Research Article| Volume 68, ISSUE 2, P145-154, March 2020

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Exploring burnout and job stressors among advanced practice providers

Published:September 23, 2019DOI:


      • Work-family balance reduces job stress.
      • There was a high correlation of job stressors with development of burnout.
      • Burnout mediates the relationship between job stress and work engagement.
      • Executive nurse leaders can consider developing policies focused on clinician wellness.



      Minimal research exists on how engagement, burnout, work-family balance, and job stressors impact advanced practice nurses and physician assistants, collectively referred to advanced practice providers (APPs).


      To investigate the interrelationships among burnout, job stressors, work-family balance, and engagement with APPs.


      An online questionnaire was distributed to APPs working in four healthcare systems. A total of 1,216 APPs completed the survey. A hypothesized model was tested using structural equation modeling.


      There was a high correlation of job stressors with development of burnout. A significant negative effect between job stress and work engagement was supported; however, indirect effects of stress through job burnout had a stronger impact on work engagement. Higher levels of work-family balance contributed to a lower level of stress experienced by providers.


      Organizational leaders desiring to improve employee engagement and reduce burnout need to focus on the significance of work-family balance to job stressors.


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