{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T23:46:16Z","timestamp":1775605576019,"version":"3.50.1"},"reference-count":46,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Burns"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.burns.2026.107916","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T20:01:07Z","timestamp":1771358467000},"page":"107916","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Burnout among healthcare professionals in high-emotion work environments: A qualitative study from the burn unit in Albania"],"prefix":"10.1016","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5933-7672","authenticated-orcid":false,"given":"Eva","family":"Filaj","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marinela","family":"Sota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.burns.2026.107916_bib1","unstructured":"World Health Organization. 2019. Burn-out an \u201coccupational phenomenon\u201d: International classification of diseases. \u3008https:\/\/www.who.int\/mental_health\/evidence\/burn-out\/en\/\u3009."},{"key":"10.1016\/j.burns.2026.107916_bib2","series-title":"Maslach Burnout Inventory","author":"Maslach","year":"1997"},{"key":"10.1016\/j.burns.2026.107916_bib3","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1146\/annurev.psych.52.1.397","article-title":"Job Burnout","volume":"52","author":"Maslach","year":"2001","journal-title":"Annu Rev Psychol"},{"issue":"3","key":"10.1016\/j.burns.2026.107916_bib4","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1108\/13620430910966406","article-title":"Burnout: 35 years of research and practice","volume":"14","author":"Schaufeli","year":"2009","journal-title":"Career Dev Int"},{"issue":"2","key":"10.1016\/j.burns.2026.107916_bib5","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1002\/wps.20311","article-title":"Understanding the burnout experience: recent research and its implications for psychiatry","volume":"15","author":"Maslach","year":"2016","journal-title":"World Psychiatry"},{"issue":"18","key":"10.1016\/j.burns.2026.107916_bib6","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1001\/archinternmed.2012.3199","article-title":"Burnout and satisfaction with work-life balance among US physicians relative to the general US population","volume":"172","author":"Shanafelt","year":"2012","journal-title":"Arch Intern Med"},{"issue":"12","key":"10.1016\/j.burns.2026.107916_bib7","doi-asserted-by":"crossref","first-page":"1600","DOI":"10.1016\/j.mayocp.2015.08.023","article-title":"Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014","volume":"90","author":"Shanafelt","year":"2015","journal-title":"Mayo Clin Proc"},{"issue":"1","key":"10.1016\/j.burns.2026.107916_bib8","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/s12960-020-00469-9","article-title":"Burnout in nursing: a theoretical review","volume":"18","author":"Dall\u2019Ora","year":"2020","journal-title":"Hum Resour Health"},{"key":"10.1016\/j.burns.2026.107916_bib9","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jpsychires.2019.12.015","article-title":"Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis","volume":"123","author":"Woo","year":"2020","journal-title":"J Psychiatr Res"},{"issue":"12","key":"10.1016\/j.burns.2026.107916_bib10","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1097\/MLR.0b013e3182330b6e","article-title":"Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments","volume":"49","author":"Aiken","year":"2011","journal-title":"Med Care"},{"issue":"3","key":"10.1016\/j.burns.2026.107916_bib11","doi-asserted-by":"crossref","first-page":"1780","DOI":"10.3390\/ijerph19031780","article-title":"Burnout: a review of theory and measurement","volume":"19","author":"Ed\u00fa-Valsania","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.burns.2026.107916_bib12","first-page":"129","article-title":"Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout","volume":"92","author":"Shanafelt","year":"2017"},{"key":"10.1016\/j.burns.2026.107916_bib13","article-title":"Burnout in healthcare: the case for organisational change","volume":"366","author":"Montgomery","year":"2019","journal-title":"Bmj"},{"issue":"1","key":"10.1016\/j.burns.2026.107916_bib14","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1186\/s40359-024-02130-9","article-title":"Factors affecting healthcare workers burnout and their conceptual models: scoping review","volume":"12","author":"Nagle","year":"2024","journal-title":"BMC Psychol"},{"issue":"2","key":"10.1016\/j.burns.2026.107916_bib15","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.jvb.2010.04.006","article-title":"Gender differences in burnout: a meta-analysis","volume":"77","author":"Purvanova","year":"2010","journal-title":"J Vocat Behav"},{"issue":"2","key":"10.1016\/j.burns.2026.107916_bib16","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1002\/nur.21774","article-title":"Age as a risk factor for burnout syndrome in nursing professionals: a meta-analytic study","volume":"40","author":"G\u00f3mez-Urquiza","year":"2017","journal-title":"Res Nurs Health"},{"issue":"1","key":"10.1016\/j.burns.2026.107916_bib17","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1002\/smi.1321","article-title":"The predictive value of individual factors, work-related factors, and work\u2013home interaction on burnout in female and male physicians: a longitudinal study","volume":"27","author":"Langballe","year":"2011","journal-title":"Stress Health"},{"issue":"3","key":"10.1016\/j.burns.2026.107916_bib18","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1177\/1355819619840373","article-title":"Individual and environmental determinants of burnout among nurses","volume":"24","author":"Rees","year":"2019","journal-title":"J Health Serv Res Policy"},{"issue":"1","key":"10.1016\/j.burns.2026.107916_bib19","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.ijnurstu.2014.07.001","article-title":"Risk factors and prevalence of burnout syndrome in the nursing profession","volume":"52","author":"Ca\u00f1adas-De la Fuente","year":"2015","journal-title":"Int J Nurs Stud"},{"issue":"6","key":"10.1016\/j.burns.2026.107916_bib20","doi-asserted-by":"crossref","first-page":"3280","DOI":"10.3390\/ijerph18063280","article-title":"Doctors and nurses: a systematic review of the risk and protective factors in workplace violence and burnout","volume":"18","author":"Gimenez Lozano","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"10.1016\/j.burns.2026.107916_bib21","doi-asserted-by":"crossref","first-page":"1852","DOI":"10.32391\/ajtes.v9i2.448","article-title":"Prevalence and associated risk factors for occupational burnout among healthcare personnel: a systematic review","volume":"9","author":"Belisha","year":"2025","journal-title":"Albania J Trauma Emerg Surg"},{"issue":"S1","key":"10.1016\/j.burns.2026.107916_bib22","doi-asserted-by":"crossref","DOI":"10.1192\/j.eurpsy.2021.1934","article-title":"Burnout in medical residents-a prospective study in Albania","volume":"64","author":"Alikaj","year":"2021","journal-title":"Eur Psychiatry"},{"issue":"1","key":"10.1016\/j.burns.2026.107916_bib23","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/j.1471-6712.2005.00318.x","article-title":"Long-term stress, burnout and patient\u2013nurse relations: qualitative interview study about nurses\u2019 experiences","volume":"19","author":"Billeter-Koponen","year":"2005","journal-title":"Scand J Caring Sci"},{"issue":"4","key":"10.1016\/j.burns.2026.107916_bib24","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1097\/HCM.0b013e31823511f7","article-title":"Compassion fatigue and burnout: what managers should know","volume":"30","author":"Slatten","year":"2011","journal-title":"Health care Manag"},{"issue":"2","key":"10.1016\/j.burns.2026.107916_bib25","article-title":"Generic qualitative research in psychology","volume":"20","author":"Percy","year":"2015","journal-title":"Qual Rep"},{"key":"10.1016\/j.burns.2026.107916_bib26","unstructured":"Stake, R.E. 2008. Qualitative case studies."},{"issue":"3","key":"10.1016\/j.burns.2026.107916_bib27","first-page":"35","article-title":"Case study as a choice in qualitative methodology","volume":"4","author":"Njie","year":"2014","journal-title":"J Res Method Educ"},{"issue":"13","key":"10.1016\/j.burns.2026.107916_bib28","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1177\/1049732315617444","article-title":"Sample size in qualitative interview studies: guided by information power","volume":"26","author":"Malterud","year":"2016","journal-title":"Qual Health Res"},{"key":"10.1016\/j.burns.2026.107916_bib29","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2021.114523","article-title":"Sample sizes for saturation in qualitative research: A systematic review of empirical tests","volume":"292","author":"Hennink","year":"2022","journal-title":"Soc Sci Med"},{"issue":"12","key":"10.1016\/j.burns.2026.107916_bib30","doi-asserted-by":"crossref","first-page":"2954","DOI":"10.1111\/jan.13031","article-title":"Systematic methodological review: developing a framework for a qualitative semi-structured interview guide","volume":"72","author":"Kallio","year":"2016","journal-title":"J Adv Nurs"},{"key":"10.1016\/j.burns.2026.107916_bib31","unstructured":"Lincoln Y.S., Guba E.G. 1988. Criteria for assessing naturalistic inquiries as reports."},{"issue":"3","key":"10.1016\/j.burns.2026.107916_bib32","article-title":"Using naturalistic inquiry to inform qualitative description","volume":"29","author":"Cutler","year":"2021","journal-title":"Nurse Res"},{"key":"10.1016\/j.burns.2026.107916_bib33","first-page":"426","article-title":"Doing template analysis","volume":"426","author":"King","year":"2012","journal-title":"Qual Organ Res Core Methods Curr Chall"},{"issue":"2","key":"10.1016\/j.burns.2026.107916_bib34","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1080\/14780887.2014.955224","article-title":"The utility of template analysis in qualitative psychology research","volume":"12","author":"Brooks","year":"2015","journal-title":"Qual Res Psychol"},{"issue":"22","key":"10.1016\/j.burns.2026.107916_bib35","doi-asserted-by":"crossref","first-page":"14701","DOI":"10.3390\/ijerph192214701","article-title":"Factors associated with burnout in healthcare professionals","volume":"19","author":"Taranu","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"10.1016\/j.burns.2026.107916_bib36","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1108\/BJM-04-2020-0136","article-title":"Is public healthcare healthy? The role of emotional exhaustion","volume":"16","author":"L\u00f3pez-Cabarcos","year":"2021","journal-title":"Balt J Manag"},{"issue":"1","key":"10.1016\/j.burns.2026.107916_bib37","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s12904-024-01393-8","article-title":"Impact of confrontation to patient suffering and death on wellbeing and burnout in professionals: a cross-sectional study","volume":"23","author":"Delafontaine","year":"2024","journal-title":"BMC Palliat Care"},{"key":"10.1016\/j.burns.2026.107916_bib38","doi-asserted-by":"crossref","unstructured":"Velasco J., Sanmart\u00edn F.J., G\u00e1lvez-Lara M., Cuadrado F., Moriana J.A. 2023. Psychological effects of professional exposure to trauma and human suffering:.","DOI":"10.1177\/15248380221074314"},{"key":"10.1016\/j.burns.2026.107916_bib39","series-title":"Emotional and physiological processes and positive intervention strategies","first-page":"91","article-title":"Areas of worklife: a structured approach to organizational predictors of job burnout","author":"Leiter","year":"2003"},{"issue":"1","key":"10.1016\/j.burns.2026.107916_bib40","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1504\/IJBHR.2023.133535","article-title":"Areas of worklife as predictors of the burnout syndrome","volume":"9","author":"Porto","year":"2023","journal-title":"Int J Behav Healthc Res"},{"issue":"2","key":"10.1016\/j.burns.2026.107916_bib41","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.mnl.2022.04.009","article-title":"Trauma, Compassion Fatigue, and Burnout in Nurses","volume":"21","author":"Wolotira","year":"2023","journal-title":"Nurse Lead's Response Nurse Lead"},{"issue":"1","key":"10.1016\/j.burns.2026.107916_bib42","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1186\/s12913-023-10356-3","article-title":"Compassion fatigue in healthcare providers: a scoping review","volume":"23","author":"Garnett","year":"2023","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"10.1016\/j.burns.2026.107916_bib43","doi-asserted-by":"crossref","DOI":"10.5502\/ijw.v3i1.4","article-title":"Resilience in the health professions: a review of recent literature","volume":"3","author":"McCann","year":"2013","journal-title":"Int J Wellbeing"},{"issue":"S1","key":"10.1016\/j.burns.2026.107916_bib44","doi-asserted-by":"crossref","first-page":"3881","DOI":"10.53730\/ijhs.v7nS1.15445","article-title":"Optimizing workforce well-being and retention in integrated health systems: a multidisciplinary approach to combating burnout","volume":"7","author":"Alqahtani","year":"2023","journal-title":"Int J Health Sci"},{"key":"10.1016\/j.burns.2026.107916_bib45","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2023.1258226","article-title":"Associations of burnout with job demands\/resources during the pandemic in health workers from Southeast European countries","volume":"14","author":"Mijakoski","year":"2023","journal-title":"Front Psychol"},{"key":"10.1016\/j.burns.2026.107916_bib46","series-title":"Healthcare in Western Balkans \u2013 Hurting People\u2019s Well-being and Economic Future","author":"Council of Europe Development Bank","year":"2023"}],"container-title":["Burns"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0305417926000689?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0305417926000689?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T22:52:07Z","timestamp":1775602327000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0305417926000689"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":46,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["S0305417926000689"],"URL":"https:\/\/doi.org\/10.1016\/j.burns.2026.107916","relation":{},"ISSN":["0305-4179"],"issn-type":[{"value":"0305-4179","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Burnout among healthcare professionals in high-emotion work environments: A qualitative study from the burn unit in Albania","name":"articletitle","label":"Article Title"},{"value":"Burns","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.burns.2026.107916","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd and ISBI. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"107916"}}