ArticleInternational journal of environmental research and public health2021
Leveraging the Work Environment to Minimize the Negative Impact of Nurse Burnout on Patient Outcomes.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 6 of them syntheses that pooled it.
What it found
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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
73 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Pooled it
- Systematic review of well-being interventions for minority healthcare workers.Frontiers in medicine · 2025Pooled it
- Is Leadership a Resource? A Systematic Review of Its Role in Burnout and Engagement Among Nurses Within the JD-R Model.Journal of nursing management · 2025Pooled it
- Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- An exploration of the psychological impact and support needs of nurses during a pandemic: A qualitative systematic review.Nursing open · 2023Pooled it
- Psychological responses of hospital-based nurses working during the COVID-19 pandemic in the United States: A cross-sectional study.Applied nursing research : ANR · 2022Pooled it
- The Association Between the Nursing Practice Environment and Culturally Competent Behaviors Among Surgical Nurses in Riyadh, Saudi Arabia: A Multicenter Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Identifying Elements of a School Nurse's Work Environment That Are Salient to Their Job Outcomes: A Scoping Review.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026Review
- Development and Validation of a Decent Work Scale for Hospital Nurses: An Experiential Perspective on Working Conditions.Nursing reports (Pavia, Italy) · 2026Article
- The association between unfinished care and risk of burnout in nursing homes and the moderating role of managerial support - a cross-sectional multicenter study.BMC geriatrics · 2026Observational
- 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
- Burnout and patient safety: navigating between exaggerated evidence and warranted assertability.Frontiers in psychology · 2026Review
- Mentally active versus passive sedentary behaviors and burnout among nurses of China: a cross-sectional study.Frontiers in public health · 2026Article
- Emotional and Organizational Factors in Nurse Well-Being: A Cross-Sectional Study.Journal of nursing management · 2026Article
- Virtual Nursing for the Care of Hospitalized Patients.JAMA network open · 2025Article
- 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
- Interpersonal goals and social support network: examining the relation between perceived network density and burnout among nurses.BMC psychology · 2025Article
- Reasons for the Intention to Leave among Nurses Working in Internal Medicine and Surgery Departments of Slovenian Hospitals - A Cross Sectional Study.Zdravstveno varstvo · 2025Article
- Association of Nurse Work Environment, Staffing, and Skill Mix With Length of Stay for Patients With Intellectual and Developmental Disabilities.Medical care · 2025Article
- Models for delivery and co-ordination of primary or secondary healthcare (or both) to older adults living in aged care facilities.Primary health care research & development · 2025Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundBurnout remains a persistent issue affecting nurses across the US health system. Limited evidence exists about the direct impact of nurse burnout on patient outcomes. This study explores the relationship between nurse burnout and mortality, failure to rescue, and length of stay, while also considering the effect of a good work environment.
methodsCross sectional data from nurses and hospitals were used in conjunction with patient claims data. Multivariate logistic regression was used to study the relationship between nurse burnout, patient outcomes, the work environment, and Magnet status.
resultsHigher odds of patient mortality, failure to rescue, and prolonged length of stay were found in hospitals that had, on average, higher nurse burnout scores. Good work environments were found to attenuate the relationship between nurse burnout and mortality, failure to rescue, and length of stay. Magnet status, another indicator of a good work environment, was found to attenuate the relationship between nurse burnout and mortality and failure to rescue.
conclusionsImproving the work environment remains a solution for hospitals looking to concurrently improve nurse burnout and patient outcomes. Administrators may look to the Magnet recognition program as a blueprint to better support nurses in providing safe, high quality care.
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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.