{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:08:13Z","timestamp":1790672893369,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore caring stress management among Iranian nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study using conventional content analysis explored Iranian nurses' experiences with caring stress management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using purposive sampling, fifteen registered nurses with full\u2010time positions in high\u2010acuity clinical units across four public teaching hospitals in Tehran, Iran, participated in individualized semi\u2010structured interviews. Data were analysed using conventional qualitative content analysis following an established framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Managing caring stress involved a multi\u2010layered process. Nurses engaged in professional interactions. sought organizational support, focused on enhancing their clinical care knowledge and skills, and utilized rigorous time and care management. Strategies also included establishing effective therapeutic communication, dedicating more time to follow\u2010up care, practicing psychological care to build self\u2010confidence, and trying self\u2010care practices. The ability to manage caring stress was not uniform; with nurses describing significant structural and contextual barriers. Heavy workloads, severe nursing shortages, compressed shift schedules and lack of systematic institutional support frequently disrupted their capacity to consistently implement caring stress management, with some describing episodic severe emotional weariness and ethical dilemmas in isolation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that caring stress is a complex, multifaceted phenomenon influenced by a dynamic interaction among individual, professional and organizational factors. Effective caring stress management doesn't rest solely on individualized coping efforts; it is a larger system process that requires an institutional culture that prioritizes the importance of nursing well\u2010being alongside clinical duties. System\u2010level challenges, exacerbated by resource constraints, need addressing to bolster nursing resilience, minimize medical errors and sustain the Iranian nursing workforce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Implications for the Profession<\/jats:title>\n                    <jats:p>Caring stress management is recommended to be integrated into institutional culture. Since nurses are vital stakeholders in patient safety, caring stress may directly or indirectly threaten care quality. A more supportive, resource\u2010balanced approach could help nurses cope with daily caring demands. Healthcare administrators may consider structured team\u2010building initiatives, peer support networks and simulation\u2010based training. Furthermore, nurses could benefit from being offered concrete self\u2010care provisions independently, such as flexible scheduling, dedicated relaxation spaces and accessible psychological counselling services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The study adhered to EQUATOR guidelines and the COREQ checklist for qualitative studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70778","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T07:03:26Z","timestamp":1787814206000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Caring Stress Management: A Qualitative Study of Strategies Used by Iranian Nurses"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3266-101X","authenticated-orcid":false,"given":"Amir Hossein","family":"Goudarzian","sequence":"first","affiliation":[{"name":"Department of Psychiatric Nursing, Nasibeh School of Nursing and Midwifery Mazandaran University of Medical Sciences  Sari Iran"},{"name":"School of Nursing and Midwifery Tehran University of Medical Science  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5067-5095","authenticated-orcid":false,"given":"Elham","family":"Navab","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Geriatric Nursing, School of Nursing &amp; Midwifery Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5570-3710","authenticated-orcid":false,"given":"Hamid","family":"Sharif\u2010Nia","sequence":"additional","affiliation":[{"name":"Psychosomatic Research Center Mazandaran University of Medical Sciences  Sari Iran"},{"name":"Department of Nursing, Amol Faculty of Nursing and Midwifery Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5091-8408","authenticated-orcid":false,"given":"Rebecca H.","family":"Lehto","sequence":"additional","affiliation":[{"name":"College of Nursing, Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3970-4158","authenticated-orcid":false,"given":"Alireza Nikbakht","family":"Nasrabadi","sequence":"additional","affiliation":[{"name":"Department of Medical Surgical Nursing and Basic Sciences, School of Nursing and Midwifery Tehran University of Medical Sciences (TUMS)  Tehran Iran"},{"name":"Al\u2010Subtain University of Medical Sciences, International Branch of TUMS  Karbala Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7454-302X","authenticated-orcid":false,"given":"Omolhoda","family":"Kaveh","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Alavi","sequence":"additional","affiliation":[{"name":"Student Research Committee Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pouya","family":"Farzami","sequence":"additional","affiliation":[{"name":"Student Research Committee Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/2165079919873934"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0894318420920603"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14506"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.104877"},{"issue":"6","key":"e_1_2_12_6_1","article-title":"The Relationship Between Clinical Competence and Occupational Stress in Iranian Clinical Nurses","volume":"8","author":"Amini K. 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