Evidence map›Paper›PMID 33870505›Full record

ArticleNursing forum2021

Primary care nurse practitioner burnout and perceptions of quality of care.

Cilgy M Abraham, Katherine Zheng, Allison A Norful, Affan Ghaffari, Jianfang Liu, Lusine Poghosyan

Open access · greenAbstract read
In one paragraph

Article in Nursing forum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Impact of coping on resilience among nurse practitioners in Taiwan.Journal of the American Association of Nurse Practitioners · 2026
    Article
  5. Article
  6. Job preference of nurse practitioners: A simulation approach.International journal of nursing studies advances · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Burnout among Nurses: A Bibliometric Analysis of the Global Publications.Psychology research and behavior management · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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 1 institution in 1 country.

Cilgy M AbrahamColumbia University School of Nursing, New York, New York, USA.ORCID https://orcid.org/0000-0003-0328-6465
Katherine ZhengColumbia University School of Nursing, New York, New York, USA.
Allison A NorfulColumbia University School of Nursing, New York, New York, USA.
Affan GhaffariColumbia University School of Nursing, New York, New York, USA.
Jianfang LiuColumbia University School of Nursing, New York, New York, USA.
Lusine PoghosyanStone Foundation and Elise D. Fish Professor of Nursing, New York, New York, USA.
Columbia University · US

Funding

Racial and Ethnic Disparities in Chronic Disease Outcomes and Nurse Practitioner PracticeR01MD011514 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI POGHOSYAN, LUSINE · 2017 to 2020
$3.0M
Practice Environments and Electronic Health Records Use in Primary Care: Reducing Nurse Practitioner BurnoutR36HS027290 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ABRAHAM, CILGY · 2020 to 2020
$42k
Agency for Healthcare Research and Quality R36HS027290AHRQ HHS R36 HS027290Jonas Center for Nursing and Veterans Healthcare Jonas-Blaustein Scholars ProgramNIMHD NIH HHS R01 MD011514NIMHD NIH HHS R01MD011514Robert Wood Johnson Foundation Future of Nursing Scholars Program
6 · The paper itself

Abstract

backgroundBurnout threatens patient care and clinicians are experiencing challenges within the practice environment. Little is known about nurse practitioner (NP) perceptions of burnout and its relationship to care quality and practice environment. We investigate the relationship between primary care NP burnout on perceptions of care quality and if the practice environment moderates the relationship between burnout and care quality.

methodsThis is a secondary analysis of cross-sectional survey data from 396 NPs. Burnout and care quality were measured using a single item, but the practice environment was measured using the Nurse Practitioner Primary Care Organizational Climate Questionnaire. Multi-level proportional odds cumulative logit models were built to test for associations between burnout and care quality and for moderation.

resultsTotal, 25.3% of NPs reported burnout. Odds of perceiving higher quality of care was 85% less for NPs experiencing burnout compared to those not experiencing burnout. Practice environment did not moderate the relationship between burnout and care quality, but with a one unit increase in the practice environment subscales, the odds of NPs perceiving higher care quality increased anywhere from 3.83 to 7.57 times.

conclusionBurnout is related to lower perceptions of care quality but favorable environments were related to higher perceptions of quality.

Indexed as

Burnout, ProfessionalNurse PractitionersCross-Sectional StudiesHumansPerceptionPrimary Health CareQuality of Health Careburnoutnurse practitionersPrimary Health Carequality of care

Identifiers

PMID33870505
PMCPMC8349831
OpenAlexW3153363617

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.