{"id":"https://openalex.org/W7225408401","doi":"https://doi.org/10.3390/psychiatryint7060247","title":"Relationships Between Burnout, Moral Distress, and Intent to Quit in a Psychiatry Department: A Cross-Sectional Survey","display_name":"Relationships Between Burnout, Moral Distress, and Intent to Quit in a Psychiatry Department: A Cross-Sectional Survey","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225408401","doi":"https://doi.org/10.3390/psychiatryint7060247"},"language":"en","primary_location":{"id":"doi:10.3390/psychiatryint7060247","doi":"https://doi.org/10.3390/psychiatryint7060247","is_oa":true,"landing_page_url":"https://doi.org/10.3390/psychiatryint7060247","pdf_url":null,"source":{"id":"https://openalex.org/S4210214788","display_name":"Psychiatry International","issn_l":"2673-5318","issn":["2673-5318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatry International","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/psychiatryint7060247","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161132227","display_name":"Christian Asa Thurstone","orcid":"https://orcid.org/0009-0009-7824-8827","observed_orcids":["https://orcid.org/0009-0009-7824-8827"]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]},{"id":"https://openalex.org/I73236664","display_name":"Wheaton College - Illinois","ror":"https://ror.org/0581k0452","country_code":"US","type":"education","lineage":["https://openalex.org/I73236664"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Christian Asa Thurstone","raw_affiliation_strings":["Department of Behavioral Health, Denver Health and Hospital Authority, Denver, CO 80204, USA","Department of Biblical and Theological Studies, Wheaton College, Wheaton, IL 60187, USA","Department of Psychiatry, School of Medicine, University of Colorado, Aurora, CO 80045, USA"],"raw_orcid":"https://orcid.org/0009-0009-7824-8827","affiliations":[{"raw_affiliation_string":"Department of Behavioral Health, Denver Health and Hospital Authority, Denver, CO 80204, USA","institution_ids":["https://openalex.org/I2801983979"]},{"raw_affiliation_string":"Department of Biblical and Theological Studies, Wheaton College, Wheaton, IL 60187, USA","institution_ids":["https://openalex.org/I73236664"]},{"raw_affiliation_string":"Department of Psychiatry, School of Medicine, University of Colorado, Aurora, CO 80045, USA","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021902581","display_name":"Ryan M. Loh","orcid":"https://orcid.org/0000-0002-8649-0826","observed_orcids":["https://orcid.org/0000-0002-8649-0826"]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ryan Loh","raw_affiliation_strings":["Department of Behavioral Health, Denver Health and Hospital Authority, Denver, CO 80204, USA","Department of Psychiatry, School of Medicine, University of Colorado, Aurora, CO 80045, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Behavioral Health, Denver Health and Hospital Authority, Denver, CO 80204, USA","institution_ids":["https://openalex.org/I2801983979"]},{"raw_affiliation_string":"Department of Psychiatry, School of Medicine, University of Colorado, Aurora, CO 80045, USA","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5071515266","display_name":"Christian Thurstone","orcid":"https://orcid.org/0000-0002-3590-2501","observed_orcids":["https://orcid.org/0000-0002-3590-2501"]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]},{"id":"https://openalex.org/I73236664","display_name":"Wheaton College - Illinois","ror":"https://ror.org/0581k0452","country_code":"US","type":"education","lineage":["https://openalex.org/I73236664"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christian Thurstone","raw_affiliation_strings":["Department of Behavioral Health, Denver Health and Hospital Authority, Denver, CO 80204, USA","Department of Biblical and Theological Studies, Wheaton College, Wheaton, IL 60187, USA","Department of Psychiatry, School of Medicine, University of Colorado, Aurora, CO 80045, USA"],"raw_orcid":"https://orcid.org/0000-0002-3590-2501","affiliations":[{"raw_affiliation_string":"Department of Behavioral Health, Denver Health and Hospital Authority, Denver, CO 80204, USA","institution_ids":["https://openalex.org/I2801983979"]},{"raw_affiliation_string":"Department of Biblical and Theological Studies, Wheaton College, Wheaton, IL 60187, USA","institution_ids":["https://openalex.org/I73236664"]},{"raw_affiliation_string":"Department of Psychiatry, School of Medicine, University of Colorado, Aurora, CO 80045, USA","institution_ids":["https://openalex.org/I51713134"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5161132227"],"corresponding_institution_ids":["https://openalex.org/I2801983979","https://openalex.org/I51713134","https://openalex.org/I73236664"],"apc_list":{"value":1000,"currency":"CHF","value_usd":1207},"apc_paid":{"value":1000,"currency":"CHF","value_usd":1207},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"7","issue":"6","first_page":"247","last_page":"247"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.9761000275611877,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.9761000275611877,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.01679999940097332,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12869","display_name":"Occupational Health and Burnout","score":0.002300000051036477,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/burnout","display_name":"burnout","score":0.9810000061988831},{"id":"https://openalex.org/keywords/moral-distress","display_name":"moral distress","score":1.0},{"id":"https://openalex.org/keywords/intent-to-quit","display_name":"intent to quit","score":0.9779999852180481},{"id":"https://openalex.org/keywords/safety-net-hospitals","display_name":"safety-net hospitals","score":0.7839999794960022},{"id":"https://openalex.org/keywords/employee-retention","display_name":"employee retention","score":0.7670000195503235},{"id":"https://openalex.org/keywords/lack-of-resources","display_name":"lack of resources","score":0.8100000023841858},{"id":"https://openalex.org/keywords/psychiatric-emergency-services","display_name":"psychiatric emergency care","score":0.47200000286102295},{"id":"https://openalex.org/keywords/healthcare-worker-well-being","display_name":"healthcare worker well-being","score":0.49799999594688416}],"concepts":[{"id":"https://openalex.org/C143916079","wikidata":"https://www.wikidata.org/wiki/Q2629248","display_name":"Burnout","level":2,"score":0.628600001335144},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5565000176429749},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5410000085830688},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5365999937057495},{"id":"https://openalex.org/C2778119281","wikidata":"https://www.wikidata.org/wiki/Q18391161","display_name":"Moral injury","level":2,"score":0.5097000002861023},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5022000074386597},{"id":"https://openalex.org/C3020031316","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Psychological distress","level":3,"score":0.3776000142097473},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.36880001425743103},{"id":"https://openalex.org/C2778697850","wikidata":"https://www.wikidata.org/wiki/Q210999","display_name":"Psychiatric hospital","level":2,"score":0.3407999873161316},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3366999924182892},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.3001999855041504},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.29429998993873596},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.28630000352859497},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.28119999170303345},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.2782999873161316},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.27790001034736633}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/psychiatryint7060247","doi":"https://doi.org/10.3390/psychiatryint7060247","is_oa":true,"landing_page_url":"https://doi.org/10.3390/psychiatryint7060247","pdf_url":null,"source":{"id":"https://openalex.org/S4210214788","display_name":"Psychiatry International","issn_l":"2673-5318","issn":["2673-5318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatry International","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/psychiatryint7060247","doi":"https://doi.org/10.3390/psychiatryint7060247","is_oa":true,"landing_page_url":"https://doi.org/10.3390/psychiatryint7060247","pdf_url":null,"source":{"id":"https://openalex.org/S4210214788","display_name":"Psychiatry International","issn_l":"2673-5318","issn":["2673-5318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatry International","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/8","score":0.48510000109672546,"display_name":"Decent work and economic growth"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W1904068628","https://openalex.org/W1912111889","https://openalex.org/W2083946992","https://openalex.org/W2152575748","https://openalex.org/W2162223761","https://openalex.org/W2170976713","https://openalex.org/W2262671496","https://openalex.org/W2488757378","https://openalex.org/W2621656817","https://openalex.org/W2811106681","https://openalex.org/W2901288156","https://openalex.org/W2935780589","https://openalex.org/W2979411841","https://openalex.org/W2990427812","https://openalex.org/W3013244621","https://openalex.org/W3031209795","https://openalex.org/W3184331573","https://openalex.org/W4280644047","https://openalex.org/W4311202434","https://openalex.org/W4360609132","https://openalex.org/W4378640331","https://openalex.org/W4392818685","https://openalex.org/W4392884745","https://openalex.org/W4410765568","https://openalex.org/W4413189205"],"related_works":["https://openalex.org/W2162223761","https://openalex.org/W7140222682","https://openalex.org/W7165655273","https://openalex.org/W4385294500","https://openalex.org/W3029943839","https://openalex.org/W7172525236","https://openalex.org/W2702263597","https://openalex.org/W7120394838","https://openalex.org/W3169577281","https://openalex.org/W2883566450"],"abstract_inverted_index":{"(1)":[0],"Background:":[1],"The":[2,111],"objective":[3],"of":[4,45,60,84,114,131,137,152],"this":[5],"project":[6,39],"was":[7,101,117],"to":[8,18,28,51,109,129,146],"evaluate":[9],"the":[10,72],"relationship":[11],"between":[12],"burnout,":[13,46,89],"moral":[14,47,105,115,138],"distress,":[15,48],"and":[16,34,49,94,107,122,149],"intent":[17,50,108],"quit":[19],"among":[20,92],"psychiatric":[21,153],"healthcare":[22,55,85,154],"workers":[23,56,86],"at":[24,67],"a":[25,41,64,68],"safety-net":[26,69],"hospital":[27,70],"provide":[29,141],"actionable":[30,144],"results":[31,145],"for":[32],"leaders":[33,142],"administrators.":[35],"(2)":[36],"Methods:":[37],"This":[38],"used":[40],"cross-sectional,":[42],"anonymous":[43],"survey":[44],"quit.":[52,110],"Respondents":[53],"were":[54],"(n":[57,81],"=":[58,82],"205)":[59],"different":[61],"disciplines":[62],"in":[63,71,97],"psychiatry":[65],"department":[66],"United":[73],"States.":[74],"(3)":[75],"Results:":[76],"Results":[77],"showed":[78],"that":[79],"52.7%":[80],"108)":[83],"reported":[87],"experiencing":[88],"most":[90],"commonly":[91],"technicians":[93],"those":[95],"working":[96,118],"emergency":[98],"settings.":[99],"Burnout":[100],"associated":[102],"with":[103,119,143],"both":[104],"distress":[106,116,139],"largest":[112],"driver":[113],"abusive":[120],"patients":[121],"families,":[123],"followed":[124],"by":[125],"compromised":[126],"care":[127],"due":[128],"lack":[130],"resources.":[132],"(4)":[133],"Conclusions:":[134],"Routine":[135],"monitoring":[136],"may":[140],"address":[147],"burnout":[148],"promote":[150],"retention":[151],"workers.":[155]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-11-07T00:00:00"}
