Burnout and Well-Being Among Nurses in an Integrated Healthcare System.
Hannah Jang Kim1,2, Leslie Owen Pole3, Carolina Perez Ramirez3
1Kaiser Permanente, National Patient Care Services, Oakland California.
Nursing Administration Quarterly
|April 22, 2026
Summary
Nursing burnout significantly impacts staff turnover and retention. Key predictors include mental health, workload, and retention, highlighting the need for targeted interventions based on age, tenure, and role.
Area of Science:
- Healthcare Management
- Occupational Health Psychology
- Nursing Workforce Studies
Background:
- Integrated healthcare systems face challenges with employee well-being, burnout, and high turnover.
- These issues negatively affect workplace safety and the quality of patient care.
- Surveys are crucial tools for assessing well-being and informing interventions.
Purpose of the Study:
- To assess overall employee well-being within an integrated healthcare system.
- To understand perceptions of the work environment.
- To identify key drivers of burnout and inform targeted interventions.
Main Methods:
- Voluntary and confidential surveys were distributed to all eligible employees in 2022.
- A total of 6,913 nurses participated in the study.
- Statistical analyses, including regressions, identified demographic differences and top predictors of burnout.
Main Results:
- Significant demographic differences in burnout were observed across tenure, age, and manager status.
- Mental health, retention, and workload were identified as significant predictors of burnout.
- The model explained 40% of the variance in burnout (R2 adj = 0.40).
Conclusions:
- Nursing burnout is a critical factor influencing staff turnover and retention.
- Monitoring burnout based on age, tenure, manager status, and care setting is essential.
- Proactive strategies are vital for addressing nurse burnout and improving the healthcare work environment.
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