Evidence map›Paper›PMID 42563442›Full record

ArticleJournal of nursing management2026

Occupational Stress and Burnout Among Nurse Managers: Coping Pathways and Leadership Adaptation in Postpandemic Healthcare.

Chia-Jung Lin, Wan-Ju Chou, Jia-Huei Wei, Bo Hsiao

Abstract read
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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 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

The trial behind it

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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.

Chia-Jung LinDepartment of Nursing, College of Health Sciences, Chang Jung Christian University, Tainan, Taiwan, cjcu.edu.tw.ORCID https://orcid.org/0000-0002-3351-5292
Wan-Ju ChouDepartment of Psychology, Chung Yuan Christian University, Taoyuan, Taiwan, cycu.edu.tw.ORCID https://orcid.org/0000-0002-5253-1239
Jia-Huei WeiDepartment of Nursing, Chi Mei Medical Center, Tainan, Taiwan, chimei.org.tw.ORCID https://orcid.org/0009-0004-4613-5741
Bo HsiaoDepartment of Information Management, National Yunlin University of Science and Technology, Yunlin, Taiwan, yuntech.edu.tw.ORCID https://orcid.org/0000-0002-2894-9678

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNurse managers (NMs) play a pivotal role in sustaining care quality, workforce stability, and organizational resilience, yet chronic managerial stress and emotional demands have led to increasing burnout in this group. Understanding the association of coping strategies with this phenomenon is essential to supporting leadership sustainability.

aimTo examine how problem-focused coping (PFC) and emotion-focused coping (EFC) strategies mediate the relationship between occupational stress and burnout among NMs and to identify demographic factors associated with burnout.

methodsThe study adopted a cross-sectional correlational design and collected data from 116 NMs in two hospitals in southern Taiwan using validated self-report instruments. Mediation analyses were conducted using bootstrapped regression models (PROCESS Model 4) with 5000 resamples.

resultsOccupational stress correlated positively with burnout (r = 0.58, p < 0.001). EFC significantly mediated this relationship (B = 5.01, 95% CI [2.39, 8.07]), amplifying stress effects and was associated with higher burnout levels, whereas PFC showed no significant mediation. Burnout was significantly associated with younger age, fewer children, and poorer perceived physical condition.

conclusionsEFC was associated with higher burnout levels under conditions of elevated occupational stress, whereas PFC offered limited protection without organizational reinforcement. These findings refine the stress-coping framework by demonstrating that coping's effectiveness depends on contextual and institutional conditions and provide actionable insights for leadership development and workforce sustainability in healthcare organizations. IMPLICATIONS FOR NURSING MANAGEMENT: Leadership development programs should incorporate emotional regulation, mentoring, and organizational support systems to strengthen adaptive capacity among NMs. Institutional policies that balance workload and promote psychological well-being are crucial to sustaining effective nursing leadership.

Indexed as

Adaptation, PsychologicalBurnout, ProfessionalLeadershipNurse AdministratorsOccupational StressAdultCoping SkillsCross-Sectional StudiesFemaleHumansJob SatisfactionMaleMiddle AgedSurveys and QuestionnairesTaiwanburnoutcoping strategiesleadership adaptationnurse managersoccupational stressorganizational supportworkforce well-being

Identifiers

PMID42563442
PMCPMC13448149

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.