Evidence map›Paper›PMID 40771232›Full record

ArticleFrontiers in public health2025

Work stress and burnout among radiology nurses: a cross-sectional study on the mediating role of effort-reward imbalance.

ChunQiao Wu, Qian Sun, Ping Liu, Jianbo Ni, Jianhua Gu

Abstract readMulticenter Study
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

5 authors.

ChunQiao WuDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Qian Sun *Department of Radiology, Qilu Hospital of Shandong University (Qingdao), Qingdao, Shandong, China.
Ping Liu *Department of Medical Imaging, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Jianbo NiDepartment of Radiology, Qilu Hospital of Shandong University (Qingdao), Qingdao, Shandong, China.
Jianhua GuDepartment of Emergency Medicine, Qilu Hospital of Shandong University, Jinan, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Radiology nurses face escalating occupational stressors associated with technological advancements and expanding clinical roles; however, evidence on burnout determinants in this specialized population remains limited. This study investigated the interplay between work stress, effort-reward imbalance (ERI), and burnout among radiology nurses, emphasizing the mediating role of ERI. Methods: This multi-center cross-sectional study enrolled 219 radiology nurses from six tertiary hospitals in China (January-March 2024). Validated instruments were used to assess work stress (Nurse Stressor Scale), ERI (Effort-Reward Imbalance Scale), and burnout (Maslach Burnout Inventory-General Survey). Structural equation modeling (SEM) was used to evaluate the mediation pathways, with covariates adjusted via multivariate logistic regression. Results: The participants presented elevated stress (59.22 ± 6.45), ERIs (mean ratio = 1.26 ± 0.82; 68.9% with ERI values >1), and near-clinical burnout levels (composite score = 3.17 ± 1.18). Emotional exhaustion (3.55 ± 1.95) was predominant. High stress (OR = 6.57, 95% CI = 3.58-12.04) and ERI (OR = 9.92, 95% CI=4.99-19.75) independently predicted moderate-to-severe burnout (38.8% prevalence). Nurses with prolonged weekly hours (65.85 ± 7.69 vs. 60.38 ± 6.22, Conclusion: Chronic work stress and perceived effort-reward imbalance synergistically exacerbate burnout risk among radiology nurses, with the ERI mediating nearly half of the impact of stress. Targeted interventions addressing both technical demands and psychosocial inequities-particularly reward systems and workload equity-are urgently needed to mitigate occupational health crises in high-precision health care settings.

Indexed as

Burnout, ProfessionalNursesNursing Staff, HospitalOccupational StressRadiologyRewardAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesWorkloadburnouteffort-reward imbalanceoccupational stressradiology nursingstructural equation modeling

Identifiers

PMID40771232
PMCPMC12325210

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.