{
  "abstract": "Background: Burnout is a common, serious occupational mental-health problem in nursing, and psychological resilience is a modifiable factor that may be associated with lower burnout. Whether this association holds equally across the education-to-practice transition, from interns to registered nurses, is unclear, and the most comparable prior meta-analysis excluded nursing students and the Chinese-language literature.\n\nObjective: We aimed to pool the resilience–burnout association in nurses and nursing interns. Two coprimary outcomes were prespecified: the resilience–emotional-exhaustion (EE) correlation, and a concept-matched intern-versus-registered-nurse comparison on total burnout. Secondary outcomes were depersonalization and personal accomplishment.\n\nMethods: Nine databases, five English-language and four Chinese-language, were searched from inception to 2026 with no language filter applied inside any database; eligibility was limited to reports published in English or Chinese. Eligible studies were cross-sectional and reported a correlation between a validated resilience measure and burnout in nurses or nursing interns. Two reviewers independently screened, extracted data, and appraised quality (AHRQ 11-item). Correlations were pooled via Fisher’s z under random-effects models (REML; metafor), with subgroup, sensitivity, and small-study analyses.\n\nResults: Seventy-eight occupational-burnout studies were analyzed (29,292 participants); five academic-burnout studies were out of scope. Resilience was inversely associated with emotional exhaustion ( r = − 0.36, 95% CI = − 0.42 to − 0.31; k = 49; I ² = 95%), total burnout (− 0.44), and depersonalization (− 0.30), and positively associated with personal accomplishment (+ 0.43). On the concept-matched comparison (total burnout), registered nurses showed a numerically stronger association than interns ( r = − 0.46 vs. − 0.28; Q _between p = 0.025); with only five intern studies and instability in sensitivity analyses, this difference is preliminary. Estimates were stable across leave-one-out, model-choice, and PET-PEESE analyses, and no weaker in the nine studies scoring AHRQ ≥ 8 ( r = − 0.43, − 0.59 to − 0.24); no funnel-plot asymmetry was detected (Egger’s p = 0.49).\n\nConclusions: Psychological resilience is a moderate, consistent protective correlate of nurse burnout, but a wide prediction interval reflecting high heterogeneity means its practical benefit likely varies across settings. Resilience-building should complement, not replace, organizational measures. Whether the correlate is stronger in registered nurses than in interns remains preliminary.\n\nSystematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420261427008 , identifier CRD420261427008.",
  "abstract_shown": true,
  "affiliations": [
    "Second Ward, Department of Traditional Chinese Medicine, The First Affiliated Hospital of Anhui Medical University"
  ],
  "article_type": "systematic review",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Xiaomei Chen"
    },
    {
      "affs": [
        0
      ],
      "name": "Yiyun Zhang"
    },
    {
      "affs": [
        0
      ],
      "name": "Fangfang Zhang"
    },
    {
      "affs": [
        0
      ],
      "name": "Xiaodi Zhu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/91xrgqnvgkhyh.bib",
  "cited_by": 0,
  "doi": "10.3389/fpsyt.2026.1920134",
  "fulltext_url": "https://europepmc.org/articles/PMC13714640",
  "id": "91xrgqnvgkhyh",
  "issns": [
    "1664-0640"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1920134/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Systematic Review"
    ],
    [
      "openalex",
      "3207|Stress and Burnout Research"
    ]
  ],
  "openalex": "W7221825028",
  "pdf_url": "https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1920134/pdf",
  "pmcid": "PMC13714640",
  "pmid": "42953494",
  "published": "2026-10-14",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/91xrgqnvgkhyh.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:18Z",
      "native_id": "10.3389/fpsyt.2026.1920134",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1920134/full"
    },
    {
      "first_seen": "2026-10-31T00:20:41Z",
      "native_id": "MED:42953494",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42953494"
    },
    {
      "first_seen": "2026-11-01T12:22:06Z",
      "native_id": "PMC13714640",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpsyt.2026.1920134"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:1664-0640",
      "subfield": "psychiatry"
    }
  ],
  "title": "Psychological resilience and burnout in nursing interns versus registered nurses: a systematic review and meta-analysis",
  "title_text": "Psychological resilience and burnout in nursing interns versus registered nurses: a systematic review and meta-analysis",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:22:06Z",
  "url": "https://research.draconitic.com/paper/91xrgqnvgkhyh",
  "venue": "Frontiers in Psychiatry",
  "versions": []
}