{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:42:10Z","timestamp":1792258930096,"version":"4.4.0"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Research in Nursing"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Neonatal intensive care unit (NICU) nurses face substantial psychological challenges. Work alienation \u2013 emotional disconnection from work \u2013 is a potential occupational concern with limited empirical attention. Left unaddressed, it may be associated with care quality and workforce stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate work alienation as an occupational concern and explore its associations with professional quality of life (ProQoL) components: compassion satisfaction (CS), burnout (BO) and secondary traumatic stress (STS), among NICU nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study of 188 nurses from West Bank governmental NICUs used ProQoL and Work Alienation Scales. Data were analysed using descriptive statistics, Pearson\u2019s correlation and multiple regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Despite the conflict-affected setting, most nurses reported average\/low levels of burnout (BO) and secondary traumatic stress (STS), rather than a composite compassion fatigue score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Work alienation is significantly associated with poorer ProQoL. Protecting NICU nurses requires interventions including peer support, restorative supervision and policy reform to sustain staff well-being and care quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17449871261481743","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:34:11Z","timestamp":1792049651000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The relationship between professional quality of life and work alienation among nurses in neonatal intensive care units: a cross-sectional study"],"prefix":"10.1177","author":[{"given":"Moath","family":"Abu Ejheisheh","sequence":"first","affiliation":[{"name":"Clinical Nurse Educator Faculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya University, Bethlehem, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2164-8183","authenticated-orcid":false,"given":"Ahmad","family":"Ayed","sequence":"additional","affiliation":[{"name":"Associate Professor of Pediatric Nursing, Faculty of Nursing, Arab American University, Jenin, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6339-9176","authenticated-orcid":false,"given":"Ibrahim","family":"Aqtam","sequence":"additional","affiliation":[{"name":"Associate Professor of Mental Health Nusring, Ibn Sina College for Health Professions, Department of Nursing, Nablus University for Vocational and Technical Education, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Othman A","family":"Alfuqaha","sequence":"additional","affiliation":[{"name":"Mental Health Researcher, Department of Psychology, College of Humanities and Sciences, Ajman University, Ajman, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanaa Ghalib","family":"Alkhatib","sequence":"additional","affiliation":[{"name":"Master\u2019s-prepared NICU Nurse \/ Research Assistant, Faculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya University, Bethlehem, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Batran","sequence":"additional","affiliation":[{"name":"Doctoral-prepared Nurse Leader \/ Healthcare Administrator, Faculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya University, Bethlehem, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reham","family":"Melhem","sequence":"additional","affiliation":[{"name":"Clinical Nurse Specialist in Neonatology, Faculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya University, Bethlehem, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6128-931X","authenticated-orcid":false,"given":"Sarah","family":"Bekaert","sequence":"additional","affiliation":[{"name":"Associate Professor of Child Health, Oxford Brookes University, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.17029"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2025.07.001"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0284963"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-01987-w"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0325278"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.36348\/sjnhc.2023.v06i01.003"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/00469580231179876"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/00469580241297974"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0322023"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/17449871251380950"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.26728\/medinm.1454044"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2024.07.009"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19148526"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12940"},{"key":"e_1_3_3_16_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J","year":"1988","unstructured":"Cohen J (1988) Statistical Power Analysis for the Behavioral Sciences, 2nd edn. 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