{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T22:34:23Z","timestamp":1791844463455,"version":"4.3.4"},"reference-count":26,"publisher":"American Public Health Association","issue":"S2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>Objectives. To examine nurses\u2019 well-being and identify individual and workplace factors associated with adverse outcomes.<\/jats:p>\n                  <jats:p>Methods. We administered an e-mail survey to registered nurses in Michigan in March 2022. Outcomes included the Oldenburg Burnout Inventory\u2013Exhaustion scale, self-harm thoughts (yes\/no), and overall wellness on a 0 to 10 visual analog scale. Covariates included practice environment, psychological safety, workplace abuse, staffing adequacy, stress coping strategies, and demographics. We examined associations between covariates and exhaustion, thoughts of self-harm (both via logistic regression), and overall wellness (via linear regression).<\/jats:p>\n                  <jats:p>Results. Among surveyed nurses, 93.63% reported significant exhaustion, 9.88% reported self-harm thoughts, and the mean (SD) overall wellness score was 6.2 (2.3). Factors associated with exhaustion included inadequate staffing, lower psychological safety, and younger age. Factors associated with self-harm thoughts included recent workplace physical abuse and younger age. Factors associated with higher wellness scores included employer support, favorable practice environments, higher job satisfaction, and positive coping strategies.<\/jats:p>\n                  <jats:p>Conclusions. Negative well-being outcomes were prevalent among registered nurses and were associated with correctable workplace deficits. Nurses\u2019 well-being is a national public health problem that warrants comprehensive interventions at individual, workplace, and community levels. ( Am J Public Health. 2024;114(S2):S180\u2013S188. https:\/\/doi.org\/10.2105\/AJPH.2023.307376 )<\/jats:p>","DOI":"10.2105\/ajph.2023.307376","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T16:02:13Z","timestamp":1707926533000},"page":"180-188","source":"Crossref","is-referenced-by-count":11,"title":["Registered Nurses\u2019 Well-Being, Michigan, 2022"],"prefix":"10.2105","volume":"114","author":[{"given":"Marita G.","family":"Titler","sequence":"first","affiliation":[{"name":"Marita G. Titler and Barbara R. Medvec are with the Center for Improving Patient and Population Health, School of Nursing, University of Michigan, Ann Arbor. Deanna J. Marriott and Lara Khadr are with the Applied Biostatistics Laboratory, School of Nursing, University of Michigan. Christopher R. Friese is with the Center for Improving Patient and Population Health, School of Nursing, and the Department of Health Management and Policy, School of Public Health, University of Michigan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara R.","family":"Medvec","sequence":"additional","affiliation":[{"name":"Marita G. Titler and Barbara R. Medvec are with the Center for Improving Patient and Population Health, School of Nursing, University of Michigan, Ann Arbor. Deanna J. Marriott and Lara Khadr are with the Applied Biostatistics Laboratory, School of Nursing, University of Michigan. Christopher R. Friese is with the Center for Improving Patient and Population Health, School of Nursing, and the Department of Health Management and Policy, School of Public Health, University of Michigan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deanna J.","family":"Marriott","sequence":"additional","affiliation":[{"name":"Marita G. Titler and Barbara R. Medvec are with the Center for Improving Patient and Population Health, School of Nursing, University of Michigan, Ann Arbor. Deanna J. Marriott and Lara Khadr are with the Applied Biostatistics Laboratory, School of Nursing, University of Michigan. Christopher R. Friese is with the Center for Improving Patient and Population Health, School of Nursing, and the Department of Health Management and Policy, School of Public Health, University of Michigan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Khadr","sequence":"additional","affiliation":[{"name":"Marita G. Titler and Barbara R. Medvec are with the Center for Improving Patient and Population Health, School of Nursing, University of Michigan, Ann Arbor. Deanna J. Marriott and Lara Khadr are with the Applied Biostatistics Laboratory, School of Nursing, University of Michigan. Christopher R. Friese is with the Center for Improving Patient and Population Health, School of Nursing, and the Department of Health Management and Policy, School of Public Health, University of Michigan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher R.","family":"Friese","sequence":"additional","affiliation":[{"name":"Marita G. Titler and Barbara R. Medvec are with the Center for Improving Patient and Population Health, School of Nursing, University of Michigan, Ann Arbor. Deanna J. Marriott and Lara Khadr are with the Applied Biostatistics Laboratory, School of Nursing, University of Michigan. Christopher R. Friese is with the Center for Improving Patient and Population Health, School of Nursing, and the Department of Health Management and Policy, School of Public Health, University of Michigan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-07252-z"},{"key":"bib2","volume":"2020","author":"Sinsky CA","year":"2020","journal-title":"NAM Perspect."},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1177\/01939459221148825"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2021.0154"},{"key":"bib6","volume-title":"National Plan for Health Workforce Well-Being.","author":"National Academy of Medicine","year":"2022"},{"issue":"994474","key":"bib7","volume":"2","author":"Bannon J","year":"2022","journal-title":"Front Health Serv."},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1177\/09697330231161692"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.101090"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2022.03.014"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001837"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1002\/9781394260645"},{"key":"bib14","first-page":"104180","volume":"127","author":"Chen C","journal-title":"Int J Nurs Stud. 2021; Epub ahead of print"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.867233"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0b013e31825e4293"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1027\/\/1015-5759.19.1.12"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2016.1276540"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1097\/NNA.0000000000000998"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1188\/12.ONF.166-172"},{"issue":"3","key":"bib21","first-page":"109","volume":"86","author":"Garvin DA","year":"2008","journal-title":"Harv Bus Rev."},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.570459"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2022.3349"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.3928\/02793695-20210625-01"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1177\/01939459211015894"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2020-011512"},{"key":"bib30","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2022.4018"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2202662"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2023.307376","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T16:04:05Z","timestamp":1707926645000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2023.307376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":26,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.2105\/AJPH.2023.307376"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2023.307376","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2]]}}}