Iranian Journal of Nursing and Midwifery Research最新文献

{"title":"Experiences of Iranian Nurses in Employing Nurse Assistants: A Descriptive Phenomenological Study.","authors":"Saeedeh Piri, Alireza Khatony, Rostam Jalali","doi":"10.4103/ijnmr.ijnmr_319_24","DOIUrl":"10.4103/ijnmr.ijnmr_319_24","url":null,"abstract":"<p><strong>Background: </strong>The integration of nursing assistants into care delivery systems presents considerable challenges for healthcare teams, particularly in upholding care standards and preserving professional boundaries. These challenges are especially evident for nurses, whose lived experiences have not been sufficiently explored. Given their central role in patient care, this descriptive phenomenological study investigates the experiences of nurses and the challenges they encounter when working with nursing assistants.</p><p><strong>Materials and methods: </strong>This qualitative study was conducted from August 12, 2023 to January 11, 2023 at a hospital in Lorestan Province, Iran. A descriptive phenomenological design was applied, and 14 nurses were recruited through purposive sampling. Data collection involved semi-structured, in-depth interviews, and analysis was performed using Colaizzi's seven-step method. MAXQDA software facilitated data management.</p><p><strong>Results: </strong>The study involved 14 nurses, with a mean (SD) age of 35.86 (3.89) years. Their experiences with nursing assistants were categorized into five overarching themes: reactions to their presence, diminished professional value, dilemmas of role and identity, attitudinal and interactional conflicts, and perceived injustice. These were further divided into 19 subthemes.</p><p><strong>Conclusions: </strong>The presence of nurse assistants in clinical environments introduces both advantages and challenges. Despite reported benefits, participants voiced concerns about role ambiguity, absence of legal accountability, and adverse effects on the professional identity of nurses. The findings highlight the importance of clear job descriptions and structured training programs. These insights may inform targeted educational initiatives and support policy reforms to address nursing workforce shortages, thereby improving service quality and optimizing healthcare team performance.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"445-454"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Effect of an Orientation Tour and Aromatherapy on Stress and Depressed Mood in Birthing Parents with Preterm Infants: A Quasi-Experimental Study.","authors":"Azam Amzajerdi, Maryam Keshavarz, Elham Babaei, Sally Pezaro, Fatemeh Sarvi, Bahar Morshed-Behbahani","doi":"10.4103/ijnmr.ijnmr_14_25","DOIUrl":"10.4103/ijnmr.ijnmr_14_25","url":null,"abstract":"<p><strong>Background: </strong>Hospitalization of infants in the Neonatal Intensive Care Unit (NICU) may result in psychological morbidities, particularly among birthing parents. This study aimed to evaluate the impact of an orientation tour, both with and without orange aromatherapy, on stress levels and depressive symptoms among birthing parents of preterm infants.</p><p><strong>Materials and methods: </strong>In this quasi-experimental, single-blind, three-group study, 130 birthing parents with hospitalized preterm infants were placed in two intervention groups and one control group. This study was undertaken in the NICU of Shahid Akbar Abadi Hospital in Tehran, Iran, from 2020 to 2021. Convenience sampling was used. A 30-minute orientation tour was undertaken by two intervention groups: 1) orientation tour only and 2) orientation tour with aromatherapy. Samples in the orientation tour-aromatherapy group additionally inhaled four drops of 2% orange oil. Data analysis was performed using Chi-square, Fisher's exact test, one-way analysis of variance, and repeated measures analysis of variance tests.</p><p><strong>Results: </strong>24 hours (but not 1 hour) after visiting the NICU, the average scores for depressed mood (F = 8.53, <i>p</i> < 0.001), the PSS (F = 5.437, <i>p</i> = 0.005), infant behavior and appearance (F = 3.611, <i>p</i> = 0.038), and parental role alteration (F = 4.541, <i>p</i> = 0.006) in the two intervention groups were statistically, significantly lower than those in the control group.</p><p><strong>Conclusions: </strong>Orientation tours, regardless of the use of orange aromatherapy, are effective in improving participants' depressive mood and reducing their stress. Consequently, it is recommended that an orientation tour be provided during parents' initial visit to their infants' hospitalization.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"489-496"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Routinization in Nursing Care: An Integrated Review.","authors":"Reza Mohammad Pourhodki, Zahra-Sadat Manzari, Javad Moghri, Abbas Heydari","doi":"10.4103/ijnmr.ijnmr_116_25","DOIUrl":"10.4103/ijnmr.ijnmr_116_25","url":null,"abstract":"<p><strong>Background: </strong>There is growing evidence that routinization in nursing care is a concerning issue that directly affects the quality of nursing care and nurses' ability to be creative and innovative in care, flexibility, and ability to provide individualized care, and comprehensiveness in care at the global level. This study aimed to identify factors associated with routinization in nursing care.</p><p><strong>Materials and methods: </strong>The method of Whittemore and Knafl was employed to conduct this integrated review, which consisted of five stages: identification and determination of the purpose, search for sources, data evaluation, data analysis, and results presentation. Evidence search was conducted using the keywords nursing care, routine, routines, routinization, and their Persian equivalents separately or in combination using the AND and OR operators in the databases PubMed, Web of Science, CINAHL, Scopus, SID, Medex, Magiran, and IranDoc from the beginning to October 2024. After screening and checking for eligibility, the articles were evaluated using the Joanna Briggs Institute's critical appraisal tools.</p><p><strong>Results: </strong>A total of 23 articles met the inclusion criteria and were included in the final review. The most important factors affecting routinization were categorized into 4 categories: individual factors, organizational factors, communication factors, and patient-related factors.</p><p><strong>Conclusions: </strong>The results of this study indicate the need for critical interventions to address factors that can influence routinization in nursing care. Overall, studies highlight the complexity and dependence of routinization in care on various factors, including workload, work environment, and nurse characteristics.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"391-400"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association of Social Capital with Job Satisfaction of Employees of Health Centers in Iran: A Cross-Sectional Study.","authors":"Sare Jafakesh, Fereshteh Besharati, Parand Pourghane","doi":"10.4103/ijnmr.ijnmr_138_24","DOIUrl":"10.4103/ijnmr.ijnmr_138_24","url":null,"abstract":"<p><strong>Background: </strong>Job satisfaction is one of the key factors influencing the performance quality of health workers. Although numerous factors affect job satisfaction, there are few studies on social capital and its relationship with the job satisfaction of health center employees. The purpose of this study is to determine the association of social capital with job satisfaction of employees of health centers.</p><p><strong>Materials and methods: </strong>In this analytical cross-sectional study, a total of 206 employees from health centers in East Guilan, northern Iran, were surveyed between May 2020 and January 2021 using a multistage sampling method. Participants completed Nahapiet and Ghoshal's social capital questionnaire, Spector's job satisfaction questionnaire, and demographic questions. Data were analyzed using descriptive statistics, independent <i>t</i>-test, ANOVA, Pearson's correlation, and multiple regression analysis.</p><p><strong>Results: </strong>The mean (SD) of total social capital and total job satisfaction were 2.92 (0.60) and 3.21 (0.64), respectively. There was a positive and significant correlation between social capital and job satisfaction (<i>r</i> = 0.70, <i>p</i> < 0.01). Linear regression analysis showed that social capital explained 51% of the variance of job satisfaction.</p><p><strong>Conclusions: </strong>Promoting social capital may enhance the job satisfaction of the employees in comprehensive health centers, leading to improved service quality for clients and increased organizational productivity.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"433-438"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction of a Predictive Model for Theory and Practical Performance in '<i>Fundamentals of Nursing</i>' Based on Student Behavior - A Case Study of Nursing Students.","authors":"Rui Lin Li, Yi Lan, Ye Fen Han, Hong Xia Lan, Dan Dan Chen, Wen Ting Jiang","doi":"10.4103/ijnmr.ijnmr_38_25","DOIUrl":"10.4103/ijnmr.ijnmr_38_25","url":null,"abstract":"<p><strong>Background: </strong><i>Fundamentals of Nursing</i> is a core course essential for developing clinical competence. Variations in learning behaviors may lead to differences in academic performance. This study aimed to identify key behavioral predictors of both theoretical and practical outcomes and construct predictive models to support early intervention and teaching optimization.</p><p><strong>Materials and methods: </strong>Machine learning techniques were applied to develop predictive models using data from undergraduate nursing students who enrolled the 2019 and 2020 cohorts. Demographic and learning behavior variables were collected and divided into training and testing sets (7:3 ratio). Least absolute shrinkage and selection operator regression was used for feature selection, and logistic regression identified independent risk factors. Five algorithms [Logit, RF, XGBoost, Artificial Neural Network, and Support Vector Machine (SVM)] were used to construct models. Model performance was evaluated using area under the curve (AUC), specificity, and sensitivity.</p><p><strong>Results: </strong>Data from 527 students were analyzed; 59 (11.19%) failed the theoretical exam, and 116 (22.01%) failed the practical exam. Predictors for practical exam included height, comprehensive assessment scores, periodic exam scores, comprehensive practical training scores, and practice frequency. Predictors for the theoretical exam included gender, research participation, academic background, height, periodic exam, and practice frequency. SVM showed the best performance for practical exams prediction (AUC = 0.737), while XGB performed best for theoretical exams (AUC = 0.833). No statistically significant differences in AUC were found between most models (<i>p</i> ≥ 0.05).</p><p><strong>Conclusions: </strong>Height, assessment scores, training engagement, exam results, gender, and practice frequency significantly influenced nursing students' academic outcomes. These findings support personalized teaching strategies in foundational nursing education.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"502-512"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Relationships Between Family Communication Patterns and Parent-Adolescent Conflicts on the General Health of Female High School Students in Ahvaz, Iran.","authors":"Arezoo Zeydani, Mahin Gheibizadeh, Soodabeh Bassak Nejad, Saeed Ghanbari","doi":"10.4103/ijnmr.ijnmr_366_24","DOIUrl":"10.4103/ijnmr.ijnmr_366_24","url":null,"abstract":"<p><strong>Background: </strong>The present study aimed to investigate the relationships between family communication patterns and parent-adolescent conflicts on the general health of female high school students in Ahvaz, Iran.</p><p><strong>Materials and methods: </strong>This descriptive-analytical study was conducted on 180 female high school adolescents in 2019. Data were collected using the family communication pattern questionnaire, the parent-adolescent conflict assessment questionnaire, and the General Health Questionnaire. Statistical tests (independent <i>t</i>-test, Pearson's correlation coefficient, regression analysis, and analysis of variance) were used for data analysis.</p><p><strong>Results: </strong>A statistically significant negative relationship exists between family communication patterns and public health in the conversation orientation dimension (<i>p</i> < 0.001, <i>r</i> = -0.54) and a statistically significant positive relationship in the conformity dimension (<i>p</i> < 0.001, <i>r</i> = 0.73). Furthermore, a positive and statistically significant relationship exists between the frequency (<i>p</i> < 0.001, <i>r</i> = 0.56) and intensity (<i>p</i> < 0.001, <i>r</i> = 0.57) of parent-adolescent conflicts and public health.</p><p><strong>Conclusions: </strong>The findings suggest the need for interventions that promote effective family communication and conflict resolution skills.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"462-465"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Benchmarking Rapid Screening Kits versus Iodometric Titration for Iodine Quantification in Household Salt.","authors":"Nayereh Esmaeilzadeh, Majid Jafarinejad Bejestani, Mousa-Al-Reza Hadjzadeh, Omid Emami","doi":"10.4103/ijnmr.ijnmr_72_25","DOIUrl":"10.4103/ijnmr.ijnmr_72_25","url":null,"abstract":"<p><strong>Background: </strong>Iodine deficiency remains a significant public health issue. Despite universal salt iodization efforts in Razavi Khorasan Province, accurate monitoring of iodine content in salt continues to pose challenges. This study evaluates the precision and accuracy of rapid screening kits compared to iodometric titration-the gold standard-for quantifying iodine in household salt, aiming to improve monitoring strategies in the region.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted in 2024, collecting 153 household salt samples from areas affiliated with Mashhad University of Medical Sciences. Iodine content was measured using the Waheb iodine test kit, which provides both qualitative and quantitative results. These were compared with iodometric titration. Iodine levels were classified according to WHO/UNICEF/IGN guidelines and Iranian National Standards. Statistical analysis included sensitivity, specificity, positive and negative predictive values, and Cohen's kappa coefficient to assess agreement between methods.</p><p><strong>Results: </strong>The mean (SD) iodine concentration measured by the rapid screening kits was 35.75 (13.85) µg/g, while iodometric titration showed 58.38 (31.45) µg/g. The rapid screening kits demonstrated a sensitivity of 84.91% (95% CI: 72.41-93.25%), specificity of 20.00% (95% CI: 12.67-29.18%), positive predictive value of 80.94%, and a negative predictive value of 24.88%. Agreement between methods was poor (Cohen's kappa = 0.037).</p><p><strong>Conclusions: </strong>Despite their convenience, rapid screening kits show limited reliability in accurately assessing iodine levels in table salt. The significant discrepancy with iodometric titration highlights the need for improved quality control and development of more accurate rapid testing tools to effectively prevent and control iodine deficiency.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"524-528"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148472982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Menstrual Distress and Occupational Risk Factors Among Nurses: A Survey in a Public Hospital.","authors":"Majid Parsarad, Somayeh Farhang Dehghan, Afsaneh Azimian, Fatemeh Ravannakhjavani, Keyvan Olazadeh, Fahimeh Haji Esmaeil Hadjar, Fahimeh Ramezani Tehrani","doi":"10.4103/ijnmr.ijnmr_63_25","DOIUrl":"10.4103/ijnmr.ijnmr_63_25","url":null,"abstract":"<p><strong>Background: </strong>Menstrual distress encompasses a range of uncomfortable symptoms associated with the menstrual cycle, which significantly impacts women's quality of life. This cross-sectional study investigates the influence of occupational hazards, anxiety, and sleep quality on menstrual distress among nurses in an Iranian hospital in 2024.</p><p><strong>Material and methods: </strong>The study was a case-control design. Data for this study were collected using a demographic questionnaire, the Spielberger State-Trait Anxiety Inventory, the Pittsburgh Sleep Quality Index, and an occupational hazards assessment worksheet. The modified Moos Menstrual Distress Questionnaire was also used to measure menstrual distress. To analyze the relationships among demographic factors, anxiety, sleep quality, and menstrual distress, structural equation modeling was employed.</p><p><strong>Results: </strong>The study found significant associations between menstrual distress and various factors: a history of miscarriage (<i>p</i> = 0.038), smoking (<i>p</i> = 0.023), exposure to high noise levels (<i>p</i> = 0.040), vibration from equipment (<i>p</i> = 0.003), cold environments (<i>p</i> = 0.028), rotating shifts (<i>p</i> = 0.024), and patient handling (<i>p</i> = 0.01). Additionally, state and trait anxiety (<i>r</i> = 0.612, <i>p</i> < 0.001) and sleep quality (<i>r</i> = 0.518, <i>p</i> < 0.001) were closely linked to menstrual distress.</p><p><strong>Conclusions: </strong>Adverse working conditions and occupational stress can significantly impact the physical and mental health of nurses, which diminishes their quality of life. Future research should explore the biological mechanisms involved and develop interventions to alleviate menstrual distress among nurses.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"513-523"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Coping Model Based on Psychosocial Responses to the Ability to Care for School-Age Autistic Children.","authors":"Hasyim Asari, Suriana, Hilmi Yumni","doi":"10.4103/ijnmr.ijnmr_340_23","DOIUrl":"10.4103/ijnmr.ijnmr_340_23","url":null,"abstract":"<p><strong>Introduction: </strong>The increasing prevalence of autism was a burden, especially for families and made them feeling stressed and ashamed of the negative stigma from the social environment, so that psychosocial response of the family critical and maladaptive coping was created. To build a family management model based on psychosocial responses to the family's ability of caring for school-age autistic children.</p><p><strong>Materials and methods: </strong>The research design used a quasi-experiment. The population and samples were parents of autistic children, who had attended Surabaya Autism Therapy Center. The determination of the sample sizes used the rule of thumb formula in Structural Equality Modeling (SEM) several 108. The data collection technique used Multi-Stage Sampling. The measuring instrument used a questionnaire. Modeling analysis used Partial Least Squares Structural Equality Modeling (PLS-SEM).</p><p><strong>Results: </strong>The results of the prediction test of the model showed R-square = 0.497 (strong). The relevance test of the model prediction showed Q-Square = 0.482 (good). The model accuracy test showed Goodness of Fit (GoF) = 0.376 (large). The test of the influences between variables showed that the social support had a significant impact on psycho-social responses (<i>p</i> = 0.001), the psycho-social response had an important influence on family coping (<i>p</i> = 0.001) and the family coping had a significant impact to the ability to care for autistic children (<i>p</i> = 0.001).</p><p><strong>Conclusions: </strong>The family coping model based on psychosocial responses was an appropriate model that had a significant influence on the ability to care for autistic children.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"413-417"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Nurse Burnout through Psychological Hardiness, Organizational Factors, and Job Vitality: The Mediating Role of Emotion Regulation.","authors":"Sadaf Bahmaniar, Azita Amir Fakhraei, Mohammadreza Mohammadi Soleimani, Eghbal Zarei","doi":"10.4103/ijnmr.ijnmr_16_25","DOIUrl":"10.4103/ijnmr.ijnmr_16_25","url":null,"abstract":"<p><strong>Background: </strong>Burnout poses serious risks to nurses' well-being and patient care. Understanding how personal and organizational factors shape burnout is essential for prevention. This study predicts nurse burnout based on psychological hardiness, organizational conditions, and job vitality, emphasizing emotion regulation as a key mediating mechanism.</p><p><strong>Materials and methods: </strong>This correlational study included 383 nurses working in COVID-19 wards in hospitals in Bandar Abbas, Iran. The samples were randomly selected from a population of 1,850 nurses. Data were collected via questionnaires on burnout, job vitality, psychological hardiness, organizational commitment, organizational climate, and emotion regulation. Data analysis was performed through path analysis via LISREL version 8.8.</p><p><strong>Results: </strong>Job vitality (t₃₈₁= -4.72, <i>p</i> < 0.001) and emotion regulation (t₃₈₁= -9.79, <i>p</i> < 0.001) significantly and negatively affected burnout. In contrast, psychological hardiness (t₃₈₁= -0.15, <i>p</i> = 0.88), organizational commitment (t₃₈₁ = 1.75, <i>p</i> = 0.08), and organizational climate (t₃₈₁ = 0.48, <i>p</i> = 0.63) did not have a direct significant effect on burnout. The indirect effects indicated that psychological hardiness (t₃₈₁ = 3.97, <i>p</i> < 0.001) and organizational commitment (t₃₈₁ = 3.53, <i>p</i> < 0.001) influenced burnout through emotion regulation, while job vitality (t₃₈₁ = 1.47, <i>p</i> = 0.14), and organizational climate (t₃₈₁ = 1.09, <i>p</i> = 0.27) did not show significant indirect effects.</p><p><strong>Conclusions: </strong>Emotion regulation helps reduce nurses' burnout during the COVID-19 era, and job vitality supports psychological well-being. Therefore, strengthening emotion regulation skills and increasing job vitality can serve as effective strategies to lessen burnout.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 3","pages":"497-501"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}