ArticlePolicy, politics & nursing practice2025
Lower Burnout Among Hospital Nurses in California Attributed to Better Nurse Staffing Ratios.
Article in Policy, politics & nursing practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mindfulness-Based Interventions for Nurses: A Meta-Analysis of Effects on Compassion Fatigue, Job Burnout, and Traumatic Stress.International nursing review · 2026Pooled it
- Impact of Nurse Staffing Policy on Nurse Outcomes in Intensive Care Units: A National Longitudinal Study in the United States.Nursing in critical care · 2026Article
- Building, Recruiting and Retaining the Hospital Nursing Workforce: An International Policy-Oriented Narrative Review of Workforce Pipeline Interventions (2016-2026).International nursing review · 2026Review
- Safe Minimum Nurse Staffing Requirements for Hospitals: Evidence From Pennsylvania.Medical care · 2026Observational
- Association of nurse staffing ratios with patient mortality and length of stay in Chilean public hospitals: a cross-sectional study.BMJ open · 2026Article
- Understanding burnout and engagement during medical residency: a multifactorial and longitudinal approach.BMC medical education · 2026Article
- Association of Emergency Department and Medical-Surgical Nurse Staffing on Patient Departures Against Medical Advice.Journal of emergency nursing · 2026Article
- "It isn't an adverse event": junior nurses' perceptions of adverse events and attribution of causes.BMC nursing · 2025Article
- Nurse Staffing and Patient Outcomes: A Call to Action for Chronic Wound Care Policy Reform.Advances in wound care · 2025Article
- Informing Hospital Physician Well-Being Interventions in Europe and the US.JAMA network open · 2025Article
- Minimum nurse staffing policy intervention in Queensland Australia improved nurse wellbeing and patient safety: A quasi-experimental intervention study.International journal of nursing studies · 2025Article
- Association between nursing work environment, burnout, and turnover intention: A cross-sectional study in Greece.AIMS public health · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Hospital nurses report that improving patient-to-nurse staffing ratios is a priority intervention to improve their well-being. In 2004, California became the first state to implement a hospital-wide policy mandating safe staffing ratios. This cross-sectional study determined whether nurses in California hospitals exposed to a staffing policy ("California advantage") experienced lower nurse burnout compared to those in hospitals not exposed, and whether part of the differences in burnout can be attributed to better hospital staffing. Nurse job outcomes (burnout [primary], job dissatisfaction, and intent to leave [secondary]), and nurse staffing variables were derived from the RN4CAST-US 2016 survey of 14,518 registered nurses in California, Florida, New Jersey, and Pennsylvania in 463 hospitals. Nurses in California had lower burnout, job dissatisfaction, and intentions to leave their employer, as compared to nurses in other states (
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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.