Impact of nurse burnout on organizational and position turnover.

• Burnout persists as concerning problem for more than half of nurses. • Burnout contributes to nursing workforce turnover, however not internal transfers. • Working day (vs. night) shift and increased death exposure increase burnout. • Hospitals must measure burnout and wellbeing to understand and address its impact. The National Academies of Medicine describes clinician burnout as a serious threat to organizational health, including employee turnover. To determine the relationship between resilience, burnout, and organizational and position turnover. We surveyed direct care nurses in three hospitals 1 year apart between 2018 and 2019; 1,688 nurses completed 3,135 surveys included in analysis. Fifty-four percent of nurses in our sample suffer from moderate burnout, with emotional exhaustion scores increasing by 10% and cynicism scores increasing 19% after 1 year. The impact of burnout on organizational turnover was significant, with a 12% increase in a nurse leaving for each unit increase on the emotional exhaustion scale, though it was not a factor in position turnover. These findings contribute to the growing body of evidence of nurse burnout and support policies and programs for annual measurement of burnout, increased employee wellbeing support, and improved work environments. [ABSTRACT FROM AUTHOR]