{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T16:37:57Z","timestamp":1780504677797,"version":"3.54.1"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"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>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nurse burnout is prevalent. Most existing studies focus on specialized units\u2014such as ICUs and emergency departments. In China, \u201cInternet+\u201d home care is primarily delivered part-time by clinical nurses from tertiary hospitals. Yet, stress coping strategies and burnout among these nurses remain underexplored. This study examines the relationship between coping styles and burnout in this context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A cross-sectional design was used. From September to November 2024, a total of 311 nurses from seven tertiary hospitals who performed \u201cinternet +\u201d services were surveyed, of whom 287 completed valid questionnaires and were included in the final analysis. The relationship between stress coping styles and job burnout levels was analyzed using the Simplified Coping Style Questionnaire (SCSQ) and the Nurse Burnout Scale (NBS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      Nurses reported low job burnout scores (122.29 \u00b1 28.46; ranging 57\u2013228), indicating either extremely mild or no job burnout. Nurses who employed positive or negative coping strategies reported scores of 22.03 \u00b1 7.56 (range 0\u201336) and 9.56 \u00b1 5.01 (range 0\u201324), respectively. Specifically, positive coping styles were negatively correlated with total job burnout scores (\n                      <jats:italic>r<\/jats:italic>\n                      = \u22120.415,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.01), whereas negative coping styles were positively correlated with total scores (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.174,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.01). Factors that influence job burnout include nurses' clinical department, educational background, marital status, average monthly income from \u201cinternet +\u201d nursing services over the past three months, and coping styles. Married nurses with higher academic qualifications working in outpatient and emergency care departments experienced notably lower levels of job burnout.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The stress coping styles of nurses who provide \u201cinternet +\u201d nursing services in tertiary hospitals and job burnout levels are significantly correlated. Nursing managers should focus on stress coping strategies and job burnout awareness to create environments in which positive coping strategies are encouraged. This approach may reduce job burnout among nurses in tertiary hospitals while promoting their overall physical and mental wellbeing. Enhancing nurses' job satisfaction and happiness with \u201cinternet +\u201d nursing services can improve work quality, reduce turnover, and meet the increasing demand for nursing and health services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1779629","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T05:31:00Z","timestamp":1772775060000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The current status of job burnout among online nurses delivering Internet+ home care services and influencing factors: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Yinan","family":"Wang","sequence":"first","affiliation":[{"name":"Community Nursing Teaching and Research Section, School of Nursing & Health, Zhengzhou University","place":["Zhengzhou, China"]},{"name":"Department of Radiotherapy and Chemotherapy for Oncology, First Affiliated Hospital of Ningbo University","place":["Ningbo, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangfang","family":"Jin","sequence":"additional","affiliation":[{"name":"Ward 2, Department of Hematology, The First Affiliated Hospital of Ningbo University","place":["Ningbo, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhong","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy and Chemotherapy for Oncology, First Affiliated Hospital of Ningbo University","place":["Ningbo, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruru","family":"Guo","sequence":"additional","affiliation":[{"name":"Community Nursing Teaching and Research Section, School of Nursing & Health, Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Wang","sequence":"additional","affiliation":[{"name":"Community Nursing Teaching 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