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Research findings showing the scope of burnout among healthcare workers, its workforce effects, and interventions being tested by healthcare organizations
Healthcare-worker burnout remains widespread. In a national survey conducted between May and October 2020, 49% reported burnout, while 43% said they felt overworked. The finding should not be interpreted as a 2024 prevalence estimate, but it illustrates the scale of the problem during the COVID-19 pandemic.
Burnout can affect employee retention, patient care, workforce stability, and organizational costs. For operators managing hourly healthcare workforces, the available evidence highlights the importance of staffing levels, manageable workloads, predictable scheduling, workplace safety, and effective supervision.
At Operators Daily, we examine workforce-management practices and tools that can support scheduling, onboarding, and employee retention. Technology can assist these processes, but it should not be treated as a substitute for adequate staffing or evidence-based workforce policies.
Healthcare-worker burnout is commonly measured through dimensions such as emotional exhaustion, depersonalization or cynicism, and reduced professional efficacy. Prevalence estimates differ according to occupation, survey instrument, location, and study period.
A survey of more than 20,000 U.S. healthcare workers conducted between May and October 2020 found that 49% reported burnout. The finding reflects the pandemic period rather than 2024.
A national physician study found that burnout increased to 62.8% in 202100515-8/fulltext), compared with 38.2% in 2020.
A physician survey cited by HRSA reported that burnout fell from 53% in the preceding report to 49% in 2024. The result comes from a voluntary professional survey and should not be treated as a census.
A study of Veterans Health Administration personnel found that annual burnout levels ranged from 30.4% to 39.8% between 2018 and 2023.
The same study reported 35.4% burnout among VHA personnel in 2023, above the study’s pre-pandemic level.
Within the VHA study, primary-care personnel had some of the highest occupational-group burnout estimates, ranging from 46.2% to 57.6% during the observed years.
Shift work, overtime, insufficient recovery time, and excessive workload can contribute to fatigue and burnout. Results from individual studies should be interpreted according to their specific workforce and location.
A study of 1,225 emergency and critical-care nurses in Andalusia, Spain, found high burnout among 44.1% working overtime, compared with 38% among those who did not report that workload.
In the same Spanish study, 38% without overtime met the study’s definition of high burnout.
A U.S. nursing study found that nurses working more than 40 hours per week had higher odds of identifying burnout as a reason for leaving than those working fewer than 20 hours. The adjusted odds ratio was 3.28.
Among nurses who left a job because of burnout, 68.6% reported a stressful work environment.
Among nurses who left because of burnout, 63% reported inadequate staffing.
A pandemic-era U.S. study found that work overload was associated with adjusted burnout risk ratios ranging from 2.21 to 2.90 across healthcare roles.
Nursing data show continuing stress, burnout, and workforce instability, although estimates depend on the population and question used.
A 2024 national nursing study found that 35% of RNs experienced burnout at least a few times per week.
The same study found that 38% of LPNs experienced burnout at least a few times per week.
Among U.S. nurses who reported leaving a job in 2017, 31.5% identified burnout as one reason for leaving. The study did not say it was always the primary reason.
Among nurses considering leaving their jobs, 43.4% cited burnout as a contributing reason.
The National Council of State Boards of Nursing reported that over 138,000 nurses left the nursing workforce between the 2022 and 2024 studies.
Among nurses intending to leave within five years for reasons other than retirement, approximately 41.5% selected burnout and stress as a root cause.
A survey cited by the American Hospital Association found that 88% of nurses worried about staffing shortages affecting patient care.
In the same survey, 63% of nurses said they were assigned too many patients.
Burnout is not the only cause of healthcare shortages, but it can interact with retirement, compensation, staffing, safety, and workload concerns.
HRSA projects a nationwide 3% RN shortage in 2038 under its current model.
The same HRSA model projects an 11% RN shortage in nonmetro areas by 2038.
The 2025 NSI survey reported an average 18.3% hospital turnover rate for 2024. This is a participating-hospital benchmark, not a federal estimate.
The same NSI report placed average staff-RN turnover at 16.4%.
NSI reported a 22.3% first-year rate for RNs in its participating hospitals.
The 2024 NCSBN study found that 39.9% of RNs intended to leave nursing or retire within five years.
The same study found that 41.3% of LPN/VNs intended to leave or retire within five years.
In a voluntary pandemic-era survey, 28.7% of workers reported intent to leave their job. The study did not establish that they would leave within two years.
Within that survey, 41% of nurses reported intent to leave their current job.
The AAMC projects a total physician shortage of between 13,500 and 86,000 by 2036, replacing the older estimate of up to 124,000 by 2034.
Healthcare burnout is associated with staffing, workplace safety, administrative demands, leadership, and the work environment.
A nurse survey cited by the AHA found that approximately half experienced assault, whether verbal or physical, during the preceding two years.
Among nurses in that workplace-safety study, 26% considered leaving because of safety concerns.
A Minnesota study published in 2004 estimated 13.2 physical events per 100 nurses annually. This older state-level result should not be treated as a current national rate.
The same Minnesota study estimated 38.8 nonphysical events per 100 nurses annually.
Patients or clients were identified as perpetrators in 97% of physical violence events in the Minnesota study.
Patients or clients were associated with 67% of nonphysical violence events in the same study.
Burnout-related costs differ by workforce, compensation, severity, and methodology. The following estimates come from a 2025 simulation model covering disengagement, overextension, ineffectiveness, and burnout.
The model estimated an annual employer cost of $3,999 per hourly nonmanagerial worker.
The estimated annual cost for a nonmanagerial salaried worker was $4,257.
The modeled annual employer cost was $10,824 per manager.
The modeled annual cost reached $20,683 per executive.
For a hypothetical company with 1,000 employees and a typical distribution of positions, the model estimated $5.04 million annually.
The 2025 NSI report estimated an average turnover cost of $61,110 per RN among participating hospitals.
NSI estimated an average annual hospital cost of $4.75 million from RN turnover.
NSI estimated that a one-percentage-point change in RN turnover was associated with approximately $289,029 in annual cost or savings for an average participating hospital.
Organizational interventions should be evaluated according to local staffing levels, implementation quality, workforce participation, and patient-safety requirements. Case studies can demonstrate what is possible, but they do not guarantee the same outcome elsewhere.
Nebraska Medicine reported that an AI-supported workforce initiative was associated with a nearly 50% reduction in first-year nurse turnover. This was an organizational case study, not a controlled industrywide trial.
One virtual-nursing pilot reported a 40% turnover reduction after 16 weeks.
The same pilot reported near-zero ancillary vacancies during the reported evaluation.
The virtual-nursing pilot projected approximately $500,000 in avoidance annually for the pilot unit.
The national pandemic-era study found work overload associated with adjusted intent-to-leave risk ratios ranging from 1.73 to 2.10 across occupational groups.
The 2024 NCSBN study found that 87.7% of RN licensees and 70.6% of LPN/VN licensees were actively employed in nursing, indicating partial workforce recovery alongside continuing burnout concerns.
Workforce-management software can help healthcare organizations monitor staffing coverage, overtime, shift changes, leave, and schedule distribution. Organizations exploring scheduling tools should evaluate whether a product supports:
These functions can support workforce policies, but software alone does not establish safe staffing levels or prevent burnout. Results depend on staffing resources, leadership practices, implementation, and employee participation.
Effective onboarding may also affect early retention. Organizations reviewing onboarding tools should assess whether products support role-specific training, competency tracking, mentorship, and structured orientation.
Healthcare organizations should consider several factors when choosing workforce interventions:
Burnout is generally associated with emotional exhaustion, cynicism or detachment, and reduced professional efficacy. It is not interchangeable with depression or anxiety, although these conditions may occur together.
A study of emergency and critical-care nurses in Spain found high burnout among 44.1% working overtime, compared with 38% among those who did not. Because the study involved a specific regional workforce, the figures should not be generalized to every nurse or healthcare system.
In a U.S. study, nurses leaving or considering leaving because of burnout frequently cited stressful environments and inadequate staffing. Separately, 88% of surveyed nurses in a study cited by the AHA worried that shortages could affect patient care.
Technology can assist with scheduling, workload visibility, documentation, and communication. Individual case studies have reported improvements, including lower first-year turnover, but they do not prove that a particular technology will prevent burnout in every organization.
The 2025 NSI survey estimated an average cost of $61,110 per RN. The figure is a participating-hospital benchmark and may not reflect the cost at every hospital.
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