System-Level Improvements in Work Environments Lead to Lower Nurse Burnout and Higher Patient Satisfaction.

Background: Burnout among nurses is associated with lower patient satisfaction, yet few system-level solutions have been identified to improve outcomes.

Purpose: The purpose of this study was to examine the relationship between nurse burnout and patient satisfaction and determine whether work environments are associated with these outcomes.

Methods: This study was a cross-sectional analysis of 463 hospitals in 4 states.