CoChat
Sign Up
Cited by 232Occupational Health and BurnoutStress and Burnout ResearchHealthcare professionals’ stress and burnout

Early-career burnout among new graduate nurses: A prospective observational study of intra-individual change trajectories

Rudman, Ann, Gustavsson, J. Petter·2011·International Journal of Nursing Studies
DOI 10.1016/j.ijnurstu.2010.07.012
Open this paper in CoChat — free account

Abstract

Background Newly qualified and inexperienced nurses are at particular risk of suffering emotional exhaustion and burnout in unsupportive practice environments. Despite new nurses' potential vulnerability, development of burnout after graduation has rarely been studied longitudinally and in relation to demographic and educational characteristics prior to working life entry, i.e. during education. Objectives To identify and compare typical change trajectories (i.e. common patterns of intra-individual development) in burnout symptoms for new graduate nurses annually over a three-year period, during which there was reason to believe that this group was especially vulnerable. Design A prospective longitudinal and national cohort of 1153 nurses within the population-based LANE study (Longitudinal Analyses of Nursing Education), where new graduate nurses were assessed four times annually, i.e. in their final year of nursing education and three times post graduation (after 1, 2 and 3 years). Participants A longitudinal sample of 997 respondents was prospectively followed. Methods Within-group changes in burnout levels were analysed using a repeated-measures analysis of variance, and cluster analytic techniques were used to identify typical trajectories of burnout. Results At group level, mean levels of burnout were rather stable across time. However, underlying these levels we identified eight change trajectories, explaining 74% of all individual variation; seven of them reflected significant changes across time. Almost every fifth nurse reported extremely high levels of burnout at some point during their first three years after graduation. Changes in burnout levels were accompanied by concurrent changes in depressive symptoms and intention to leave the profession. This study also showed that negative development of burnout was predicted by not feeling well prepared for a nursing job, lacking study interest, high levels of performance-based self-esteem and depressive mood in the final year of education. Conclusions An investigation of burnout symptoms over time disclosed numerous development patterns, some of which were stable while others changed significantly. Hence, this study gave a more nuanced picture of burnout development among new graduate nurses, highlighted by eight different trajectories. Regarding the time frame, nearly every second new graduate showed a significant increase in levels of burnout during their second year post graduation.

Integrity signals

Registry

Crossref · 10.1016/j.ijnurstu.2010.07.012

Cites

78 of 78 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Two studies used idiosyncratic measures of burnout based on items from other instruments.

    “Two studies used idiosyncratic measures of burnout based on items from other instruments [20, 26].”

    From Burnout in nursing: a theoretical review. (2020) · cites this paper as [26]

  • Having depressive mood and depressive episodes were common features of newly qualified nurses who developed or got worse levels of burnout throughout their first years in the profession.

    “Rudman and Gustavsson also found that having depressive mood and depressive episodes were common features of newly qualified nurses who developed or got worse levels of burnout throughout their first years in the profession [26]”

    From Burnout in nursing: a theoretical review. (2020) · cites this paper as [26]

  • Final-year nursing students who experienced health issues were more likely to develop high burnout when entering the profession.

    “Final-year nursing students who experienced health issues were more likely to develop high burnout when entering the profession [26]”

    From Burnout in nursing: a theoretical review. (2020) · cites this paper as [26]

Cites

Flagged first, then by citations

7 of the 85 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Rudman, A., & Gustavsson, J. P.
Affiliations
Karolinska Institutet (SE)
Corresponding author
Rudman, Ann
ORCID
Rudman, Ann
Venue
International Journal of Nursing Studies
Publisher
Elsevier BV
Published
2011-03
Volume
48
Issue
3
Pages
292-306
ISSN
0020-7489 (ISSN-L)
DOI
10.1016/j.ijnurstu.2010.07.012
OpenAlex
W2091208861
Cited by
232
References
85
Citations by year
2026: 17 · 2025: 9 · 2024: 16 · 2023: 15 · 2022: 9 · 2021: 24 · 2020: 26 · 2019: 16 · 2018: 16 · 2017: 14 · 2016: 14 · 2015: 14 · 2014: 18 · 2013: 9 · 2012: 9
FWCI
25.54
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • International Journal of Nursing Studies (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Keywords
burnout, new nurses, emotional exhaustion, depressive symptoms, intention to leave the profession, nursing education, career readiness, longitudinal cohort
MeSH terms
Burnout, Professional, Education, Nursing, Graduate, Humans, Nurses, Prospective Studies

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review