{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T15:30:52Z","timestamp":1793806252022,"version":"4.6.1"},"reference-count":47,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["1 U3NHP45404\u201001\u201000"],"award-info":[{"award-number":["1 U3NHP45404\u201001\u201000"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100026913","name":"Moses Taylor Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100026913","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Burnout among school nurses is a growing concern as it may influence mental health and job performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This qualitative study investigates burnout-related factors among school nurses in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 2022 large multi-state survey of school nurses was conducted with 1,259 responses to an open-ended question regarding burnout. These were analyzed using content analysis to identify themes. The difference between those with and without burnout was examined on the identified themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Symptoms of burnout reported were anxiety, stress, irritability and anger, loss of personal and social connectedness, sleep disturbances, depressive symptoms, and physical symptoms. The nurses reporting burnout also reported high workloads, job dissatisfaction, and intention to leave their current position.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings suggest the potential importance of workload in reducing burnout, which would require structural reform and sustained administrative support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10598405251386068","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T18:12:53Z","timestamp":1760724773000},"page":"605-617","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Burnout Among U.S. School Nurses After the COVID-19 Pandemic: Integrating Insights on Symptoms and Workplace Factors"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3371-6086","authenticated-orcid":false,"given":"Ali A","family":"Weinstein","sequence":"first","affiliation":[{"name":"George Mason University"},{"name":"George Mason University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3121-7942","authenticated-orcid":false,"given":"Debora G","family":"Goldberg","sequence":"additional","affiliation":[{"name":"George Mason University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zill","family":"Shah","sequence":"additional","affiliation":[{"name":"George Mason University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0997-7764","authenticated-orcid":false,"given":"Megan E","family":"Warner","sequence":"additional","affiliation":[{"name":"George Mason University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0176-1499","authenticated-orcid":false,"given":"Erin D","family":"Maughan","sequence":"additional","affiliation":[{"name":"George Mason University"},{"name":"Center for School Health Innovation and Quality, Alexandria, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"School nursing: Scope and standards of practice","author":"American Nurses Association","year":"2022","unstructured":"American Nurses Association. 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