{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T04:28:24Z","timestamp":1791606504506,"version":"4.3.4"},"reference-count":81,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to explore occupational burnout among Chinese nurses from two perspectives: first, by comparing changes in emotional exhaustion, depersonalisation and personal accomplishment before and after the COVID\u201019 pandemic; and second, by identifying long\u2010term work\u2010related stressors and structural factors contributing to burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A mixed\u2010methods approach was adopted, combining a systematic review with qualitative interviews. The qualitative component involved semi\u2010structured interviews with 53 hospital\u2010employed nurses from various departments and regions across China, focusing on the three core dimensions of occupational burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The systematic review included both Chinese and English\u2010language studies published between 2016 and 2023 that used the Maslach Burnout Inventory to assess burnout among nurses. A total of 22 studies met the inclusion criteria, selected independently by two researchers using the JBI critical appraisal tool. In parallel, the qualitative interviews explored nurses' subjective experiences and coping strategies related to work stress, emotional fatigue and professional identity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Bayesian factor analysis indicated no significant differences in emotional exhaustion (BF\n                      <jats:sub>01<\/jats:sub>\n                      \u2009=\u20092.202), depersonalisation (BF\n                      <jats:sub>01<\/jats:sub>\n                      \u2009=\u20092.761) or personal accomplishment (BF\n                      <jats:sub>01<\/jats:sub>\n                      \u2009=\u20092.747) before and after the pandemic. Qualitative findings revealed that burnout was primarily driven by long\u2010standing systemic stressors, including promotion pressure, clinical workload, organisational demands and work\u2013family conflict. Although many nurses relied on self\u2010regulation strategies to maintain psychological stability, they continued to experience ongoing physical and emotional exhaustion. Some reported emotional numbness, but most retained empathy and a strong sense of responsibility. Their sense of personal accomplishment often stemmed from patient recovery and recognition of professional value.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Occupational burnout among Chinese nurses remained largely stable before and after the COVID\u201019 pandemic. Its root causes stem from persistent work\u2010related stressors and systemic issues, rather than the pandemic itself. Effective mitigation requires institutional strategies, including better staffing, clear career pathways and sustained emotional support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Short\u2010term crisis responses alone are insufficient to address enduring burnout. Nursing leadership should prioritise systemic reforms\u2014such as optimising shift schedules, defining promotion channels and integrating regular psychological support\u2014to enhance nurse well\u2010being and care quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.17085","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T04:09:23Z","timestamp":1748405363000},"page":"3598-3616","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Occupational Burnout in Nurses Is due to Long\u2010Term Work Stress Rather Than\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic Event"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5055-4077","authenticated-orcid":false,"given":"Yucheng","family":"Cao","sequence":"first","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3215-0164","authenticated-orcid":false,"given":"Yanhong","family":"Dong","sequence":"additional","affiliation":[{"name":"Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore  Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9227-0849","authenticated-orcid":false,"given":"Leiyu","family":"Shi","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Chappell","sequence":"additional","affiliation":[{"name":"Accreditation Commission for Education in Nursing  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhijie","family":"Jia","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Yan","sequence":"additional","affiliation":[{"name":"Liaocheng Vocational and Technical College  Liaocheng Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3936-6998","authenticated-orcid":false,"given":"Yu","family":"Gao","sequence":"additional","affiliation":[{"name":"Qionghai Institute of Nursing Excellence  Qionghai Hainan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.36835\/dnursing.v3i1.380"},{"issue":"6","key":"e_1_2_11_3_1","first-page":"43","article-title":"Professional Self Concept","volume":"94","author":"B\u00e9dard D.","year":"1998","journal-title":"Canadian Nurse"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16847"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16943"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12222201"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315227979-14"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1057460"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/jopcs.jopcs_22_22"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-213458"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315134543"},{"key":"e_1_2_11_13_1","first-page":"368","article-title":"Research on the Influence of Nurses' Professional Identity and Job Burnout on Turnover Intention","volume":"17","author":"Duan Y. 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