Evidence map›Paper›PMID 31768129›Full record

ArticleBMC nursing2019

A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses.

Liselotte N Dyrbye, Tait D Shanafelt, Pamela O Johnson, Le Ann Johnson, Daniel Satele, Colin P West

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 124 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 5 pooled it
48.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05326802 completednot on this mapstarted 2022, after this paper: background citation

Occupational Physical and Mental Health Issues Experienced by U.S. Embryologists

TypeobservationalSponsorTMRW Life SciencesRan2022 to 2022Enrolled246ConditionsFatigue, Stress, Burnout, Professional, Musculoskeletal Pain
NCT05708963 completednot on this mapstarted 2023, after this paper: background citation

Occupational Physical Health Issues, Stress, Fatigue, and Burnout Experienced by U.K. Embryologists

TypeobservationalSponsorTMRW Life SciencesRan2023 to 2023Enrolled123ConditionsFatigue, Stress, Burnout, Professional, Musculoskeletal Pain
NCT06192368 nacompletednot on this mapstarted 2024, after this paper: background citation

Acceptability, Feasibility, and Preliminary Effects of a Virtual Reality (VR) Program to Reduce Stress in Neonatal Intensive Care Unit Nurses

TypeinterventionalSponsorSt. Justine's HospitalRan2024 to 2025Enrolled18ConditionsVirtual Reality, Stress, Stress, Work PlaceArmsINSPIRE, Tablet
3 · Its place in the literature

Who cites it

124 citing papers in PubMed, 5 syntheses or guidelines pooled it, 314 citations in OpenAlex.

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  4. Exploring the relationship between electronic health records and provider burnout: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021
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  10. Dental Educators' Stress and Wellbeing in the Workplace-An International Perspective.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Liselotte N Dyrbye1Mayo Clinic Program on Physician Well-Being, Mayo Clinic, 200 First Street SW, Rochester, MN 55905 USA.ORCID 0000-0002-7820-704X
Tait D Shanafelt2Stanford School of Medicine, Stanford, CA USA.
Pamela O Johnson3Department of Nursing, Mayo Clinic, Rochester, MN USA.
Le Ann Johnson3Department of Nursing, Mayo Clinic, Rochester, MN USA.
Daniel Satele4Department of Health Sciences Research, Mayo Clinic, Rochester, MN USA.
Colin P West1Mayo Clinic Program on Physician Well-Being, Mayo Clinic, 200 First Street SW, Rochester, MN 55905 USA.
Mayo Clinic · USMayo Clinic in Florida · USStanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies suggest a high prevalence of burnout among nurses. The aim of this study was to evaluate the relationship between burnout among nurses and absenteeism and work performance.

methodsA national sample of U.S. nurses was sent an anonymous, cross-sectional survey in 2016. The survey included items about demographics, fatigue, and validated instruments to measure burnout, absenteeism, and poor work performance in the last month.

resultsOf the 3098 nurses who received the survey, 812 (26.2%) responded. The mean age was 52.3 years (SD 12.5), nearly all were women (94.5%) and most were married (61.9%) and had a child (75.2%). Participating nurses had a mean of 25.7 (SD 13.9) years of experience working as nurse and most held a baccalaureate (38.2%) or masters of science (37.1%) degree in nursing. A quarter worked in the inpatient setting (25.5%) and the average hours worked per week was 41.3 (SD 14.1). Overall, 35.3% had symptoms of burnout, 30.7% had symptoms of depression, 8.3% had been absent 1 or more days in the last month due to personal health, and 43.8% had poor work performance in the last month. Nurses who had burnout were more likely to have been absent 1 or more days in the last month (OR 1.85, 95% CI 1.25-2.72) and have poor work performance (referent: high performer; medium performer, OR 2.68,95% CI 1.82-3.99; poor performer, OR 5.01, 95% CI 3.09-8.14). After adjusting for age, sex, relationship and parental status, highest academic degree, practice setting, burnout, depression, and satisfaction with work-life integration, nurses who were more fatigued (for each point worsening, OR 1.22, 95% CI 1.10-1.37) were more likely to have had absenteeism while those who worked more hours (for each additional hour OR 0.98, 95% CI 0.96-1.00) were less likely to have had absenteeism. Factors independently associated with poor work performance included burnout (OR 2.15, 95% CI 1.43-3.24) and fatigue (for each point of worsening, OR 1.22, 95% CI 1.12-1.33).

conclusionsThese findings suggest burnout is prevalent among nurses and likely impacts work performance.

Indexed as

AbsenteeismBurnout, psychologicalJob performanceNursesPresenteeism

Identifiers

PMID31768129
PMCPMC6873742
OpenAlexW2990844353

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.