{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T09:42:17Z","timestamp":1792230137702,"version":"4.4.0"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"vor","delay-in-days":289,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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 Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim(s)<\/jats:title>\n                    <jats:p>To clarify the concept of burnout crossover contagion using Walker and Avant\u2019s concept analysis method and to identify its defining attributes, antecedents, consequences, and implications for nursing management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Burnout may extend beyond individual employees through interpersonal processes within shared work environments. However, burnout crossover contagion remains inconsistently conceptualized, with unclear boundaries from related constructs and limited synthesis of its defining attributes, antecedents, and consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evaluation<\/jats:title>\n                    <jats:p>Walker and Avant\u2019s concept analysis method was applied to synthesize formally included studies on burnout crossover and contagion. Evidence was examined to identify uses of the concept, defining attributes, antecedents, consequences, and empirical referents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Issue(s)<\/jats:title>\n                    <jats:p>Three defining attributes were identified: interpersonal interaction, direct and indirect transmission, and synchronization of burnout manifestations. Antecedents included shared occupational stressors, transmission\u2010related conditions, and individual characteristics, while consequences were identified at individual and organizational levels. A hypothesis\u2010generating nursing\u2010team\u2010specific extension was developed in which shiftwork, handoffs, staffing instability, task interdependence, and repeated team interaction are conceptualized as contextual or exposure\u2010related conditions that may increase opportunities for interpersonal burnout transmission rather than as established causal mechanisms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion(s)<\/jats:title>\n                    <jats:p>Burnout crossover contagion is an interpersonal phenomenon involving the transmission and increasing convergence of burnout manifestations between individuals. The proposed framework requires further empirical testing using longitudinal, dyadic, multilevel, and social network approaches, particularly to distinguish interpersonal transmission from burnout similarity attributable to shared occupational conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nurse managers should consider burnout as both an individual occupational health concern and a potential relational risk within nursing teams. Stable staffing, equitable workload allocation, sufficient recovery, supportive leadership, psychologically safe handoffs, and structured team support may represent potential management approaches; however, their effectiveness in preventing or reducing burnout crossover contagion requires empirical validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/5313772","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T09:05:06Z","timestamp":1792227906000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding Burnout Crossover Contagion: A Concept Analysis Using Walker and Avant\u2019s Method"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8054-3792","authenticated-orcid":false,"given":"Si-Jia","family":"Wang","sequence":"first","affiliation":[{"name":"School of Nursing and Rehabilitation Shandong University  Jinan Shandong China  sdu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2542-8657","authenticated-orcid":false,"given":"Guang-Zhi","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Shandong University  Jinan Shandong China  sdu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Dong","sequence":"additional","affiliation":[{"name":"The Second Hospital of Shandong University  Jinan Shandong China  sdey.net"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong-Lian","family":"Gao","sequence":"additional","affiliation":[{"name":"The Second Hospital of Shandong University  Jinan Shandong China  sdey.net"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3079-701X","authenticated-orcid":false,"given":"Bin-Bin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Qilu Hospital of Shandong University Dezhou Hospital  Dezhou Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9763-4119","authenticated-orcid":false,"given":"Yu-Fang","family":"Guo","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Shandong University  Jinan Shandong China  sdu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,17]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.397"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzx087"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.02.090"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2020.06.008"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2022.151609"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03494.x"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2724"},{"key":"e_1_2_10_8_2","volume-title":"Emotional Contagion","author":"Hatfield E.","year":"1994"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0018726701546002"},{"key":"e_1_2_10_10_2","first-page":"111","volume-title":"Stress and Burnout in Health Care","author":"Westman M.","year":"2008"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1108\/02683940910939304"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvb.2004.07.001"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/10615806.2010.542808"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/13594320701218288"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1559-1816.2000.tb02437.x"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rceng.2020.02.003"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1037\/str0000134"},{"key":"e_1_2_10_18_2","first-page":"13","volume-title":"Advances in Psychology Research","author":"Bakker A. 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