Evidence map›Paper›PMID 42186289›Full record

ArticleJournal of nursing management2026

Workplace Stressors Associated With Burnout Among Emergency Nurses and Other Emergency Healthcare Professionals: A Convergent Parallel Approach With a Multilevel Design.

Lisa M Vizer, Chao Chin Liu, Elizabeth K Kwong, Nicholas Beresic, Karthik Adapa, Charul Haugan, Nadia E Charguia, Lukasz M Mazur

Abstract read
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In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

8 authors.

Lisa M VizerDivision of General Internal Medicine & Clinical Epidemiology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA, unc.edu.ORCID https://orcid.org/0000-0002-4922-2275
Chao Chin LiuDivision of Healthcare Engineering, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA, unc.edu.
Elizabeth K KwongDivision of Healthcare Engineering, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA, unc.edu.
Nicholas BeresicThurston Arthritis Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA, unc.edu.
Karthik AdapaDivision of Healthcare Engineering, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA, unc.edu.
Charul HauganUNC Healthcare System, Chapel Hill, North Carolina, USA, unc.edu.
Nadia E CharguiaUNC Healthcare System, Chapel Hill, North Carolina, USA, unc.edu.
Lukasz M MazurDivision of Healthcare Engineering, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA, unc.edu.ORCID https://orcid.org/0000-0001-9793-7999

Funding

NIOSH CDC HHS U19 OH012303NIOSH CDC HHS U19OH012303UNC Health's Well-being Program
6 · The paper itself

Abstract

backgroundBurnout assessments yield results of up to 65% for all emergency healthcare professionals and 53% for emergency nurses. We conducted a mixed methods study using a convergent parallel approach and a multilevel design with emergency nurses and other healthcare professionals to identify workplace stressors associated with burnout and prioritize those stressors for improvement. MATERIALS AND

methodsEmergency healthcare professionals were recruited from the emergency department of a large acute care hospital. Participants completed the abbreviated Maslach Burnout Inventory and a workplace stressor survey to contribute an overview of the current state of burnout and stress, participated in focus groups to provide context for identified stressors, and consented to contextual inquiries to nuanced in situ observation of stressors. From the survey, focus group, and contextual inquiry data, we employed a thematic analysis to develop an affinity model. Emergency healthcare professionals validated the stressors in the affinity model, prioritized potential improvement efforts, and rated the impact of and effort required for those improvements.

resultsThe participant sample was diverse in age, race, sex, shift time, and length of employment. Eighty-one percent of the 63 survey participants met the criteria for burnout. Six focus groups with 19 participants and 22 contextual inquiries identified key work stressors related to staffing levels, workflow, communication, and care coordination. Using the affinity model, participants prioritized workflows, patient safety, patient-related stressors, physical work environment, staffing, extrinsic motivation, technology, communication, and psychiatric patient procedures as areas for improvement.

conclusionWe successfully completed surveys, focus groups, and contextual inquiries with emergency nurses and other healthcare professionals to identify workplace stressors and prioritize those stressors for improvement efforts. This appears to be a viable method to formally identify and prioritize the unique stressors contributing to burnout and guide efforts to reduce burnout among emergency healthcare professionals.

Indexed as

Burnout, ProfessionalEmergency NursingHealth PersonnelNursesWorkplaceAdultEmergency Service, HospitalFemaleFocus GroupsHumansMaleMiddle AgedSurveys and QuestionnairesWorking Conditions

Identifiers

PMID42186289
PMCPMC13201899

What OpenQuestion holds

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LicenceCC BY
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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.