International Journal on Science and Technology

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Moonlighting and Moral Tensions: A Study on the Dual Loyalty Dilemma and its Impact on Professional Burnout in the Healthcare Sector of Delhi NCR

Author(s) Ms. TOSHAM SINGH, Dr. Sandeep Kumar
Country India
Abstract Moonlighting in India's healthcare sector, particularly in urban areas like Delhi NCR, is increasing due to financial stress, career aspirations, and dissatisfaction with the system. This short-term profit generates a dual loyalty issue, as healthcare professionals may have multiple employer allegiances. The goal of the present study is to examine the association between moonlighting activities, dual loyalty issue and burnout experience among health care professionals in Delhi NCR. Adopted a cross-sectional design using validated scales based data were collected from 367 moonlighting health care professionals. Confirmatory factor analysis and mediation modelling was conducted using Jamovi. Findings revealed strong and statistically significant correlations; including a positive correlation between moonlighting and loyalty dilemma (β = 1.061, p < 0.001) and a strong prediction of burnout (β = 0.902, p < 0.001). Mediation analysis revealed dual loyalty explained 84.3% of the total effect of moonlighting on burnout, showing partial mediation role of dual loyalty between moonlighting and burnout. This study highlights the ethical and psychological costs of moonlighting, highlighting significant implications for workforce policy and wellbeing. It calls for institutional alternatives to avoid loyalty dilemmas and stress options to prevent burnout. The findings also serve as a basis for future longitudinal and cross-regional studies to understand ethical stressors in healthcare work, as the workforce faces more change following the COVID-19 outbreak.
Keywords Keywords: Moonlighting, Professional Burnout, Healthcare Professional, Dual Loyalty Dilemma, Ethical Conflict, Workforce Stress
Field Business Administration
Published In Volume 16, Issue 3, July-September 2025
Published On 2025-07-18
DOI https://doi.org/10.71097/IJSAT.v16.i3.7083
Short DOI https://doi.org/g9t2wx
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