{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:07:15Z","timestamp":1790273235525,"version":"4.1.0"},"reference-count":70,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>Nursing professionals are exposed to stressful situations. One of them could be related to how they communicate with patients and their families. However, literature on the role of communication in occupational stress is scarce. There seems to be no consensus as to whether communication is a job demand, a consequence of stress or could even act as a mediator between the stress process. The aim of this study was to discuss the role of attitudes towards communication with the patient in the stress process in nurses. The sample consisted of 193 nurses recruited from four public hospitals in the Valencian Community. They were previously informed about the aim of the study. Job demands and resources, burnout and attitudes towards communication with the patient were evaluated with the UNIPSICO Battery, Burnout Syndrome Evaluation Questionnaire (CESQT) and the reduced version of the Attitudes Towards Communication Questionnaire (ACO-R), respectively. Three hypothesized models were evaluated with PLS-SEM. The results of the analysis showed that attitudes towards communication did not influence burnout. Nor did they mediate the stress process. Attitudes towards communication were a consequence of burnout caused by the imbalance between job demands and resources. Thus, when nurses suffer from burnout due to exposure to poor working conditions, their attitudes towards communication may deteriorate.<\/jats:p>","DOI":"10.1371\/journal.pone.0358785","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:25:27Z","timestamp":1790270727000},"page":"e0358785","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Words on fire: Nurses\u2019 communication attitudes in the burnout equation"],"prefix":"10.1371","volume":"21","author":[{"given":"Mar\u00eda del Carmen","family":"Gim\u00e9nez-Espert","sequence":"first","affiliation":[{"name":"University of Valencia","place":["Valencia, Spain"],"department":["Department of Nursing, Faculty of Nursing and Chiropody"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0102-5316","authenticated-orcid":true,"given":"Luc\u00eda","family":"Sanchis-Gim\u00e9nez","sequence":"additional","affiliation":[{"name":"University of Valencia","place":["Valencia, Spain"],"department":["Faculty of Psychology and Speech Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicente Javier","family":"Prado-Gasc\u00f3","sequence":"additional","affiliation":[{"name":"University of Valencia","place":["Valencia, Spain"],"department":["Department of Social Psychology, Faculty of Psychology and Speech Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"pone.0358785.ref001","doi-asserted-by":"crossref","first-page":"804525","DOI":"10.3389\/fpsyt.2021.804525","article-title":"COVID-19 pandemic and overall mental health of healthcare professionals globally: a meta-review of systematic reviews","volume":"12","author":"M Chutiyami","year":"2022","journal-title":"Front Psychiatry"},{"key":"pone.0358785.ref002","unstructured":"European Commission. Employment and Social Developments in Europe 2023; 2023. Available from: https:\/\/op.europa.eu\/webpub\/empl\/esde-2023\/esde-review.html"},{"key":"pone.0358785.ref003","unstructured":"OECD. Are working environments for healthcare workers improving? 2024. Available from: https:\/\/www.oecd.org\/en\/publications\/are-working-environments-for-healthcare-workers-improving_2e227e65-en.html#related-topics"},{"key":"pone.0358785.ref004","unstructured":"National Institute for Occupational Safety and Health. Mental health and work; 2023. Available from: https:\/\/www.insst.es\/documentacion\/material-tecnico\/documentos-tecnicos\/salud-mental-y-trabajo-2023"},{"key":"pone.0358785.ref005","unstructured":"Spanish Ministry of Health. Work situation and perceived needs by nurses in Spain 2024; 2025."},{"key":"pone.0358785.ref006","unstructured":"European Agency for Safety and Health at Work (EU-OSHA). Calculating the cost of work-related stress and psychosocial risks."},{"key":"pone.0358785.ref007","volume-title":"Manual de psicosociolog\u00eda aplicada al trabajo y a la prevenci\u00f3n de riesgos laborales","author":"PR Gil-Monte","year":"2014"},{"key":"pone.0358785.ref008","doi-asserted-by":"crossref","first-page":"1256063","DOI":"10.3389\/fpsyt.2023.1256063","article-title":"Work-related burnout and its associated factors among midwives working at public hospitals in northwest Ethiopia: a multi-centered study","volume":"14","author":"BA Mengistie","year":"2023","journal-title":"Front Psychiatry"},{"issue":"7","key":"pone.0358785.ref009","doi-asserted-by":"crossref","first-page":"3715","DOI":"10.1111\/jan.16486","article-title":"Job characteristic profiles and presenteeism among shift nurses: a latent profile analysis based on the job demands-resources model","volume":"81","author":"SY Nam","year":"2025","journal-title":"J Adv Nurs"},{"issue":"12","key":"pone.0358785.ref010","doi-asserted-by":"crossref","first-page":"1674","DOI":"10.1016\/j.jsps.2020.10.014","article-title":"Categorizing and understanding medication errors in hospital pharmacy in relation to human factors","volume":"28","author":"RF Al-Ahmadi","year":"2020","journal-title":"Saudi Pharm J"},{"issue":"2","key":"pone.0358785.ref011","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s00420-022-01927-8","article-title":"Profiles of women who have suffered occupational accidents in cleaning: perceived health, psychosocial risks, and personality variables","volume":"96","author":"I Fern\u00e1ndez-Su\u00e1rez","year":"2023","journal-title":"Int Arch Occup Environ Health"},{"issue":"2","key":"pone.0358785.ref012","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0211447","article-title":"Workplace burnout and health issues among Colombian correctional officers","volume":"14","author":"SA Useche","year":"2019","journal-title":"PLoS One"},{"issue":"3","key":"pone.0358785.ref013","first-page":"937","article-title":"Prevalence of job burnout in Iranian nurses: a systematic review and meta-analysis","volume":"73","author":"Y Sohrabi","year":"2022","journal-title":"Work"},{"issue":"10","key":"pone.0358785.ref014","doi-asserted-by":"crossref","first-page":"4132","DOI":"10.1111\/jocn.17616","article-title":"The relationship between perceived nursing workload and occupational fatigue in clinical nurses: the moderating role of nursing teamwork","volume":"34","author":"R Nemati-Vakilabad","year":"2025","journal-title":"J Clin Nurs"},{"issue":"12","key":"pone.0358785.ref015","doi-asserted-by":"crossref","first-page":"7749","DOI":"10.1002\/nop2.2016","article-title":"Factors influencing work engagement among male nurses: a structural equation model","volume":"10","author":"C Wu","year":"2023","journal-title":"Nurs Open"},{"issue":"3","key":"pone.0358785.ref016","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1080\/10803548.2016.1216991","article-title":"Investigation into effects of work-related quality of life and some related factors on cognitive failures among nurses","volume":"23","author":"M Abbasi","year":"2017","journal-title":"Int J Occup Saf Ergon"},{"issue":"5","key":"pone.0358785.ref017","doi-asserted-by":"crossref","first-page":"564","DOI":"10.3390\/ijerph21050564","article-title":"Disclosing strain: how psychosocial risk factors influence work-related musculoskeletal disorders in healthcare workers preceding and during the COVID-19 pandemic","volume":"21","author":"C Barros","year":"2024","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"pone.0358785.ref018","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1146\/annurev-orgpsych-120920-053933","article-title":"Job demands\u2013resources theory: ten years later","volume":"10","author":"AB Bakker","year":"2023","journal-title":"Annu Rev Organ Psychol Organ Behav"},{"key":"pone.0358785.ref019","doi-asserted-by":"crossref","first-page":"1559351","DOI":"10.3389\/fpubh.2025.1559351","article-title":"Network analysis of interpersonal conflict, emotional exhaustion and psychological distress among mental health nurses in the workplace: a cross-sectional survey","volume":"13","author":"F Qiu","year":"2025","journal-title":"Front Public Health"},{"issue":"1","key":"pone.0358785.ref020","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1080\/00377317.2023.2249991","article-title":"The importance of organizational justice on job burnout among Midwestern U.S. social workers","volume":"94","author":"S Pasupuleti","year":"2023","journal-title":"Stud Clin Soc Work"},{"issue":"1","key":"pone.0358785.ref021","doi-asserted-by":"crossref","first-page":"44","DOI":"10.3390\/ijerph20010044","article-title":"Psychosocial factors associated with burnout and self-perceived health in Spanish occupational therapists","volume":"20","author":"R Juy","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"pone.0358785.ref022","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1108\/IJWHM-05-2024-0093","article-title":"Burnout in healthcare: can job autonomy heal, or does context hold the key?","volume":"18","author":"J Reyes-Luj\u00e1n","year":"2025","journal-title":"Int J Workplace Health Manag"},{"issue":"3","key":"pone.0358785.ref023","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1080\/13218719.2022.2035840","article-title":"Burnout among lawyers: effects of workload, latitude and mediation via engagement and over-engagement","volume":"30","author":"M Nickum","year":"2022","journal-title":"Psychiatr Psychol Law"},{"key":"pone.0358785.ref024","doi-asserted-by":"crossref","first-page":"101230","DOI":"10.1016\/j.ienj.2022.101230","article-title":"Violence in hospitals and burnout among nursing staff","volume":"65","author":"K Grinberg","year":"2022","journal-title":"Int Emerg Nurs"},{"issue":"1","key":"pone.0358785.ref025","first-page":"230","article-title":"The association of social support and burnout among head start staff in Colorado","volume":"47","author":"JN Powers","year":"2025","journal-title":"J Early Child Teach Educ"},{"issue":"1","key":"pone.0358785.ref026","article-title":"Teacher voices matter: The role of teacher autonomy in enhancing job satisfaction and mitigating burnout","volume":"20","author":"C Ha","year":"2025","journal-title":"PLoS One"},{"issue":"5","key":"pone.0358785.ref027","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1177\/01650254241266107","article-title":"Early career gender differences in job burnout trajectories in Finland: Roles of work, family, and financial resources","volume":"48","author":"Y Fang","year":"2024","journal-title":"Int J Behav Dev"},{"issue":"4","key":"pone.0358785.ref028","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1111\/inm.13286","article-title":"Workload and psychosocial risks among nurses in mental health and psychiatry in Chile","volume":"33","author":"D Fuentes-Olavarr\u00eda","year":"2024","journal-title":"Int J Ment Health Nurs"},{"issue":"1","key":"pone.0358785.ref029","doi-asserted-by":"crossref","first-page":"22799036221147812","DOI":"10.1177\/22799036221147812","article-title":"Burnout among nurses: examining psychosocial work environment causes","volume":"12","author":"I Paskarini","year":"2023","journal-title":"J Public Health Res"},{"issue":"5","key":"pone.0358785.ref030","doi-asserted-by":"crossref","DOI":"10.1111\/ijn.12676","article-title":"Work-related stress among nursing staff working in government hospitals and primary health care centres","volume":"24","author":"AM Alenezi","year":"2018","journal-title":"Int J Nurs Pract"},{"issue":"3","key":"pone.0358785.ref031","doi-asserted-by":"crossref","first-page":"183","DOI":"10.21101\/cejph.a4817","article-title":"Psychosocial and physiological risks of shift work in nurses: a cross-sectional study","volume":"26","author":"B Leyva-Vela","year":"2018","journal-title":"Cent Eur J Public Health"},{"issue":"1","key":"pone.0358785.ref032","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/s12873-024-00983-2","article-title":"Psychosocial working conditions, perceived patient safety and their association in emergency medical services workers in Germany - a cross-sectional study","volume":"24","author":"A Els\u00e4sser","year":"2024","journal-title":"BMC Emerg Med"},{"key":"pone.0358785.ref033","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.nedt.2018.01.031","article-title":"The development and psychometric validation of an instrument to evaluate nurses\u2019 attitudes towards communication with the patient (ACO)","volume":"64","author":"MDC Gim\u00e9nez-Espert","year":"2018","journal-title":"Nurse Educ Today"},{"issue":"6","key":"pone.0358785.ref034","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1177\/0969733020916771","article-title":"Ethical perspectives in communication in cancer care: an interpretative phenomenological study","volume":"27","author":"P Melis","year":"2020","journal-title":"Nurs Ethics"},{"key":"pone.0358785.ref035","doi-asserted-by":"crossref","first-page":"8869949","DOI":"10.1155\/2024\/8869949","article-title":"Communication self-efficacy and job satisfaction among nurses during the COVID-19 pandemic","volume":"2024","author":"L Ghahremani","year":"2024","journal-title":"J Nurs Manag"},{"issue":"6","key":"pone.0358785.ref036","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1097\/CEJ.0000000000000755","article-title":"Referring high-risk individuals for lung cancer screening: a systematic review of interventions with healthcare professionals","volume":"31","author":"MM Saab","year":"2022","journal-title":"Eur J Cancer Prev"},{"issue":"101493","key":"pone.0358785.ref037","doi-asserted-by":"crossref","first-page":"101493","DOI":"10.1016\/j.ecns.2023.101493","article-title":"Comparison of two simulation tools to develop empathic communication skills in nursing students breaking bad news: a randomized controlled study","volume":"87","author":"M Goosse","year":"2024","journal-title":"Clin Simul Nurs"},{"issue":"11","key":"pone.0358785.ref038","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pgph.0003959","article-title":"Perceived work-related stress and associated factors among the surgical workforce in a Nigerian tertiary health facility: a cross-sectional study","volume":"4","author":"JM Bashar","year":"2024","journal-title":"PLOS Glob Public Health"},{"key":"pone.0358785.ref039","doi-asserted-by":"crossref","first-page":"1129268","DOI":"10.3389\/fpsyt.2023.1129268","article-title":"Occupational stress and burnout among intensive care unit nurses during the pandemic: a prospective longitudinal study of nurses in COVID and non-COVID units","volume":"14","author":"P Saravanan","year":"2023","journal-title":"Front Psychiatry"},{"issue":"1","key":"pone.0358785.ref040","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1186\/s12912-025-04111-8","article-title":"Effects of digital literacy and nursing informatics competency as job resources on nurses\u2019 burnout and work engagement: a cross-sectional study","volume":"24","author":"J Chung","year":"2025","journal-title":"BMC Nurs"},{"issue":"2","key":"pone.0358785.ref041","doi-asserted-by":"crossref","DOI":"10.1111\/jonm.12319","article-title":"Exploring nursing staffs communication in stressful and non-stressful situations","volume":"24","author":"B Andr\u00e9","year":"2016","journal-title":"J Nurs Manag"},{"issue":"2","key":"pone.0358785.ref042","doi-asserted-by":"crossref","first-page":"137","DOI":"10.4103\/ijnmr.IJNMR_101_18","article-title":"Communication behaviors in nursing homes in South-East Iran: an ethnographic study","volume":"24","author":"S Khodabandeh-Shahraki","year":"2019","journal-title":"Iran J Nurs Midwifery Res"},{"issue":"5","key":"pone.0358785.ref043","doi-asserted-by":"crossref","first-page":"1338","DOI":"10.1017\/S1478951524000890","article-title":"Perceived organizational support moderates the effect of job demands on outcomes: testing the JD-R model in Italian oncology nurses","volume":"22","author":"T Ramaci","year":"2024","journal-title":"Palliat Support Care"},{"issue":"1","key":"pone.0358785.ref044","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1186\/s12905-025-03620-7","article-title":"\u201cHigh-stress, conscientiousness and positive coping\u201d: correlation analysis of personality traits, coping style and stress load among obstetrics and gynecology female nurses and midwives in twenty-one public hospitals in Southern China","volume":"25","author":"Q Ye","year":"2025","journal-title":"BMC Womens Health"},{"issue":"8","key":"pone.0358785.ref045","doi-asserted-by":"crossref","first-page":"7634","DOI":"10.1007\/s12144-025-07457-z","article-title":"Do coping strategies really matter at the workplace? Workplace stress and employee\u2019s psychological well-being during the COVID-19 pandemic","volume":"44","author":"F Ali","year":"2025","journal-title":"Curr Psychol"},{"issue":"2","key":"pone.0358785.ref046","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.jvb.2011.03.007","article-title":"A meta-analysis of burnout with job demands, resources, and attitudes","volume":"79","author":"GM Alarcon","year":"2011","journal-title":"J Vocat Behav"},{"key":"pone.0358785.ref047","article-title":"The influence of nurse education and training on communication, emotional intelligence, and empathy","volume":"53","author":"VJ Prado-Gasc\u00f3","year":"2019","journal-title":"Rev Esc Enferm USP"},{"issue":"1","key":"pone.0358785.ref048","doi-asserted-by":"crossref","DOI":"10.23938\/ASSN.1058","article-title":"Psychosocial risks and their consequences on health and job satisfaction among Spanish police officers","volume":"47","author":"E Grau-Alberola","year":"2024","journal-title":"An Sist Sanit Navar"},{"key":"pone.0358785.ref049","doi-asserted-by":"crossref","first-page":"644025","DOI":"10.3389\/fpsyg.2021.644025","article-title":"Development of burnout syndrome in non-university teachers: influence of demand and resource variables","volume":"12","author":"M Llorca-Pellicer","year":"2021","journal-title":"Front Psychol"},{"issue":"2","key":"pone.0358785.ref050","doi-asserted-by":"crossref","first-page":"86","DOI":"10.12961\/aprl.2016.19.02.2","article-title":"The UNIPSICO questionnaire: psychometric properties of the scales measuring psychosocial demands","volume":"19","author":"PR Gil-Monte","year":"2016","journal-title":"Arch Prev Riesgos Labor"},{"issue":"4","key":"pone.0358785.ref051","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1111\/jan.13887","article-title":"Internal workplace violence from colleagues is more strongly associated with poor health outcomes in nurses than violence from patients and families","volume":"75","author":"L-C Pien","year":"2019","journal-title":"J Adv Nurs"},{"key":"pone.0358785.ref052","volume-title":"CESQT. Cuestionario para la Evaluaci\u00f3n del S\u00edndrome de Quemarse por el Trabajo. Manual","author":"PR Gil-Monte","year":"2019","edition":"2"},{"issue":"24","key":"pone.0358785.ref053","doi-asserted-by":"crossref","first-page":"2546","DOI":"10.3390\/healthcare12242546","article-title":"A short form of a questionnaire on attitudes toward patient communication in nurses and nursing students (ACO-R): assessment of psychometric properties","volume":"12","author":"A Tamarit","year":"2024","journal-title":"Healthcare (Basel)"},{"key":"pone.0358785.ref054","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1146\/annurev-psych-120710-100452","article-title":"Sources of method bias in social science research and recommendations on how to control it","volume":"63","author":"PM Podsakoff","year":"2012","journal-title":"Annu Rev Psychol"},{"issue":"3","key":"pone.0358785.ref055","article-title":"Impact of corporate social responsibility on employee loyalty: mediating role of person-organization fit and employee trust","volume":"19","author":"H Jin","year":"2024","journal-title":"PLoS One"},{"issue":"2","key":"pone.0358785.ref056","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1108\/IJSMS-05-2022-242","article-title":"Guest editorial: sports management research using partial least squares structural equation modeling (PLS-SEM)","volume":"23","author":"G Cepeda-Carri\u00f3n","year":"2022","journal-title":"IJSMS"},{"issue":"4","key":"pone.0358785.ref057","first-page":"1","article-title":"Common method bias in PLS-SEM: a full collinearity assessment approach","volume":"11","author":"N Kock","year":"2015","journal-title":"IJEC"},{"issue":"16","key":"pone.0358785.ref058","doi-asserted-by":"crossref","first-page":"6814","DOI":"10.3390\/su16166814","article-title":"Psychosocial risks in non-university teachers: a comparative study between Spain and Mexico on their occupational health","volume":"16","author":"L Sanchis-Gim\u00e9nez","year":"2024","journal-title":"Sustainability"},{"key":"pone.0358785.ref059","volume-title":"SmartPLS 4","author":"CM Ringle"},{"key":"pone.0358785.ref060","volume-title":"A primer on partial least squares structural equation modeling (PLS-SEM)","author":"J Hair","year":"2022","edition":"3"},{"issue":"1","key":"pone.0358785.ref061","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/002224378101800104","article-title":"Evaluating structural equation models with unobservable variables and measurement error","volume":"18","author":"C Fornell","year":"1981","journal-title":"J Mark Res"},{"issue":"9","key":"pone.0358785.ref062","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1016\/j.jbusres.2011.10.026","article-title":"Impact of competitiveness on salespeople\u2019s commitment and performance","volume":"65","author":"LW Lam","year":"2012","journal-title":"J Bus Res"},{"issue":"2","key":"pone.0358785.ref063","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/1094428114526928","article-title":"Common beliefs and reality about PLS: Comments on R\u00f6nkk\u00f6 and Evermann (2013)","volume":"17","author":"J Henseler","year":"2014","journal-title":"Organ Res Methods"},{"issue":"1","key":"pone.0358785.ref064","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives","volume":"6","author":"L Hu","year":"1999","journal-title":"Struct Equ Modeling"},{"issue":"1","key":"pone.0358785.ref065","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1590\/1516-3180.2021.0068.r1.31052021","article-title":"Burnout syndrome and workplace violence among nursing staff: a cross-sectional study","volume":"140","author":"SAS Tsukamoto","year":"2022","journal-title":"Sao Paulo Med J"},{"issue":"3","key":"pone.0358785.ref066","first-page":"103","article-title":"The effect of workload on the development of burnout syndrome in Covid-19 intensive care nurses: a systematic review","volume":"60","author":"S Biagiola","year":"2025","journal-title":"Riv Psichiatr"},{"key":"pone.0358785.ref067","doi-asserted-by":"crossref","first-page":"151819","DOI":"10.1016\/j.apnr.2024.151819","article-title":"Experience of violence, social support, nursing practice environment, and burnout on mental health among mental health nurses in South Korea: a structural equation modeling analysis","volume":"78","author":"JS Park","year":"2024","journal-title":"Appl Nurs Res"},{"issue":"6","key":"pone.0358785.ref068","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1037\/a0032282","article-title":"Attitudes without objects: evidence for a dispositional attitude, its measurement, and its consequences","volume":"104","author":"J Hepler","year":"2013","journal-title":"J Pers Soc Psychol"},{"issue":"1","key":"pone.0358785.ref069","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1186\/s12912-023-01380-z","article-title":"Socioeconomic factors, perceived stress, and social support effect on neonatal nurse burnout in China: a cross-sectional study","volume":"22","author":"Z-P Huang","year":"2023","journal-title":"BMC Nurs"},{"issue":"2","key":"pone.0358785.ref070","doi-asserted-by":"crossref","DOI":"10.1111\/nicc.13282","article-title":"Burnout, collective efficacy and the social network of an intensive care unit","volume":"30","author":"AK Kiefer","year":"2025","journal-title":"Nurs Crit Care"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0358785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:25:43Z","timestamp":1790270743000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0358785"}},"subtitle":[],"editor":[{"given":"Mohd Ismail","family":"Ibrahim","sequence":"first","affiliation":[{"name":"Universiti Sains Malaysia - Kampus Kesihatan","place":["MALAYSIA"]}],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":70,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,24]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0358785","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]}}}