Observational studyJournal of perinatology : official journal of the California Perinatal Association2017
Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.
Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Management strategies to mitigate burnout and turnover intention while enhancing patient safety in neonatal intensive care: an integrative review.Frontiers in public health · 2026Pooled it
- Automated oxygen delivery for preterm infants with respiratory dysfunction.The Cochrane database of systematic reviews · 2023Pooled it
- Risk Factors of Nosocomial Infection for Infants in Neonatal Intensive Care Units: A Systematic Review and Meta-Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2019Pooled it
- Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis.Annals of internal medicine · 2019Pooled it
- Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2019Pooled it
- Evaluation of virtual reality-based meditation as a tool to mitigate stress among parents and providers in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Qualitative Verification of Machine Learning-Based Burnout Predictors in Primary Care Physicians: An Exploratory Study.Applied clinical informatics · 2025Article
- Artificial Intelligence in Nursing: Technological Benefits to Nurse's Mental Health and Patient Care Quality.Healthcare (Basel, Switzerland) · 2024Review
- Association of Shift-Level Organizational Factors with Nosocomial Infection in the Neonatal Intensive Care Unit.Journal of pediatrics. Clinical practice · 2024Article
- Exploring Missed Nursing Care in the NICU: Perspectives of NICU Nurses in Saudi Arabia's Eastern Health Cluster.Pediatric reports · 2023Article
- Post-traumatic stress symptoms and burnout in healthcare professionals working in neonatal intensive care units: Results from the STRONG study.Frontiers in psychiatry · 2023Article
- Moral Distress and Burnout in Neonatal Intensive Care Unit Healthcare Providers: A Cross-Sectional Study in Italy.International journal of environmental research and public health · 2022Article
- Infections, accidents and nursing overtime in a neonatal intensive care unit.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Changing safety culture.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers during the COVID-19 pandemic.Nursing open · 2021Article
- Racial and Economic Neighborhood Segregation, Site of Delivery, and Morbidity and Mortality in Neonates Born Very Preterm.The Journal of pediatrics · 2021Article
- Microbial Contamination in Hospital Environment Has the Potential to Colonize Preterm Newborns' Nasal Cavities.Pathogens (Basel, Switzerland) · 2021Article
- Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- The association between nurses' burnout and objective care quality indicators: a cross-sectional survey in long-term care wards.BMC nursing · 2021Article
- The Collateral Impact of COVID-19 Emergency on Neonatal Intensive Care Units and Family-Centered Care: Challenges and Opportunities.Frontiers in psychology · 2021Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveTo examine burnout prevalence among California neonatal intensive care units (NICUs) and to test the relation between burnout and healthcare-associated infection (HAI) rates in very low birth weight (VLBW) neonates. STUDY
designRetrospective observational study of provider perceptions of burnout from 2073 nurse practitioners, physicians, registered nurses and respiratory therapists, using a validated four-item questionnaire based on the Maslach Burnout Inventory. The relation between burnout and HAI rates among VLBW (<1500 g) neonates from each NICU was evaluated using multi-level logistic regression analysis with patient-level factors as fixed effects.
resultsWe found variable prevalence of burnout across the NICUs surveyed (mean 25.2±10.1%). Healthcare-associated infection rates were 8.3±5.1% during the study period. Highest burnout prevalence was found among nurses, nurse practitioners and respiratory therapists (non-physicians, 28±11% vs 17±19% physicians), day shift workers (30±3% vs 25±4% night shift) and workers with 5 or more years of service (29±2% vs 16±6% in fewer than 3 years group). Overall burnout rates showed no correlation with risk-adjusted rates of HAIs (r=-0.133). Item-level analysis showed positive association between HAIs and perceptions of working too hard (odds ratio 1.15, 95% confidence interval 1.04-1.28). Sensitivity analysis of high-volume NICUs suggested a moderate correlation between burnout prevalence and HAIs (r=0.34).
conclusionBurnout is most prevalent among non-physicians, daytime workers and experienced workers. Perceptions of working too hard associate with increased HAIs in this cohort of VLBW infants, but overall burnout prevalence is not predictive.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.