Open communication among nurses and greater involvement in quality improvement efforts were related to not feeling burnout, a new AHRQ-funded study has found. In the study, published in the Journal of Pediatric Nursing, researchers surveyed nurses at an urban pediatric hospital and found that 27 percent of them reported burnout. Nurses who had more confidence in patient experience measurement, received frequent patient experience performance reports, felt included in quality improvement and experienced quality improvement efforts that were integrated into patient care reported not being burned out. More open communication among nurses and unit-level teamwork were also associated with not being burned out, whereas a larger quality improvement workload was associated with burnout.