Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model

Burnout dimensions explained 46% of the variation in nurse-assessed quality of care.

• A causal model linking nurse practice environment, burnout, job outcomes, and quality of care was developed.
• Survey data from 401 staff nurses across 31 units in two hospitals were analyzed.
• Burnout was found to mediate the relationship between practice environment dimensions and job outcomes, accounting for 20% of the variation.
• Hospital organizational factors, such as nurse-physician relations, appear to influence quality of care assessments.
• A direct relationship was identified between care quality assessments and management practices at the unit level.

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