{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T21:10:45Z","timestamp":1780953045468,"version":"3.54.1"},"reference-count":60,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T00:00:00Z","timestamp":1615161600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HERD"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aims to investigate the relationship between perceived visual access to nature views in nurse work and break environments and scores for subscales of Maslach Burnout Inventory among nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Burnout is a severe problem among nurses. Literature shows a relationship between stress and burnout and between nature exposure and stress. However, the possible consequent relationship between connection to nature and nurse burnout needs further study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This cross-sectional study explored the relationship between the subscales (Emotional Exhaustion, Depersonalization, and Personal Accomplishment [EE, DP, and PA]) of the Maslach Burnout Inventory as \u201coutcome variables\u201d and perception of view duration, frequency of exposure to views, view content and artwork content as \u201cexplanatory variables\u201d in a subset regression model. The study model also included organizational stressors, environmental design factors, unit type, workload, and personal factors as control variables. Fifty-one nurses working in six units in a large tertiary care hospital participated in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Percentage of perceived nature views and organizational stressors were the top two best predictors correlating with EE (37% of the EE variance;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .05). Percentage of perceived nature views, organizational stressors, and environmental design were the top three predictors correlating with DP (43% of variance for DP;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .05). No significant relationship was found between study variables and PA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The results of this study recommend perceiving nature views as an independent or integrated intervention to meditation and relaxation techniques. From a design standpoint, this study suggests that a unit and breakroom design with access to nature views could work as a consistent preventive intervention for burnout.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1937586721996302","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T04:06:46Z","timestamp":1615176406000},"page":"258-273","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":32,"title":["Exploring the Relationship Between Perceived Visual Access to Nature and Nurse Burnout"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7485-4963","authenticated-orcid":false,"given":"Sahar","family":"Mihandoust","sequence":"first","affiliation":[{"name":"Clemson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2748-1521","authenticated-orcid":false,"given":"Debajyoti","family":"Pati","sequence":"additional","affiliation":[{"name":"Texas Tech University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaehoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Texas Tech University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3874-4657","authenticated-orcid":false,"given":"Jamie","family":"Roney","sequence":"additional","affiliation":[{"name":"Texas Tech University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,8]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200005000-00006"},{"key":"e_1_3_2_3_1","doi-asserted-by":"crossref","unstructured":"Alexander G. K. Rollins K. Walker D. Wong L. Pennings J. (2015). Yoga for self-care and burnout prevention among nurses. Workplace Health & Safety 63(10) 462\u2013470; quiz 471. https:\/\/doi.org\/10.1177\/2165079915596102","DOI":"10.1177\/2165079915596102"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.04.008"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.HCM.0000440623.47138.19"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.2008.02225.x"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2011.0488"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2004.12.003"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004650-200411000-00006"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2018131"},{"key":"e_1_3_2_11_1","article-title":"Frontline nurses\u2019 burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study","volume":"24","author":"Deying H. U.","year":"2020","unstructured":"Deying H. U., Kong Y., Wengang L. I., Qiuying H. A. N., Zhang X., Zhu L. X., Wan S. W., Liu Z., Shen Q., Yang J., He H., Zhu J. (2020). Frontline nurses\u2019 burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine, 24. https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2589537020301681","journal-title":"EClinicalMedicine"},{"issue":"9","key":"e_1_3_2_12_1","first-page":"676","article-title":"Relationship between job burnout and cognitive function and influencing factors of job burn out among medical staff","volume":"33","author":"Du H.","year":"2015","unstructured":"Du H., Qin L., Jia H., Wang C., Zhan J., He S. (2015). Relationship between job burnout and cognitive function and influencing factors of job burn out among medical staff. Zhonghua lao dong wei sheng zhi ye bing za zhi= Zhonghua laodong weisheng zhiyebing zazhi Chinese Journal of Industrial Hygiene and Occupational Diseases, 33(9), 676\u2013678.","journal-title":"Zhonghua lao dong wei sheng zhi ye bing za zhi= Zhonghua laodong weisheng zhiyebing zazhi Chinese Journal of Industrial Hygiene and Occupational Diseases"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12511"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2011.03776.x"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2014.10.005"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-84858-7"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/216507999504300904"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898010115615981"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1188\/16.CJON.611-616"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/1089-2680.11.4.305"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/0272-4944(95)90001-2"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/193758671400700305"},{"key":"e_1_3_2_23_1","volume-title":"RN work project","author":"Kovner C. T.","year":"2014","unstructured":"Kovner C. T., Brewer C. S. (2014). RN work project. http:\/\/rnworkproject.org\/rnworkproject.org\/resource_type\/published-paper\/index.html"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.10032"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/001391659803000601"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ebd.6400375"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2005.08.002"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11205-009-9569-8"},{"issue":"4","key":"e_1_3_2_29_1","first-page":"CD002892","article-title":"Preventing occupational stress in healthcare workers","volume":"18","author":"Marine A.","year":"2006","unstructured":"Marine A., Ruotsalainen J. H., Serra C., Verbeek J. H. (2006). Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews, 18(4), CD002892.","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_3_2_30_1","volume-title":"Maslach burnout inventory","author":"Maslach C.","year":"1986","unstructured":"Maslach C., Jackson S. E., Leiter M. P., Schaufeli W. B., Schwab R. L. (1986). Maslach burnout inventory (Vol. 21). Consulting Psychologists Press."},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.397"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/1937586715592632"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/193758670800100204"},{"key":"e_1_3_2_34_1","unstructured":"Rappleye E. (2015). Gender ratio of nurses across 50 states. Becker\u2019s Hospital Review. https:\/\/www.beckershospitalreview.com\/rankings-and-ratings\/gender-ratio-of-physicians-across-50-states.html"},{"key":"e_1_3_2_35_1","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2019","unstructured":"R Core Team. (2019). R: A language and environment for statistical computing. R Foundation for Statistical Computing."},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2012.07.001"},{"key":"e_1_3_2_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.07.008"},{"issue":"5","key":"e_1_3_2_38_1","first-page":"e2010185","article-title":"Mental health outcomes among front and second line health workers associated with the COVID-19 pandemic in Italy","volume":"3","author":"Rossi R.","year":"2020","unstructured":"Rossi R., Socci V., Pacitti F., Di Lorenzo G., Di Marco A., Siracusano A., Rossi A. (2020). Mental health outcomes among front and second line health workers associated with the COVID-19 pandemic in Italy. medRxiv, 3(5), e2010185.","journal-title":"medRxiv"},{"key":"e_1_3_2_39_1","volume-title":"The perceptions of burnout, its prevention and its effect on patient care as described by oncology nurses in the hospital setting","author":"Russell K.","year":"2014","unstructured":"Russell K. (2014). The perceptions of burnout, its prevention and its effect on patient care as described by oncology nurses in the hospital setting [Doctoral dissertation, Carlow University]. https:\/\/search.proquest.com\/docview\/1530298350?pq-origsite=gscholar&fromopenview=true"},{"key":"e_1_3_2_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870440108405527"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1348\/096317900166877"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2004.10.S-71"},{"key":"e_1_3_2_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/02827580701262733"},{"key":"e_1_3_2_44_1","doi-asserted-by":"publisher","DOI":"10.1006\/jevp.1997.0069"},{"key":"e_1_3_2_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14318"},{"key":"e_1_3_2_46_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-4134"},{"key":"e_1_3_2_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.08.040"},{"key":"e_1_3_2_48_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2702.2002.00608.x"},{"key":"e_1_3_2_49_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.6143402"},{"key":"e_1_3_2_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/1937586719867157"},{"issue":"3","key":"e_1_3_2_51_1","first-page":"42","article-title":"Effects of exposure to nature and abstract pictures on patients recovering from heart surgery","volume":"3","author":"Ulrich R. S.","year":"1993","unstructured":"Ulrich R. S., Lund\u00e9n O., Eltinge J. (1993). Effects of exposure to nature and abstract pictures on patients recovering from heart surgery. Society of Psychophysiological Research, 3(3), 42\u201355.","journal-title":"Society of Psychophysiological Research"},{"key":"e_1_3_2_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-4944(05)80184-7"},{"issue":"2","key":"e_1_3_2_53_1","doi-asserted-by":"crossref","first-page":"II57","DOI":"10.1097\/01.mlr.0000109126.50398.5a","article-title":"Nurse burnout and patient satisfaction","volume":"42","author":"Vahey D. C.","year":"2004","unstructured":"Vahey D. C., Aiken L. H., Sloane D. M., Clarke S. P., Vargas D. (2004). Nurse burnout and patient satisfaction. Medical Care, 42(2 Suppl), II57.","journal-title":"Medical Care"},{"key":"e_1_3_2_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.05082.x"},{"key":"e_1_3_2_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.01.002"},{"key":"e_1_3_2_56_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-6748.98407"},{"key":"e_1_3_2_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2016.07.011"},{"key":"e_1_3_2_58_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291701004263"},{"key":"e_1_3_2_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.12.001"},{"key":"e_1_3_2_60_1","doi-asserted-by":"publisher","DOI":"10.1188\/16.ONF.E161-E169"},{"key":"e_1_3_2_61_1","doi-asserted-by":"publisher","DOI":"10.3928\/00220124-20101201-04"}],"container-title":["HERD: Health Environments Research &amp; Design Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1937586721996302","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1937586721996302","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1937586721996302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:44:30Z","timestamp":1777448670000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1937586721996302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,8]]},"references-count":60,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/1937586721996302"],"URL":"https:\/\/doi.org\/10.1177\/1937586721996302","relation":{},"ISSN":["1937-5867","2167-5112"],"issn-type":[{"value":"1937-5867","type":"print"},{"value":"2167-5112","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,8]]}}}