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

The DOI matches its Crossref record; 78 of the 85 references it cites were found in a registry or an index.

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
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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.

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  1. Bergman, L.R., El-Khouri, B.M., 2002. SLEIPNER. A statistical package for pattern-oriented analyses (Version 2.1). Department of Psychology, Stockholm University, Stockholm, Sweden, computer software, pp. 11–134.

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Metadata

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 › Medicine › Public Health, Environmental and Occupational Health › 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

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