Evidence map›Paper›PMID 33966312›Full record

ArticleJournal of nursing management2021

Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: A cross-sectional online survey among nurses.

Edris Kakemam, Zahra Chegini, Amin Rouhi, Forouzan Ahmadi, Soheila Majidi

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nursing management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 5 pooled it
36.9field-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.

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

74 citing papers in PubMed, 5 syntheses or guidelines pooled it, 158 citations in OpenAlex.

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  5. Interventions to Increase Patient Safety in Long-Term Care Facilities-Umbrella Review.International journal of environmental research and public health · 2022
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  17. Coping strategies among acute and critical care nurses: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025
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14 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

5 authors at 4 institutions in 1 country.

Edris KakemamDepartment of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID https://orcid.org/0000-0001-7721-6924
Zahra CheginiSocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.ORCID https://orcid.org/0000-0001-9125-9453
Amin RouhiDepartment of Educational Sciences and Psychology, Hamadan Science and Research Branch, Islamic Azad University, Hamadan, Iran.
Forouzan AhmadiDeputy of Treatment, Hamadan University of Medical Sciences, Hamadan, Iran.ORCID https://orcid.org/0000-0002-4414-3420
Soheila MajidiDistrict Health Center of Hamadan City, Hamadan University of Medical Sciences, Hamadan, Iran.ORCID https://orcid.org/0000-0002-3236-2714
Hamedan University of Medical Sciences · IRIslamic Azad University, Science and Research Branch · IRQazvin University of Medical Sciences · IRTabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo assess nurses' burnout and its association with their perceived quality of patient care and occurrence of adverse events (AEs) during COVID-19.

backgroundBurnout is a serious problem among nursing staff internationally with negative impacts on the quality of care and patient safety.

methodsWe conducted a cross-sectional online study among 1,004 Iranian nurses through the convenience sampling technique. Data were collected using the Maslach Burnout Inventory, five items of questions related to self-reported poor patient care quality and estimated occurrence of AEs.

resultsPrevalence of high burnout among nurses was 31.5%. The risk of AEs ranged from 26.1% to 71.7%. Self-reported quality of patient care was found to be poor. A positive correlation was found between emotional exhaustion and depersonalization scores and patient care quality, whereas a negative correlation was found between personal accomplishment scores and all poor care item scores. Depersonalization was found to increase the risk of the onset of all AEs (odds ratio [OR] = 1.06-1.08). Also, Personal accomplishmentreduced the risk of occurrence of 'medication errors' (OR = 0.99) and the onset of 'patient and their family verbal abuse' (OR = 0.97).

conclusionsOur findings confirmed the hypothesis that a higher degree of burnout is correlated with a perceived higher number of AEs and reduced perceived patient care quality. IMPLICATIONS FOR NURSING MANAGEMENT: Reducing burnout among nurses through implementing interventions may be an effective strategy to enhance patient care quality and reduce the number of AEs in Iranian public hospitals. Therefore, in order to minimize work burnout, primary approaches include access to psychosocial support, including Web-based services, psychological first aid, mental support hotlines and self-care techniques during the COVID-19 pandemic.

Indexed as

Burnout, ProfessionalCOVID-19NursesBurnout, PsychologicalCross-Sectional StudiesHumansIranPandemicsPatient CareSARS-CoV-2Self ReportSurveys and Questionnairesadverse eventburnoutpatient safetyquality of care

Identifiers

PMID33966312
PMCPMC8237033
OpenAlexW3160970659

What OpenQuestion holds

Textmetadata
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.