{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:05:02Z","timestamp":1790233502956,"version":"4.1.0"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"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":["International Journal of Nursing Knowledge"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this article is to introduce Men's Infertility\u2013Related Threat to Masculinity as a proposed nursing diagnosis that captures the unique psychosocial and identity-related responses of men experiencing infertility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>The analysis draws on two qualitative studies exploring men's experiences of infertility in Iran, supported by international literature on male infertility, stigma, and masculinity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Synthesis<\/jats:title>\n                    <jats:p>A concept analysis approach was applied to identify the defining attributes, antecedents, consequences, and empirical referents of Men's Infertility\u2013Related Threat to Masculinity. The findings were synthesized into a diagnostic proposal consistent with the NANDA-I format, including label, definition, defining characteristics, related factors, at-risk populations, associated conditions, outcomes, and interventions. The analysis demonstrated that this phenomenon is distinct from existing nursing diagnoses such as ineffective coping or disturbed self-concept.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Men's Infertility\u2013Related Threat to Masculinity represents a culturally embedded and gender-specific human response that is not adequately captured in current nursing taxonomies. Recognizing this diagnosis provides a framework for systematic assessment and intervention, ensuring that men's reproductive health experiences are visible within nursing knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Practice<\/jats:title>\n                    <jats:p>Acknowledging Men's Infertility\u2013Related Threat to Masculinity equips nurses with the diagnostic language to identify and address men's psychosocial struggles in infertility care. It supports culturally sensitive and couple-centered practice, guides targeted interventions such as identity support, stigma reduction, and care coordination with reproductive health specialists, and strengthens nursing's role in promoting holistic well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261443254","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:49:14Z","timestamp":1790232554000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Threat to Masculinity: Introducing a Nursing Diagnosis Grounded in Men's Infertility Experiences"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3619-038X","authenticated-orcid":false,"given":"Mehrdad","family":"Abdullahzadeh","sequence":"first","affiliation":[{"name":"Tarbiat Modares University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15958"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/08980101241275201"},{"key":"e_1_3_3_4_1","unstructured":"American Urological A. & American Society for Reproductive M. (2020). Diagnosis and treatment of infertility in men: AUA\/ASRM guideline part I. https:\/\/www.asrm.org\/practice-guidance\/practice-committee-documents\/diagnosis-and-treatment-of-infertility-in-men-auaasrm-guideline-part-i-2020\/"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41585-022-00626-w"},{"key":"e_1_3_3_6_1","first-page":"1","article-title":"Medicalization of infertility and men\u2019s roles in assisted reproduction","volume":"11","author":"Beaujouan \u00c9.","year":"2020","unstructured":"Beaujouan \u00c9. (2020). Medicalization of infertility and men\u2019s roles in assisted reproduction. Reproductive Biomedicine & Society Online, 11, 1\u20139. https:\/\/doi.org\/10.1016\/j.rbms.2020.09.001","journal-title":"Reproductive Biomedicine & Society Online"},{"issue":"5","key":"e_1_3_3_7_1","first-page":"789","article-title":"Silences in reproductive health: Men\u2019s exclusion from infertility care","volume":"44","author":"Cervi J.","year":"2022","unstructured":"Cervi J., Knights D. (2022). Silences in reproductive health: Men\u2019s exclusion from infertility care. Sociology of Health & Illness, 44(5), 789\u2013805. https:\/\/doi.org\/10.1111\/1467-9566.13458","journal-title":"Sociology of Health & Illness"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-024-01749-6"},{"key":"e_1_3_3_9_1","first-page":"105","volume-title":"Handbook of qualitative research","author":"Guba E. G.","year":"1994","unstructured":"Guba E. G., Lincoln Y. S. (1994). Competing paradigms in qualitative research. In Denzin N. K., Lincoln Y. S. (Eds.), Handbook of qualitative research (pp. 105\u2013117). Sage Publications."},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.13038"},{"key":"e_1_3_3_11_1","volume-title":"NANDA-I International Nursing Diagnoses: Definitions & Classification, 2024-2026","author":"Herdman T. H.","year":"2024","unstructured":"Herdman T. H., Kamitsuru S., Lopes C. (2024). NANDA-I International Nursing Diagnoses: Definitions & Classification, 2024-2026. Thieme Medical Publishers. https:\/\/doi.org\/10.1055\/b000000928"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1525\/maq.2004.18.2.162"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.3167\/9781845454722"},{"issue":"1","key":"e_1_3_3_14_1","first-page":"81","article-title":"Exploration of infertile couples\u2019 support requirements: A qualitative study","volume":"9","author":"Jafarzadeh-Kenarsari F.","year":"2015","unstructured":"Jafarzadeh-Kenarsari F., Ghahiri A., Habibi M., Zargham-Boroujeni A. (2015). Exploration of infertile couples\u2019 support requirements: A qualitative study. International Journal of Fertility & Sterility, 9(1), 81\u201392. https:\/\/doi.org\/10.22074\/ijfs.2015.4213","journal-title":"International Journal of Fertility & Sterility"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmac035"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.131599.1"},{"key":"e_1_3_3_17_1","volume-title":"Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants","author":"Parekattil S. J.","year":"2021","unstructured":"Parekattil S. J., Esteves S. C., Agarwal A. (2021). Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants. Springer International Publishing."},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.31661\/gmj.v13i.3534"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2025.1545593"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2022.01.047"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/jox15050165"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13298"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.5812\/mcj-145004"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1515\/9781800736726"},{"key":"e_1_3_3_25_1","volume-title":"Strategies for Theory Construction in Nursing","author":"Walker L. O.","year":"2019","unstructured":"Walker L. O., Avant K. C. (2019). Strategies for Theory Construction in Nursing. Pearson."},{"key":"e_1_3_3_26_1","unstructured":"World Health Organization. (2023). Infertility prevalence estimates 1990\u20132021. Retrieved 15 October 2025 from https:\/\/www.who.int\/publications\/i\/item\/978920068315"}],"container-title":["International Journal of Nursing Knowledge"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261443254","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20473087261443254","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261443254","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:49:17Z","timestamp":1790232557000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20473087261443254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,23]]},"references-count":25,"alternative-id":["10.1177\/20473087261443254"],"URL":"https:\/\/doi.org\/10.1177\/20473087261443254","relation":{},"ISSN":["2047-3087","2047-3095"],"issn-type":[{"value":"2047-3087","type":"print"},{"value":"2047-3095","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,23]]},"article-number":"20473087261443254"}}