This study examines the relationship between nurse burnout and patient satisfaction in hospitals. It finds that nurses working in environments with adequate staffing, good administrative support, and positive nurse-physician relationships report significantly lower burnout and higher patient satisfaction. The study also shows that the overall level of nurse burnout on hospital units affects patient satisfaction. Nurse burnout is associated with negative health outcomes for nurses, including job dissatisfaction and increased turnover, which contribute to understaffing and poorer patient outcomes. The study highlights the importance of improving nurse work environments to reduce burnout, lower turnover, and enhance patient satisfaction. The research suggests that organizational features such as staffing adequacy, administrative support, and nurse-physician relations are critical factors influencing both nurse burnout and patient satisfaction. The findings indicate that changes in hospital nurse work environments can simultaneously improve patient satisfaction and stabilize the nurse workforce. The study used cross-sectional surveys of nurses and patients from 40 units in 20 urban hospitals. Nurses were assessed using the Maslach Burnout Inventory, while patients were surveyed using the La Monica-Oberst Patient Satisfaction Scale. The study found that nurses in good work environments were less likely to experience burnout and more likely to have satisfied patients. The results suggest that improving nurse work environments can have a positive impact on both nurse well-being and patient satisfaction. The study also found that nurse burnout was significantly associated with patient dissatisfaction, indicating that addressing nurse burnout could improve patient satisfaction. The research underscores the need for organizational changes to reduce nurse burnout and enhance patient care.This study examines the relationship between nurse burnout and patient satisfaction in hospitals. It finds that nurses working in environments with adequate staffing, good administrative support, and positive nurse-physician relationships report significantly lower burnout and higher patient satisfaction. The study also shows that the overall level of nurse burnout on hospital units affects patient satisfaction. Nurse burnout is associated with negative health outcomes for nurses, including job dissatisfaction and increased turnover, which contribute to understaffing and poorer patient outcomes. The study highlights the importance of improving nurse work environments to reduce burnout, lower turnover, and enhance patient satisfaction. The research suggests that organizational features such as staffing adequacy, administrative support, and nurse-physician relations are critical factors influencing both nurse burnout and patient satisfaction. The findings indicate that changes in hospital nurse work environments can simultaneously improve patient satisfaction and stabilize the nurse workforce. The study used cross-sectional surveys of nurses and patients from 40 units in 20 urban hospitals. Nurses were assessed using the Maslach Burnout Inventory, while patients were surveyed using the La Monica-Oberst Patient Satisfaction Scale. The study found that nurses in good work environments were less likely to experience burnout and more likely to have satisfied patients. The results suggest that improving nurse work environments can have a positive impact on both nurse well-being and patient satisfaction. The study also found that nurse burnout was significantly associated with patient dissatisfaction, indicating that addressing nurse burnout could improve patient satisfaction. The research underscores the need for organizational changes to reduce nurse burnout and enhance patient care.