Proposes that troublesome environmental events involving clients, coworkers, and workplace conditions lead to strain, defined as emotional exhaustion/burnout, which then mediates relationship to negative outcomes like job dissatisfaction an intention to quit. Stress modulates the strain effects, while social support and personal accomplishment may buffer them.

Developed by Gary F. Koeske and Randi D. Koeske (1993). Branches from Stress process theory.