The DOI matches its Crossref record; 69 of the 69 references it cites were found in a registry or an index.
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.
Overview
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
Verification
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?
The cited source doesn’t support the claim as written.
In the citing paper
“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]
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“and Emotional Exhaustion and Personal Accomplishment [50]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [50]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“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]
The cited source says what the claim attributes to it.
In the citing paper
“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 cited source says what the claim attributes to it.
In the citing paper
“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]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Tabachnick, B. G., & Fidell, L. S. (1983) · Cited by 79,882
(1990) · Choice Reviews Online · doi:10.5860/choice.27-3338 · Cited by 35,305
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863
Kupper, L. L., Hosmer, D. W., & Lemeshow, S. A. (1990) · Journal of the American Statistical Association · doi:10.2307/2290035 · Cited by 7,690
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
Self-citation(1967) · Project Euclid (Cornell University) · Cited by 4,720
American Association of Colleges of Nursing
Beard, E. L. (2002) · JONA s Healthcare Law Ethics and Regulation · doi:10.1097/00128488-200209000-00004 · Cited by 3,046
International Journal of Nursing Studies
(2000) · Nursing Older People · doi:10.7748/nop.11.10.26.s15 · Cited by 1,931
Development of the practice environment scale of the nursing work index†‡
Lake, E. T. (2002) · Research in Nursing & Health · doi:10.1002/nur.10032 · Cited by 1,769
(2006) · Europe PMC (PubMed Central) · Cited by 1,299
Research works printed but not linked: 12
- Aiken L. H., 2003, LDI Issue Brief, 9, 1
- Allison P. D., 1999, Missing data
- American Hospital Association, 1999, AHA Annual Survey Database
- Callaghan P., 1991, Nursing Times, 87, 50
- Hanrahan N. P., 2007, International Journal of Psychiatric Nursing Research, 12, 1521
- Hanrahan N. P., 2009, Journal of Psychosocial Nursing and Mental Health Services Research, 47, 1
- Institute of Medicine, 2006, Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series
- Kane R. L., 2007, Nursing staffing and quality of patient care
- National Association of Psychiatric Health Systems, 2006, Length of stay data
- National Quality Forum, 2004, National voluntary consensus standards for nursing-sensitive care: An initial performance measure set—a consensus report
- StataCorp, 2007, Statistical software: Release 10.0
- Van den Heede K., 2009, International Journal of Nursing Studies
Cited by
Sorted by citations
Items 101–175 of 175
Exploring the administrative supervisor role and its perceived impact on nurse and patient safety
Weaver, S. H. (2016) · ProQuest Demo Repository · doi:10.7282/t3xg9tb4 · Cited by 6
Sili, A., Fida, R., Trezza, T., Vellone, E., & Alvaro, R. (2014) · PubMed · Cited by 5
A Study on a Psychiatric Nurse's Mannerism Experiences
Kim, M.-H. (2017) · Journal of Korean Academy of Psychiatric and Mental Health Nursing · doi:10.12934/jkpmhn.2017.26.3.301 · Cited by 5
Wampole, D. M., & Bressi, S. K. (2019) · Journal of Nursing Education and Practice · doi:10.5430/jnep.v9n5p110 · Cited by 5
Stress among employees in psychiatric nursing
Nemec, U., & Trifkovič, K. Č. (2017) · Slovenian Nursing Review · doi:10.14528/snr.2017.51.1.122 · Cited by 5
Analysis of Nurses Organizational Deviant Behaviour: An Example of a University Hospital
Bayın, G., & Yeşilaydın, G. (2014) · Journal of Business Research - Turk · doi:10.20491/isader.2014315941 · Cited by 5
González, C. I. A., Matteis, S. D., Arias, Y. M. A., Fernandez, D. M. C., Muñoz, M. E. G., Kalcev, G., Galletta, M., Pinna, M. R., Ramirez, R. R., Brasesco, M. V., et al. (2024) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/0117450179349117241211094816 · Cited by 4
Novaes, L. R., de Barros, M. M., & Cirino, F. D. S. (2022) · Asploro Journal of Biomedical and Clinical Case Reports · doi:10.36502/2022/asjbccr.6276 · Cited by 4
Emotional Aspects of Leadership in the Modern Workplace
Giannouli, V. (2017) · Advances in human resources management and organizational development book series · doi:10.4018/978-1-5225-2568-4.ch002 · Cited by 4
Student nurses’ preparation for psychiatric nursing practice: Malawian experiences
Bvumbwe, T. (2016) · The Journal of Mental Health Training Education and Practice · doi:10.1108/jmhtep-09-2015-0043 · Cited by 4
Rush, K. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/xv8b-2766 · Cited by 4
The mediating role of job stress between organisational silence and social loafing in nurses
Türe, A., Akkoç, İ., Arun, K., & Çalışkan, A. (2025) · Journal of research in nursing · doi:10.1177/17449871241270773 · Cited by 4
Guan, M. (2021) · SAGE Open · doi:10.1177/2158244021999384 · Cited by 3
Ratnapradipa, K. L., Houfek, J. F., Gearhart, P., Schneider, E. O., Chasek, C. L., Dinkel, D. M., Cordts, K. M. P., Doyle, M., Chaudhary, P., Bhale, D., et al. (2024) · Journal of Nursing Management · doi:10.1155/2024/3167255 · Cited by 3
Mphaphuli, L. M. E., Coetzee, S. K., Tau, B. A., & Ellis, S. M. (2024) · BMC Nursing · doi:10.1186/s12912-024-01998-7 · Cited by 6
Kleebthong, D., Chareonsuk, S., & Kristiansen, L. P. (2018) · Open Journal of Nursing · doi:10.4236/ojn.2018.81004 · Cited by 3
The Clinical Experience of Adaptation as Novice Psychiatric Nurses In Hospital
Kim, M. Y., Jun, S., & 하수정 (2018) · Global Health and Nursing (글로벌 건강과 간호) · doi:10.35144/ghn.2018.8.1.17 · Cited by 3
Occupational Stress in Psychiatric Nurses and the Impact of Self-Care Activities
Lowe, J. (2022) · Digital Commons - Andrews University (Andrews University) · doi:10.32597/dnp/12/ · Cited by 3
Relationship between organizational commitment, working environment, and burnout in clinical nurses
Alinejad-Naeini, M., Ghasemi, M., Mirzaee, M. S., & Heidari-Beni, F. (2024) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_1067_23 · Cited by 2
Dixon, J., Yu, H., Kutney-Lee, A. M., & Carthon, J. M. B. (2026) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.70189 · Cited by 2
The hopes of nurses who care for people diagnosed with chronic mental illness in closed wards
Sung, K. M., Park, S. A., & Ham, J. H. (2020) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12645 · Cited by 2
Maciel, K. R. L., Ribeiro, A. C., & Souza, M. R. C. (2022) · Research Society and Development · doi:10.33448/rsd-v11i11.33411 · Cited by 2
Addo, M. A., Stephen, A. I., & Kirkpatrick, P. (2012) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/01938924-201210561-00003 · Cited by 2
IMPACT OF PERSONAL CHARACTERISTICS AND WORK STRESS ON JOB BURNOUT AMONG PSYCHIATRIC NURSES
Shih, E.-C., Chiu, H., Sun, C.-A., Wei, C., Chou, Y., & Yang, T. (2013) · Innovative Journal of Medical and Health Science · Cited by 2
Social factors associated with psychological states among tuberculosis management nurses
Seo, H.-S., Kim, H.-J., Hwang, S.-M., Hong, S.-H., & Lee, I.-Y. (2016) · Epidemiology and Health · doi:10.4178/epih/e2016008 · Cited by 2
BURNOUT AMONG NURSES WORKING IN NATIONAL INSTITUTE OF MENTAL HEALTH, SRI LANKA
Ministry of Health, S. L., Abeynayake, A. M. J., Abeynayake, A., Ministry of Health, S. L., Perera, M., Pathiraja, I., & Ministry of Health, S. L. (2022) · International conference on public health · doi:10.17501/24246735.2022.7115 · Cited by 2
Kim, H. (2014) · Journal of muscle and joint health · doi:10.5953/jmjh.2014.21.3.224 · Cited by 1
Luehring, M. C., Romani, P. W., & Ariefdjohan, M. (2024) · Journal of Child and Adolescent Psychiatric Nursing · doi:10.1111/jcap.12461 · Cited by 1
Mental Health Nurses' Knowledge of Entry-to-Practice Competencies in Psychiatric Care
Marcogliese, E., & Vandyk, A. D. (2019) · The Journal of Continuing Education in Nursing · doi:10.3928/00220124-20190612-08 · Cited by 1
Moreno‐Poyato, A. R., El-Abidi, K., González‐Palau, F., Tolosa‐Merlos, D., Rodríguez‐Nogueira, Ó., Pérez‐Toribio, A., Garrigós, G. C., Roviralta‐Vilella, M., & Roldán-Merino, J. F. (2022) · Journal of the American Psychiatric Nurses Association · doi:10.1177/10783903211066127 · Cited by 1
Combating Military and Veteran Mental Health Provider Burnout and Enhancing Resiliency
Sullivan, R. M., Warner, C. H., Heller, M. S., & Ritchie, E. C. (2023) · Springer eBooks · doi:10.1007/978-3-031-18009-5_21 · Cited by 1
de Oliveira, V. A. (2024) · doi:10.22533/at.ed.2732412025 · Cited by 1
Oliveira, C. A. D. F., & Marques, R. M. (2024) · doi:10.22533/at.ed.27324120210 · Cited by 1
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 2
Shin, J., & Kim, H. S. (2025) · Journal of Korean Academy of Psychiatric and Mental Health Nursing · doi:10.12934/jkpmhn.2025.34.1.79 · Cited by 1
Kupcewicz, E., & Szczypiński, W. (2018) · Pielęgniarstwo Polskie · doi:10.20883/pielpol.2018.20 · Cited by 1
The Importance Of A Psychiatric Milieu In Inpatient Settings
Caesar, L. G. (2015) · Cited by 1
Pabico, C. G. (2019) · KU ScholarWorks (The University of Kansas) · Cited by 1
Burnout In Psychiatric Nursing: Possible Protective Factors
Madathil, R. L. (2010) · The Mathematics Enthusiast · Cited by 1
Ocansey, J., & Nertey, J. (2024) · Research Square · doi:10.21203/rs.3.rs-4622267/v1 · Cited by 1
How do psychiatric healthcare workers prevent the use of restraint and seclusion
Carlson, K. A. (2012)
Vieira, M. V. (2015) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.22.2015.tde-27072015-164051
Bronkhorst, B., Tummers, L. G., Steijn, B., & Vijverberg, D. (2015)
Meta-Analysis of Evidence from the Practice Environment Scale of the Nursing Work Index
Sanders, J. (2015) · ScholarlyCommons (University of Pennsylvania)
Nursing students' experiences in mental health practicums : a narrative inquiry
Slemon, A. (2017) · cIRcle (University of British Columbia) · doi:10.14288/1.0354477
Bates, M., McPherson, S., & McCurley, J. (2018) · Nursing Management · doi:10.1097/01.numa.0000533777.06920.03
Prevalence of burnout among nurses working at a selected psychiatric hospital in Western Cape
Tununu, A. F. (2018) · UWC Research Repository (University of the Western Cape)
Ng, G. (2019) · CUNY Academic Works (City University of New York)
Deklāva, L., Skrodere, M., Fokina, O., Vilka, L., & Millere, I. (2020) · SOCIETY INTEGRATION EDUCATION Proceedings of the International Scientific Conference · doi:10.17770/sie2020vol6.5008
Lumintang, G. G., Kindangen, P., & Adolfina (2021) · Archives of Business Research · doi:10.14738/abr.97.10312
Kim, S. U., & Kong, S. S. (2021) · Journal of Korean Academy of Psychiatric and Mental Health Nursing · doi:10.12934/jkpmhn.2021.30.3.293
Conceptualizing Psychiatric “Dirty Work” and Stigma in the Breakdown of the Therapeutic Alliance
Shaw, L. M. (2022) · Advances in linguistics and communication studies · doi:10.4018/978-1-7998-9125-3.ch021
Poluboiartsev, I. O. (2023) · Research Square · doi:10.21203/rs.3.rs-3317112/v1
Kızılkaya, S. (2023) · Journal of Business Research - Turk · doi:10.20491/isarder.2023.1721
O PAPEL DA ENFERMAGEM NA PROMOÇÃO DO AUTOCUIDADO NO PERÍODO PÓS-PARTO
da Silva, J. C. C., da Silva, C. N. G., Teles, C. R., Tavares, A. P. C., Rolindo, J. M. R., & dos Reis, M. A. (2024) · doi:10.22533/at.ed.2732412022
Enfermagem na linha de frente: experiências e lições aprendidas 2
Praxedes, M. F. D. S. (2024) · doi:10.22533/at.ed.273241202
A ENFERMAGEM NA SEGURANÇA DO PACIENTE INTERNADO
Côrreia, E. S. R., & Diaz, K. C. M. (2024) · doi:10.22533/at.ed.27324120214
REFLEXÃO TEÓRICA SOBRE A MÚSICA DE ODAIR JOSÉ E O DIREITO REPRODUTIVO FEMININO
Filizola, L. T. D. M., Filizola, L. R. D. M., Tavares, K. M. F., Fonseca, P. E. O., Alexandre, B. K. D. F. S., Filho, L. A. M. R., Machado, V. G. V., Braga, S. V. M., Dias, M. M., de Sousa, F. R. R., et al. (2024) · doi:10.22533/at.ed.2732412024
O ENFERMEIRO NA PREVENÇÃO DA VIOLÊNCIA OBSTÉTRICA
de Souza, B. B., & Diaz, K. C. M. (2024) · doi:10.22533/at.ed.2732412023
O PROCESSO DE ENFERMAGEM COMO INSTRUMENTO DE PROMOÇÃO DE PRÁTICAS SEGURAS NO AMBIENTE HOSPITALAR
do Nascimento, D. F., Corona, A. R. D. P. D., da Silva, V. R., & Albuquerque, K. S. R. (2024) · doi:10.22533/at.ed.27324120215
ASSISTÊNCIA PRÉ-NATAL DE MULHERES PRIVADAS DE LIBERDADE: REVISÃO NARRATIVA DA LITERATURA
Alves, E. T., Machado, E. D. O., Kerschner, C. L. D. N., Vizini, S. T., Machado, R. A. D. M., dos Reis, F., Inchauspe, J. A. F., dos Santos, S., Chassot, M. D., & Santarém, M. D. (2024) · doi:10.22533/at.ed.2732412027
RECOMENDAÇÕES DISPONÍVEIS SOBRE AMAMENTAÇÃO DURANTE O PERÍODO DE PANDEMIA PELA COVID-19
Luz, R. T., de Sousa, M. L., Santos, A. G. D., Teixeira, M. A., & Lôbo, M. P. (2024) · doi:10.22533/at.ed.2732412029
Godinho, E. M. D. A., Gomes, A. K. S. D. S., Zaidan, G. D., Soares, K. S. F., & Pereira, K. S. R. (2024) · doi:10.22533/at.ed.27324120212
Godinho, E. M. D. A., & Issa, A. P. A. N. (2024) · doi:10.22533/at.ed.27324120213
Novaes, L. R., de Barros, M. M., & Cirino, F. D. S. (2024) · doi:10.22533/at.ed.27324120216
de Brito, A. P. S., & dos Santos, C. O. (2024) · doi:10.22533/at.ed.2732412021
ATIVIDADE FÍSICA DOS IDOSOS EM PORTUGAL E IMPACTOS NA SAÚDE: SCOPING REVIEW
Nogueira, M. J., & Teixeira, D. (2024) · doi:10.22533/at.ed.27324120211
O PAPEL DO ENFERMEIRO NO ENFRENTAMENTO DA VIOLÊNCIA OBSTÉTRICA
Oliveira, J. D. C. L. B., & Messias, J. Q. M. (2024) · doi:10.22533/at.ed.2732412026
de Matos, P. S. D., Vasconcelos, W. C., Pereira, M. D. O., Valente, G. S. C., Cortez, E. A., & Messias, C. M. (2024) · doi:10.22533/at.ed.27324120217
Additional file 1 of The item network and domain network of burnout in Chinese nurses
Wu, L., Ren, L., Wang, Y., Zhang, K., Fang, P., Liu, X., Yang, Q., Wang, X., Wu, S., & Peng, J. (2021) · Figshare · doi:10.6084/m9.figshare.15184658
Ketzer, M., Gehri, B., Huber, C. G., Nienaber, A., & Simon, M. (2026) · Journal of Nursing Management · doi:10.1155/jonm/5552920
Jalloh, M., Fundira, S., Gomez, H., Jones, M., Javed, M. N., & Krishnan, V. (2026) · Healthcare · doi:10.3390/healthcare14193158
Lindberg, M., Phillips, K. E., Thompson, A. D., & Costello, E. M. (2026) · Journal of the American Psychiatric Nurses Association · doi:10.1177/10783903261492202
Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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
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
