{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:55:32Z","timestamp":1790949332928,"version":"4.1.0"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"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>Introduction<\/jats:title>\n                    <jats:p>Nursing work interruptions represent common psychosocial workplace exposures that may contribute to burnout and threaten workforce stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional online survey was conducted among nurses (\n                      <jats:italic>N<\/jats:italic>\n                      \u202f=\u202f261) working in general inpatient wards within a four-campus tertiary hospital system in Zhejiang Province, China, from 14 January to 10 February 2026. Interruptions were assessed using the Nursing Work Interruption Scale (NWIS; total score), coping resources were measured using a 26-item interruption coping resources questionnaire (total score), burnout was evaluated using the Copenhagen Burnout Inventory (CBI; 0\u2013100 converted mean score), and turnover intention was measured using a 3-item scale (mean score). Mediation and serial mediation analyses were performed using PROCESS version 5.0 with 5,000 bias-corrected bootstrap samples.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Turnover intention demonstrated a significant positive association with interruptions (\n                      <jats:italic>c<\/jats:italic>\n                      \u202f=\u202f0.015,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.006). Burnout mediated this relationship [Model 4 indirect\u202f=\u202f0.0155, 95% BC CI (0.0104, 0.0216);\n                      <jats:italic>c<\/jats:italic>\n                      \u2032\u202f=\u202f\u22120.0006,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.917]. In the serial mediation model (Model 6), interruptions were associated with lower coping resources (\n                      <jats:italic>b<\/jats:italic>\n                      \u202f=\u202f\u22120.3210,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and higher burnout (\n                      <jats:italic>b<\/jats:italic>\n                      \u202f=\u202f0.5704,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001); coping resources were associated with lower burnout (\n                      <jats:italic>b<\/jats:italic>\n                      \u202f=\u202f\u22120.7034,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001); and burnout was associated with higher turnover intention (\n                      <jats:italic>b<\/jats:italic>\n                      \u202f=\u202f0.0178,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Indirect effects through burnout [0.0102, 95% BC CI (0.0063, 0.0155)] and serially through coping resources and burnout [0.0040, 95% BC CI (0.0019, 0.0077)] were found to be significant. These results remained robust after adjusting for variables such as department group, years working in the hospital, and average daily patient volume [Model 6 Ind2\u202f=\u202f0.0100, 95% BC CI (0.0061, 0.0155); and Ind3\u202f=\u202f0.0035, 95% BC CI (0.0015, 0.0069)].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The findings are consistent with a conservation of resources (COR)-informed resource depletion pathway, linking interruptions to turnover intention primarily through burnout. This highlights a potential modifiable occupational health target for prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1838436","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:44:07Z","timestamp":1782276247000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Work interruptions and nurse turnover intention mediated by burnout"],"prefix":"10.3389","volume":"14","author":[{"given":"Cong","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Nursing, Sir Run Run Shaw Hospital, School of Medicine, Graduate School, Zhejiang University","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongfang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Sir Run Run Shaw Hospital, School of Medicine, Graduate School, Zhejiang University","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1016\/S0149-2063(00)00043-X","article-title":"A meta-analysis of antecedents and correlates of employee turnover: update, moderator tests, and research implications for the next millennium","volume":"26","author":"Griffeth","year":"2000","journal-title":"J Manag"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/s12960-020-00469-9","article-title":"Burnout in nursing: a theoretical review","volume":"18","author":"Dall'Ora","year":"2020","journal-title":"Hum Resour Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1016\/s1553-7250(10)36021-1","article-title":"Interruptions and multitasking in nursing care","volume":"36","author":"Kalisch","year":"2010","journal-title":"Jt Comm J Qual Patient Saf"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1037\/\/0003-066x.44.3.513","article-title":"Conservation of resources. 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