{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:46:16Z","timestamp":1790660776414,"version":"4.1.0"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"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>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Burnout is prevalent among nurses, particularly in Intensive Care Units (ICUs), where work is characterized by high intensity, high risk, and heavy workloads. This condition not only directly impairs nurses\u2019 physical and mental health and reduces their occupational retention rate but may also threaten the safety of ICU patients due to potential declines in the quality of nursing care. Given these implications, effective alleviation of burnout among ICU nurses is essential for promoting their well-being, stabilizing the nursing workforce, and improving patient satisfaction. Previous studies have explored various variables related to burnout among ICU nurses, such as psychological capital, social support, work\u2013family conflict, and moral distress. However, these findings remain inconsistent and fragmented across studies. To date, a comprehensive quantitative synthesis of the correlations between these variables and burnout among ICU nurses is lacking. Therefore, this study conducted a meta-analysis based on Pearson correlation coefficients to examine the correlates of burnout among ICU nurses, aiming to provide more reliable evidence for the development of targeted intervention strategies for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Databases including CNKI, Wanfang Database, VIP Database, China Biomedical Literature Database (CBM), PubMed, Web of Science, Embase, CINAHL, and Cochrane Library were systematically searched. The search used terms for intensive care units, nurses, burnout, and China in both Chinese and English. The search was conducted from the inception of the database to September 2025. Two researchers with expertise in evidence-based practice performed the literature search, independently screened studies based on the inclusion and exclusion criteria, assessed the quality of the included studies using the Agency for Healthcare Research and Quality (AHRQ)\u2019s quality assessment criteria for observational studies, and extracted relevant data. A meta-analysis was conducted using RevMan 5.4 software, with Pearson correlation coefficients (r values) as the outcome indicator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 31 studies were included, with a combined sample size of 8,219 participants, and the overall methodological quality of the included studies was moderate. The pooled analysis indicated that burnout was significantly negatively correlated with psychological capital (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.43, 95% CI: \u22120.53 to \u22120.33,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f81%), research competence (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.21, 95% CI: \u22120.30 to \u22120.11,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f0%), and social support (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.40, 95% CI: \u22120.49 to \u22120.28,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f82%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). Burnout was positively correlated with work\u2013family conflict (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.49, 95% CI: 0.41\u20130.57,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f69%), presenteeism (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.33, 95% CI: 0.24\u20130.41,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f0%), moral distress (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.32, 95% CI: 0.16\u20130.46,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f53%), turnover intention (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.48, 95% CI: 0.24\u20130.66,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f96%), and alarm fatigue (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.55, 95% CI: 0.26\u20130.75,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f95%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). Substantial heterogeneity was observed in several pooled estimates, particularly for turnover intention and alarm fatigue.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and recommendations<\/jats:title>\n                    <jats:p>This meta-analysis suggests that burnout among ICU nurses is associated with multiple occupational and psychosocial factors, including work\u2013family conflict, turnover intention, presenteeism, social support, and psychological capital. These findings highlight the importance of work-related stressors and psychological resources in relation to burnout among nurses. However, given the heterogeneity across studies and the cross-sectional nature of the included evidence, these associations should be interpreted with caution. The results provide a synthesized overview of the factors related to burnout among ICU nurses and may help inform future research and the development of strategies aimed at supporting nurses\u2019 occupational well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>This study was registered in the PROSPERO database (registration number: CRD420251146719). The protocol predefined the research objectives, inclusion and exclusion criteria, and main analytical methods. This study was conducted in accordance with the registered protocol. If minor adjustments were made during the study due to data availability, they were clearly described and justified in the Methods section to improve transparency and reproducibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1763539","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T05:34:54Z","timestamp":1783920894000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Correlates of burnout among Chinese ICU nurses: a meta-analysis"],"prefix":"10.3389","volume":"14","author":[{"given":"Qiujie","family":"Wang","sequence":"first","affiliation":[{"name":"College of Nursing and Health, Henan University","place":["Kaifeng, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiong","family":"Chai","sequence":"additional","affiliation":[{"name":"College of Nursing and Health, Henan University","place":["Kaifeng, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhanxin","family":"Fan","sequence":"additional","affiliation":[{"name":"College of Nursing and Health, Henan University","place":["Kaifeng, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1002\/wps.20311","article-title":"Understanding the burnout experience: recent research and its implications for psychiatry","volume":"15","author":"Maslach","year":"2016","journal-title":"World Psychiatry"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1564","DOI":"10.1002\/nop2.936","article-title":"Nurses' burnout and quality of life: a systematic review and critical analysis of measures used","volume":"9","author":"Khatatbeh","year":"2022","journal-title":"Nurs Open"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.jpsychires.2019.12.015","article-title":"Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis","volume":"123","author":"Woo","year":"2020","journal-title":"J Psychiatr Res"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"368","DOI":"10.4037\/ajcc2016133","article-title":"An official critical care societies collaborative statement: burnout syndrome in critical care health care professionals: a call for action","volume":"25","author":"Moss","year":"2016","journal-title":"Am J Crit Care"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"995","DOI":"10.2147\/JMDH.S503896","article-title":"Burnout among ICU and non-ICU healthcare professionals in Saudi Arabia: a comparative cross-sectional analysis","volume":"18","author":"Krishna","year":"2025","journal-title":"J Multidiscip Healthc"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"842","DOI":"10.13329\/j.cnki.zyyjk.2024.0156","article-title":"Research progress on assessment tools and psychological intervention measures for nurses' job burnout","volume":"40","author":"Wu","year":"2024","journal-title":"Occup Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e2443059","DOI":"10.1001\/jamanetworkopen.2024.43059","article-title":"Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis","volume":"7","author":"Li","year":"2024","journal-title":"JAMA Netw Open"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1048","DOI":"10.3760\/cma.j.cn115682-20190929-03539","article-title":"Mediating effect of emotional labor between professional values and job burnout among ICU nurses","volume":"26","author":"Zhou","year":"2020","journal-title":"Chin J Mod Nurs"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"498","DOI":"10.3969\/j.issn.1672-9676.2022.04.006","article-title":"Effect of psychological capital and benefit support on job burnout among ICU nurses","volume":"19","author":"Yao","year":"2022","journal-title":"Nurs Pract Res"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"3337","DOI":"10.13329\/j.cnki.zyyjk.2022.0690","article-title":"Mediating effect of organizational commitment between social support and job burnout among ICU nurses","volume":"38","author":"Du","year":"2022","journal-title":"Occup Health"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"184","DOI":"10.3969\/j.issn.1009-4393.2021.18.077","article-title":"Analysis on causes and countermeasures of job burnout and stressors among nurses in neurological intensive care unit","volume":"27","author":"Bao","year":"2021","journal-title":"Contemp Med"},{"key":"ref12","first-page":"130","article-title":"Study on the relationship between personality characteristics, empathy ability and job burnout among emergency department nurses","volume":"34","author":"Geng","year":"2024","journal-title":"J Shanxi Health Vocat Coll"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e12","DOI":"10.17533\/udea.iee.v38n3e12","article-title":"Assessment of the relationship between nurses' perception of ethical climate and job burnout in intensive care units","volume":"38","author":"Rivaz","year":"2020","journal-title":"Investig Enferm"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"297","DOI":"10.3969\/j.1674-4055.2012.04.004","article-title":"Meta-analysis series no. 4: quality assessment tools for observational studies","volume":"4","author":"Zeng","year":"2012","journal-title":"Chin Evid Based Cardiovasc Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"214","DOI":"10.19539\/j.cnki.2095-2694.2020.03.010","article-title":"Meta-analysis of main influencing factors of nurses' professional benefit","volume":"22","author":"Zhao","year":"2020","journal-title":"J North China Univ Sci Tech (Med Ed)"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"74","DOI":"10.16460\/j.issn1008-9969.2020.10.074","article-title":"Effect of psychological capital and benefit support on job burnout among ICU specialty nurses","volume":"27","author":"Jiang","year":"2020","journal-title":"J Nurs"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"305","DOI":"10.3760\/cma.j.issn.1007-1245.2021.02.040","article-title":"Correlation between psychological capital and job burnout among post-90s ICU nurses","volume":"27","author":"Zheng","year":"2021","journal-title":"Int J Med Health Guid"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"152","DOI":"10.20148\/j.fmj.2017.01.062","article-title":"Relationship between job burnout, occupational risk and perceived social support among ICU nurses","volume":"39","author":"Lin","year":"2017","journal-title":"Fujian Med J"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"121","DOI":"10.19793\/j.cnki.1006-6411.2023.24.030","article-title":"Mediating role of job burnout between work-family conflict and work engagement among ICU nurses","volume":"30","author":"Wu","year":"2023","journal-title":"Contemp Nurs (Late Ed)"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"96","DOI":"10.12102\/j.issn.2095-8668.2022.01.021","article-title":"Current status and influencing factors of job burnout among female ICU nurses","volume":"8","author":"Ma","year":"2022","journal-title":"Evid Based Nurs"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"2161","DOI":"10.13329\/j.cnki.zyyjk.2022.0463","article-title":"Relationship analysis between work-family conflict, social support and job burnout among ICU nurses in grade a tertiary hospitals of Hangzhou City","volume":"38","author":"Xue","year":"2022","journal-title":"Occup Health"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"616","DOI":"10.13819\/j.issn.1006-9674.2016.06.025","article-title":"Correlation study between psychological capital and job burnout among ICU nurses","volume":"35","author":"Ma","year":"2016","journal-title":"J Hubei Univ Med"},{"key":"ref23","volume-title":"Correlation Study Between Psychological Capital, Job Burnout and Work Performance among ICU Nurses [Dissertation Thesis]","author":"Xia","year":"2019"},{"key":"ref24","volume-title":"Mediating Effect of Social Support and Psychological Capital between Job Burnout and Turnover Intention among ICU Nurses [Dissertation Thesis]","author":"Zhang","year":"2024"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"144","DOI":"10.3969\/j.issn.1672-9676.2020.07.057","article-title":"Correlation between psychological capital, presenteeism and job burnout among ICU nurses","volume":"17","author":"Tang","year":"2020","journal-title":"Nurs Pract Res"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3969\/j.issn.1006-7256.2019.11.006","article-title":"Correlation study between work exhaustion and presenteeism among ICU nurses in 3 grade a tertiary hospitals of Beijing","volume":"25","author":"Liu","year":"2019","journal-title":"Qilu J Nurs"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"933","DOI":"10.3969\/j.issn.1672-1756.2017.07.018","article-title":"Correlation study between job burnout and presenteeism among ICU nurses","volume":"17","author":"Liang","year":"2017","journal-title":"Chin Nurs Manag"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1171","DOI":"10.12102\/j.issn.2095-8668.2025.06.026","article-title":"Effect of alarm fatigue on nursing omission among ICU nurses: chain mediating role of workload and job burnout","volume":"11","author":"Ding","year":"2025","journal-title":"Evid Based Nurs"},{"key":"ref29","volume-title":"Relationship Between Alarm Fatigue, Job Burnout and Job Satisfaction among ICU Nurses: A Mixed Methods Study [Dissertation Thesis]","author":"Liu","year":"2024"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1073","DOI":"10.3969\/j.issn.1674-8115.2014.07.023","article-title":"Correlation study between moral distress and job burnout among ICU nurses","volume":"34","author":"Zhang","year":"2014","journal-title":"J Shanghai Jiao Tong Univ (Med Sci)"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.19792\/j.cnki.1006-6411.2022.08.001","article-title":"Mediating effect of compassion fatigue between moral distress and job burnout among ICU nurses","volume":"29","author":"Yu","year":"2022","journal-title":"Contemp Nurs (Mid Ed)"},{"key":"ref32","volume-title":"Relationship Study between Perception of Hospital Ethical Climate, Workplace Spirituality and Job Burnout among ICU Nurses [Dissertation Thesis]","author":"Lin","year":"2024"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"2777","DOI":"10.3760\/cma.j.cn211501-20230418-00938","article-title":"Mediating effect of emotional intelligence between perceived stress and job burnout among ICU nurses","volume":"39","author":"Ma","year":"2023","journal-title":"Chin J Pract Nurs"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"741","DOI":"10.3761\/j.issn.2096-7446.2023.08.015","article-title":"Analysis of mediating effect of job burnout between emotional labor and turnover intention among ICU nurses","volume":"4","author":"Li","year":"2023","journal-title":"Chin J Crit Care Nurs"},{"key":"ref35","volume-title":"Relationship Study between Rights Protection, Job Burnout and Turnover Intention among ICU Nurses [dissertation thesis]","author":"Li","year":"2024"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1594","DOI":"10.13898\/j.cnki.issn.1000-2200.2023.11.026","article-title":"Effect of job burnout on turnover intention among ICU nurses","volume":"48","author":"Liu","year":"2023","journal-title":"J Bengbu Med Coll"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"64","DOI":"10.3870\/hlxzz.2014.15.064","article-title":"Correlation study between academic research capability, work stressors and job burnout among ICU nurses","volume":"29","author":"Fan","year":"2014","journal-title":"J Nurs Sci"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"238","DOI":"10.3969\/j.issn.1674-9316.2015.31.175","article-title":"Investigation on research capacity and related factors among ICU nurses","volume":"6","author":"Ding","year":"2015","journal-title":"China Health Stand Manag"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"301","DOI":"10.3969\/j.issn.1009-6493.2015.03.015","article-title":"Investigation on research ability and related factors among ICU specialized nurses","volume":"3","author":"Gao","year":"2015","journal-title":"Nurs Res"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"57","DOI":"10.3969\/j.issn.1006-7256.2012.02.033","article-title":"Survey and analysis of work stressors and work exhaustion among CCU nurses","volume":"18","author":"Liu","year":"2012","journal-title":"Qilu J Nurs"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"285","DOI":"10.3969\/j.issn.1000-9760.2020.04.014","article-title":"Correlation study between work-life quality, work exhaustion and psychological resilience among ICU nurses","volume":"43","author":"Zhu","year":"2020","journal-title":"J Jining Med Univ"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"2140","DOI":"10.3760\/cma.j.cn221370-20190321-00665","article-title":"Relationship between compassion fatigue, job burnout and professional achievement among ICU nurses","volume":"39","author":"Lv","year":"2020","journal-title":"Chin Int Nurs J"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"1616","DOI":"10.3760\/cma.j.issn.1672-7088.2016.21.004","article-title":"Correlative study on job stressors, job burnout and organizational commitment among ICU nurses","volume":"32","author":"Liu","year":"2016","journal-title":"Chin J Pract Nurs"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"2022","DOI":"10.13329\/j.cnki.zyyjk.2025.0349","article-title":"Mediating effect of work-family conflict between non-work time connective behavior and job burnout among trauma ICU nurses","volume":"41","author":"Kadireyaguli","year":"2025","journal-title":"Occup Health"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"139","DOI":"10.20037\/j.issn.1671-1246.2023.10.43","article-title":"Research progress on the professional impact of psychological capital on nursing staff in China","volume":"41","author":"He","year":"2023","journal-title":"Health Vocational Educ."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1186\/s12912-024-01802-6","article-title":"The impact of psychological capital on nurses\u2019 job performance: a chain mediation analysis of problem-focused coping and job engagement","volume":"23","author":"Chen","year":"2024","journal-title":"BMC Nurs"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"e13072","DOI":"10.1111\/inr.13072","article-title":"Relationship between psychological capital and nursing burnout: a systematic review and meta-analysis","volume":"72","author":"Orgamb\u00eddez","year":"2025","journal-title":"Int Nurs Rev"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1129","DOI":"10.13329\/j.cnki.zyyjk.2019.0297","article-title":"Meta-analysis of the relationship between burnout and psychological capital among nurses in China","volume":"35","author":"Qiao","year":"2019","journal-title":"Occup Health"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"e12269","DOI":"10.1111\/jjns.12269","article-title":"Impact of social support in preventing burnout syndrome in nurses: a systematic review","volume":"17","author":"Velando-Soriano","year":"2020","journal-title":"Jpn J Nurs Sci"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"103660","DOI":"10.1016\/j.iccn.2024.103660","article-title":"Job satisfaction and burnout syndrome among intensive-care unit nurses: a systematic review and meta-analysis","volume":"82","author":"Quesada-Puga","year":"2024","journal-title":"Intensive Crit Care Nurs"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"2454","DOI":"10.13329\/j.cnki.zyyjk.2025.0516","article-title":"Correlation analysis of non-work time communication technology overload, work-family conflict and job burnout among operating room nurses","volume":"41","author":"Shen","year":"2025","journal-title":"Occup Health"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1002\/nop2.178","article-title":"Juggling family and professional caring: role demands, work-family conflict and burnout among registered nurses in Ghana","volume":"5","author":"Asiedu","year":"2018","journal-title":"Nurs Open"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"1932","DOI":"10.3390\/ijerph18041932","article-title":"Daily work-family conflict and burnout to explain the leaving intentions and vitality levels of healthcare workers: interactive effects using an experience-sampling method","volume":"18","author":"Blanco-Donoso","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"67","DOI":"10.3969\/j.issn.1671-8933.2023.01.021","article-title":"Based on Pearson correlation coefficient: meta-analysis of influencing factors of presenteeism among nursing staff in China","volume":"22","author":"Wang","year":"2023","journal-title":"J Clin Nurs"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"782","DOI":"10.3390\/bs14090782","article-title":"The impact of intensive care unit nurses' burnout levels on turnover intention and the mediating role of psychological resilience","volume":"14","author":"Turun\u00e7","year":"2024","journal-title":"Behav Sci (Basel)"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1111\/jonm.13525","article-title":"The effect of burnout and its dimensions on turnover intention among nurses: a meta-analytic review","volume":"30","author":"\u00d6zkan","year":"2022","journal-title":"J Nurs Manag"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"1172","DOI":"10.13329\/j.cnki.zyyjk.2022.0224","article-title":"Correlation analysis of moral distress, job burnout and ethical decision-making competence among ICU nurses","volume":"38","author":"Xu","year":"2022","journal-title":"Occup Health"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"940","DOI":"10.1111\/nicc.12899","article-title":"The relationship between alarm fatigue and burnout among critical care nurses: a cross-sectional study","volume":"28","author":"Ding","year":"2023","journal-title":"Nurs Crit Care"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1016\/j.aucc.2023.06.010","article-title":"Nurses' alarm fatigue, influencing factors, and its relationship with burnout in the critical care units: a cross-sectional study","volume":"37","author":"Nyarko","year":"2024","journal-title":"Aust Crit Care"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"125","DOI":"10.20037\/j.issn.1671-1246.2022.17.46","article-title":"Analysis of the current status of research ability and its influencing factors among clinical nurses in tertiary hospitals","volume":"40","author":"Ju","year":"2022","journal-title":"Health Vocational Education"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1763539\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T05:35:27Z","timestamp":1783920927000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1763539\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":60,"alternative-id":["10.3389\/fpubh.2026.1763539"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1763539","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]},"article-number":"1763539"}}