{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T10:05:13Z","timestamp":1779789913607,"version":"3.53.1"},"reference-count":43,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study examined the relationship between alarm fatigue and turnover intention among dialysis nurses and investigated the mediating role of professional quality of life (ProQOL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>An analytical cross\u2010sectional study was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study employed a nonprobability sample of 140 dialysis nurses from hospitals affiliated with Shahid Beheshti University of Medical Sciences in Iran in December 2024. Data for this study were collected via a multi\u2010section survey. This research initially focused on identifying demographic and occupational variables. Section two employed the Alarm Fatigue Questionnaire; section three, the ProQOL scale; and section four, the Turnover Intention Questionnaire. Data analysis was carried out using IBM SPSS Statistics, version 27.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean scores for alarm fatigue and turnover intention were 34.02 (SD\u2009=\u20098.50) and 48.70 (SD\u2009=\u200911.66), respectively. Item\u2010level means for alarm fatigue were 2.62 (SD\u2009=\u20090.65) on a 0\u20134 scale. Also, scores were 3.30 (SD\u2009=\u20090.81) for secondary traumatic stress (STS), 3.61 (SD\u2009=\u20090.90) for compassion fatigue (CF), 3.01 (SD\u2009=\u20090.78) for compassion satisfaction (CS), and 3.25 (SD\u2009=\u20090.78) for turnover intention on 1\u20135 Likert\u2010type scales. Pearson's correlation showed that alarm fatigue was positively correlated with STS, CF and turnover intention, and negatively correlated with CS. Multiple linear regression explained 62.9% of the variance in turnover intention; single marital status, CS, CF and STS were significant independent predictors. Path analysis showed a significant total association between alarm fatigue and turnover intention, a non\u2010significant direct association, and a significant indirect association through ProQOL components, a pattern consistent with mediation by ProQOL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Path analysis showed a pattern of associations consistent with ProQOL mediating the relationship between alarm fatigue and turnover intention. The association between alarm fatigue and turnover intention appeared to operate primarily in association with STS, compassion fatigue, and compassion satisfaction, although the cross\u2010sectional design precludes causal inference. These findings are consistent with the hypothesis that improving ProQOL may be associated with a weaker link between alarm fatigue and turnover intention, though this should be confirmed in longitudinal studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70589","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T08:45:41Z","timestamp":1777970741000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alarm Fatigue and Turnover Intention Among Haemodialysis Nurses: The Mediating Role of Professional Quality of Life"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2219-0817","authenticated-orcid":false,"given":"Sogand","family":"Sarmadi","sequence":"first","affiliation":[{"name":"Department of Medical\u2010Surgical Nursing, School of Nursing and Midwifery Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neda","family":"Sanaie","sequence":"additional","affiliation":[{"name":"Department of Medical Surgical Nursing, School of Nursing and Midwifery Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fariba","family":"Borhani","sequence":"additional","affiliation":[{"name":"Medical Ethics and Law Research Center Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0014-7104","authenticated-orcid":false,"given":"Akbar","family":"Zare\u2010Kaseb","sequence":"additional","affiliation":[{"name":"Medical Ethics and Law Research Center Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0071-296X","authenticated-orcid":false,"given":"Amir Mohamad","family":"Nazari","sequence":"additional","affiliation":[{"name":"Medical Ethics and Law Research Center Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1108\/PR-12-2024-1126"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1084822320931363"},{"issue":"1","key":"e_1_2_17_4_1","first-page":"273","article-title":"Correlation Between Professional Values and Burnout of Nurses Working in Hospitals Affiliated to Shahid Beheshti University of Medical Sciences in 2017","volume":"6","author":"Babaee Z. 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