This study examines the impact of the nurse work environment on nurse burnout and its effects on patient satisfaction with nursing care. Conducted in 20 urban hospitals across the United States, the study surveyed 820 nurses and interviewed 621 patients. The nurse work environment was assessed using the revised Nursing Work Index (NWI-R), and nurse outcomes were measured by the Maslach Burnout Inventory (MBI). Patients' satisfaction with nursing care was evaluated using the La Monica-Oberst Patient Satisfaction Scale (LOPSS). Key findings include: - Patients cared for in units with adequate staffing, good administrative support, and positive doctor-nurse relationships were more than twice as likely to report high satisfaction with their care. - Nurses in these units reported significantly lower burnout levels. - The overall level of nurse burnout on hospital units also affected patient satisfaction. - Improvements in the nurse work environment can reduce nurse burnout and turnover while increasing patient satisfaction. The study highlights the importance of addressing organizational factors in hospitals to improve both nurse well-being and patient care outcomes.This study examines the impact of the nurse work environment on nurse burnout and its effects on patient satisfaction with nursing care. Conducted in 20 urban hospitals across the United States, the study surveyed 820 nurses and interviewed 621 patients. The nurse work environment was assessed using the revised Nursing Work Index (NWI-R), and nurse outcomes were measured by the Maslach Burnout Inventory (MBI). Patients' satisfaction with nursing care was evaluated using the La Monica-Oberst Patient Satisfaction Scale (LOPSS). Key findings include: - Patients cared for in units with adequate staffing, good administrative support, and positive doctor-nurse relationships were more than twice as likely to report high satisfaction with their care. - Nurses in these units reported significantly lower burnout levels. - The overall level of nurse burnout on hospital units also affected patient satisfaction. - Improvements in the nurse work environment can reduce nurse burnout and turnover while increasing patient satisfaction. The study highlights the importance of addressing organizational factors in hospitals to improve both nurse well-being and patient care outcomes.