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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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“a further study did not found an association between participation in hospital affairs and Emotional Exhaustion, but only with Personal Accomplishment [50]”
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Burnout in nursing: a theoretical review.
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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
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