Burnout y su relación con la toma de decisiones, el desempeño y la efectividad del liderazgo según el nivel jerárquico: una revisión sistemática

Autores/as

DOI:

https://doi.org/10.26439/pjm2026.n003.7938

Palabras clave:

burnout, toma de decisiones, niveles jerárquicos, desempeño laboral, liderazgo, funciones cognitivas

Resumen

Objetivos: analizar sistemáticamente cómo el burnout se relaciona con la toma de decisiones y la efectividad del liderazgo a lo largo de los niveles jerárquicos (operativo, intermedio y alta dirección), identificando factores psicológicos y contextuales moduladores. Metodología: se realizó una revisión sistemática PRISMA (Scopus, Web of Science y Google Scholar), se hallaron diecinueve estudios empíricos (2015-2025) y se añadió un análisis bibliométrico (VOSviewer) para mapear clústeres temáticos. Resultados: en roles operativos, el burnout deteriora funciones ejecutivas clave para decidir (atención, memoria de trabajo); en mandos intermedios, se asocia con aversión al riesgo y menor liderazgo orientado a metas; y, en alta dirección, reduce la claridad cognitiva y se vincula con peores resultados organizacionales. Estos efectos se agravan por un liderazgo autoritario, una centralización excesiva, escaso apoyo y silencio organizacional. Implicancias prácticas: priorización de intervenciones por nivel (pausas y rediseño de turnos en el nivel operativo; coaching y cargas realistas en mandos intermedios; métricas de bienestar en los KPI ejecutivos), formación de líderes para gestionar estrés y participación de trabajadores en decisiones. Implicancias sociales: reducir burnout mejora la seguridad del paciente/cliente, retiene el talento y la confianza institucional; mientras que las políticas de salud mental en el trabajo (OMS/OIT) pueden disminuir desigualdades y fortalecer culturas organizacionales saludables. Originalidad/valor: este trabajo recopila información sobre cómo el burnout se relaciona con la toma de decisiones según el nivel jerárquico, integrando evidencia psicológica y organizacional. Su enfoque dual (revisión sistemática y bibliometría) ofrece una visión estructural del campo, identifica vacíos y propone intervenciones específicas. Los hallazgos muestran al burnout como riesgo sistémico, con implicaciones para políticas de bienestar y formación de líderes.

Descargas

Los datos de descarga aún no están disponibles.

Referencias

Abuaddous, M., Bataineh, H., & Alabood, E. M. (2018). Burnout and auditor’s judgment decision making: An experimental investigation into control risk assessment. Academy of Accounting and Financial Studies Journal, 22(4). https://bit.ly/44SqRWR

Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. https://doi.org/10.1080/1364557032000119616

Bakker, A. B., & Demerouti, E. (2007). The job demands–resources model: State of the art. Journal of Managerial Psychology, 22(3), 309-328. https://doi.org/10.1108/02683940710733115

Bhanja, A., Hayirli, T., Stark, N., Hardy, J., Peabody, C. R., & Kerrissey, M. (2022). Team and leadership factors and their relationship to burnout in emergency medicine during COVID-19: A 3-wave cross-sectional study. Journal of the American College of Emergency Physicians Open, 3(4), e12761. https://doi.org/10.1002/emp2.12761

Brooks, P. J., Ripoll, P., Sánchez, C., & Torres, M. (2023). Coaching leaders toward favorable trajectories of burnout and engagement. Frontiers in Psychology, 14, 1259672. https://doi.org/10.3389/fpsyg.2023.1259672

Calderón, V., Mogul Wyman, A., & Miller, G. (2024). Preliminary findings from a pilot professional coaching program on the components of burnout in a diverse group of physician leaders. Global Advances in Integrative Medicine and Health, 13. https://doi.org/10.1177/27536130241296088

Ceschi, A., Demerouti, E., Sartori, R., & Weller, J. (2017). Decision-making processes in the workplace: How exhaustion, lack of resources and job demands impair them and affect performance. Frontiers in Psychology, 8. https://doi.org/10.3389/fpsyg.2017.00313

Chow, Y. K., Masiak, J., Mikołajewska, E., Mikołajewski, D., Wójcik, G. M., Wallace, B., Eugene, A., & Olajossy, M. (2018). Limbic brain structures and burnout: A systematic review. Advances in Medical Sciences, 63(1), 192-198. https://doi.org/10.1016/j.advms.2017.11.004

Corbin, C. M., Lyon, A. R., Collins, V. K., Ehrhart, M. G., Goosey, R., & Locke, J. (2024). The incremental association of implementation leadership and school personnel burnout beyond transformational leadership. School Psychology, 39(3), 269-279. https://doi.org/10.1037/spq0000577

Donthu, N., Kumar, S., Mukherjee, D., Pandey, N., & Lim, W. M. (2021). How to conduct a bibliometric analysis: An overview and guidelines. Journal of Business Research, 133,

285-296. https://doi.org/10.1016/j.jbusres.2021.04.070

Fernández-Sánchez, J. C., Pérez-Mármol, J. M., Santos-Ruiz, A. M., Pérez-García, M., & Peralta-Ramírez, M. I. (2018). Burnout y funciones ejecutivas en personal sanitario de cuidados paliativos: influencia del desgaste profesional sobre la toma de decisiones. Anales del Sistema Sanitario de Navarra, 41(2), 171-180. https://doi.org/10.23938/ASSN.0308

Gasparyan, A. Y., Ayvazyan, L., Blackmore, H., & Kitas, G. D. (2011). Writing a narrative biomedical review: Considerations for authors, peer reviewers, and editors. Rheumatology International, 31, 1409-1417. https://doi.org/10.1007/s00296-011-1999-3

Gavelin, H. M., Domellöf, M. E., Åström, E., Nelson, A., Launder, N. H., Stigsdotter Neely, A., & Lampit, A. (2021). Cognitive function in clinical burnout: A systematic review and meta-analysis. Work & Stress, 36(1), 86-104. https://doi.org/10.1080/02678373.2021.2002972

Groulx, P., Maisonneuve, F., Harvey, J. F., & Johnson, K. J. (2024). The ripple effect of strain in times of change: How manager emotional exhaustion affects team psychological safety and readiness to change. Frontiers in Psychology, 15, 1298104. https://doi.org/10.3389/fpsyg.2024.1298104

Johnson, T., & Shamroukh, S. (2024). Predictive modeling of burnout based on organizational culture perceptions among health systems employees. Scientific Reports, 14, 6083. https://doi.org/10.1038/s41598-024-56771-2

Kalun, P., Dunn, K., Wagner, N., Pulakunta, T., & Sonnadara, R. (2020). Recent evidence on visual-spatial ability in surgical education: A scoping review. Canadian Medical Education Journal, 11(6), e111-e127. https://doi.org/10.36834/cmej.69051

Kensbock, J. M., & Stöckmann, C. (2024). Is transformational leadership a cure for burnout? It depends! The influential roles of followers’ fear of failure and their cooperative and competitive behavior. Strategic Change, 34(3), 371-501. https://doi.org/10.1002/jsc.2627

Khammissa, R. A. G., Nemutandani, S., Feller, G., Lemmer, J., & Feller, L. (2022). Burnout phenomenon: Neurophysiological factors, clinical features, and aspects of management. The Journal of International Medical Research, 50(9). https://doi.org/10.1177/03000605221106428

Kiratipaisarl, W., Surawattanasakul, V., & Sirikul, W. (2024). Individual and organizational interventions to reduce burnout in resident physicians: A systematic review and meta-analysis. BMC Medical Education, 24, 1234. https://doi.org/10.1186/s12909-024-06195-3

Koutsimani, P., Montgomery, A., & Georganta, K. (2019). The relationship between burnout, depression, and anxiety: A systematic review and meta-analysis. Frontiers in Psychology, 10, 284. https://doi.org/10.3389/fpsyg.2019.00284

Lundmark, R., Tafvelin, S., & Stenling, A. (2023). Depleting pathways of self-sacrificial and laissez-faire leadership. International Journal of Stress Management, 30(4), 376-387. https://doi.org/10.1037/str0000305

McPherson, K., Barnard, J. G., Tenney, M., Dorsey Holliman, B., Morrison, K., Kneeland, P., Lin, C.-T., & Moss, M. (2022). Burnout and the role of authentic leadership in academic medicine. BMC Health Services Research, 22, 627. https://doi.org/10.1186/s12913-022-08034-x

Michailidis, E., & Banks, A. P. (2016). The relationship between burnout and risk-taking in workplace decision-making and decision-making style. Work & Stress, 30(3), 278-292. https://doi.org/10.1080/02678373.2016.1213773

Mokhtar, A., & Yunus, N. M. (2023). Staff burnout and leadership styles towards job performance during critical period. Information Management and Business Review,

15(2(I)SI), 173-185. https://doi.org/10.22610/imbr.v15i2(I)SI.3418

Müller, M., & Kubátová, J. (2025). A systematic review of managerial burnout and personal crisis: Navigating the interplay of individual, organizational, and environmental factors. German Journal of Human Resource Management: Zeitschrift Für Personalforschung. https://doi.org/10.1177/23970022251315650

Mullin, R. A., Hota, S. S., & Bearman, G. (2023). Leading teams while exhausted: Perspectives from healthcare epidemiology and beyond. Antimicrobial Stewardship & Healthcare Epidemiology, 3(1), e50. https://doi.org/10.1017/ash.2022.25

NooriSamarin, S., Arshadi, N., Hashemi, S. E., & Naami, A. (2021). The causal relationship of the centralized decision-making and workplace mobbing with job burnout considering the mediating role of organizational silence. Psychological Models and Methods, 11(42), 73-87. https://dorl.net/dor/20.1001.1.22285516.1399.11.42.6.2

Page, M., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E. Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A. Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., ... & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. The BMJ, 372. https://doi.org/10.1136/bmj.n71

Scholze, A., & Hecker, A. (2024). The job demands-resources model as a theoretical lens for the bright and dark side of digitization. Computers in Human Behavior, 155, 108177. https://doi.org/10.1016/j.chb.2024.108177

Shanafelt, T. D., Makowski, M. S., Wang, H., Bohman, B., Leonard, M., Harrington, R. A., Minor, L., & Trockel, M. (2020). Association of burnout, professional fulfillment, and self-care practices of physician leaders with their independently rated leadership effectiveness. JAMA Network Open, 3(6), e207961. https://doi.org/10.1001/jamanetworkopen.2020.7961

Sirén, C., Patel, P. C., Örtqvist, D., & Wincent, J. (2018). CEO burnout, managerial discretion, and firm performance: The role of CEO locus of control, structural power, and organizational factors. Long Range Planning, 51(6), 953-971. https://doi.org/10.1016/j.lrp.2018.05.002

Taube, M. E., Carlotto, M. S., Gondim, S. M. G., & Carvalho, C. (2024). Burnout syndrome and emotional labor in leaders and subordinates: A dyad analysis. Social Sciences, 13(4), 211. https://doi.org/10.3390/socsci13040211

Van Eck, N. J., & Waltman, L. (2010). Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics, 84, 523-538. https://doi.org/10.1007/s11192-009-0146-3

Woo, T., Ho, R., Tang, A., & Tam, W. (2020). Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. Journal of Psychiatric Research, 123, 9-20. https://doi.org/10.1016/j.jpsychires.2019.12.015

World Health Organization. (2019, 28 de mayo). Burn-out an “occupational phenomenon”: International classification of diseases (ICD-11). https://bit.ly/43tQH0V

World Health Organization. (2022). Guidelines on mental health at work. https://www.who.int/publications/i/item/9789240053052

World Health Organization & International Labour Organization. (2022). Mental health at work: Policy brief. https://www.who.int/publications/i/item/mental-health-at-work-policy-brief

Yacoubian, A., Demerouti, E., Degheili, J. A., & El Hajj, A. (2023). A survey-based study about burnout among postgraduate medical trainees: Implications for leaders in healthcare management. Frontiers in Public Health, 11, 1209191. https://doi.org/10.3389/fpubh.2023.1209191

Yudha, A. K., Leelawat, N., & Tang, J. (2025). A systematic review and bibliometric analysis of the impacts of COVID-19 on economy and mobility from the geospatial data perspective. Results in Engineering, 26, 105282. https://doi.org/10.1016/j.rineng.2025.105282

Zia, S., Ahmad, M. A., & Tariq, A. (2023). How job burnout Impacts the goal-focused leader behavior with the mediating role of supervisor’s bottom-line mentality. Journal of Social Sciences Review, 3(2), 282-296. https://doi.org/10.54183/jssr.v3i2.261

Zupic, I., & Čater, T. (2015). Bibliometric methods in management and organization. Organizational Research Methods, 18(3), 429-472. https://doi.org/10.1177/1094428114562629

Descargas

Publicado

2026-02-24

Cómo citar

Burnout y su relación con la toma de decisiones, el desempeño y la efectividad del liderazgo según el nivel jerárquico: una revisión sistemática. (2026). Peruvian Journal of Management (PJM), 003, 51-76. https://doi.org/10.26439/pjm2026.n003.7938