorabiZ,
    Ashtarinezhad A. Survey of occupational stress effects on burnout
    among nurses. Knowl Health 2018;13:10‑8.