Relationship between Psychiatric Nurse Work Environments and Nurse Burnout in Acute Care General Hospitals
Open accessAbstract
Following deinstitutionalization, inpatient psychiatric services moved from state institutions to general hospitals. Despite the magnitude of these changes, evaluations of the quality of inpatient care environments in general hospitals are limited. This study examined the extent to which organizational factors of the inpatient psychiatric environments are associated with psychiatric nurse burnout. Organizational factors were measured by an instrument endorsed by the National Quality Forum. Robust clustered regression analysis was used to examine the relationship between organizational factors in 67 hospitals and levels of burnout for 353 psychiatric nurses. Lower levels of psychiatric nurse burnout was significantly associated with inpatient environments that had better overall quality work environments, more effective managers, strong nurse-physician relationships, and higher psychiatric nurse-to-patient staffing ratios. These results suggest that adjustments in organizational management of inpatient psychiatric environments could have a positive effect on psychiatric nurses' capacity to sustain safe and effective patient care environments.
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Participation in hospital affairs is not associated with Emotional Exhaustion, but only with Personal Accomplishment.
“a further study did not found an association between participation in hospital affairs and Emotional Exhaustion, but only with Personal Accomplishment [50]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [50]
The Results section supports the absence of an adjusted association between participation in hospital affairs and emotional exhaustion, though it reports a significant association before adjustment. It contradicts the claim that participation was associated with personal accomplishment: no organizational factor was associated with that outcome in either model. The supplied passage has no page number. (LLM, conf=0.90)
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Experimental — accuracy not yet measuredPerceived nurse manager's ability is related to Emotional Exhaustion and Personal Accomplishment.
“and Emotional Exhaustion and Personal Accomplishment [50]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [50]
The Discussion (‘Strong Mangers and Leaders’) reports a significant relationship between manager skill and emotional exhaustion. The Results state that none of the work-environment factors, including manager skill, were associated with personal accomplishment in the adjusted or unadjusted models. The claim is therefore supported for emotional exhaustion but not personal accomplishment. (LLM, conf=0.92)
Experimental — accuracy not yet measuredQuality of nurse-physician relationship is associated with Emotional Exhaustion and Depersonalisation, but not Personal Accomplishment.
“quality of nurse-physician relationship was associated with Emotional Exhaustion and Depersonalisation, but not PA [50]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [50]
Having foundations for quality of care is associated with reduced Emotional Exhaustion only.
“one study found that having foundations for quality of care was associated with reduced Emotional Exhaustion only [50]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [50]
The better rated the work environment, the lower the likelihood of experiencing Emotional Exhaustion and Depersonalisation.
“four studies found the same relationship, but on both Emotional Exhaustion and Depersonalisation [50, 66, 93, 94]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [50]
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- Authors
- Hanrahan, N. P., Aiken, L. H., McClaine, L., & Hanlon, A. L.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Hanrahan, Nancy P.
- Venue
- Issues in Mental Health Nursing
- Publisher
- Informa UK Limited
- Published
- 2010-01
- Volume
- 31
- Issue
- 3
- Pages
- 198-207
- ISSN
- 0161-2840 (ISSN-L)
- 1096-4673
- PMC
- PMC2856615
- OpenAlex
- W2112981859
- Cited by
- 176
- References
- 69
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 26 · 2023: 5 · 2022: 8 · 2021: 11 · 2020: 12 · 2019: 11 · 2018: 13 · 2017: 18 · 2016: 9 · 2015: 18 · 2014: 14 · 2013: 3 · 2012: 13
- FWCI
- 23.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Issues in Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5p30nr005043-10)
- National Institute of Nursing Research (P30-NR-005043, R01NR004513)
- 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
- work environment, psychiatric inpatient care, general hospitals, organizational factors, nurse staffing ratios, nurse-physician relationship, management effectiveness, deinstitutionalization, quality of care
- MeSH terms
- Adult, Aged, Burnout, Professional, Cross-Sectional Studies, Female, Hospitals, General, Humans, Job Satisfaction, Male, Middle Aged, Pennsylvania, Personnel Staffing and Scheduling, Psychiatric Department, Hospital, Psychiatric Nursing, Social Environment, Nursing Administration Research, Physician-Nurse Relations, Young Adult
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