Nurse turnover: the mediating role of burnout
Open accessAbstract
AIM: This study tested whether the mediation model of burnout could predict nurses' turnover intentions. BACKGROUND: A better understanding of what factors support a commitment to a nursing career could inform both policies and workplace practices. The mediation model of burnout provides a way of linking the quality of a nurse's worklife to various outcomes, such as turnover. METHOD: Data on areas of worklife, burnout, and turnover intentions were collected by surveying 667 Canadian nurses in the Atlantic Provinces. RESULTS: The findings supported the mediation model of burnout, in which areas of worklife predicted burnout, which in turn predicted turnover intentions. Cynicism was the key burnout dimension for turnover, and the most critical areas of worklife were value conflicts and inadequate rewards. CONCLUSIONS: The results of this study provide some new insights into how the intention of nurses to leave their job is related to particular aspects of their worklife and to burnout. IMPLICATIONS FOR NURSING MANAGEMENT: These results suggest what may be the most appropriate areas to target for interventions to reduce the risk of nurses exiting early from their chosen career.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Cynicism is directly related to intention to leave.
“one study found that Cynicism was directly related to intention to leave [35]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [35]
Cites
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.397 · Cited by 12,852 · see citing works
Self-citationPractical issues in structural modeling
BENTLER, P. M., & CHOU, C.-P. (1987) · Sociological Methods & Research · doi:10.1177/0049124187016001004 · Cited by 5,804 · see citing works
Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Aiken, L. H. (2002) · JAMA · doi:10.1001/jama.288.16.1987 · Cited by 5,226 · see citing works
Early predictors of job burnout and engagement.
Maslach, C., & Leiter, M. P. (2008) · Journal of Applied Psychology · doi:10.1037/0021-9010.93.3.498 · Cited by 2,397 · see citing works
Self-citationJanssen, P. P. M., De Jonge, J., & Bakker, A. B. (1999) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1999.01022.x · Cited by 357 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Understanding the burnout experience: Recent research and its implications for psychiatry
Maslach, C., & Leiter, M. P. (2016) · World Psychiatry · doi:10.1002/wps.20311 · Cited by 4,200 · see citing works
Self-citationBurnout in nursing: a theoretical review.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020) · Human Resources for Health · doi:10.1186/s12960-020-00469-9 · Cited by 1,181 · see citing works
Burnout–Depression Overlap: A Review
Bianchi, R., Schonfeld, I. S., & Laurent, E. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.01.004 · Cited by 868 · see citing works
Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis
Woo, T., Ho, R., Tang, A., & Tam, W. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2019.12.015 · Cited by 866 · see citing works
Relationship between nurse burnout, patient and organizational outcomes: Systematic review
Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.103933 · Cited by 606 · see citing works
Front-line Nursing Home Staff Experiences During the COVID-19 Pandemic
White, E. M., Wetle, T. F., Reddy, A., & Baier, R. R. (2021) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2020.11.022 · Cited by 405 · see citing works
Boamah, S. A., & Laschinger, H. (2016) · Journal of Nursing Management · doi:10.1111/jonm.12318 · Cited by 261 · see citing works
Hanrahan, N. P., Aiken, L. H., McClaine, L., & Hanlon, A. L. (2010) · Issues in Mental Health Nursing · doi:10.3109/01612840903200068 · Cited by 176 · see citing works
Lee, H.-F., Chiang, H.-Y., & Kuo, H.-T. (2019) · Journal of Nursing Management · doi:10.1111/jonm.12648 · Cited by 165 · see citing works
Dawson, A. J., Stasa, H., Roche, M. A., Homer, C. S. E., & Duffield, C. (2014) · BMC Nursing · doi:10.1186/1472-6955-13-11 · Cited by 145 · see citing works
Teng, C.-I., Shyu, Y.-I. L., Chiou, W.-K., Fan, H.-C., & Lam, S. M. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2010.04.005 · Cited by 145 · see citing works
Turja, T., Aaltonen, I., Taipale, S., & Oksanen, A. (2020) · Information & Management · doi:10.1016/j.im.2019.103220 · Cited by 142 · see citing works
A Pilot Evaluation of a Mindful Self-care and Resiliency (MSCR) Intervention for Nurses
Craigie, M., Slatyer, S., Hegney, D., Osseiran-Moisson, R., Gentry, E., Davis, S., Dolan, T., & Rees, C. (2016) · Mindfulness · doi:10.1007/s12671-016-0516-x · Cited by 122 · see citing works
Thorsen, V. C., Tharp, A. L. T., & Meguid, T. (2011) · BMC Nursing · doi:10.1186/1472-6955-10-9 · Cited by 119 · see citing works
Melnick, E. R., West, C. P., Nath, B., Cipriano, P. F., Peterson, C., Satele, D. V., Shanafelt, T., & Dyrbye, L. N. (2021) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocab059 · Cited by 105 · see citing works
Hussein, S. (2018) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-018-0872-z · Cited by 73 · see citing works
Cole, A., Ali, H., Ahmed, A., Hamasha, M., & Jordan, S. (2021) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s308397 · Cited by 67 · see citing works
The Impact of a Mindfulness Intervention for Nurse Managers
Ceravolo, D., & Raines, D. A. (2019) · Journal of Holistic Nursing · doi:10.1177/0898010118781620 · Cited by 57 · see citing works
Basar, U., & Basim, N. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.12958 · Cited by 55 · see citing works
Jesse, M. T., Abouljoud, M. S., Hogan, K., & Eshelman, A. (2015) · Progress in Transplantation · doi:10.7182/pit2015213 · Cited by 37 · see citing works
The role of rewards and demands in burnout among surgical nurses
Basińska, B., & Wilczek-Rużyczka, E. (2013) · International Journal of Occupational Medicine and Environmental Health · doi:10.2478/s13382-013-0129-8 · Cited by 30 · see citing works
Executive function deficits mediate the relationship between employees’ ADHD and job burnout
Turjeman-Levi, Y., Itzchakov, G., & Engel-Yeger, B. (2024) · AIMS Public Health · doi:10.3934/publichealth.2024015 · Cited by 28 · see citing works
Mindfulness and burnout among bedside registered nurses: A cross‐sectional study
Zhao, J., Li, X., Xiao, H., Cui, N., Sun, L., & Xu, Y. (2019) · Nursing & Health Sciences · doi:10.1111/nhs.12582 · Cited by 21 · see citing works
Potard, C., & Landais, C. (2021) · Geriatric Nursing · doi:10.1016/j.gerinurse.2021.07.005 · Cited by 16 · see citing works
Kang, M.-J., & Myung, S.-K. (2022) · Issues in Mental Health Nursing · doi:10.1080/01612840.2021.1949765 · Cited by 17 · see citing works
- Authors
- LEITER, M. P., & MASLACH, C.
- Affiliations
- Acadia University (CA)
- University of California, Berkeley (US)
- Venue
- Journal of Nursing Management
- Publisher
- Wiley
- Published
- 2009-04
- Volume
- 17
- Issue
- 3
- Pages
- 331-339
- ISSN
- 0966-0429 (ISSN-L)
- 1365-2834
- OpenAlex
- W1966282111
- Cited by
- 838
- References
- 5
- Citations by year
- 2026: 48 · 2025: 56 · 2024: 58 · 2023: 52 · 2022: 43 · 2021: 71 · 2020: 68 · 2019: 53 · 2018: 51 · 2017: 59 · 2016: 34 · 2015: 60 · 2014: 57 · 2013: 49 · 2012: 32
- FWCI
- 69.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Nursing Management (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Health Canada
- Social Sciences and Humanities Research Council of Canada
- Topics
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- nurse turnover, turnover intention, burnout, cynicism, value conflicts, nurse retention
- MeSH terms
- Burnout, Professional, Data Collection, Environment, Female, Humans, Job Satisfaction, Male, Models, Psychological, New Brunswick, Newfoundland and Labrador, Nova Scotia, Personnel Turnover, Prince Edward Island, Psychometrics, Surveys and Questionnaires, Statistics as Topic, Workplace
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