Abstract

OBJECTIVE: To determine modifiable organizational factors associated with advanced practice RN (APRN) burnout in Magnet®-designated hospitals to guide organizational interventions to improve APRN well-being and retention.

METHODS: Cross-sectional study of work environments of 50 US Magnet hospitals and the associated well-being of 21 855 of their clinicians (APRNs, physician assistants, physicians [MDs], RNs).

RESULTS: Overall, 37%of APRNs experienced high burnout compared with 34% of MDs (P < 0.05) and 49% of RNs (P < 0.001); additionally, 32%of APRNs intended to leave their jobs. APRN burnout was significantly lower in organizations that minimized chaotic working conditions, provided APRNs more control over their workloads, involved APRNs in shared governance, improved clinician and management relations, and improved interprofessional teamwork.

CONCLUSIONS:Well-being and retention of APRNs in Magnet hospitals require their greater engagement in organization processes and systems that improve work environments.

Notes

Open Access Details:

This is an open access article originally published under the terms of a Creative Commons License, which permits the Sigma Repository to post a copy in its collections. The license is attached to this item record; please click on the license for further details.

Original Article Citation:

Kennedy, Lori PhD, RN, ACNP-BC, CCRN, CNRN, FNCS; Brom, Heather PhD, RN; Lasater, Karen B. PhD, RN, FAAN; Albert, Nancy M. PhD, RN, CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, FHFSA, FAAN; Holmes Gobel, Barbara MS, RN, AOCN, FAAN; DeLemos, Christi MSN, CNRN, ACNP-BC; Williams, Lisa M. MS, APRN-CNS, AACRN; Aiken, Linda H. PhD, RN, FAAN, FRCN; for the US Clinician Well-being Study Consortium. Advanced Practice Registered Nurse Burnout in Magnet Hospitals: Opportunities for Organizational Intervention. JONA: The Journal of Nursing Administration 55(4):p 230-236, April 2025. | DOI: 10.1097/NNA.0000000000001566

No changes have been made to this article.

Author Details

Lori Kennedy, PhD, RN, ACNP-BC, CCRN, CNRN, FNCS; Heather Brom, PhD, RN; Karen B. Lasater, PhD, RN, FAAN; Nancy M. Albert, PhD, RN, CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, FHFSA, FAAN; Barbara Holmes Gobel, MS, RN, AOCN, FAAN; Christi DeLemos, MSN, CNRN, ACNP-BC; Lisa M. Williams, MS, APRN-CNS, AACRN; Linda H. Aiken, PhD, RN, FAAN, FRCN for the US Clinician Well-being Study Consortium

Author Affiliations: Clinical Nurse Scientist, Director (Dr Kennedy), and Chief of Advanced Practice (DeLemos), UC Davis Medical Center, Sacramento, California; Research Assistant Professor (Dr Brom), Associate Professor (Dr Lasater), and Professor of Nursing and Sociology (Dr Aiken), Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia; Associate Chief Nursing Officer (Dr Albert), Research and Innovation, Cleveland Clinic, Ohio; Director of Professional Practice and Development and Magnet Director (Gobel), and Director, Professional Practice and Development for Advanced Practice Providers (Williams), Northwestern Memorial Hospital, Chicago, Illinois.

Sigma Membership

Alpha Eta, Zeta Eta at-Large

Type

Article

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Quantitative Research

Keywords:

Burnout, Burnout Prevention, Work Environment, Magnet-designated Hospitals, Magnet Hospitals, Advanced Practice Registered Nurses, APRN, Nurse Retention

Publisher

Lippincott Williams & Wilkins

Version

Publisher's Version

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

External Review: Previously Published Material

Acquisition

Indexed Previously Published Material (Per Creative Commons License)

Date of Issue

2026-01-13

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