ArticleJournal of general internal medicine2023
The Association of Work Overload with Burnout and Intent to Leave the Job Across the Healthcare Workforce During COVID-19.
Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 3 of them syntheses that pooled it.
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Who cites it
98 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Factors associated with suicidal ideation in healthcare personnel: a systematic review.Frontiers in psychology · 2025Pooled it
- Association Between Physical Activity and the Risk of Burnout in Health Care Workers: Systematic Review.JMIR public health and surveillance · 2024Pooled it
- A systematic review of collaborative robots for nurses: where are we now, and where is the evidence?Frontiers in robotics and AI · 2024Pooled it
- The effect of group clinical supervision on the burnout levels among midwives: a cluster randomised controlled trial.BMC pregnancy and childbirth · 2026Trial
- Digital Engagement Strategy and Health Care Worker Mental Health: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Reduction of Burnout in VA Mental Health Providers: Beyond Self Care.Community mental health journal · 2026Article
- Using an Automated Evaluation System to Improve Medical Student Evaluation Response Rate and Reduce Administrative Burden.AEM education and training · 2026Article
- Prevalence and associated factors of burnout among postgraduate trainee physicians in Bangladesh: a multicentre cross-sectional study.BMJ open · 2026Article
- Why Have All the Doctors Gone? Insights Into Early Clinical Departure Among Physicians in the United States: A National Survey.The Permanente journal · 2026Article
- Community Relationships and Physician Retention in Clinician Shortage Areas.JAMA network open · 2026Article
- Career-stage patterns in burnout and intention to leave the current hospital among obstetric physicians.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Global Trends, Inequalities, and Citation Dynamics in Burnout Research Among Healthcare Professionals: A Bibliometric Analysis (1987-2024).Healthcare (Basel, Switzerland) · 2026Review
- A Healthy Healthcare Workforce? Sick and Annual Leave Patterns in Victorian Healthcare Workers, 2012 to 2024.Journal of occupational rehabilitation · 2026Article
- Servant leadership and job satisfaction in medical assistants: mediating effect of work-life balance and burnout.Journal of health organization and management · 2026Article
- Artificial Intelligence and Clinician Burnout in the United States: A Narrative Review.Cureus · 2026Review
- Systemic Burnout in Healthcare: A Conceptual Multilevel Framework of Workforce Erosion and Institutional Fragility.Healthcare (Basel, Switzerland) · 2026Article
- Adaptation and psychometric evaluation of the Turkish version of the Thriving in Nursing Questionnaire.BMC nursing · 2026Article
- Health profession students' anxiety, depression, and imposter syndrome in a rural versus urban setting.BMC medical education · 2026Article
- Prevalence and Treatment of Anxiety and Depression Among US Healthcare Workers, 2021-2024.Journal of general internal medicine · 2026Article
- Physician Intent to Reduce Hours and Intent to Leave Organizations.JAMA network open · 2026Article
38 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBurnout has risen across healthcare workers during the pandemic, contributing to workforce turnover. While prior literature has largely focused on physicians and nurses, there is a need to better characterize and identify actionable predictors of burnout and work intentions across healthcare role types.
objectiveTo characterize the association of work overload with rates of burnout and intent to leave (ITL) the job in a large national sample of healthcare workers.
designCross-sectional survey study conducted between April and December 2020.
settingA total of 206 large healthcare organizations.
participantsPhysicians, nurses, other clinical staff, and non-clinical staff. MEASURES: Work overload, burnout, and ITL.
resultsThe sample of 43,026 respondents (mean response rate 44%) was comprised of 35.2% physicians, 25.7% nurses, 13.3% other clinical staff, and 25.8% non-clinical staff. The overall burnout rate was 49.9% (56.0% in nursing, 54.1% in other clinical staff, 47.3% in physicians, and 45.6% in non-clinical staff; p < 0.001 for difference). ITL was reported by 28.7% of healthcare workers, with nurses most likely to report ITL (41.0%), followed by non-clinical staff (32.6%), other clinical staff (32.1%), and physicians (24.3%) (p < 0.001 for difference). The prevalence of perceived work overload ranged from 37.1% among physicians to 47.4% in other clinical staff. In propensity-weighted models, work overload was significantly associated with burnout (adjusted risk ratio (ARR) 2.21 to 2.90) and intent to leave (ARR 1.73 to 2.10) across role types. LIMITATIONS: Organizations' participation in the survey was voluntary.
conclusionsThere are high rates of burnout and intent to leave the job across healthcare roles. Proactively addressing work overload across multiple role types may help with concerning trends across the healthcare workforce. This will require a more granular understanding of sources of work overload across different role types, and a commitment to matching work demands to capacity for all healthcare workers.
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