ArticleJournal of nursing care quality
System-Level Improvements in Work Environments Lead to Lower Nurse Burnout and Higher Patient Satisfaction.
Article in Journal of nursing care quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 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
55 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Towards a Quality Care Climate Perspective: A Systematic Review of Associations Among Patient Experience, Patient Outcomes, and Organisational Climate Factors in Hospitals.International journal of environmental research and public health · 2026Pooled it
- Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- Meta-Analysis of Factors Associated with Occupational Therapist Burnout.Occupational therapy international · 2021Pooled it
- Mobile Mindfulness for Psychological Distress and Burnout among Frontline COVID-19 Nurses: A Pilot Randomized Trial.Annals of the American Thoracic Society · 2023Trial
- Effectiveness of Total Body Resistance Exercise Intervention on Sleep Quality Among Nursing Staff.The journal of nursing research : JNR · 2026Article
- Work environment of nurses and technicians in Brazilian Intensive Care Units during the COVID-19 pandemic: a multicenter cross-sectional study.BMC health services research · 2026Article
- Predictors of patient satisfaction with anesthesia using the Press Ganey patient satisfaction survey.Anaesthesiology intensive therapy · 2026Article
- Mentally active versus passive sedentary behaviors and burnout among nurses of China: a cross-sectional study.Frontiers in public health · 2026Article
- Latent profile analysis of nurse burnout categories and influencing factor differences among nurses in Southwest China.Frontiers in public health · 2026Article
- Network analysis of the relationships among burnout, presenteeism, and social support in Chinese pediatric nurses.Frontiers in public health · 2026Article
- Poor Patient Care Outcomes and Nurse Job Outcomes Associated With Unfavorable Intensive Care Unit and Emergency Department Nurse Work Environments: Implications for Critical Care Medicine.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2025Article
- Associations Between Nurse Staffing Levels and 30- and 60-Day Readmissions for Acute Care Patients With Intellectual and Developmental Disability.Research in nursing & health · 2025Article
- The psychosocial impact of COVID-19 mitigation measures on frontline staff providing sexual health and family planning services in Kenya: a mixed-methods study.Reproductive health · 2025Article
- Non-Pharmacological interventions for psychological stress reactions in disaster nursing rescue workers: a scoping review.BMC nursing · 2025Article
- Article
- The association between effort-reward imbalance and job burnout among emergency nurses: the moderating effect of over-commitment.Frontiers in public health · 2025Article
- Organizational Position and Structural Empowerment in Chinese Community Nursing: An Interpretive Case Study.Journal of nursing management · 2025Article
- Artificial Intelligence in Nursing: Technological Benefits to Nurse's Mental Health and Patient Care Quality.Healthcare (Basel, Switzerland) · 2024Review
- Changes in Patient Care Experiences and the Nurse Work Environment: A Longitudinal Study of U.S. Hospitals.Medical care research and review : MCRR · 2024Article
- The Challenges of Advance Care Planning for Acute Care Registered Nurses.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundBurnout among nurses is associated with lower patient satisfaction, yet few system-level solutions have been identified to improve outcomes. PURPOSE: The purpose of this study was to examine the relationship between nurse burnout and patient satisfaction and determine whether work environments are associated with these outcomes.
methodsThis study was a cross-sectional analysis of 463 hospitals in 4 states. Burnout was defined using the Maslach Burnout Inventory. Patient satisfaction was obtained from the Hospital Consumer Assessment of Healthcare Providers and Systems survey.
resultsFifty percent of hospitals where burnout is high have poor work environments, which is strongly related to lower patient satisfaction.
conclusionsHigh levels of nurse burnout are associated with lower patient satisfaction. Our findings demonstrate that hospitals can improve outcomes through investments in work environments.
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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.