{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:53:18Z","timestamp":1782489198875,"version":"3.54.5"},"reference-count":42,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004048","name":"Kashan University of Medical Sciences","doi-asserted-by":"publisher","award":["402050"],"award-info":[{"award-number":["402050"]}],"id":[{"id":"10.13039\/501100004048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,4,9]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"\n Objectives<\/jats:title>\n To investigate coping strategies and associated factors among clinical nurses in Iran in 2023.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Hospitals in Kashan, Iran.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n A total of 400 nurses were selected through stratified random sampling from different hospital departments.<\/jats:p>\n <\/jats:sec>\n \n Primary and secondary outcome measures<\/jats:title>\n Coping strategies were measured via the Potential Factors Related to Coping Strategies Questionnaire, the Work-Family Conflict Scale and the Ways of Coping Questionnaire. Coping strategies were quantified with scores ranging from 0 to 198. Associations with potential influencing factors were assessed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The coping strategies score was 94.22\u00b125.49 (95% CLM 91.72 to 96.72). Notably, 83.5% of the variation in coping strategy scores could be attributed to emotion-focused coping. The simultaneous inclusion of work-family conflict and spouse participation in household affairs was found to be significant (F=9.85, p<0.0001). Work\u2013family conflict was positively associated (B=0.82, 95%\u2009CI 0.38 to 1.26), whereas spouse participation was negatively associated (B=\u22128.43, 95%\u2009CI \u221216.22 to \u22120.64). Together, these variables accounted for 6.4% of the variance in coping strategies.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Nurses in Kashan hospitals used moderate levels of coping strategies, which were mainly emotion-focused. It is recommended that hospitals provide guidance on these strategies, especially during pandemic crises.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-109305","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T13:25:42Z","timestamp":1777987542000},"page":"e109305","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Coping strategies and associated factors in a sample of Iranian nurses: a cross-sectional study"],"prefix":"10.1136","volume":"16","author":[{"given":"Ali","family":"Sarvarian","sequence":"first","affiliation":[{"name":"Student Research Committee, Kashan University of Medical Sciences, Kashan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Tagharrobi","sequence":"additional","affiliation":[{"name":"Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khadijeh","family":"Sharifi","sequence":"additional","affiliation":[{"name":"Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Sooki","sequence":"additional","affiliation":[{"name":"Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0758-4331","authenticated-orcid":false,"given":"Mohammad","family":"Zare","sequence":"additional","affiliation":[{"name":"Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"2026062608312727000_16.5.e109305.1","doi-asserted-by":"crossref","DOI":"10.1136\/gpsych-2018-000004","article-title":"Work\u2010family conflict and job burn\u2010out among Chinese doctors: the mediating role of coping styles","volume":"31","author":"Chen","year":"2018","journal-title":"Gen Psychiatry"},{"key":"2026062608312727000_16.5.e109305.2","doi-asserted-by":"crossref","first-page":"444","DOI":"10.3390\/nursrep11020042","article-title":"Stressors and Coping Strategies among Nursing Students during the COVID-19 Pandemic: Scoping Review","volume":"11","author":"Majrashi","year":"2021","journal-title":"Nurs Rep"},{"key":"2026062608312727000_16.5.e109305.3","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1108\/PR-01-2019-0017","article-title":"Work\u2013family conflict and turnover intentions among Chinese nurses: the combined role of job and life satisfaction and perceived supervisor support","volume":"49","author":"Zhang","year":"2020","journal-title":"Pers Rev"},{"key":"2026062608312727000_16.5.e109305.4","unstructured":"Lazarus RS , Folkman S . 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