Evidence map›Paper›PMID 42606181›Full record

SynthesisJournal of nursing management2026

Burnout Levels and Associated Factors Among Newly Graduated Nurses: A Systematic Review and Meta-Analysis.

Yao Zhou, Zhexi Ying, Akiko Kondo

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis 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, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Yao ZhouInternational Nursing Development, Graduate School of Health Care Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku Tokyo, 113-8510, Japan, tokyo.ac.jp.ORCID https://orcid.org/0009-0004-6686-4589
Zhexi YingInternational Nursing Development, Graduate School of Health Care Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku Tokyo, 113-8510, Japan, tokyo.ac.jp.ORCID https://orcid.org/0009-0005-0617-5551
Akiko KondoInternational Nursing Development, Graduate School of Health Care Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku Tokyo, 113-8510, Japan, tokyo.ac.jp.ORCID https://orcid.org/0000-0003-2817-9623

Funding

International Nursing Development's field cost of the Institute of Science, Tokyo
6 · The paper itself

Abstract

backgroundThe transition into the workplace exposes newly graduated nurses to significant stressors and challenges that enhance their vulnerability to burnout. However, evidence on the level of burnout and its related factors in newly graduated nurses remains limited.

objectivesTo determine the prevalence and severity of burnout among newly graduated nurses, identify its associated factors, and examine differences across geographic regions and before versus during the COVID-19 pandemic.

methodsA systematic search of PubMed, CINAHL, MEDLINE, Web of Science, Japan Medical Abstracts Society, and China National Knowledge Infrastructure databases was performed from inception to July 2024. Pooled mean scores for three subscales of the 22-item Maslach Burnout Inventory were calculated using R software (Version 4.4.1) to assess burnout levels. Publication bias tests, sensitivity analyses, and subgroup analyses were performed. Burnout prevalence and associated factors were summarized using narrative synthesis.

resultsForty-five studies involving 18,203 newly graduated nurses were included. The reported rates of high-level burnout ranged widely from 1.0% to 78.3%. The pooled mean scores were 28.39 (95% CI: 26.17-30.61) for Emotional Exhaustion, 11.48 (95% CI: 9.40-13.55) for Depersonalization, and 24.99 (95% CI: 21.22-28.76) for Personal Accomplishment. Subgroup analyses showed that newly graduated nurses in Asia had higher depersonalization (12.48 vs. 8.24) and lower personal accomplishment scores (22.34 vs. 32.99) than non-Asian counterparts (both p < 0.01). Factors associated with burnout included personal traits and competencies (such as coping strategies and psychological capital), work-related factors (such as work environment and workplace bullying and incivility), and other factors such as social support; however, evidence regarding sociodemographic factors was mixed.

conclusionsNewly graduated nurses experienced severe burnout, especially in Asia. Factors related to burnout among newly graduated nurses are multifaceted, highlighting the need for nursing managers to prioritize targeted strategies to facilitate their transition to professional roles. Structured orientation, effective preceptorship, supportive work environments, and accessible psychological support may help reduce burnout among newly graduated nurses.

Indexed as

Burnout, ProfessionalNursesCOVID-19Emotional ExhaustionHumansPrevalenceWorkplaceburnoutmeta-analysisnewly graduated nursessystematic reviewtransition

Identifiers

PMID42606181
PMCPMC13479804

What OpenQuestion holds

Textmetadata
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.