Evidence map›Paper›PMID 41413512›Full record

ArticleBMC nursing2025

Pathway from job stressors to job burnout in geriatric nursing assistants in Macao: the moderating role of organizational culture.

Ka-Fai Lei, Donghang Zhang, Keyang Li, Si-Kei Leong

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

4 authors.

Ka-Fai LeiFaculty of Health and Wellness, City University of Macau, Avenida Padre Tomás Pereira Taipa, Macao, 999078, China.
Donghang ZhangFaculty of Health and Wellness, City University of Macau, Avenida Padre Tomás Pereira Taipa, Macao, 999078, China. dhzhang@cityu.edu.mo.
Keyang LiFaculty of Health and Wellness, City University of Macau, Avenida Padre Tomás Pereira Taipa, Macao, 999078, China.
Si-Kei LeongMacao Polytechnic University, Macao, 999078, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost nursing assistants in Macao are migrant workers from mainland China. They face tremendous job stress as engaging in long-term, repetitive, and lower-end caring work. However, empirical studies examining the stress–burnout pathway in the Chinese settings remain scarce. This study aims to investigate the relationship between job stressors and burnout among nursing assistants in Macao, China, and further explores the moderating role of organizational culture in the association.

methodThis study adopted the quantitative research method, and 290 samples were collected from nursing assistants in six local residential care homes for older people. Among the participants, 78.6% were female, and 72.8% were from Mainland China.

resultsUsing structural equation modeling, this study found that perceived job stressors were significantly associated with job burnout. The finding revealed the serial mediation of emotional exhaustion and depersonalization in the pathway from perceived job stressors to personal accomplishment. The study also showed that organizational culture moderated the relationship between perceived job stressors and emotional exhaustion. The association between job stress and emotional exhaustion is weakened when organizational culture is high, while the association is strengthened when organizational culture is low.

conclusionsThe study findings underscore the need for early intervention and optimized management practices to prevent severe job burnout among nursing assistants. Moreover, it is essential for organization leaders to recognize job stressors and prioritize addressing emotional strain and depersonalization issues among nursing assistants and develop a positive organizational culture to help them effectively engage in geriatric care work.

Indexed as

BurnoutEmotional exhaustionJob stressNursing assistantsOrganizational culture

Identifiers

PMID41413512
PMCPMC12829209

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LicenceCC BY-NC-ND
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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.