Evidence map›Paper›PMID 41424989›Full record

ArticleJournal of nursing management2025

Exploring the Role of Professional Burnout and Mental Health Strain in Nurses' Turnover Intentions: A Mediation Study.

Ibrahim Abdullatif Ibrahim, Atallah Alenezi, Mennat Allah G Abou Zeid, Mahmoud Abdelwahab Khedr, Ayman Mohamed El-Ashry, Bander Saad Albagawi, Samah Mohamed Abdelrahim

Abstract read
In one paragraph

Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

7 authors.

Ibrahim Abdullatif IbrahimDepartment of Nursing Sciences, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia, su.edu.sa.ORCID 0000-0002-2923-5175
Atallah AleneziPsychiatric and Mental Health Nursing Department, College of Nursing, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia, imamu.edu.sa.ORCID 0000-0002-6272-5379
Mennat Allah G Abou ZeidNursing Administration and Education Department, College of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia, psau.edu.sa.ORCID 0000-0002-1791-4867
Mahmoud Abdelwahab KhedrPsychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt, alexu.edu.eg.ORCID 0000-0003-3437-3764
Ayman Mohamed El-AshryPsychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt, alexu.edu.eg.ORCID 0000-0001-7718-4942
Bander Saad AlbagawiMedical Surgical Department, College of Nursing, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia, imamu.edu.sa.ORCID 0000-0002-6246-210X
Samah Mohamed AbdelrahimDepartment of Nursing Administration, Faculty of Nursing, Damietta University, Damietta, Egypt, du.edu.eg.ORCID 0009-0006-5602-8987

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nurses' turnover intentions had a significant challenge to healthcare systems worldwide. Burnout substantially contributes to turnover intentions and actual departure behavior, yet the underlying mechanisms remain underexplored. Aim: To examine the mediating role of mental health strain in the relationship between professional burnout and nurses' turnover intentions. Methods: This cross-sectional study employed a nonprobability, convenience sample of 234 registered nurses working at two tertiary hospitals in the Damietta Governorate, Egypt. Out of the 255 questionnaires distributed, 234 were returned, yielding a 91.8% response rate. Data were collected using self-reported questionnaires, including the Copenhagen Burnout Inventory (specifically work-related burnout subscale), the General Health Questionnaire, and the Turnover Intentions Scale, in addition to a demographic information form. Data were analyzed using descriptive and inferential statistics followed by Hayes' PROCESS Macro (Model 4) to conduct mediation analysis. Results: Professional burnout had a substantial positive direct influence on mental health strain ( Conclusions: The findings highlight mental health strain as a crucial pathway through which professional burnout affects turnover intentions among nurses. Nursing managers should implement strategies to reduce professional burnout and support nurses' mental well-being to enhance retention and workforce stability. Additionally, health policymakers should consider implementing national standards for safe staffing, institutionalized mental health support programs, and long-term investments in workplace wellness to ensure a resilient and sustainable nursing workforce.

Indexed as

Burnout, ProfessionalIntentionNursesPersonnel TurnoverStress, PsychologicalAdultCross-Sectional StudiesEgyptFemaleHumansJob SatisfactionMaleMiddle AgedPsychometricsSurveys and QuestionnairesEgyptjob satisfactionmediation analysismental healthnursespersonnel turnoverprofessional burnoutpsychological stress

Identifiers

PMID41424989
PMCPMC12714161

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.