{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T07:38:15Z","timestamp":1762846695409,"version":"build-2065373602"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"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":["J Holist Nurs"],"abstract":"<jats:p>\n                    <jats:bold>Purpose of the Study:<\/jats:bold>\n                    To assess burnout levels among community nurses in Portugal during the COVID-19 pandemic and explore the relationship between burnout dimensions, work-related stressors, and coping strategies, through a holistic nursing lens.\n                    <jats:bold>Design of the Study:<\/jats:bold>\n                    Quantitative, descriptive, cross-sectional design.\n                    <jats:bold>Method Used:<\/jats:bold>\n                    A convenience sample of 75 nurses from ACES Grande Porto V\u2014Porto Ocidental completed an anonymous online questionnaire. The instrument included sociodemographic and professional variables, working conditions during the pandemic, and the Professional Wear Questionnaire for Nurses\u2014Reduced Version. The data were analyzed using both descriptive and inferential statistics.\n                    <jats:bold>Findings:<\/jats:bold>\n                    Overall levels of burnout were low across emotional exhaustion, depersonalization, and reduced personal fulfillment. The most significant stressors were work overload and contact with death and pain. Nurses primarily used social support and direct confrontation as coping strategies. No statistically significant associations were found between burnout dimensions and sociodemographic, professional, or psychological variables. Findings suggest the presence of resilience and possible institutional or personal protective factors.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    This study contributes to the holistic nursing science by emphasizing the importance of supporting nurses\u2019 well-being through holistic self-care and organizational practices. The findings underscore the need for additional research on protective factors and resilience-building interventions within comprehensive frameworks.\n                  <\/jats:p>","DOI":"10.1177\/08980101251393563","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T15:30:16Z","timestamp":1762270216000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Burnout and Resilience in Community Nurses During COVID-19: A Holistic Nursing Perspective"],"prefix":"10.1177","author":[{"given":"Manuel Jos\u00e9","family":"Magalh\u00e3es","sequence":"first","affiliation":[{"name":"University of Tr\u00e1s-os-Montes and Alto Douro"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8287-1357","authenticated-orcid":false,"given":"Sara Diogo","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"University of Tr\u00e1s-os-Montes and Alto Douro"}]},{"given":"Maria","family":"Monteiro","sequence":"additional","affiliation":[{"name":"University of Tr\u00e1s-os-Montes and Alto Douro"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2540-682X","authenticated-orcid":false,"given":"Ana","family":"Caramelo","sequence":"additional","affiliation":[{"name":"University of Tr\u00e1s-os-Montes and Alto Douro"}]}],"member":"179","published-online":{"date-parts":[[2025,11,4]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.2036"},{"issue":"1","key":"e_1_3_2_3_1","article-title":"Bem-estar psicol\u00f3gico em estudantes de enfermagem: Rela\u00e7\u00e3o com sexo e idade","volume":"20","author":"Aguiar F.","year":"2024","unstructured":"Aguiar F., Barroso I., Monteiro M. J., Pereira M., da C., Caramelo A. (2024). Bem-estar psicol\u00f3gico em estudantes de enfermagem: Rela\u00e7\u00e3o com sexo e idade. Motricidade, 20(1), Artigo 1. https:\/\/doi.org\/10.6063\/motricidade.33978","journal-title":"Motricidade"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01517-0"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-078957"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09725-9"},{"key":"e_1_3_2_7_1","doi-asserted-by":"crossref","DOI":"10.1111\/jan.17085","article-title":"Occupational Burnout in nurses is due to long-term work stress rather than COVID-19 pandemic event","author":"Cao Y.","year":"2025","unstructured":"Cao Y., Dong Y., Shi L., Chappell K., Jia Z., Yan T., Gao Y. (2025). Occupational Burnout in nurses is due to long-term work stress rather than COVID-19 pandemic event. Journal of Advanced Nursing, n\/a(n\/a). https:\/\/doi.org\/10.1111\/jan.17085","journal-title":"Journal of Advanced Nursing"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep14030162"},{"issue":"3","key":"e_1_3_2_9_1","article-title":"Transpersonal caritas relationship: A new concept from the unitary caring science framework of Jean Watson","volume":"41","author":"Delgado-Galeano M.","year":"2023","unstructured":"Delgado-Galeano M., Ib\u00e1\u00f1ez-Alfonso L. E., Villamizar-Carvajal B., Dur\u00e1n de Villalobos M. M. (2023). Transpersonal caritas relationship: A new concept from the unitary caring science framework of Jean Watson. Investigacion y Educacion en Enfermeria, 41(3), Article e02. https:\/\/doi.org\/10.17533\/udea.iee.v41n3e02","journal-title":"Investigacion y Educacion en Enfermeria"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfcle.2025.502190"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/psychiatryint6030109"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.4018\/978-1-7998-6754-8.ch013"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep11040075"},{"key":"e_1_3_2_14_1","volume-title":"O Processo de Investiga\u00e7\u00e3o: Da Concep\u00e7\u00e3o \u00e0 Realiza\u00e7\u00e3o","author":"Fortin M. F.","year":"2000","unstructured":"Fortin M. F. (2000). O Processo de Investiga\u00e7\u00e3o: Da Concep\u00e7\u00e3o \u00e0 Realiza\u00e7\u00e3o. Lusodidacta."},{"key":"e_1_3_2_15_1","first-page":"4","article-title":"Standards for holistic nursing practice: A way to think about our care that includes complementary and alternative modalities","volume":"6","author":"Frisch N.","year":"2001","unstructured":"Frisch N. (2001). Standards for holistic nursing practice: A way to think about our care that includes complementary and alternative modalities. Online Journal of Issues in Nursing, 6, Article 4. https:\/\/doi.org\/10.3912\/OJIN.Vol6No02Man04","journal-title":"Online Journal of Issues in Nursing"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14839"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.34172\/jcs.2022.21"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.36922\/ijps.4276"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10020364"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1187\/cbe.13-04-0082"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60030499"},{"key":"e_1_3_2_22_1","volume-title":"The future of nursing 2020\u20132030: Charting a path to achieve health equity","author":"National Academies of Sciences E.","year":"2021","unstructured":"National Academies of Sciences E., Medicine, N. A. of, Nursing 2020\u20132030 C. F., Flaubert J. L., Menestrel S. L., Williams D. R., Wakefield M. K. (2021). Supporting the health and professional well-being of nurses. Em The future of nursing 2020\u20132030: Charting a path to achieve health equity. National Academies Press (US). https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK573902\/"},{"key":"e_1_3_2_23_1","volume-title":"Psychometric theory","author":"Nunnally J. C.","year":"1994","unstructured":"Nunnally J. C., Bernstein I. H. (1994). Psychometric theory (3rd ed.). McGraw-Hill.","edition":"3"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2015.08.028"},{"key":"e_1_3_2_25_1","volume-title":"Scale development: Theory and applications","author":"R. F. DeVellis","year":"1991","unstructured":"R. F. DeVellis. (1991). Scale development: Theory and applications (Vol. 26). Sage Publications, Inc."},{"key":"e_1_3_2_26_1","unstructured":"Rodrigues S. (2017). Personalidade resistente e s\u00edndrome de burnout em enfermeiros [Mestrado]. Universidade de Tr\u00e1s-os-Montes e Alto Douro."},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.3389\/fvets.2023.1184525"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2018.12.001"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1075.156506"}],"container-title":["Journal of Holistic Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08980101251393563","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08980101251393563","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08980101251393563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T07:34:43Z","timestamp":1762846483000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08980101251393563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,4]]},"references-count":28,"alternative-id":["10.1177\/08980101251393563"],"URL":"https:\/\/doi.org\/10.1177\/08980101251393563","relation":{},"ISSN":["0898-0101","1552-5724"],"issn-type":[{"type":"print","value":"0898-0101"},{"type":"electronic","value":"1552-5724"}],"subject":[],"published":{"date-parts":[[2025,11,4]]},"article-number":"08980101251393563"}}