{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:03:00Z","timestamp":1792796580770,"version":"4.5.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Occupational burnout is intricately linked to a spectrum of physical disorders encompassing respiratory, cardiovascular, and gastrointestinal conditions, as well as manifestations such as headaches, type 2 diabetes, elevated cholesterol levels, chronic fatigue, and muscle pain. Despite this association, there remains a paucity of research on the specific risk factors contributing to burnout among nurses in China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross-sectional study utilized convenience sampling to recruit participants, with data analyzed from 1,774 nurse staffs. Psychosocial traits were assessed using the Three-Item Loneliness Scale for loneliness, the Generalized Anxiety Disorder 7-item scale (GAD-7) for anxiety symptoms, the 9-item Patient Health Questionnaire (PHQ-9) for depressive symptoms, the Connor Davidson Resilience Scale\u201310 item (CDRISC-10) for resilience, and the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) for burn out. Restrictive cubic spline analysis to investigate the dose-response relationship between years of experience and burn out. Multivariate linear regression was employed to investigate the relationship between burnout and various risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After controlling for basic demographic variables, good sleep quality was associated with a reduction in emotional exhaustion (\u03b2\u2009=\u2009\u22120.307, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), while loneliness (\u03b2\u2009=\u20091.334, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), depressive symptoms (\u03b2\u2009=\u20090.896, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), and anxiety symptoms (\u03b2\u2009=\u20090.504, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001) were significantly associated with increased emotional exhaustion. Moreover, higher levels of resilience were positively associated with personal accomplishment (\u03b2\u2009=\u20090.635, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). Regarding depersonalization, loneliness (\u03b2\u2009=\u20090.577, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), depressive symptoms (\u03b2\u2009=\u20090.429, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), and anxiety symptoms (\u03b2\u2009=\u20090.152, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.01) were found to increase its level. Conversely, good resilience was associated with a decrease in depersonalization (\u03b2\u2009=\u2009\u22120.069, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). The non-liner association between year of experience and emotional exhaustion was significantly (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings revealed that significant risk factors contributing to burnout among nursing staff including bad sleep quality, loneliness, lower level of resilience, anxiety symptoms, depressive symptoms. Moreover, a nonlinear correlation between years of experience and the likelihood of experiencing emotional exhaustion was exist.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1343293","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T04:19:11Z","timestamp":1706674751000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":23,"title":["Non-linear association of years of experience and burnout among nursing staff: a restricted cubic spline analysis"],"prefix":"10.3389","volume":"12","author":[{"given":"Tanghong","family":"Liao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenqun","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhizhou","family":"Duan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kangmin","family":"Zhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongjian","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangfan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17041253","article-title":"Quality 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