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IIMB Management Review (2018) 30, 119–133

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Impact of job demands-resources model on


burnout and employee’s well-being:
Evidence from the pharmaceutical
organisations of Karachi
Muhammad Shahnawaz Adil *, Mayra Baig

Department of Business Administration, IQRA University, Karachi, Pakistan

Received 30 May 2015; revised 26 September 2016; accepted 10 January 2018; available online 11 April 2018

KEYWORDS Abstract This study investigates the impact of the job demands-resources (JD-R) model on burnout
Burnout; and well-being. A sample of 352 responses is drawn from the pharmaceutical companies of Karachi.
Job demands-resources; The JD-R model includes the variables workload, autonomy, work–life imbalance, time pres-
Pharmaceutical; sure, and feedback. The results show that only three JD-R variables (workload, autonomy and
Structural equation work–life imbalance) have significant impact on burnout which in turn shows a significant nega-
modelling; tive impact on employee’s well-being. Both managerial implications and areas for future re-
Well-being; search are discussed. This study makes a contribution by empirically testing the application of
Pakistan the JD-R model, particularly in the context of pharmaceutical companies in Pakistan.
© 2018 Production and hosting by Elsevier Ltd on behalf of Indian Institute of Management
Bangalore. This is an open access article under the CC BY-NC-ND license (http://
creativecommons.org/licenses/by-nc-nd/4.0/).

Introduction employee’s well-being which may be predicted by using the


job demands-resources (JD-R) model (Bakker & Demerouti,
Human resources are a key asset for the sustainable success 2007; Bakker, Demerouti, De Boer, & Schaufeli, 2003; Bakker,
of an organisation (Khurana, Khurana, & Sharma, 2010). Demerouti, Taris, Schaufeli, & Schreurs, 2003; Bakker,
Healthy and motivated employees perform better at the work- Demerouti, & Sanz-Verge, 2014; Demerouti, Bakker,
place and thus consistently contribute towards achieving Nachreiner, & Schaufeli, 2001). This overarching model clas-
organisational goals. Self-directed or intrinsic motivation at sifies the causes of employee’s well-being into two differ-
work is positively associated with work performance as ent categories (i.e. job demands and job resources).
outcome (Kuvaas, 2009). There are several causes of Job demands consist of those factors (such as time pres-
sure and workload) which reduce health and energy causing
severe mental disorders over a period of time and eventu-
* Corresponding author. Tel.: +92 213 4800671. ally, low employee performance (Demerouti & Bakker, 2011).
E-mail address: adil.s@iuk.edu.pk (M.S. Adil). Employees start to invest more time to accomplish higher job
Peer-review under responsibility of Indian Institute of Management demands which severely impact their work–life balance. Ini-
Bangalore. tially, they tend to put their maximum physical and mental
https://doi.org/10.1016/j.iimb.2018.01.004
0970-3896 © 2018 Production and hosting by Elsevier Ltd on behalf of Indian Institute of Management Bangalore. This is an open access article
under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
120 M.S. Adil, M. Baig

efforts to effectively manage occupational stress (called years. As a result, national pharmaceutical and bio-technology
“adjustive reaction”) even at the cost of their health (well- companies are more inclined towards either increasing their
being). This problem further escalates when there is a high field force for deep penetration into the remote areas or
unemployment rate in the job market forcing the employ- making efforts to conform to ISO 9000 certification.
ees to stay on the job (Meyer & Allen, 1991). As a result, the At a strategic level, the industry has been facing a mod-
additional workload, time pressure and work–life imbal- erately high rate of mergers and acquisitions (M&A). Accord-
ance create a burnout condition which could seriously threaten ing to a recent report (Pharma Industry M&A, 2016), in the
the employees’ well-being. Job demands are positively as- last two decades, 60 pharmaceutical companies have been
sociated with burnout. It means that employees suffer from transformed into 10 big organisations namely, Pfizer, Novartis,
burnout if they remain unsuccessful in effectively and effi- Sanofi, Roche, Merck & Co., Johnson & Johnson, AstraZeneca,
ciently managing their workload within the stipulated time. GlaxoSmithKline, Teva, and Gilead. All of these firms operate
In other words, the state of burnout is generally observed due in Pakistan, mostly in Karachi. These major M&A transac-
to higher job demands and insufficient job resources avail- tions amounted to billions of US dollars. By virtue of fre-
able to employees. As a result, the top management of the quent M&A in Karachi, pharmaceutical companies started to
organisation would initially face low engagement and com- reduce the size of their workforce in order to remain more
mitment from employees and later on, a high intention to competitive in the lucrative market. In the light of
leave the organisation (Hu, Schaufeli, & Taris, 2011). hypercompetition, these companies tend to revisit their dif-
In contrast, job resources comprise different factors (such ferent working practices (upgrading annual and monthly sales
as management support, supervisors’ feedback, skills devel- targets for instance) and thereby put more pressure on their
opment, and autonomy) which motivate employees and miti- salesforce to meet their revised sales targets.
gate the repercussions of higher job demands (Demerouti & Personal interactions with a number of sales representa-
Bakker, 2011). The management provides appropriate finan- tives and product managers of pharmaceutical companies
cial and non-financial job resources to employees to achieve during the write-up phase of this manuscript revealed that,
better performance. Job resources could serve as a buffer in due to the nature of pharmaceutical marketing which is carried
reaching organisational goals when job demands are high. out directly to the general medical practitioners or physi-
The pharmaceutical industry of Pakistan is mainly af- cians, a few national pharmaceutical companies are engaged
fected by hypercompetition. According to D’Aveni (1995) who in unethical practices in which their salesforce directly and
coined this strategic perspective, hypercompetition repre- openly offer different sorts of monetary benefits including
sents the dynamics of strategic manoeuvring among global gifts, laptops, offers to sponsor national and international
and domestic market players due to rapid changes. These family tours and the like. We inferred from these interac-
market changes include fierce competition among combat- tions that the main objective of these unethical practices in
ants to establish first-mover advantage, dynamic thrust to this industry is to persuade a physician to prescribe their medi-
create new knowledge about product or service offerings, fre- cines. This increases the sales revenue of the national phar-
quent strategic alliances to gain more market share, dynamic maceutical company which normally resorts to these
and recurrent major consolidation of healthcare industries, malpractices, which has resulted in excessive pressure on big
and price-quality positioning. D’Aveni (1995) further argued multinational pharmaceutical companies (MNCs) operating in
that hypercompetitive markets tend to reflect a high fre- Karachi.
quency of bold and aggressive decisions which cause a con- Although MNCs and national companies generally possess
stant disequilibrium in the market place. Consequently, the advantages in resource-based and institution-based strate-
marketers and strategists observe market instability due to gies respectively (Guillén & García-Canal, 2009), they are com-
hypercompetition in the form of shorter product life and design pelled to revitalise their “national” working standards in
cycles, new innovative technologies and above all, a deep- Karachi to deal with the hypercompetition without compro-
seated redefinition of market boundaries due to frequent mising on their product quality and pricing. The national phar-
mergers and acquisitions. maceutical companies often destroy their competitors’
In Karachi, the pharmaceutical industry is not free from advantages, and this further escalates competition into
the repercussions of hypercompetition. For instance, there hypercompetition (D’Aveni, 1995). Indeed, hypercompetition
are over 1500 pharmaceutical companies in Pakistan (includ- in the pharmaceutical industry of Pakistan introduces more
ing multinationals, nationals and franchises), and for the pro- challenges due to an increase in job demands with limited
duction of one drug salt there are approximately 25–50 job resources. Moreover, due to the high unemployment rate
pharmaceutical and bio-technology companies competing in Karachi, employees tend to work relatively harder to bring
against one another. This level of fierce competition often efficiency and effectiveness to their jobs. Consequently, em-
exerts significant pressure and poses a hindrance to pharma- ployees are compelled to work long hours, manage exces-
ceutical companies trying to gain or sustain their competi- sive workload, and multiple day and night work shifts, in
tive advantage. About 15 years ago, the number of addition to overtime on weekends, which eventually endan-
pharmaceutical product lines and their brand extensions were ger their well-being at the workplace.
the main source of competitive advantage for companies. While discussing the effects of hypercompetition, it is gen-
However, today, on account of the hypercompetition, the erally observed that chronically exhausted employees are more
number of manufacturing facilities (plants), ISO certifica- prone to burnout syndrome which leads them to show pes-
tions and the total field force are considered as the main simistic and unenthusiastic work behaviours. Consequently,
sources of competitive advantage. This paradigm shift is mainly these deviant behaviours not only impair employees’ job per-
because there has been little research on the generic mol- formance but also threaten their well-being (Bakker et al.,
ecules of both medicines and drugs in Pakistan in the last 12 2014). The structural aspects of the work environment
JD-R model, burnout and well-being 121

(particularly high job demands and low job resources) nor- for the present study in the context of the pharmaceutical
mally cause burnout syndrome (Alarcon, 2011; Demerouti companies of Pakistan with the following two research
et al., 2001; Lee & Ashforth, 1996). As a result, employees questions:
tend to adopt unfair means to accomplish high job demands
(Swider & Zimmerman, 2010). 1. What is the impact of the five JD-R variables (workload,
Furthermore, lack of autonomy (within capacity) and con- time pressure, autonomy, feedback, and work–life im-
structive performance feedback from their superiors limit em- balance) on burnout?
ployees’ freedom to act and take timely decisions in their jobs. 2. What is the impact of burnout on employee’s well-being?
They are delimited to meet project deadlines with time con-
straints while conforming to strict regulatory guidelines. These
factors eventually lead to occupational stress and latent con-
flicts because of the employees’ inability to manage work– Theoretical background and development of
life balance. Impaired health conditions do not allow hypotheses
employees to concentrate on their duties effectively, ren-
dering them unfit to perform their jobs well as they do not Burnout is among the most popular research topics in occu-
feel vigorous enough (or energetic/have the stamina) to pational health psychology (Bakker & Costa, 2014). It refers
remain enthusiastic on different competitive assignments. In to “a syndrome of emotional exhaustion and cynicism that
the past, it has been argued that vigour is a dimension of work occurs frequently among individuals who do ‘people-work’ of
engagement which is seriously affected if employees suffer some kind” (Maslach & Jackson, 1981, p. 99). In other words,
from burnout (Schaufeli, Salanova, Gonzalez-Roma, & Bakker, it is defined as “…a state of exhaustion in which one is cynical
2002). about the value of one’s occupation and doubtful of one’s ca-
In addition, the high job demands and low job resources pacity to perform” (Maslach, Jackson, & Leiter, 1996, p. 20).
not only increase the probability of burnout among employ- Burnout reflects an increased level of emotional exhaustion
ees, but also manifest in the form of physiological and psy- which normally deteriorates the quality of care and ser-
chological disorders. Burnout is linked with the reduced vices that an employee provides to his/her stakeholders
resources provided to accomplish a task at the workplace (Freudenberger, 1974, 1975). Burnout mainly consists of three
(Demerouti et al., 2001). For instance, smaller national phar- dimensions: emotional exhaustion, depersonalisation, and per-
maceutical companies do not engage the services of distribu- sonal accomplishment (Maslach & Jackson, 1981).
tors to market their products; hence, their field force members The JD-R model was first introduced by Demerouti et al.
are additionally required to ensure timely distribution of phar- (2001) in the context of burnout with two main composites
maceutical products to their respective medical stores or of an occupation: job demands and resources. According to
chemists. This additional workload sparks off a wide range Demerouti and Bakker (2011, p. 2), “Job demands refer to
of operational and logistic challenges. For example, it is in those physical, psychological, social, or organisational aspects
the interest of a chemist to buy a pharmaceutical product from of the job that require sustained physical and/or psychologi-
a sales representative who offers the chemist competitively cal (cognitive and emotional) effort or skills and are there-
better sales discounts. It implies good negotiation skills of the fore associated with certain physiological and/or psychological
field force provided they are equipped with adequate finan- costs”. Some of the examples include high work pressure, in-
cial resources. adequate dyadic relationship with colleagues and superi-
Furthermore, personal interactions with a number of sales ors, inflexible or rigid working hours, and unfavourable working
representatives and product managers of pharmaceutical com- conditions. Interestingly, job demands are not necessarily
panies during the write-up phase of this manuscript also re- negative, they are merely the requirements of one’s job; they
vealed that small-scale pharmaceutical firms in Karachi turn into job stressors when the employee needs to put more
frequently use offensive statements against low-performing effort to meet the targets but remains unsuccessful in man-
sales representatives in their quarterly sales meetings. This aging high job demands. (Meijman & Mulder, 1998).
appeared to us as a looming problem which is further inten- In contrast, “Job resources refer to those physical, psy-
sified through fatal accidents, including suicides, if medical chological, social, or organisational aspects of the job that
representatives frequently remain unsuccessful in meeting are either/or: 1) functional in achieving work goals; 2) reduce
sales targets, thus resulting in a serious threat to their well- job demands and the associated physiological and psycho-
being at the workplace. logical costs; and 3) stimulate personal growth, learning, and
Recently, Bakker and Costa (2014) presented an overarching development” (Demerouti & Bakker, 2011, p. 2). Job re-
theoretical model by having chronic burnout as an impor- sources are not only required to meet high job demands, they
tant moderator of employee’s “daily” job performance. They also possess their own significance. The job characteristics
concluded that “chronic burnout strengthens the loss cycle model (Hackman & Oldham, 1980) has also emphasised three
of daily job demands, daily exhaustion, and daily self- important job resources i.e. autonomy, tasks significance, and
undermining, whereas chronic burnout weakens the gain cycle feedback. The concept of job resources also has its roots in
of daily job resources, daily work engagement, and daily job conservation of resources theory (Hobfoll, 2001) which holds
crafting” (p. 117). In contrast, to the best of our knowl- that human motivation is largely directed towards the ability
edge, we found no empirical evidence of the application of to maintain and accumulate resources.
the JD-R model in Pakistan involving a multivariate struc- Schaufeli and Bakker (2004) proposed a revised model to
tural relationship of workload, time pressure, autonomy, feed- explain negative state (burnout) and also added a positive
back, and work–life imbalance with burnout and well-being state i.e. work engagement as mediator among job demand
of employees. Thus, we submit that there is a strong need and health, and job resources and turnover intentions. Work
122 M.S. Adil, M. Baig

engagement may be referred to as a work oriented, encour- specifically, autonomy has shown a negative correlation with
aging and pleasing state of mind (Schaufeli & Taris, 2014). burnout in previous studies (Maslach et al., 2001; Schwab,
More recently, Wilson, Sheetz, Djamasbi, and Webber (2014) Jackson, & Schuler, 1986). It means that if employees are fa-
found that job demands and resources are the most impor- cilitated with an appropriate level of autonomy to manage
tant antecedents for burnout. their obligations, it would help them reduce the level of
burnout (Adriaenssens, Gucht, & Maes, 2014), emotional ex-
Workload and burnout haustion (Adebayo & Ezeanya, 2011) and depersonalisation
(Griffin, Hogan, & Lambert, 2012; Lambert, Hogan, Dial, Jiang,
The theoretical background for a positive relationship between & Khondaker, 2012).
workload and burnout can be explained by the JD-R model. If employees are given sufficient opportunity to prioritise
The model reveals that job demands include those attri- their tasks at the workplace they could satisfactorily allo-
butes of the job which entail physical, emotional and cog- cate their available resources to these tasks. In other words,
nitive efforts (Demerouti et al., 2001). Workload has been with adequate degree of autonomy, employees inherently feel
strongly and largely associated with burnout in existing lit- job satisfaction enabling them to be more confident in man-
erature. Job demands (workload and interpersonal con- aging their duties with available resources. This reflects an
flicts) intensify emotional exhaustion that may further lead “adjustive reaction” against burnout while dealing with oc-
to depersonalization (Karkar, Dammang, & Bouhah, 2015; cupational stress. Consequently, such employees have low rate
Maslach, Schaufeli, & Leiter, 2001; Trépanier, Fernet, & of burnout as compared with their counterparts who often
Austin, 2013; Westman, Hobfoll, Chen, Davidson, & Laski, remain unsuccessful in managing their occupational assign-
2005). ments effectively on time because they do not have an ap-
In particular, previous studies have illustrated that work- propriate level of job autonomy.
load is a significant predictor of burnout which has positive On the same lines, Bakker, Dermerouti, and Euwema (2005)
impact on emotional exhaustion and depersonalisation (Azem, and later on, Zis, Anagnostopoulos, and Sykioti (2014) pointed
Nazir, Zaidi, & Akhtar, 2014; Droogenbroeck, Spruyt, & out that the negative impact of exhaustion due to higher job
Christophe, 2014; Xiaoming, Ma, Chang, & Shieh, 2014). Fur- demands may be mitigated or buffered with an appropriate
thermore, the job demands such as heavy workload weaken degree of job autonomy. It mainly helps employees in coping
the energy level of employees. Thus, they experience emo- with the increased job demands as they have the freedom to
tional exhaustion (Montgomery, Panagopolou, & Benos, 2006). decide when and how to complete their duties. Autonomy may
Organisational stressors such as workload and co-worker stress not only drive the employees towards rapid growth but may
are highly associated with professional and psychological dis- also be very valuable in combating hostile working condi-
tress (Borteyrou, Truchot, & Rascle, 2014). Hence, the fol- tions (Tremblay & Messervey, 2011). Since job autonomy im-
lowing hypothesis is suggested: proves work engagement and alleviates burnout syndrome
through buffering of workload and emotional demands at work-
Hypothesis 1. Workload is positively associated with burnout. place (Gabel-Shemueli, Dolan, & Ceretti, 2014), it leads us
to suggest the following hypothesis:
Time pressure and burnout Hypothesis 3. Autonomy is negatively associated with
burnout.
The JD-R model of burnout may be used to establish the re-
lationship between time pressure and burnout because time
pressure has been found to be positively related with ex- Feedback and burnout
haustion. The demand and control model (Karasek, 1979) fo-
cusses on workload and time pressure as key indicators of job The JD-R model assimilates different predictors of burnout
demands and found that increased job demands (mainly work- and indicates that an increase in job demands (work over-
load, time pressure and low job control) cause job strain. load, role conflict, and emotional demands) and limited job
These results are consistent with previous studies revealing resources (autonomy, social support, and feedback) would
that time pressure is significantly associated with job strain serve as key factors in developing burnout syndrome. Simi-
(McMurray et al., 2000; Widmer, Semmer, Kälin, Jacobshgen, larly, feedback is one of the important psychosocial predic-
& Meier, 2012). In addition, lack of workplace social support tors of burnout (Kozak, Kersten, Schillmoller, & Nienhaus,
and higher job demands (i.e. time pressure) are allied with 2012). Lack of constructive feedback from a supervisor can
burnout and emotional exhaustion (Darawad, Nawafleh, form a noteworthy factor for burnout (Donohoe, Nawawi,
Maharmeh, Hamdan-Mansour, & Azzeghaiby, 2015; Janssen, Wilker, Schindler, & Jette, 1993; Maslach et al., 2001).
Jonge, & Bakker, 1999). Hence, the following hypothesis is However, useful feedback increases employee’s motiva-
posited: tion, job engagement and a greater propensity towards achiev-
ing goals (Othman, Ghazali, & Ahmad, 2014; Schaufeli, Bakker,
Hypothesis 2. Time pressure is positively associated with & Rehnen, 2009). Furthermore, positive and timely feed-
burnout. back from a supervisor helps employees reduce burnout
because feedback is associated with decrease in emotional
Autonomy and burnout exhaustion and increase in professional achievements
(Carlotto, Pizzinato, Rocha, & Machado, 2013; Lambert et al.,
The theory of the JD-R model holds that higher job demands 2012; Sexton et al., 2014). Hence, the following hypothesis
and low job resources lead to burnout among employees. More is suggested:
JD-R model, burnout and well-being 123

Hypothesis 4. Feedback is negatively associated with However, adequate provision of job resources may reduce the
burnout. repercussion of excessive job demands and exhaustion. Hence,
the following hypothesis is posited:

Work–life imbalance and burnout Hypothesis 6. Burnout is negatively associated with employ-
ee’s well-being.
Previous studies (Allen, Herst, Bruck, & Sutton, 2000; Zis et al.,
2014) have argued that work–life imbalances are positively
associated with burnout. In particular, a point increase in the Method
score of job demands and resources (such as work–life im-
balance) leads to the development of a possible burnout con- Sample and procedures
dition by 25.5%. A disproportionate balance between work and
family life is significantly associated with emotional exhaus- As explained in the Introduction, pharmaceutical compa-
tion, depersonalisation and increased level of burnout nies in Karachi are largely affected by hypercompetition in
(Laeeque, 2014; Ogungbamila, 2014). Therefore, work–life the pharmaceutical-led healthcare sector of Pakistan; hence
imbalance is one of the most important antecedents of it would be worthwhile to draw a sample from the pharma-
burnout, and individuals who have work–life imbalance are ceutical industry so that the consolidated impact of five factors
at a greater risk of burnout and job strain (Hämmig, Brauchli, of JD-R model may be analysed for predicting burnout and
& Bauer, 2012; Mastenbroek et al., 2013; Netemeyer, Boles, well-being in this specific industry of Karachi. In addition, the
& McMurrian, 1996; Queiros, Carlotto, Kaiseler, Dias, & context of Pakistan is generally an understudied area in man-
Pereira, 2013; Singh, Suar, & Leiter, 2012). In addition, agement literature and therefore, it creates an opportunity
Peeters, Montgomery, Bakker, and Schaufeli (2005) argued to present evidence from a relatively new sample (Hermelo
that work–life imbalance is caused by certain job stressors & Vassolo, 2010). We primarily used an online calculator (i.e.
which lead to health problems including burnout. Hence, the Soper, 2016) to determine an a priori sample size for struc-
following hypothesis is articulated: tural equation models (Cohen, 1988; Westland, 2010). The
process of a priori sample size calculation includes five dif-
Hypothesis 5. Work–life imbalance is positively associated ferent parameters (our given values are stated in parenthe-
with burnout. ses): the minimum absolute anticipated effect size for the
structural equation modelling (SEM) model (0.3 i.e. medium
effect size); desired statistical power level (0.80); number
Burnout and employee’s well-being of latent variables (7); number of observed variables (43); and
probability level/Type-I error rate (0.05). The online calcu-
Burnout serves as an intervening factor between the job strain lator recommended a sample size of 223. However, a minimum
and depression. Work-related depression can be predicted by sample of 170 responses proved sufficient enough to detect
occupational burnout. In previous studies, burnout has fully effect. It is important to note that Faul, Erdfelder, Lang, and
mediated the relationship between job strain and depres- Buchner (2007) developed G*Power 3.0 software which cal-
sion (Ahola, Hakanen, Perhoniemi, & Mutanen, 2014; Ahola culates the sample size for SEM analysis based on the afore-
& Hakanen, 2007; Lin, 2012). The clinical signs and symp- mentioned five parameters.
toms of burnout include chronic fatigue, emotional dis- Since SEM is a large sample technique (Byrne, 2010), we
tress, cognitive dysfunction, depression, and mainly, distributed 500 questionnaires among the pharmaceutical com-
exhaustion (Soderstrom, Ekstedt, Torbjorn, Nilsson, & panies of Karachi but received only 352 responses. The re-
Axelsoon, 2004). Besides, Melamed, Shirom, Toker, Berliner, sponse rate was 70.4%. During data screening, a total of 51
and Shapira (2006) argued that health issues including de- univariate and multivariate outliers were detected and
pression, cardiovascular diseases or psychosomatic com- removed from the dataset by using standardised z-score with
plaints are generally caused by burnout. Furthermore, Bakker cut-off value |3.29| and Mahalanobis Chi-square distance value
et al. (2014) pointed out that health-related issues are closely respectively at p < 0.001, two-tailed test (Tabachnick & Fidell,
associated with burnout. 2007, pp. 73–4). As a result, the useable responses were 301
Previous studies have proposed different models for the (352 − 51) for data analysis.
health impairment process of burnout. For instance, Schaufeli In the useable sample, there were 237 male respondents
and Bakker (2004) assumed two psychological processes of job (78.7%), and 136 respondents (45.2%) were in the age group
demands and resources: the first one was the health impair- of 25–29 years. In addition, 166 (55.1%) and 31 (10.3%) re-
ment process that leads to health problems through burnout, spondents held masters and MPhil/PhD degrees. Over 204 par-
while the second process was motivational that signifi- ticipants (67.8%) and 31 participants (10.3%) served at the
cantly reduces the turnover intention via improving job en- middle and the top management levels respectively. Table 1
gagement. In addition, Schaufeli and Taris (2014) revised the shows the demographics in detail.
JD-R model and illustrated two psychological pathways. In the
first pathway, higher job demands lead to health impair-
ment process and affect health through burnout; the second Measures
one is the motivational pathway which demonstrated that
presence of adequate amount of job resources reduces the The study includes seven constructs namely, workload, time
adverse effect of job demands on exhaustion by job engage- pressure, autonomy, feedback, work–life imbalance, burnout,
ment which in turn is positively linked with job performance. and employee’s well-being. With no sub-scales, the
124 M.S. Adil, M. Baig

supervisor when I come across difficulties in my work”. The


Table 1 Demographic characteristics of the respondents
Cronbach’s alpha was 0.84.
(n = 301).
Demographics Frequency Percent
Age (in years) 20–24 30 10 Work–life imbalance
25–29 136 45.2
30–34 81 26.9 Work–life imbalance was measured by five items: three items
35–39 17 5.6 were adapted from Netemeyer et al. (1996) and two from
40 or above 37 12.3 Koekemoer, Mostert, and Rothmann (2010). A sample item
Gender Male 237 78.7 states “The demands of my work interfere with my home and
Female 64 21.3 family life”. The Cronbach’s alpha was 0.93.
Education Bachelors 91 30.2
Masters 166 55.1
MPhil/PhD 31 10.3 Burnout
Others 13 4.3
Level of Lower management 66 21.9 Burnout was measured by eight items of Maslach Burnout In-
responsibility Middle management 204 67.8 ventory Questionnaire adapted from Falchi, Baron, and Burnett
Top management 31 10.3 (2009). A sample item reads “I feel emotionally drained from
Marital status Single 140 46.5 my work”. The Cronbach’s alpha was 0.76.
Married 161 53.5
Salary per ≤30,000 93 30.9
month (in 30,001 to 60,000 124 41.2
Employee’s well-being
Pak Rupees) More than 60,000 84 27.9
Employee’s well-being was measured by using six items
Source: Authors’ estimation.
adapted from Goldberg and Hillier (1979). A sample item reads
“I have recently felt that I cannot overcome my difficul-
ties”. The Cronbach’s alpha was 0.87.

self-administered questionnaire comprised a total of 43 items


that were measured on a five-point Likert-type scale Statistical techniques
(1 = strongly disagree to 5 = strongly agree).
We used the 22nd version of Statistical Package of Social Sci-
ences (SPSS) and AMOS for data analysis. To reduce a total
Workload of 43 Likert-type items into the required seven variables for
SEM analysis, exploratory factor analysis (EFA) was first per-
Workload was measured by five items adapted from Rothmann, formed in SPSS. Next, correlational and reliability statistics
Mostert, and Strydom (2006). A sample item reads “I have too of loaded items were computed under each variable. The
much work to do”. The Cronbach’s alpha was 0.77. process then followed a confirmatory factor analysis (CFA) in
AMOS to validate the theory using a recursive measurement
model. Structural equation modelling was applied for test
Time pressure hypotheses.

Time pressure was measured by five items: two items were


adapted from Rothmann et al. (2006) and three items from Analysis and results
OSI-R Rating Sheet. A sample item reads “I have to be at-
tentive to many things at a time”. The Cronbach’s alpha was Exploratory factor analysis
0.74.
This study used 43 Likert-scale items to measure seven latent
constructs. These variables are latent in nature because they
Autonomy cannot be directly measured, especially in the social sci-
ences (Field, 2005). Therefore, exploratory factor analysis was
Autonomy was measured by seven items: three items are performed as a data reduction technique in order to extract
adapted from Rothmann et al. (2006) and four items from seven variables which could ensure convergent, construct and
Morgeson and Humphrey (2006). A sample item states “I can discriminant validity. To achieve this aim, the principal com-
take decisions independently at my work”. The Cronbach’s ponent method of factoring was used. The value of 0.875 of
alpha was 0.74. Kaiser-Meyer-Olkin (KMO) test exceeded the threshold limit
i.e. 0.70, which means that the sample was adequate to run
exploratory factor analysis (Foster, Barkus, & Yavorsky, 2006;
Feedback Leech, Barrett, & Morgan, 2005). Besides, the Bartlett’s test
of sphericity (approximate Chi-square = 3971.771, degree of
Feedback was measured by seven items adapted from freedom = 351, p < 0.000) depicts that the correlation matrix
Rothmann et al. (2006). A sample item reads “I can trust my is not an identity matrix (Leech et al., 2005; Tabachnick &
JD-R model, burnout and well-being 125

Table 2 Exploratory factor analysis (n = 301).


Indicators Work–life Feedback Employee’s Time Autonomy Burnout Workload
imbalance (FB) well-being pressure (AT) (BO) (WL)
(WLB) (EWB) (TP)
WLB3 .870
WLB4 .870
WLB5 .846
WLB2 .841
FB6 .814
FB7 .718
FB2 .714
FB4 .699
FB5 .697
FB3 .679
EWB5 .878
EWB6 .838
EWB4 .735
EWB2 .635
TP2 .779
TP3 .775
TP5 .666
TP4 .662
AT3 .738
AT6 .736
AT7 .698
AT2 .651
BO5 .780
BO6 .672
BO7 .664
WL4 .804
WL5 .626
Average of loadings 0.86 0.72 0.77 0.72 0.71 0.71 0.72
Eigenvalues 3.67 3.39 3.06 2.43 2.38 1.95 1.34
% of variance 13.60 12.56 11.32 9.02 8.81 7.23 4.98
Cumulative % 13.60 26.16 37.48 46.50 55.30 62.53 67.51
Extraction method: principal component analysis.
Rotation method: varimax with Kaiser normalisation.

Fidell, 2007). Table 2 depicts the results of rotated compo- Table 2 also shows that there are no cross loadings, thus
nents matrix. the discriminant validity is also ensured (Tharenou, Donohue,
Moreover, to maximise the variance of factor loadings, the & Cooper, 2007). All seven variables possessed more than 1.0
initial solution was rotated through varimax orthogonal ro- eigenvalue showing that they qualify to serve as a separate
tation with Kaiser normalisation method. As a result, only 27 factor and hence, they can be taken for further data analy-
items were loaded onto their respective variables. Factor load- sis. In addition, they cumulatively accounted for over 67.51%
ings less than |0.40| were omitted to maintain clarity. It is of the total variance.
important to note that SPSS does not estimate the statisti- Table 3 shows the means, standard deviations and corre-
cal significance of factor loadings (Field, 2005). However, the lation coefficients of these seven variables. This table shows
sample size may give an indication of statistical significance the significant and non-significant correlations between vari-
of these loadings (Stevens, 2012). Different authors (e.g. ables in addition to their magnitude and direction of rela-
Gaskin, 2016) have suggested that the individual factor loading tionship. For instance, the Pearson correlation between
and the average loading of all items within a factor should burnout and well-being is represented by r = −0.545 (p < 0.01).
be in excess of 0.5 and 0.7 respectively. As shown in Table 2, It shows that burnout has statistically significant, strong and
the minimum factor loading among all of the 27 loaded items negative correlation with well-being. Since these correla-
was 0.626 (i.e. WL5) which is well above the prescribed limit tions depict only a bivariate relationship without regard to
of 0.50, and the average of factor loading is more than 0.70 being able to predict the outcome variable, the following rig-
for each factor. Hence, it may be concluded that the con- orous statistical analyses were performed to obtain re-
vergent validity has been established. search objectives.
126 M.S. Adil, M. Baig

Table 3 Means, standard deviations and Pearson correlations.


Mean SD 1 2 3 4 5 6 7
Workload 3.02 1.05 1
Time pressure 3.87 0.67 .429a 1
Autonomy 3.87 0.59 −0.102 .194a 1
Feedback 3.86 0.66 −.168a 0.073 .406a 1
Work–life imbalance 3.02 1.07 .528a .280a −.195a −.174a 1
Burnout 2.87 0.93 .465a .266a −.203a −.211a .539a 1
Employee’s well-being 3.76 0.90 −.469a −0.091 .306a .240a −.440a −.545a 1
a
Correlation is significant at the 0.01 level (2 tailed).

Confirmatory factor analysis (measurement model) value of AVE of each latent construct is more than 0.50
showing very good convergent validity (Byrne, 2010; Hair
Confirmatory factor analysis was used in AMOS to validate the et al., 2010).
hypothesised model (Fig. 1). It produced a covariance- Besides, to assess discriminant validity, maximum shared
based measurement model with only 20 observed items clas- variance (MSV), average shared variance (ASV), and inter-
sified into seven latent constructs. The measurement model construct correlations are also estimated. Both MSV and ASV
was “reflective” where Likert scale items serve as functions are less than their corresponding AVE, and according to Fornell
of the latent variable and changes in the latent variable are and Larcker’s (1981) criterion, the square root of AVE is greater
reflected in changes in its Likert scale (or indicator) items. than the inter-construct correlations of each construct (as
Single-headed arrows are used to point out the reflective in- shown in boldfaced items in diagonal in Table 4). It means
dicator from the latent variable outward to the Likert scale that the discriminant validity of the measurement model is
(or indicator) items (Hair, Ringle, & Sarstedt, 2011). More- also ensured (Byrne, 2010; Fornell & Larcker, 1981; Hair et al.,
over, as per the guidelines of Hair et al. (2011, p. 145) and 2010).
Hair, Sarstedt, Ringle, and Mena (2012, p. 429), composite Furthermore, five different commonly used goodness-of-
reliability (CR) was estimated which serves as a measure of fit (GOF) measures were used in addition to the conven-
internal consistency reliability. Therefore, instead of report- tional Chi-square (minimum value of discrepancy called CMIN)
ing Cronbach’s alpha for the reflective measurement model, test. They include goodness-of-fit index (GFI), adjusted
CR constitutes a better estimate of similar but heteroge- goodness-of-fit index (AGFI), Tucker-Lewis index (TLI), com-
neous items (Lin & Lee, 2004; Molina, Montes, & Ruiz-Moreno, parative fit index (CFI) and root mean square error of ap-
2007). proximation (RMSEA) (Byrne, 2010; Kline, 2011; Loehlin, 2004;
Table 4 shows the composite reliability, convergent and Marcoulides & Schumacker, 2001; Segars & Grover, 1998).
discriminant validity of the measurement model. It high- Table 5 shows that the ratio of CMIN to degree of freedom
lights that CR of each of the variables is more than 0.60 (Hair, of the measurement model was 1.46 (p < .000) which is less
Black, Babin, & Anderson, 2010; Hair et al., 2011, 2012) en- than the recommended value of 3 (Byrne, 2010). Moreover,
suring the internal consistency reliability of the reflective mea- the rest of the five GOF indices (including GFI = 0.93,
surement model. Moreover, to assess convergent validity, AGFI = 0.90, TLI = 0.97, CFI = 0.98, and RMSEA = 0.039 with
average variance extracted (AVE) is computed for all con- non-significant PCLOSE) were also found well above the rec-
structs (Hair et al., 2011, 2012). Table 4 highlights that the ommended value (Bagozzi & Yi, 1988; Bentler & Bonett, 1980;

Figure 1 Conceptual framework of the study.


JD-R model, burnout and well-being 127

Table 4 Measurement model: composite reliability, convergent and discriminant validity.


Reliability Convergent Discriminant validity using Fornell and Larcker (1981) criterion
validity
CR AVE MSV ASV 1 2 3 4 5 6 7
Burnout 0.76 0.52 0.51 0.27 0.72
Work–life imbalance 0.92 0.75 0.42 0.23 0.65 0.86
Feedback 0.76 0.51 0.26 0.09 −0.26 −0.24 0.71
Employee’s well-being 0.84 0.58 0.51 0.26 −0.71 −0.53 0.34 0.76
Time pressure 0.68 0.52 0.34 0.13 0.42 0.41 0.02 −0.28 0.72
Autonomy 0.67 0.51 0.26 0.10 −0.26 −0.18 0.51 0.41 0.11 0.71
Workload 0.79 0.65 0.39 0.26 0.60 0.62 −0.25 −0.62 0.58 −0.17 0.81
Notes: CR = Composite Reliability; AVE = Average Variance Extracted; MSV = Maximum Shared Variance; ASV = Average Shared Variance.
The square root of AVE is shown in boldfaced items in diagonal.
AVE = (∑ squared standardized loading)/(∑ squared standardized loading + ∑ indicator measurement error),
CR = (∑ standardized loading)2/(∑ standardized loading)2 + ∑ indicator measurement error),
where, indicator measurement error = 1 − standardized loading.

Table 5 Measures of model fitness of measurement and structural models.


Goodness-of-fit measures CMIN DF CMIN/DF GFI AGFI TLI CFI RMSEA (PCLOSE) ECVI
Recommended value N/A N/A <3.0 a
≥0.90 a
≥0.90 b
≥0.95 c
≥0.95 c
<0.05 (>0.05 )d
Lowest value
CFA model 214.107 147 1.46 0.93 0.90 0.97 0.98 0.039 (0.95) 1.13
SEM model 246.673 152 1.62 0.92 0.89 0.96 0.97 0.046 (0.7) 1.21
Notes: N/A = Not applicable; CMIN = minimum discrepancy; DF = degree of freedom; GFI = goodness-of-fit index; AGFI = adjusted goodness-
of-fit index; TLI = Tucker-Lewis index; CFI = comparative fit index; RMSEA = root mean square error of approximation; ECVI = expected
cross-validation index.
a
Byrne (2010).
b
Bagozzi and Yi (1988).
c
Bentler and Bonett (1980).
d
Browne and Cudeck (1993).

Browne & Cudeck, 1993; Byrne, 2010). Hence, the measure- the sample may have the potential to be cross-validated on
ment model reflects a very good model fit. other samples from the same pharmaceutical industries in
Karachi (Browne & Cudeck, 1993).
To estimate the effect size of both dependent variables
Hypotheses testing using SEM analysis (burnout and well-being), the squared multiple correlation
(R2) was computed. The R-square of the effect size of burnout
Based on the CFA measurement model, a structural model was and well-being were 0.60 and 0.61 respectively (Fig. 2). It
constructed using SEM analysis in AMOS to illustrate the mul- means that five variables of JD-R model cumulatively explain
tivariate relationship among the five variables of the JD-R over 60% of the total variance in predicting burnout. Simi-
model, burnout and employee’s well-being. Table 6 shows that larly burnout alone explains over 61% of the total variance
all hypothesised relationships (H1–H6) are supported. However, in predicting employee’s well-being. Fig. 2 depicts the mul-
both time pressure and feedback have shown a statistically tivariate relationship among the five variables of JD-R model,
non-significant impact to predict burnout. burnout, and employee’s well-being.
Like the CFA model, the SEM model shows a very good
model fit i.e. CMIN/DF = 1.62 (p < 0.001); GFI = 0.92,
AGFI = 0.89, TLI = 0.96, CFI = 0.97, and RMSEA = 0.046 with Discussion
non-significant PCLOSE value (Table 5). The expected cross
validation index (ECVI) was also computed in AMOS to assess This study posited six hypotheses to examine (1) the impact
generalisability. Indeed, Herscovitch and Meyer (2002, p. 479) of five JD-R variables on burnout, and (2) the impact of
and recently, Byrne (2010, p. 82) has mentioned that there burnout on employee’s well-being in the pharmaceutical com-
is no recommended value for ECVI; however, a lowest value panies of Karachi. The results show that only three JD-R vari-
closer to 1.0 may be used for assessing generalisability. In ad- ables (namely, workload, autonomy, and work–life imbalance)
dition, Loehlin (2004) argued “The smaller the ECVI, the better have significant impact on burnout (with the exception of time
the model is expected to cross-validate in a new sample…” pressure and feedback). Moreover, burnout has also shown
(p. 254). Table 5 shows that the ECVI value for the SEM model a significant negative impact on well-being of employees. The
(1.21) is very close to 1.0; hence, it may be concluded that SEM analysis reflects a very good model fit with the sample
128 M.S. Adil, M. Baig

Table 6 Hypothesis testing using covariance-based SEM analysis.


Hypothesis SEM Unstandardised Standard Standardised Critical P-value Expected Relationship Remarks
regression estimates error estimates ratio relationship observed
path
H1 Workload to 0.302 0.088 0.345 3.425 0.000*** Positive Positive Supported
burnout
H2 Time pressure 0.078 0.089 0.077 0.875 0.382 Positive Positive Supported
to burnout
H3 Autonomy to −0.271 0.109 −0.203 −2.484 0.013* Negative Negative Supported
burnout
H4 Feedback to −0.033 0.083 −0.029 −0.398 0.691 Negative Negative Supported
burnout
H5 Work–life 0.27 0.055 0.382 4.882 0.000*** Positive Positive Supported
imbalance
to burnout
H6 Burnout to −0.789 0.094 −0.781 8.425 0.000*** Negative Negative Supported
well-being
*
95% CI (p < 0.05).
***99.99% CI (p < 0.001).

Figure 2 Hypothesis testing.

drawn which may also be cross-validated on other samples The findings of this study clearly indicate that time pres-
of the same industry. sure is positively associated with burnout conditions (0.007;
The statistical results reveal that workload has signifi- p = 0.382); therefore, the hypothesis (H2) is supported. Though
cant positive impact on burnout (standardised coeffi- this relationship could not reach statistical significance during
cient = 0.345; p = 0.000); thus, the hypothesis (H 1 ) is SEM analysis it was, however, significantly correlated during
supported. It indicates that an increase in the amount of work- zero-order Pearson correlation at 99% CI i.e. r = 0.266; p < 0.01
load will also increase burnout. These findings are consis- (Table 3). As discussed in the Introduction, the medical rep-
tent with Demerouti et al. (2001) who observed that workload resentatives of small national firms are also responsible for
has significant impact on burnout, and pointed out that in- ensuring the timely replenishment of pharmaceutical prod-
creasing job demands while decreasing job resources leads ucts in medical stores or to chemists, and this results in ad-
to emotional exhaustion. Other studies also revealed that ditional workload which becomes very challenging to
workload is strongly correlated with burnout (Maslach et al., accomplish within the stipulated time. The added time pres-
2001). Moreover, workload diminishes the energy level and sure causes severe physiological and psychological stress. Con-
intensifies exhaustion which eventually reflects in the form sequently, employees not only lose control at work but their
of depersonalisation (Montgomery et al., 2006; Westman et al., stress level is also further escalated mainly due to indiffer-
2005). ent organisational attitude (Sharma, 2015). The state of
JD-R model, burnout and well-being 129

unmanageable occupational stress affects other organisational out that increased job demands predict job strain which causes
outcomes such as negative impact on organisational citizen- severe well-being issues.
ship behaviours (Jain & Cooper, 2012) and high turnover rate
which may be reduced by commitment-based human re-
source practices (Ghosh & Gurunathan, 2015). Conclusion
It was determined from the results that autonomy is nega-
tively associated with burnout (−0.203; p = 0.013); thus, the This study validates Bakker and Demerouti’s (2007) JD-R model
hypothesis (H3) is supported. This demonstrates that there is in the pharmaceutical companies of Karachi and also analy-
a substantial negative correlation between autonomy and ses its impact on burnout and employee’s well-being. Results
burnout. An increase in autonomy will decrease the level of of SEM analysis revealed that job demand and resources have
the burnout syndrome. These findings are consistent with significant impact on burnout and well-being of employees.
Olanrewaju and Ifenna (2011) who have also concluded that The managements of pharmaceutical organisations in Karachi
job autonomy has substantial negative association with should minimise the workload of their employees and enable
burnout. Other studies have also demonstrated the sources them to exercise autonomy within certain capacity. It would
which are associated with burnout and have found that the help them maintain an adequate balance between their work
lack of autonomy is positively associated with burnout (Maslach and family life so that the burnout syndrome may be avoided.
et al., 2001; Schwab et al., 1986). Consequently, they would perform better with a good state
The SEM analysis shows that feedback is negatively asso- of well-being.
ciated with burnout (−0.029; p = 0.691); hence, the hypoth-
esis (H4) is supported. As with H2, this hypothesis could not
gain statistical significance during SEM analysis; it was Managerial implications
however, significantly correlated during zero-order Pearson
correlation at 99% CI i.e. r = −0.211; p < 0.01 (Table 3). Feed- The study underscores that high job demands (such as un-
back provides a mechanism under JD-R model with appro- pleasant work environment, excessive work pressure, work–
priate guidelines in order to optimise one’s work engagement family imbalance, and emotional demands) and fewer job
(Braine & Roodt, 2011). Besides, healthy and humorous coping resources (such as management/organisational support,
interventions may also contribute in addressing JD-R related freedom to act, relationship with supervisor, and perfor-
issues (Doosje, De Goede, Doornen, & Schoot, 2011). mance feedback) lead towards higher levels of exhaustion and
The results provide strong evidence that work–life imbal- disappointment. Depletion of job resources reduces employ-
ance has significant positive impact on burnout (0.382; ee’s motivation and learning which eventually induces with-
p = 0.000); hence, the hypothesis (H5) is supported. An in- drawal from the organisation (Bakker et al., 2005). Therefore,
crease in the work and family life imbalance subsequently in- if the current scenario persists and remains unaddressed in
creases burnout conditions. These findings are consistent with the pharmaceutical and bio-technology companies of Karachi,
previous studies which have argued that work–life imbal- it could not only lead to burnout and serious employee’s well-
ance causes burnout and occupational strain (Hämmig et al., being issues, but will also deteriorate employee’s work en-
2012; Valk & Srinivasan, 2011, in the context of Indian women gagement and productivity. Furthermore, job resources such
software professionals). Increase in work and family life im- as feedback, social support, autonomy and career opportu-
balance caused by certain job stressors is associated with nities serve as a motivational tool for employees that lead
health problems including burnout (Allen et al., 2000; to increased employee’s motivation and engagement. Job and
Netemeyer et al., 1996; Peeters et al., 2005). The repercus- personal resources are projected by work engagement which
sions of stress levels among R&D professionals may be miti- leads to increased job performance (Bakker, 2011).
gated by appropriate leader behaviours which could further The findings of this empirical study provide the manage-
promote creativity (Gupta, Singh, & Khatri, 2013). ment with assistance and support, and help them bring about
The research findings elaborate that burnout has signifi- constructive changes in the organisation so that the level of
cant negative impact on employee’s well-being (−0.781, burnout could be alleviated in order to ensure better em-
p = 0.000); therefore, the hypothesis (H6) is supported. It in- ployee’s well-being in the pharmaceutical companies of
dicates that an increase in burnout will have some serious re- Karachi. The top management should revisit their business
percussions on employee’s well-being. Enterprise resource policies and practices which involve reduced or manage-
planning (ERP) systems (commonly used in the pharmaceu- able workload and an adequate level of independence in man-
tical companies of Karachi), and proper health conditions, aging one’s work. The results of the study also reveal that it
computer self-sufficiency, organisational support, training, is very important to maintain a balance between work and
and compatibility could possibly increase the technology ac- family life in order to reduce the potential danger of burnout.
ceptance level of the employees (Rajan & Baral, 2015). These If this aspect is not well addressed, there could be a greater
results are supported by previous studies (Ahola & Hakanen, likelihood of the management encountering a number of
2007; Schaufeli & Bakker, 2004) who have also demon- health-related lawsuits.
strated that burnout triggers health impairment process and Finally, it is equally important to identify and then miti-
thus unpleasant effects on health are normally observed such gate the unpleasant effects of different measures of job
as chronic fatigue, emotional distress, cognitive dysfunc- demands and resources with respect to the pharmaceutical
tion, depression, cardiovascular diseases, psychosomatic com- industry of Pakistan. Failure to do so would induce with-
plaints, and primarily, emotional exhaustion (Melamed et al., drawal behaviour among employees and create an adverse
2006; Soderstrom, Ekstedt, Torbjorn, Nilsson, & Axelsoon, impact on employee’s well-being. Job resources serve as mo-
2004). More recently, Schaufeli and Taris (2014) have pointed tivating factors to optimise the employee’s zeal and
130 M.S. Adil, M. Baig

enthusiasm to consistently perform better. It is reflected in Ahola, K., & Hakanen, J. (2007). Job strain, burnout, and depres-
the form of better employee’s engagement which should be sive symptoms: A prospective study among dentists. Journal of
maintained across the organisation. It is only possible if man- Affective Disorders, 104(1), 103–110.
agers supervise healthy employees with low burnout syndrome. Alarcon, G. M. (2011). A meta-analysis of burnout with job demands,
resources, and attitudes. Journal of Vocational Behavior, 79, 549–
562.
Allen, T. D., Herst, D. E., Bruck, C. S., & Sutton, M. (2000). Conse-
Limitations and directions for future research quences associated with work-to-family conflict: A review and
agenda for future Research. Journal of Occupational Health Psy-
chology, 5(2), 278–308.
This study is not free from limitations. Firstly, the sample was
Azem, S. M., Nazir, N. A., Zaidi, Z. B. A., & Akhtar, N. (2014). Role
drawn from the pharmaceutical companies of Karachi and of stress and burnout among nurses in the private hospitals. In-
therefore, the results may not be cross-validated on a larger ternational Journal of Academic Research in Business and Social
population in other large industrial cities of Pakistan such as Sciences, 4(3), 420–428.
Lahore, Gujrat, Faisalabad, and Sialkot. Secondly, the study Bagozzi, R. P., & Yi, Y. (1988). On the evaluation of structural equa-
used a cross-sectional research design to answer the two re- tion model. Journal of Academy of Marketing Science, 16(1), 74–
search questions. Despite the fact that both CFA and SEM 94.
models are recursive (i.e. unidirectional) in nature, they do Bakker, A. B. (2011). An evidence-based model of work engage-
not predict the cause-and-effect relationship between JD-R ment. Current Directions in Psychological Science, 20(4), 265–
269.
variables, burnout and well-being; this however, is beyond
Bakker, A. B., & Costa, P. L. (2014). Chronic job burnout and daily
the scope of the present study. Alternatively, future studies
functioning: A theoretical analysis. Burnout Research, 1(3), 112–
may use a longitudinal research design. 119.
In addition, future studies may also conduct semi-structured Bakker, A. B., & Demerouti, E. (2007). The job demands-resources
qualitative interviews with both non-managerial and mana- model: State of the art. Journal of Managerial Psychology, 22,
gerial employees in order to compare the implications of the 309–328.
JD-R model with different precursors e.g. psychological safety Bakker, A. B., Demerouti, E., De Boer, E., & Schaufeli, W. B. (2003).
climate (Idris, Dollard, & Winefield, 2011), commitment to Job demands and job resources as predictors of absence dura-
change (Adil, 2016), workplace bullying (Broeck, Baillien, & tion and frequency. Journal of Vocational Behavior, 62, 341–
Witte, 2011), and early retirement intentions (Demerouti & 356.
Bakker, A. B., Demerouti, E., Taris, T., Schaufeli, W. B., & Schreurs,
Bakker, 2011; Schreurs, Cuyper, Emmerik, Notelaers, & Witte,
P. (2003). A multigroup analysis of the job demands-resources
2011). These variables could play a significant role in iden-
model in four home care organisations. International Journal of
tifying causes of chronic burnout among employees of other Stress Management, 10, 16–38.
labour-intensive industries of Pakistan (for instance sports Bakker, A. B., Dermerouti, E., & Euwema, M. C. (2005). Job re-
goods). Variables such as rewards, procedural justice, social sources buffer the impact of job demands on burnout. Journal
support from supervisor and peers, appreciation and recog- of Occupational Health Psychology, 10(2), 170–180.
nition may be included in future studies. Bakker, A. B., Demerouti, E., & Sanz-Verge, A. I. (2014). Burnout and
In contrast with the Western context, we submit that these work engagement: The JD–R approach. The Annual Review of Or-
variables are of great significance in Asia’s developing econo- ganizational Psychology and Organizational Behavior, 1(1), 389–
mies (including Pakistan) because the absence of these vari- 411.
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and good-
ables in an organisation could cause high employee turnover
ness of fit in the analysis of covariance structures. Psychological
rate. Employees tend to join rival organisations or some-
Bulletin, 88(3), 588–606.
times leave the country in search of better employment. Borteyrou, X., Truchot, D., & Rascle, N. (2014). Development and
Therefore, future studies may investigate the application of validation of the work stressor inventory for nurses in Oncology:
the JD-R model in predicting an employee’s tendency to Preliminary findings. Journal of Advanced Nursing, 70(2), 443–
migrate to developed countries. 453.
Braine, R. D., & Roodt, G. (2011). The job demands-resources model
as predictor of work identity and work engagement: A compara-
tive analysis. SA Journal of Industrial Psychology, 37(2), 52–62.
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