{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:49:59Z","timestamp":1791884999910,"version":"4.3.4"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Workplace discrimination has been associated with poorer psychological well\u2010being and perceived constraints on professional development. However, little is known about its association with career plateauing among perioperative nurses or the potential roles of burnout and compassion satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A multicenter cross\u2010sectional study examining parallel statistical indirect associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from 342 perioperative nurses employed in 15 public\/teaching and private hospitals across five geographical regions of Iran between January and April 2026. Participants completed measures of workplace discrimination, burnout, compassion satisfaction, and career plateauing. Associations were estimated using ordinary least\u2010squares regression\u2010based path analysis with 10,000 bootstrap resamples. Models were adjusted for age, gender, operating room experience, weekly working hours, number of monthly shifts, and 14 hospital indicator variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Workplace discrimination was positively associated with burnout and negatively associated with compassion satisfaction. Burnout was positively associated with career plateauing, whereas compassion satisfaction was negatively associated with career plateauing. The adjusted total association between workplace discrimination and career plateauing was significant (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.082, 95% CI [0.054, 0.110],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The direct association remained significant after inclusion of burnout and compassion satisfaction (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.035, 95% CI [0.011, 0.059],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). Positive statistical indirect associations were observed involving burnout (effect\u2009=\u20090.031, 95% bootstrap CI [0.014, 0.049]) and compassion satisfaction (effect\u2009=\u20090.016, 95% bootstrap CI [0.004, 0.030]). The contrast between the two indirect estimates included zero (effect\u2009=\u20090.015, 95% bootstrap CI [\u22120.005, 0.035]). The final career plateauing model explained 46.8% of the variance (\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.468; adjusted\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.431).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Workplace discrimination was associated with greater career plateauing, with parallel statistical indirect associations involving higher burnout and lower compassion satisfaction. Because the data were cross\u2010sectional, these\n                      <jats:italic>associations<\/jats:italic>\n                      should not be interpreted as temporal or causal mechanisms. Organizations could consider evaluating equitable career\u2010development systems alongside approaches aimed at reducing occupational strain and supporting the positive professional rewards of perioperative nursing.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jnu.70136","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:42:22Z","timestamp":1791884542000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Workplace Discrimination and Career Plateauing Among Perioperative Nurses: A Multicenter Cross\u2010Sectional Study of Parallel Indirect Associations"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9055-0011","authenticated-orcid":false,"given":"Jamshid","family":"Eslami","sequence":"first","affiliation":[{"name":"Department of Operating Room and Anesthesiology, School of Nursing and Midwifery Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6908-7312","authenticated-orcid":false,"given":"Bahareh","family":"Mahdood","sequence":"additional","affiliation":[{"name":"Department of Operating Room, Paramedical School Jahrom University of Medical Sciences  Jahrom Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7677-1981","authenticated-orcid":false,"given":"Fatemeh","family":"Davodabadi","sequence":"additional","affiliation":[{"name":"Student Research Committee Hamadan University of Medical Sciences  Hamadan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0885-9853","authenticated-orcid":false,"given":"Amirali","family":"Alizadeh","sequence":"additional","affiliation":[{"name":"Research Center for Evidence\u2010Based Health Management Maragheh University of Medical Sciences  Maragheh Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0040968"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201003111\u2010y"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201019518\u20101"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201003427\u20109"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00469580241297974"},{"key":"e_1_2_13_7_1","volume-title":"Sampling Techniques","author":"Cochran W. G.","year":"1977"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201021540\u20102"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517\u20106161.1977.tb01600.x"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/ppc\/3425405"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/23779608251367257"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.71439"},{"issue":"163","key":"e_1_2_13_14_1","first-page":"93","article-title":"Persian Translation and Psychometric Properties of the Professional Quality of Life Scale (ProQOL) for Health Care Providers","volume":"28","author":"Ghorji M.","year":"2018","journal-title":"Journal of Mazandaran University of Medical Sciences"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/4876394"},{"key":"e_1_2_13_16_1","volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression\u2010Based Approach","author":"Hayes A. F.","year":"2022"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003\u2010066X.44.3.513"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12483"},{"issue":"53","key":"e_1_2_13_19_1","first-page":"63","article-title":"Investigating the Effect of Job Enrichment on Reducing Staff Plateau: A Case Study of Employees of Bank Melli Branches in East Azerbaijan Province","volume":"4","author":"Iranzadeh S.","year":"2022","journal-title":"Journal of Accounting and Management Vision"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/10376178.2021.1927775"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.70191"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010026\u201005009\u20109"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1604631"},{"key":"e_1_2_13_24_1","volume-title":"Causes, Consequences, and Moderating Factors of Career Plateauing","author":"Milliman J. F.","year":"1992"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201002736\u20103"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000880"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021\u20109010.88.5.879"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0316895"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNR.0000000000000183"},{"key":"e_1_2_13_30_1","volume-title":"The Concise ProQOL Manual","author":"Stamm B. H.","year":"2010"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.1047153"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010147\u20108\u2010200710160\u201000010"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2026.1822548"},{"key":"e_1_2_13_34_1","unstructured":"World Health Organization.2025.\u201cState of the World's Nursing 2025: Investing in Education Jobs Leadership and Service Delivery.\u201dhttps:\/\/www.who.int\/publications\/i\/item\/9789240110236."},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2026.102695"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/09697330211015291"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.2002"}],"container-title":["Journal of Nursing Scholarship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jnu.70136","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jnu.70136","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jnu.70136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:42:25Z","timestamp":1791884545000},"score":1,"resource":{"primary":{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/10.1111\/jnu.70136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,13]]},"references-count":36,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/jnu.70136"],"URL":"https:\/\/doi.org\/10.1111\/jnu.70136","archive":["Portico"],"relation":{},"ISSN":["1527-6546","1547-5069"],"issn-type":[{"value":"1527-6546","type":"print"},{"value":"1547-5069","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,13]]},"assertion":[{"value":"2026-07-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70136"}}