{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T06:24:14Z","timestamp":1787379854440,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":232,"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<\/jats:title>\n                    <jats:p>To examine whether perceived organisational support (POS) mediates the association between breakroom culture and nurse burnout (low psychological well\u2010being and disengagement) and whether unit\u2010level teamwork engagement moderates this mediation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nurse burnout threatens care quality and workforce retention globally. Informal social resources embedded in the everyday work environment, such as breakroom culture (shared supportive peer interactions during rest periods), remain underexplored\u2014particularly in nonWestern healthcare contexts. Grounded in the Job Demands\u2013Resources theory and Organisational Support Theory, this study examined the mediating role of POS and the moderating role of unit\u2010level team work engagement in the breakroom culture\u2013burnout relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional multilevel study was conducted with 720 nurses nested in 36 units across three Chinese tertiary hospitals. Breakroom culture was measured using a contextually validated five\u2010item scale; POS with the revised Survey of POS; low psychological well\u2010being (reverse\u2010scored WHO\u20105, as an indicator of exhaustion\u2010related distress) and disengagement (adapted cynicism subscale) as individual\u2010level outcomes. Unit\u2010level team work engagement was measured using the UWES\u20109\u2010T. Multilevel structural equation modelling with latent decomposition and 5000 bootstrap resamples tested the hypothesised multilevel moderated mediation model (unit\u2010level moderator, individual\u2010level mediator and outcomes).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Breakroom culture was positively associated with POS (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.39,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), which in turn was negatively associated with low psychological well\u2010being (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.46,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) and disengagement (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.41,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Indirect effects via POS were significant for low psychological well\u2010being (ab\u2009=\u2009\u22120.18, 95% CI [\u20130.24, \u22120.13]) and disengagement (ab\u2009=\u2009\u22120.16, 95% CI [\u20130.21, \u22120.12]), with no residual direct effects. Team\u2010level work engagement moderated the first stage of mediation (\u03b2interaction\u2009=\u20090.15,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003); the indirect effects were significantly stronger in units with higher team work engagement (indices of moderated mediation: \u22120.06 and \u22120.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A supportive breakroom culture is associated with reduced nurse burnout through enhanced POS\u2014an informal\u2010organisational support pathway amplified by positive team\u2010level work engagement. Due to the cross\u2010sectional design, causal claims cannot be established from this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nurse managers should reconceptualise breakrooms as strategic recovery spaces, apply low\u2010cost environmental upgrades, and model relational leadership during breaks. Written task guidelines should protect break time from nonclinical chores. Routine monitoring of team\u2010level work engagement using validated tools (e.g., UWES\u20109\u2010T) is recommended. Healthcare institutions should embed relational well\u2010being metrics into quality dashboards and accreditation standards.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/5545718","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T05:59:53Z","timestamp":1787378393000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Breakroom Culture and Nurse Burnout: A Multilevel Moderated Mediation Analysis"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1602-2665","authenticated-orcid":false,"given":"Yanjun","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8221-6822","authenticated-orcid":false,"given":"Yanyan","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1438-7130","authenticated-orcid":false,"given":"Wubin","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.397"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.43059"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCC.0000000000000598"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-63550-6"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/2165079919873934"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.2147\/JHL.S487709"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.93.5.1082"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.71.3.500"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12269"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000376585"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0159015"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1037\/ocp0000056"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.87.4.698"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/job.1924"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0149206315575554"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10869-011-9236-3"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0013164405282471"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.87.2.220"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.5465\/amj.2007.25530866"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/more.12010"},{"key":"e_1_2_11_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_2_11_22_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.88.5.879"},{"key":"e_1_2_11_23_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.82.5.812"},{"key":"e_1_2_11_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.145"},{"key":"e_1_2_11_25_2","volume-title":"Maslach Burnout Inventory Manual","author":"Maslach C.","year":"1996"},{"key":"e_1_2_11_26_2","first-page":"19","volume-title":"Maslach Burnout Inventory Manual","author":"Schaufeli W. 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