{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T04:04:42Z","timestamp":1780373082588,"version":"3.54.1"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T00:00:00Z","timestamp":1653436800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study was done to assess the dimensions of professional burnout and turnover intention among nurses working in hospitals during the coronavirus disease 2019 (COVID-19) pandemic in Iran based on a structural model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross-sectional study was performed among 170 nurses working in two referral hospitals of COVID-19 in Tehran Province, Iran, from September to December 2020. Data were collected using the sociodemographic form, Maslach Burnout Inventory (MBI), and Turnover Intention Questionnaire. Data were analyzed with SPSS and Amos software version 22 using independent <jats:italic>t<\/jats:italic>-test, ANOVA, and structural equation model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean scores for burnout in emotional fatigue, depersonalization, and personal accomplishment dimensions were 25.38 \u00b1 7.55, 9.47 \u00b1 4.40, and 34.94 \u00b1 7.80, respectively, moreover for the turnover intention, the score was 6.51 \u00b1 3.17. The reduced personal accomplishment was identified as a positive predictor of turnover intention (<jats:italic>p<\/jats:italic> = 0.01). Work position and interest in attending the organization were significantly correlated with the turnover intention (<jats:italic>p<\/jats:italic> &amp;lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is an immediate need to prepare nurses to cope better with the COVID-19 outbreak. Work-related stressors during the COVID-19 pandemic have led to an increase in nurses' burnout and turnover intention. Identifying and managing the factors related to professional burnout will make it possible to prevent the nurses' turnover intention in such critical situations.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2022.860264","type":"journal-article","created":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T07:32:50Z","timestamp":1653463970000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":26,"title":["Association Between Dimensions of Professional Burnout and Turnover Intention Among Nurses Working in Hospitals During Coronavirus Disease (COVID-19) Pandemic in Iran Based on Structural Model"],"prefix":"10.3389","volume":"10","author":[{"given":"Leila","family":"Karimi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Raei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akram","family":"Parandeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,5,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1016\/S0140-6736(20)30154-9","article-title":"A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster","volume":"395","author":"Chan","year":"2020","journal-title":"Lancet."},{"key":"B2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/jcm9030623","article-title":"Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak","volume":"27","author":"Wilder-Smith","year":"2020","journal-title":"J Travel Med"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.5811\/westjem.2020.7.48684","article-title":"The impact of COVID-19 on healthcare worker wellness: a scoping review","volume":"21","author":"Shreffler","year":"2020","journal-title":"West J Emerg Med."},{"key":"B4","doi-asserted-by":"publisher","first-page":"6550","DOI":"10.3390\/ijerph17186550","article-title":"Mental health in frontline medical workers during the 2019 novel coronavirus disease epidemic in China: a comparison with the general population","volume":"17","author":"Liang","year":"2020","journal-title":"Int J Environ Res Public Health."},{"key":"B5","doi-asserted-by":"publisher","first-page":"1684","DOI":"10.3389\/fpsyg.2020.01684","article-title":"The psychological impact of the COVID-19 outbreak on health professionals: a cross-sectional study","volume":"11","author":"Giusti","year":"2020","journal-title":"Front Psychol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"104345","DOI":"10.1016\/j.jcv.2020.104345","article-title":"COVID-19 and telemedicine: Immediate action required for maintaining healthcare providers well-being","volume":"126","author":"Moazzami","year":"2020","journal-title":"J Clin Virol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1016\/S2215-0366(20)30307-2","article-title":"How mental health care should change as a consequence of the COVID-19 pandemic","volume":"7","author":"Moreno","year":"2020","journal-title":"Lancet Psychiatry."},{"key":"B8","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1016\/j.jad.2020.06.022","article-title":"Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis","volume":"275","author":"Salazar de Pablo","year":"2020","journal-title":"J Affect Disord."},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12955-015-0341-2","article-title":"Mental distress among Liberian medical staff working at the China Ebola Treatment Unit: a cross sectional study","volume":"13","author":"Li","year":"2015","journal-title":"Health Qual Life Outcomes."},{"key":"B10","doi-asserted-by":"publisher","first-page":"395","DOI":"10.30491\/jmm.23.5.395","article-title":"Comparison of sleep quality and its related factors in nurses before and at the same time with the COVID-19 epidemic","volume":"23","author":"Salaree","year":"2021","journal-title":"J Mil Med"},{"key":"B11","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1111\/jonm.13168","article-title":"Fear of Covid-19, psychological distress, work satisfaction and turnover intention among frontline nurses","volume":"29","author":"Labrague","year":"2021","journal-title":"J Nurs Manag."},{"key":"B12","doi-asserted-by":"publisher","first-page":"234","DOI":"10.30491\/tm.2021.264714.1217","article-title":"Job Burnout and COVID-19 Pandemic among Intensive Care Nurses","volume":"25","author":"Parandeh","year":"2020","journal-title":"Trauma Mon"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1007\/s00420-021-01695-x","article-title":"Burnout among healthcare professionals during COVID-19 pandemic: a cross-sectional study","volume":"94","author":"Jalili","year":"2021","journal-title":"Int Arch Occup Environ Health."},{"key":"B14","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1146\/annurev.psych.52.1.397","article-title":"Job burnout","volume":"52","author":"Maslach","year":"2001","journal-title":"Annu Rev Psychol."},{"key":"B15","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.jpsychires.2019.12.015","article-title":"Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis","volume":"123","author":"Woo","year":"2020","journal-title":"J Psychiatr Res."},{"key":"B16","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.11124\/JBISRIR-D-19-00170","article-title":"Prevalence of burnout among nurses in sub-Saharan Africa: a systematic review","volume":"18","author":"Owuor","year":"2020","journal-title":"JBI Evidence Synthesis."},{"key":"B17","doi-asserted-by":"publisher","first-page":"e3","DOI":"10.17533\/udea.iee.v38n2e03","article-title":"Burnout and its influencing factors between frontline nurses and nurses from other wards during the outbreak of Coronavirus Disease -COVID-19- in Iran","volume":"38","author":"Sarboozi Hoseinabadi","year":"2020","journal-title":"Invest Educ Enferm"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12718","article-title":"Factors affecting Iranian nurses' intention to leave or stay in the profession during the COVID-19 pandemic","author":"Varasteh","year":"2021","journal-title":"Int Nurs Rev."},{"key":"B19","doi-asserted-by":"publisher","first-page":"3469","DOI":"10.1002\/nop2.896","article-title":"Identifying the predictors of turnover intention based on psychosocial factors of nurses during the COVID-19 outbreak","volume":"8","author":"Mirzaei","year":"2021","journal-title":"Nurs Open."},{"key":"B20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.21767\/2254-9137.100075","article-title":"The influence of supervisor support on nurses' turnover intention","volume":"4","author":"Alshutwi","year":"2017","journal-title":"Health Syst Policy Res."},{"key":"B21","doi-asserted-by":"publisher","first-page":"1104","DOI":"10.1111\/jonm.13053","article-title":"Influence of toxic and transformational leadership practices on nurses' job satisfaction, job stress, absenteeism and turnover intention: a cross-sectional study","volume":"28","author":"Labrague","year":"2020","journal-title":"J Nurs Manag."},{"key":"B22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12960-019-0397-x","article-title":"Why newly graduated nurses in South Korea leave their first job in a short time? A survival analysis","volume":"17","author":"Lee","year":"2019","journal-title":"Human Resour Health."},{"key":"B23","first-page":"70","article-title":"Job stress and burnout syndrome in a sample of rural health workers, behvarzes, in tehran, iran","volume":"6","author":"Malakouti","year":"2011","journal-title":"Iran J Psychiatry."},{"key":"B24","doi-asserted-by":"publisher","first-page":"133","DOI":"10.4103\/nms.nms_2_17","article-title":"Hospital nurses' job security and turnover intention and factors contributing to their turnover intention: a cross-Sectional study","volume":"7","author":"Sokhanvar","year":"2018","journal-title":"Nurs Midwifery Stud."},{"key":"B25","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1108\/ER-10-2018-0277","article-title":"Investigating the role of psychological need satisfaction as a moderator in the relationship between job demands and turnover intention among nurses","volume":"42","author":"Boudrias","year":"2020","journal-title":"Empl Relat Int J"},{"key":"B26","doi-asserted-by":"publisher","first-page":"e27","DOI":"10.1016\/S2215-0366(20)30078-X","article-title":"\u201cMental health care for medical staff in China during the COVID-19 outbreak\u201d: Correction","volume":"7","author":"Chen","year":"2020","journal-title":"Lancet Psychiatry."},{"key":"B27","doi-asserted-by":"publisher","first-page":"1783","DOI":"10.2147\/JMDH.S308397","article-title":"Identifying patterns of turnover intention among alabama frontline nurses in hospital settings during the COVID-19 pandemic","volume":"14","author":"Astin Cole","year":"2021","journal-title":"J Multidiscip Healthc."},{"key":"B28","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1136\/bmjqs-2018-008043","article-title":"Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study","volume":"28","author":"Griffiths","year":"2019","journal-title":"BMJ Qual Saf."},{"key":"B29","doi-asserted-by":"publisher","first-page":"652","DOI":"10.1177\/0899764016685859","article-title":"Is it the job or the support?","volume":"46","author":"Knapp","year":"2017","journal-title":"Examining structural and relational predictors of job satisfaction and turnover intention for nonprofit employees. Nonprofit Volunt Sector Q."},{"key":"B30","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1111\/inr.12342","article-title":"Effects of nurse work environment on job dissatisfaction, burnout, intention to leave","volume":"64","author":"Nantsupawat","year":"2017","journal-title":"Int Nurs Rev."},{"key":"B31","article-title":"Maslach burnout inventory","author":"Maslach","year":"1997"},{"key":"B32","unstructured":"Comparing job burnout and quality of life in physically active and inactive military personnel15868\n            ShahhosseiniM\n            Vaez MousaviSMK\n          J Mil Med.192017"},{"key":"B33","unstructured":"45\n            FilianE\n          Tehran University of Medical SciencesEvaluation of burnout and its correlation with coping mechanisms in nurses of educational hospitals of Tehran [dissertation]1993"},{"key":"B34","first-page":"71","volume-title":"The Michigan Organizational Assessment Questionnaire","author":"Cammann","year":"1979"},{"key":"B35","doi-asserted-by":"publisher","first-page":"37","DOI":"10.21859\/jhpm-07046","article-title":"The Correlation between Organizational Culture and Nurses' Turnover Intention in Educational and Therapeutic Centers of Hamadan University of Medical Sciences","volume":"6","author":"Sadeghi","year":"2018","journal-title":"J Health Promot Manage."},{"key":"B36","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1111\/inr.12426","article-title":"Prevalence of burnout among nurses in Iran: A systematic review and meta-analysis","volume":"65","author":"Rezaei","year":"2018","journal-title":"Int Nurs Rev."},{"key":"B37","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5334\/aogh.3190","article-title":"Beyond the outbreak of COVID-19: factors affecting burnout in nurses in Iran","volume":"87","author":"Zare","year":"2021","journal-title":"Ann Glob Health"},{"key":"B38","unstructured":"Turnover intention of nurses in the outbreak of COVID-19: the role of compassion fatigue, compassion satisfaction and burnout8093\n            AriapooranS\n            AmirimaneshM\n          Q J Nurs Manage.102021"},{"key":"B39","doi-asserted-by":"publisher","first-page":"3286","DOI":"10.1111\/jan.14839","article-title":"Nurses' burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis","volume":"77","author":"Galanis","year":"2021","journal-title":"J Adv Nurs"},{"key":"B40","first-page":"181","article-title":"The role of stress and level of burnout in job performance among nurses","volume":"8","author":"Gandi","year":"2011","journal-title":"Ment Health Fam Med"},{"key":"B41","doi-asserted-by":"publisher","first-page":"1614","DOI":"10.4269\/ajtmh.20-0800","article-title":"Anxiety, distress, and turnover intention of healthcare workers in Peru by their distance to the epicenter during the COVID-19 crisis","volume":"103","author":"Y\u00e1\u00f1ez","year":"2020","journal-title":"Am J Trop Med Hyg."},{"key":"B42","doi-asserted-by":"publisher","first-page":"915","DOI":"10.15452\/CEJNM.2018.09.0024","article-title":"The effect of quality of work life and job control on organizational indifference and turnover intention of nurses: a cross-sectional questionnaire survey","volume":"9","author":"Alsadat Nasabi","year":"2018","journal-title":"Central Eur J Nurs Midwifery."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.860264\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T07:33:01Z","timestamp":1653463981000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.860264\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,25]]},"references-count":42,"alternative-id":["10.3389\/fpubh.2022.860264"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2022.860264","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,25]]},"article-number":"860264"}}