Nurses' Practice Environment and Work-Family Conflict in Relation to Burn Out: A Multilevel Modelling Approach
Open accessAbstract
OBJECTIVES: To investigate associations between nurse work practice environment measured at department level and individual level work-family conflict on burnout, measured as emotional exhaustion, depersonalization and personal accomplishment among Swedish RNs. METHODS: A multilevel model was fit with the individual RN at the 1st, and the hospital department at the 2nd level using cross-sectional RN survey data from the Swedish part of RN4CAST, an EU 7th framework project. The data analysed here is based on a national sample of 8,620 RNs from 369 departments in 53 hospitals. RESULTS: Generally, RNs reported high values of personal accomplishment and lower values of emotional exhaustion and depersonalization. High work-family conflict increased the risk for emotional exhaustion, but for neither depersonalization nor personal accomplishment. On department level adequate staffing and good leadership and support for nurses reduced the risk for emotional exhaustion and depersonalization. Personal accomplishment was statistically significantly related to staff adequacy. CONCLUSIONS: The findings suggest that adequate staffing, good leadership, and support for nurses are crucial for RNs' mental health. Our findings also highlight the importance of hospital managers developing policies and practices to facilitate the successful combination of work with private life for employees.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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 found no associations between nurse-physician relationship and burnout.
“and two studies found no associations [56, 63]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [56]
Positive leadership affects Emotional Exhaustion and Depersonalisation.
“Positive leadership affected Emotional Exhaustion and Depersonalisation [56]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [56]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
R: A Language and Environment for Statistical Computing
R Core Team (2000) · doi:10.32614/r.manuals · Cited by 355,706 · see citing works
Job demands, job resources, and their relationship with burnout and engagement: a multi‐sample study
Schaufeli, W. B., & Bakker, A. B. (2004) · Journal of Organizational Behavior · doi:10.1002/job.248 · Cited by 9,297 · see citing works
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863 · see citing works
Multilevel analysis : an introduction to basic and advanced multilevel modeling
Snijders, T. A. B., & Bosker, R. (1999) · Cited by 6,830 · 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
Goldstein, H. (2006) · Technometrics · doi:10.1198/tech.2006.s417 · Cited by 4,960 · see citing works
Sufficient Sample Sizes for Multilevel Modeling
Maas, C. J. M., & Hox, J. J. (2005) · Methodology · doi:10.1027/1614-2241.1.3.86 · Cited by 3,582 · 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 · cited 1× · see citing works
“Emotional exhaustion, conceptualized as the most central component of burnout, refers to a feeling of being overextended and depleted of one’s emotional and physical resources; depersonalization describes negative, callous, or excessively detached responses to various aspects of the job; whereas diminished personal ac…”
BackgroundAiken, L. H., Sermeus, W., den Heede, K. V., Sloane, D. M., Busse, R., McKee, M., Bruyneel, L., Rafferty, A. M., Griffiths, P., Moreno‐Casbas, T., et al. (2012) · BMJ · doi:10.1136/bmj.e1717 · Cited by 2,060 · see citing works
Self-citationThomas, L. T., & Ganster, D. C. (1995) · Journal of Applied Psychology · doi:10.1037/0021-9010.80.1.6 · Cited by 1,865 · see citing works
Amstad, F. T., Meier, L. L., Fasel, U., Elfering, A., & Semmer, N. K. (2011) · Journal of Occupational Health Psychology · doi:10.1037/a0022170 · Cited by 1,654 · see citing works
A meta-analysis of burnout with job demands, resources, and attitudes
Alarcon, G. M. (2011) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2011.03.007 · Cited by 1,083 · see citing works
Nurse Burnout and Patient Satisfaction
Vahey, D. C., Aiken, L. H., Sloane, D. M., Clarke, S. P., & Vargas, D. (2004) · Medical Care · doi:10.1097/01.mlr.0000109126.50398.5a · Cited by 977 · see citing works
The Effect of Different Forms of Centering in Hierarchical Linear Models
Kreft, I. G. G., de Leeuw, J., & Aiken, L. S. (1995) · Multivariate Behavioral Research · doi:10.1207/s15327906mbr3001_1 · Cited by 855 · see citing works
Hammer, L. B., Kossek, E. E., Yragui, N. L., Bodner, T. E., & Hanson, G. C. (2009) · Journal of Management · doi:10.1177/0149206308328510 · Cited by 807 · see citing works
Spence Laschinger, H. K., & Leiter, M. P. (2006) · JONA: The Journal of Nursing Administration · doi:10.1097/00005110-200605000-00019 · Cited by 723 · see citing works
Demerouti, E., Bakker, A. B., & Bulters, A. J. (2003) · Journal of Vocational Behavior · doi:10.1016/s0001-8791(03)00030-7 · Cited by 684 · see citing works
Burnout: An Overview of 25 Years of Research and Theorizing
Schaufeli, W. B., & Buunk, B. P. (2002) · doi:10.1002/0470013400.ch19 · Cited by 666 · see citing works
Balancing Work and Home: How Job and Home Demands Are Related to Burnout.
Peeters, M. C. W., Montgomery, A., Bakker, A. B., & Schaufeli, W. B. (2005) · International Journal of Stress Management · doi:10.1037/1072-5245.12.1.43 · Cited by 530 · see citing works
Handbook of work and health psychology
Schabracq, M. J., Winnubst, J. A. M., & Cooper, C. L. (2003) · Cited by 526 · see citing works
Burnout As A Developmental Process: Consideration Of Models
Leiter, M. P. (2017) · Routledge eBooks · doi:10.4324/9781315227979-18 · Cited by 481 · see citing works
Nurse forecasting in Europe (RN4CAST): Rationale, design and methodology
Sermeus, W., Aiken, L. H., den Heede, K. V., Rafferty, A. M., Griffiths, P., Moreno‐Casbas, T., Busse, R., Lindqvist, R., Scott, P. A., Bruyneel, L., et al. (2011) · BMC Nursing · doi:10.1186/1472-6955-10-6 · Cited by 399 · see citing works
Self-citationWork/Non‐Work Interface: A Review of Theories and Findings
Geurts, S. A. E., & Demerouti, E. (2002) · doi:10.1002/0470013400.ch14 · Cited by 389 · see citing works
Predicting and preventing physician burnout: results from the United States and the Netherlands
Linzer, M., Visser, M. R. M., Oort, F. J., Smets, E. M. A., McMurray, J. E., & de Haes, J. C. J. M. (2001) · The American Journal of Medicine · doi:10.1016/s0002-9343(01)00814-2 · Cited by 383 · see citing works
Brenninkmeijer, V., & VanYperen, N. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.suppl_1.i16 · Cited by 314 · see citing works
Nurse Outcomes in Magnet® and Non-Magnet Hospitals
Kelly, L. A., McHugh, M. D., & Aiken, L. H. (2011) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0b013e31822eddbc · Cited by 305 · see citing works
Antecedents and consequences of work-home interference among medical residents
Geurts, S., Rutte, C., & Peeters, M. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00425-0 · Cited by 303 · see citing works
Relationships of Work and Practice Environment to Professional Burnout: Testing a Causal Model
Leiter, M. P., & Spence Laschinger, H. K. (2006) · Nursing Research · doi:10.1097/00006199-200603000-00009 · Cited by 253 · see citing works
Toppinen‐Tanner, S., Kalimo, R., & Mutanen, P. (2002) · Journal of Organizational Behavior · doi:10.1002/job.155 · Cited by 249 · see citing works
Bogaert, P. V., Clarke, S. P., Roelant, E., Meulemans, H., & de Heyning, P. V. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2009.03128.x · Cited by 233 · see citing works
Quantifying work–family conflict among registered nurses
Grzywacz, J. G., Frone, M. R., Brewer, C. S., & Kovner, C. T. (2006) · Research in Nursing & Health · doi:10.1002/nur.20133 · Cited by 229 · see citing works
Fuß, I., Nübling, M., Hasselhorn, H. M., Schwappach, D. L. B., & Rieger, M. A. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-353 · Cited by 198 · see citing works
Wang, Y., Chang, Y., Fu, J., & Wang, L. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-915 · Cited by 191 · see citing works
Dierdorff, E. C., & Ellington, J. K. (2008) · Journal of Applied Psychology · doi:10.1037/0021-9010.93.4.883 · Cited by 189 · see citing works
Antecedents and consequences of three dimensions of burnout in psychotherapists: A meta-analysis.
Lee, J., Lim, N.-Y., Yang, E., & Lee, S. M. (2011) · Professional Psychology Research and Practice · doi:10.1037/a0023319 · Cited by 172 · see citing works
Gillet, N., Fouquereau, E., Bonnaud‐Antignac, A., Mokounkolo, R., & Colombat, P. (2013) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.12.012 · Cited by 169 · 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
The Effect of Nurse Staffing Patterns on Medical Errors and Nurse Burnout
Garrett, C. (2008) · AORN Journal · doi:10.1016/j.aorn.2008.01.022 · Cited by 134 · see citing works
Impact of Nurse Work Environment and Staffing on Hospital Nurse and Quality of Care in Thailand
Nantsupawat, A., Srisuphan, W., Kunaviktikul, W., Wichaikhum, O., Aungsuroch, Y., & Aiken, L. H. (2011) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2011.01419.x · Cited by 131 · see citing works
Work‐home interference among nurses: reciprocal relationships with job demands and health
HEIJDEN, B. I. J. M. V. D., Demerouti, E., Bakker, A. B., & The NEXT Study Group coordinated by Hans‐Martin Hasselhorn (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2008.04630.x · Cited by 118 · see citing works
Work–family interference as a mediator between job demands and job burnout among doctors
Montgomery, A., Panagopolou, E., & Benos, A. (2006) · Stress and Health · doi:10.1002/smi.1104 · Cited by 112 · see citing works
Li, B., Bruyneel, L., Sermeus, W., Van den Heede, K., Matawie, K., Aiken, L., & Lesaffre, E. (2013) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.07.001 · Cited by 111 · see citing works
Bogaert, P. V., Clarke, S. P., Wouters, K., Franck, E., Willems, R., & Mondelaers, M. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.05.006 · Cited by 109 · see citing works
Bowers, L., Nijman, H. L. I., Simpson, A., & Jones, J. (2010) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0180-8 · Cited by 108 · see citing works
Toward a process model of burnout: Results from a secondary analysis
van Dierendonck, D., Schaufeli, W. B., & Buunk, B. P. (2001) · European Journal of Work and Organizational Psychology · doi:10.1080/13594320042000025 · Cited by 108 · see citing works
Ádám, S., Győrffy, Z., & Susánszky, É. (2008) · Journal of Health Psychology · doi:10.1177/1359105308095055 · Cited by 104 · see citing works
Bruyneel, L., den Heede, K. V., Diya, L., Aiken, L. H., & Sermeus, W. (2009) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2009.01272.x · Cited by 90 · see citing works
Work-home interference, job stressors, and employee health in a longitudinal perspective.
Peeters, M. C. W., JONGE, J. D., Janssen, P. P. M., & van der Linden, S. (2004) · International Journal of Stress Management · doi:10.1037/1072-5245.11.4.305 · Cited by 88 · see citing works
Leineweber, C., Chungkham, H. S., Westerlund, H., Tishelman, C., & Lindqvist, R. (2013) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2013.09.010 · Cited by 42 · see citing works
Self-citationUsing hierarchical models to attribute sources of variation in consumer assessments of health care
Zaslavsky, A. M. (2007) · Statistics in Medicine · doi:10.1002/sim.2808 · Cited by 23 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Burnout 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 and its association with resilience in nurses: A cross‐sectional study
Guo, Y., Luo, Y., Lam, L., Cross, W. M., Plummer, V., & Zhang, J. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.13952 · Cited by 310 · see citing works
Boamah, S. A., Read, E. A., & Spence Laschinger, H. K. (2017) · Journal of Advanced Nursing · doi:10.1111/jan.13215 · Cited by 276 · see citing works
Darouei, M., & Pluut, H. (2021) · Stress and Health · doi:10.1002/smi.3053 · Cited by 139 · see citing works
A job demands-resources approach to presenteeism
McGregor, A., Magee, C., Caputi, P., & Iverson, D. C. (2016) · Career Development International · doi:10.1108/cdi-01-2016-0002 · Cited by 112 · see citing works
Huang, H., Liu, L., Yang, S., Cui, X., Zhang, J. J., & Wu, H. L. (2019) · Psychology Research and Behavior Management · doi:10.2147/prbm.s207283 · Cited by 111 · see citing works
Amiri, S., Mahmood, N., Mustafa, H., Javaid, S. F., & Khan, M. A. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21121583 · Cited by 105 · see citing works
Galletta, M., Portoghese, I., Melis, P. M., González, C. I. A., Finco, G., d’Aloja, E., Contu, P., & Campagna, M. (2019) · BMC Nursing · doi:10.1186/s12912-019-0329-z · Cited by 87 · see citing works
Allgood, M., Jensen, U. T., & Stritch, J. M. (2022) · Review of Public Personnel Administration · doi:10.1177/0734371x221101308 · Cited by 82 · see citing works
Relationship between Job Satisfaction and Workload of Nurses in Adult Inpatient Units
Gil, M. F. H., Hernández, J. A. R., Ibáñez‐López, F. J., Llor, A. M. S., Valcárcel, M., Mikla, M., & Montesinos, M. J. L. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191811701 · Cited by 79 · see citing works
Maglalang, D. D., Sorensen, G., Hopcia, K. L., Hashimoto, D. M., Katigbak, C., Pandey, S., Takeuchi, D. T., & Sabbath, E. L. (2021) · SSM - Population Health · doi:10.1016/j.ssmph.2021.100802 · Cited by 76 · see citing works
Job Characteristics, Emotional Exhaustion, and Work–Family Conflict in Nurses
Rhéaume, A. (2021) · Western Journal of Nursing Research · doi:10.1177/01939459211005712 · Cited by 75 · see citing works
Organizational Factors and Burnout of Perioperative Nurses
Sillero, A. S., & Zabalegui, A. (2018) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/1745017901814010132 · Cited by 74 · see citing works
Dhaini, S. R., Denhaerynck, K., Bachnick, S., Schwendimann, R., Schubert, M., De Geest, S., & Simon, M. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.03.019 · Cited by 67 · see citing works
Zhang, Y., Duffy, J. F., & De Castillero, E. R. (2017) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12409 · Cited by 66 · see citing works
Job Demands, Engagement, and Turnover Intentions in Polish Nurses: The Role of Work-Family Interface
Dåderman, A. M., & Basińska, B. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01621 · Cited by 61 · see citing works
Steinlin, C., Dölitzsch, C., Kind, N., Fischer, S., Schmeck, K., Fegert, J. M., & Schmid, M. (2017) · Child & Youth Services · doi:10.1080/0145935x.2017.1297225 · Cited by 59 · see citing works
Dilmaghani, R. B., Armoon, B., & Moghaddam, L. F. (2022) · BMC Nursing · doi:10.1186/s12912-022-01069-9 · Cited by 58 · see citing works
A comparative analysis of work–family conflict among staff, managerial, and executive nurses
Raffenaud, A., Unruh, L. Y., Fottler, M. D., Liu, A. X., & ANDREWS, D. R. (2019) · Nursing Outlook · doi:10.1016/j.outlook.2019.08.003 · Cited by 56 · see citing works
Nurses Negotiating Professional–Familial Care Boundaries
Ward‐Griffin, C., Brown, J. B., St-Amant, O., Sutherland, N., Martin-Matthews, A., Keefe, J. M., & Kerr, M. S. (2014) · Journal of Family Nursing · doi:10.1177/1074840714562645 · Cited by 55 · see citing works
Impacts of Nursing Work Environment on Turnover Intentions: The Mediating Role of Burnout in Ghana
Poku, C. A., Donkor, E. S., & Naab, F. (2022) · Nursing Research and Practice · doi:10.1155/2022/1310508 · Cited by 54 · see citing works
Yeh, T., Chang, Y., Hsu, Y., Huang, L., & Yang, C. (2020) · Japan Journal of Nursing Science · doi:10.1111/jjns.12392 · Cited by 52 · see citing works
Work-Family Conflict, Sleep, and Mental Health of Nursing Assistants Working in Nursing Homes
Zhang, Y., Punnett, L., & Nannini, A. (2016) · Workplace Health & Safety · doi:10.1177/2165079916665397 · Cited by 49 · see citing works
Insufficiently studied factors related to burnout in nursing: Results from an e-Delphi study
García, G. M., & Calvo, J. C. A. (2017) · PLoS ONE · doi:10.1371/journal.pone.0175352 · Cited by 49 · see citing works
van Vliet, M., Jong, M., & Jong, M. (2017) · Medical Teacher · doi:10.1080/0142159x.2017.1309374 · Cited by 49 · see citing works
Li, H., Yuan, B., Meng, Q., & Kawachi, I. I. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193555 · Cited by 48 · see citing works
Putra, K. R., & Setyowati, S. (2019) · Enfermería Clínica · doi:10.1016/j.enfcli.2019.04.045 · Cited by 46 · see citing works
Work-Family Conflict in Nursing: An Integrative Review of Its Antecedents and Outcomes
Gonnelli, C., & Raffagnino, R. (2017) · IAFOR Journal of Psychology & the Behavioral Sciences · doi:10.22492/ijpbs.3.1.05 · Cited by 44 · see citing works
Westaby, C., Phillips, J., & Fowler, A. (2016) · European Journal of Probation · doi:10.1177/2066220316680370 · Cited by 41 · see citing works
Effect of Sleep Quality and Depression on Married Female Nurses’ Work–Family Conflict
Hwang, E., & Yu, Y. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18157838 · Cited by 40 · see citing works
The Constant Caregiver: Work–family Spillover among Men and Women in Nursing
Cottingham, M. D., Chapman, J. J., & Erickson, R. J. (2019) · Work Employment and Society · doi:10.1177/0950017019885084 · Cited by 38 · see citing works
Fachinger, U., & Mähs, M. (2019) · Springer eBooks · doi:10.1007/978-3-662-58225-1_9 · Cited by 37 · see citing works
Laurence, G. A., Fried, Y., & Raub, S. P. (2016) · Work & Stress · doi:10.1080/02678373.2016.1253045 · Cited by 31 · see citing works
DePasquale, N., Bangerter, L. R., Williams, J. A. R., & Almeida, D. M. (2015) · The Gerontologist · doi:10.1093/geront/gnv081 · Cited by 30 · see citing works
Xu, L., & Song, R. (2015) · Applied Nursing Research · doi:10.1016/j.apnr.2015.12.005 · Cited by 27 · see citing works
Do preceptorship and clinical supervision programmes support the retention of nurses?
Aparício, C., & Nicholson, J. (2020) · British Journal of Nursing · doi:10.12968/bjon.2020.29.20.1192 · Cited by 26 · see citing works
Yang, C., Aobo, C. H. E. N., & Sheng, N. (2022) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000516 · Cited by 24 · see citing works
Goong, H., Xu, L., & Li, C. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.13029 · Cited by 23 · see citing works
Mohamed, B. E. S., Ghaith, R. F. A. H., & Ahmed, H. A. A. (2022) · Middle East Current Psychiatry · doi:10.1186/s43045-022-00183-3 · Cited by 22 · see citing works
Li, Y., Yumeng, C., Chunfen, Z., & Jinbo, F. (2020) · Workplace Health & Safety · doi:10.1177/2165079919900796 · Cited by 22 · see citing works
Trigo, T. R., Freitas, C. C. S. D., Wang, Y.-P., Ribeiro, F. G., de Lucia, M. C. S., Siqueira, J. O., Iosifescu, D. V., Hallak, J. E. C., & Fraguas, R. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00695 · Cited by 21 · see citing works
Schwarzkopf, D., Westermann, I., Skupin, H., Riedemann, N. C., Reinhart, K., Pfeifer, R., Fritzenwanger, M., Günther, A., Witte, O. W., & Hartog, C. S. (2014) · Journal of Critical Care · doi:10.1016/j.jcrc.2014.09.015 · Cited by 20 · see citing works
Steinlin, C., Dölitzsch, C., Fischer, S., Schmeck, K., Fegert, J. M., & Schmid, M. (2016) · Praxis der Kinderpsychologie und Kinderpsychiatrie · doi:10.13109/prkk.2016.65.3.162 · Cited by 19 · see citing works
van Vliet, M., Jong, M., & Jong, M. (2018) · Global Qualitative Nursing Research · doi:10.1177/2333393618805340 · Cited by 19 · see citing works
Wan, W., Liu, L., Long, J., Fan, Q., & Wu, Y. J. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.689840 · Cited by 19 · see citing works
Factors associated with family cohesion and adaptability among Chinese registered nurses
Huang, L., Ya, W., & Huang, H. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15527 · Cited by 18 · see citing works
Polat, Ş. (2018) · Journal of Psychiatric Nursing · doi:10.14744/phd.2018.38278 · Cited by 17 · see citing works
van der Mark, C. J. E. M., Vermeulen, H., Hendriks, P., & van Oostveen, C. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-045245 · Cited by 17 · see citing works
Dūdiņa, K., & Martinsone, B. (2025) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe15090186 · Cited by 16 · see citing works
Williams, K. M., Campbell, C. M., House, S. L., Hodson, P., Swiger, P. A., Orina, J., Javed, M., Pierce, T., & Patrician, P. A. (2024) · Journal of Advanced Nursing · doi:10.1111/jan.16141 · Cited by 16 · see citing works
Fu, C.-M., Ou, J., Chen, X.-M., & Wang, M.-Y. (2021) · World Journal of Clinical Cases · doi:10.12998/wjcc.v9.i26.7738 · Cited by 15 · see citing works
Asosega, K. A., Abdul, I. W., Tawiah, K., Opoku, A. A., & Okyere, E. (2022) · Education Research International · doi:10.1155/2022/3665669 · Cited by 15 · see citing works
Lukasczik, M., Ahnert, J., Ströbl, V., Vogel, H., Donath, C., Enger, I. M., Graessel, E., Heyelmann, L., Lux, H., Maurer, J., et al. (2017) · Das Gesundheitswesen · doi:10.1055/s-0043-101514 · Cited by 14 · see citing works
Liu, Y., Wang, W., & Liu, J. (2022) · Acta Psychologica · doi:10.1016/j.actpsy.2023.103947 · Cited by 13 · see citing works
Group-Treatment for Dealing with the Work-Family Conflict for Healthcare Professionals
Hander, N. R., Gulde, M., Klein, T., Mulfinger, N., Jerg‐Bretzke, L., Ziegenhain, U., Gündel, H., & Rothermund, E. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182111728 · Cited by 11 · see citing works
Associations Between Systemic Quality of Life and Burnout Among French Canadian Workers
Vachon, M., Papineau, M., Dupuis, G., & Roberge, P. (2018) · Social Indicators Research · doi:10.1007/s11205-018-1944-x · Cited by 9 · see citing works
Kida, R., Fujinami, K., Yumoto, Y., Togari, T., & Ogata, Y. (2022) · Industrial Health · doi:10.2486/indhealth.2021-0280 · Cited by 9 · see citing works
Giancaspro, M. L., Gemmano, C. G., & Manuti, A. (2023) · Behavioral Sciences · doi:10.3390/bs13120965 · Cited by 8 · see citing works
Habtu, Y., Kumie, A., Selamu, M., Kaba, M., Harada, H., & Girma, E. (2025) · PLoS ONE · doi:10.1371/journal.pone.0319870 · Cited by 7 · see citing works
Attitudes toward child rearing in female clinical nurses working in three shifts
Ha, E. (2016) · Nursing and Health Sciences · doi:10.1111/nhs.12284 · Cited by 7 · see citing works
Using Dyadic Modeling in Nursing Research: Introduction of Theory and Application
Zhao, X., Prandstetter, K., & Foran, H. M. (2021) · Western Journal of Nursing Research · doi:10.1177/01939459211016486 · Cited by 6 · see citing works
Job demands and Job Resources: A study of nurses at a General Hospital in Malaysia
Tahir, N. K. M., & Hussein, N. (2018) · International Journal of Academic Research in Business and Social Sciences · doi:10.6007/ijarbss/v8-i11/5561 · Cited by 6 · see citing works
Peretz, H. V., Mashiach‐Eizenberg, M., & Halperin, D. (2024) · Sustainability · doi:10.3390/su16177553 · Cited by 5 · see citing works
Chastali-Sitara, M., Alikari, V., Platis, C., Tsironi, M., Zyga, S., & Theofilou, P. (2020) · Progress in Health Sciences · doi:10.5604/01.3001.0014.6583 · Cited by 5 · see citing works
Pileri, J., Mondo, M., Sgualdini, A., & Simone, S. D. (2024) · Healthcare · doi:10.3390/healthcare12232324 · Cited by 4 · see citing works
Perceptions of leadership and team support: organisational commitment in times of crisis
Gopalan, N., Beutell, N. J., & Alstete, J. W. (2025) · International journal of organizational analysis · doi:10.1108/ijoa-12-2024-5038 · Cited by 3 · see citing works
DEMİR, B., & Yıldız, M. (2021) · Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi · doi:10.46237/amusbfd.779008 · Cited by 3 · see citing works
Smuđa, M., & Stojanović-Jovanović, B. (2019) · PONS - medicinski casopis · doi:10.5937/pomc16-20706 · Cited by 3 · see citing works
Batmantaş, H., & Zeybek, F. (2023) · Akademik Hassasiyetler · doi:10.58884/akademik-hassasiyetler.1234665 · Cited by 2 · see citing works
Ibraheim, O. G., Shehata, A. I., & Elhoseeny, T. A. (2025) · Journal of the Egyptian Public Health Association · doi:10.1186/s42506-025-00192-0 · Cited by 2 · see citing works
Establishing the boundaries between work and home
Mendes, A. (2018) · Journal of Kidney Care · doi:10.12968/jokc.2018.3.4.262 · Cited by 2 · see citing works
Buttiġieġ, S. C., Azzopardi, E.-A., & Cassar, V. (2019) · Emerald Group Publishing Limited eBooks · doi:10.1108/s1474-823120190000018005 · Cited by 2 · see citing works
Unruh, L. Y. (2023) · Evidence-Based Nursing · doi:10.1136/ebnurs-2022-103681 · Cited by 1 · see citing works
Witnessing Workplace Bullying: Burnout, and the Mediating Role of Work-Personal Life Conflict
Manga, J. P. A., Desrumaux, P., & Trépanier, S. (2025) · International Journal of Bullying Prevention · doi:10.1007/s42380-025-00318-0 · Cited by 1 · see citing works
Alagöz, G., Pekerşen, Y., & Kaya, S. (2023) · Journal of Business Research - Turk · doi:10.20491/isarder.2023.1617 · Cited by 1 · see citing works
Navigating positive and negative emotional feelings as working mothers: A qualitative study
Hairina, Y., Hartini, N., & Fadhila, M. (2024) · Proceeding of International Conference on Healthy Living. · doi:10.24123/incoheliv.v1i1.6568 · Cited by 1 · see citing works
Adu-Assiamah, S., & Kwapong, P. A. A. (2025) · OALib · doi:10.4236/oalib.1113450 · Cited by 1 · see citing works
A framework for culture transformation in international healthcare organizations
Harris, P., Pena, M. R. “. G., Pabico, C. G., & Dans, M. (2018) · Nursing Management · doi:10.1097/01.numa.0000546209.78197.84 · Cited by 1 · see citing works
Nursing Burnout: A challenge facing health administrators: An updated review
Alotaibi, A. M. F., Alharbi, K. J. J., Almuqati, L. F. S., Alqahtani, H. M. H., Alharbi, A. S., Alherz, S. S., & Alqasir, M. A. A. (2020) · International Journal of Health Sciences · doi:10.53730/ijhs.v4ns1.15441 · Cited by 1 · see citing works
Alhosseini, M., Farahani, M. F., Moslemi, A., & Ganjeh, F. (2025) · SAGE Open Nursing · doi:10.1177/23779608251325080 · Cited by 1 · see citing works
Leaving work at work: a balanced, compassionate, separate home life
Mendes, A. (2015) · British Journal of Nursing · doi:10.12968/bjon.2015.24.10.529 · Cited by 1 · see citing works
Balance in community nursing: leaving work at work
Mendes, A. (2018) · British Journal of Community Nursing · doi:10.12968/bjcn.2018.23.2.100 · Cited by 1 · see citing works
Lundmark, V. A., & Hargreaves, J. (2019) · Nursing Management · doi:10.1097/01.numa.0000554336.45851.f3 · Cited by 1 · see citing works
da Silva, A. T. C. (2015) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.5.2015.tde-27102015-084632 · Cited by 1 · see citing works
Integrative Medicine in the Dutch healthcare system : prerequisites and tools for implementation
van Vliet, M. (2017) · Diva portal (Dalarna University Library) · Cited by 1 · see citing works
Mendes, A. (2020) · Nursing and Residential Care · doi:10.12968/nrec.2020.22.12.7 · Cited by 1 · see citing works
Zhang, H., Wu, Y. H., Hu, Z., Huang, Z., Wang, J., Wu, M., Cao, M., & Sun, T. (2023) · Research Square · doi:10.21203/rs.3.rs-3379610/v1 · Cited by 1 · see citing works
Basco, M. A. D. (2022) · International Journal of Research Publications · doi:10.47119/ijrp1001011520223222
Navigating Burnout: How the Job Demands-Resources Model Shapes Employee Burnout
Quan, C. Y., Ying, C. Y., & Cheah, C. S. (2026) · Studies in systems, decision and control · doi:10.1007/978-3-031-99466-1_67
Rifai, H. A., Yaacoub, H. K., & Kuran, O. (2026) · International Journal of Organization Theory and Behavior · doi:10.1108/ijotb-10-2024-0196
Huyghebaert‐Zouaghi, T. (2015) · doi:10.70675/fb591962z1218z4a47z84eezb9ae9b752b7b
Work–family conflict and coping strategies as predictors of emotional exhaustion in nurses
Kars, G., & Günaydın, N. (2026) · Applied Nursing Research · doi:10.1016/j.apnr.2026.152092
Nurse work environment, missed nursing care, moral distress, and burnout among ICU nurses
Connell, K. A., Bocchese, S., Lake, E. T., McHugh, M. D., & Yu, H. (2026) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2026.104516
Dong, T., Wang, G., Ma, L., Chang, S., Song, X., Hanqing, D., & Hou, K. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1937541
Luan, F., Yan, J., Sun, W., Han, X., & Cao, Y. (2026) · Journal of Nursing Management · doi:10.1155/jonm/7344295
- Authors
- Leineweber, C., Westerlund, H., Chungkham, H. S., Lindqvist, R., Runesdotter, S., & Tishelman, C.
- Affiliations
- Stockholm University (SE)
- Karolinska Institutet (SE)
- Corresponding author
- Leineweber, Constanze
- ORCID
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-05-12
- Volume
- 9
- Issue
- 5
- Pages
- e96991
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4018443
- OpenAlex
- W1984185491
- Cited by
- 95
- References
- 50
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 4 · 2023: 6 · 2022: 9 · 2021: 10 · 2020: 8 · 2019: 10 · 2018: 11 · 2017: 9 · 2016: 9 · 2015: 5 · 2014: 2
- FWCI
- 25.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- European Commission (2007–2013, 223468)
- Forskningsrådet för Arbetsliv och Socialvetenskap (2009-1077, 2011-0403, 2009-1758)
- Karolinska Institutet
- Stockholms Läns Landsting
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- nurse burnout, work-family conflict, nursing work environment, emotional exhaustion, depersonalization, personal accomplishment, nursing leadership, nursing support, hospital departments, RN4CAST
- MeSH terms
- Adult, Aged, Burnout, Professional, Conflict, Psychological, Emotions, Environment, Family, Mental Fatigue, Female, Humans, Male, Middle Aged, Nurses, Models, Statistical, Workplace, Multilevel Analysis, Young Adult
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
