Nurse Burnout, Nurse‐Reported Quality of Care, and Patient Outcomes in Thai Hospitals
Abstract
Purpose: The purpose of this study was to investigate the effect of nurse burnout on nurse‐reported quality of care and patient adverse events and outcomes in Thai hospitals. Methods: Cross‐sectional analysis of data from 2,084 registered nurses working in 94 community hospitals across Thailand. Data were collected through survey questionnaire, including the Maslach Burnout Inventory (MBI), which measures of nurse perceived quality of care and patient outcomes. Multiple logistic regression modeling was performed to explore associations between nurse burnout on quality of care and patient outcomes. Findings: Thirty‐two percent of nurses reported high emotional exhaustion, 18% high depersonalization, and 35% low personal accomplishment. In addition, 16% of nurses rated quality of care on their work unit as fair or poor, 5% reported patient falls, 11% reported medication errors, and 14% reported infections. All three subscales of the MBI were associated with increased reporting of fair or poor quality of care, patient falls, medication errors, and infections. Every unit of increasing emotional exhaustion score was associated with a 2.63 times rise in reporting fair or poor quality of care, a 30% increase in patient falls, a 47% increase in medication errors, and a 32% increase in infection. Conclusions: Findings clearly indicate that nurse burnout is associated with increased odds of reporting negative patient outcomes. Implementing interventions to reduce nurse burnout is critical to improving patient care in Thai hospitals. Clinical Relevance: Hospital administrators, nurse managers, and health leaders urgently need to create favorable work environments supporting nursing practice in order to reduce burnout and improve quality of care.
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High Emotional Exhaustion, high Depersonalisation, and low Personal Accomplishment are associated with poor quality of care.
“Two studies in diverse samples and settings reported that high Emotional Exhaustion, high Depersonalisation, and low Personal Accomplishment were associated with poor quality of care [109, 110]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [109]
Depersonalisation and low Personal Accomplishment are significant predictors of patient falls in one study.
“Depersonalisation and low Personal Accomplishment were significant predictors in one study [109]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [109]
All three MBI dimensions predict medication errors in one study.
“All three MBI dimensions predicted medication errors in one study [109]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [109]
High scores in Emotional Exhaustion and Depersonalisation predict infections.
“High scores in Emotional Exhaustion and Depersonalisation predicted infections [109]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [109]
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- Authors
- Nantsupawat, A., Nantsupawat, R., Kunaviktikul, W., Turale, S., & Poghosyan, L.
- Affiliations
- Chiang Mai University (TH)
- <i>Tau Nu</i>, Professor, Faculty of Nursing Chiang Mai University Chiang Mai Thailand
- Columbia University (US)
- Corresponding author
- Nantsupawat, Apiradee
- Venue
- Journal of Nursing Scholarship
- Publisher
- Wiley
- Published
- 2015-12-09
- Volume
- 48
- Issue
- 1
- Pages
- 83-90
- ISSN
- 0363-2792 (ISSN-L)
- 1527-6546
- 1547-5069
- OpenAlex
- W2344150632
- Cited by
- 179
- References
- 39
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 16 · 2023: 23 · 2022: 22 · 2021: 28 · 2020: 27 · 2019: 16 · 2018: 11 · 2017: 15 · 2016: 1
- FWCI
- 28.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Nursing Scholarship (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Chiang Mai University
- Bureau of Policy and Strategy, Ministry of Public Health
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Keywords
- nurse burnout, emotional exhaustion, depersonalization, personal accomplishment, quality of care, patient falls, medication errors, nosocomial infections, community hospitals, nursing work environment
- MeSH terms
- Adult, Burnout, Professional, Cross-Sectional Studies, Female, Hospitals, Community, Humans, Male, Nursing Staff, Hospital, Quality of Health Care, Surveys and Questionnaires, Thailand, Logistic Models, Patient Outcome Assessment
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