Evidence map›Paper›PMID 40830785›Full record

SynthesisBMC public health2025

The impact of health emergencies on nurses' burnout: a systematic review and meta-analysis.

Yinxia Liang, Hongbin Peng, Xia Luo, Min Wang, Yun Zhang, Haimei Huang, Jiawen Zhu, Mei Chen, Weiyi Tian, Jinli Mo and 7 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

17 authors.

Yinxia Liang *School of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Hongbin Peng *School of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Xia Luo *School of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Min WangSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Yun ZhangSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Haimei HuangSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Jiawen ZhuSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Mei ChenSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Weiyi TianSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Jinli MoSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Yuhong NongSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Yangfang WangSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Yingqiong HuangSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Sumin TanThe Second Affiliated Hospital, Guangxi Medical University, 166 Daxue East Road, Nanning, Guangxi, 530007, China.
Li JiangSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China.
Wei PanDuke University School of Nursing, Durham, NC, 27710, USA. wei.pan@duke.edu.
Chuanyi NingSchool of Nursing, Guangxi Medical University, 8 Shuangyong Road, Nanning, Guangxi, 530021, China. ningchuanyi@126.com.

Funding

Guangxi Key Laboratory of Major Infectious Disease Prevention and Control and Biosafety Emergency Response GKLKP-KF-202202Outstanding Youth Fund of The Natural Science Foundation of Guangxi in China 2023GXNSFFA026007
6 · The paper itself

Abstract

backgroundBurnout is a prevalent occupational phenomenon among healthcare workers. To evaluate the current evidence on nurses' burnout and the impact of turnover intention during the pandemic is imperative.

objectiveWe aimed to comprehensively synthesize and quantify the impact of health emergencies caused by the COVID-19 pandemic outbreak on nurses' burnout and identify factors associated with the negative impact.

methodsSystematic searches were conducted in PubMed, Web of Science, EBSCO (ASP), Cochrane Library, and supplemented by a manual search, for publications from December 2019 to February 2023.

resultsA total of 176 articles involving 110,316 nurses were identified. The overall pooled estimate of the prevalence of burnout was 48% (95% confidence interval [CI] 42-55%). The mean score for overall burnout on the 22-item (7-point) Maslach Burnout Inventory (MBI) was 59.83 (95% CI 49.33 to 70.34). In the work environment, nurses who were exposed to COVID-19 (SMD 0.19, 95% CI 0.04 to 0.33) or worked in emergency departments and ICUs (SMD 0.10, 95% CI 0.06 to 0.14) scored higher for burnout compared to those in general wards. In the presence of increased burnout, overall burnout in nurses was associated with a sevenfold increase in depression (OR 7.40, 95% CI 3.82 to 14.35), a fourfold increase in anxiety (OR 4.14, 95% CI 2.15 to 7.98) and stress (OR 4.60, 95% CI 2.31 to 9.17), and a fourfold increase in low resilience (OR 4.06, 95% CI 2.13 to 7.76) in mental health outcomes. As burnout increased, turnover intention was nearly four times as likely compared with retention (OR 3.55, 95% CI 1.73 to 7.28), and it was related to the quality of care.

conclusionThe results of this meta-analysis indicate that half of the nurses experienced burnout during the COVID-19. Nurses' burnout is associated with the sustainability of healthcare organizations. Healthcare organizations and societies should invest more time and effort in implementing evidence-based strategies to mitigate nurses' burnout across specialties, especially in emergency medicine and for younger nurses in specialized departments, to better prepare for future public health emergencies.

Indexed as

Burnout, ProfessionalCOVID-19EmergenciesNursesNursing Staff, HospitalHumansPersonnel TurnoverSARS-CoV-2BurnoutMental healthNurseSupportsTurnover intention

Identifiers

PMID40830785
PMCPMC12366180

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.