{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T12:44:28Z","timestamp":1768999468399,"version":"3.49.0"},"reference-count":64,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>During the COVID-19 pandemic, nurses were exposed to many stressors, which may have been associated with some mental health problems. However, most of the studies carried out on nurses\u2019 quality of life and workplace wellbeing during the COVID-19 pandemic took a pathogenic approach. Given that current scientific knowledge in this field presented too many gaps to properly inform preventive and therapeutic action, the aim of this study was to explore whether protective factors (resilience, perceived social support, and professional identification) and stressors (perceived stress and psychosocial risks in the workplace) influenced the quality of life and workplace wellbeing perceived by Portuguese nurses during the COVID-19 pandemic. Data for this cross-sectional study was collected through online self-administered questionnaires. Linear regression models were used to analyze the relationships between variables. Results showed that perceived stress, resilience and job satisfaction were associated with quality of life and workplace wellbeing among Portuguese nurses. The study\u2019s findings could serve to inform health policy and should draw the attention of nursing managers to the needs and difficulties reported by nurses, to the importance of providing them with emotional support, and to the relevance of promoting a good work environment.<\/jats:p>","DOI":"10.3390\/ijerph192114231","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T07:06:46Z","timestamp":1667200006000},"page":"14231","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Workplace Wellbeing and Quality of Life Perceived by Portuguese Nurses during the COVID-19 Pandemic: The Role of Protective Factors and Stressors"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9245-256X","authenticated-orcid":false,"given":"Francisco","family":"Sampaio","sequence":"first","affiliation":[{"name":"Higher School of Health Fernando Pessoa, Rua Delfim Maia, 334, 4200-253 Porto, Portugal"},{"name":"CINTESIS@RISE\u2014Center for Health Technology and Services Research\/Health Research Network from the Lab to the Community, Rua Dr. Pl\u00e1cido da Costa, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8287-7361","authenticated-orcid":false,"given":"Ricardo","family":"Salgado","sequence":"additional","affiliation":[{"name":"La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Av. Vinet 30, 1004 Lausanne, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9269-5636","authenticated-orcid":false,"given":"Matteo","family":"Antonini","sequence":"additional","affiliation":[{"name":"La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Av. Vinet 30, 1004 Lausanne, Switzerland"}]},{"given":"Philippe","family":"Delmas","sequence":"additional","affiliation":[{"name":"La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Av. Vinet 30, 1004 Lausanne, Switzerland"}]},{"given":"Annie","family":"Oulevey Bachmann","sequence":"additional","affiliation":[{"name":"La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Av. Vinet 30, 1004 Lausanne, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2051-4749","authenticated-orcid":false,"given":"Ingrid","family":"Gilles","sequence":"additional","affiliation":[{"name":"Epidemiology and Health Systems, Center for Primary Care and Public Health, 1010 Lausanne, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8411-4181","authenticated-orcid":false,"given":"Claudia","family":"Ortoleva Bucher","sequence":"additional","affiliation":[{"name":"La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Av. Vinet 30, 1004 Lausanne, Switzerland"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2022, June 08). Weekly Epidemiological Update on COVID-19. 1 June 2022. Available online: https:\/\/www.who.int\/publications\/m\/item\/weekly-epidemiological-update-on-covid-19---1-june-2022."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s11920-020-01166-z","article-title":"The psychological impact of epidemic and pandemic outbreaks on healthcare workers: Rapid review of the evidence","volume":"22","author":"Preti","year":"2020","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Stuijfzand, S., Deforges, C., Sandoz, V., Sajin, C.-T., Jaques, C., Elmers, J., and Horsch, A. (2020). Psychological impact of an epidemic\/pandemic on the mental health of healthcare professionals: A rapid review. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09322-z"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1016\/j.bbi.2020.05.026","article-title":"Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis","volume":"88","author":"Pappa","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"102066","DOI":"10.1016\/j.ajp.2020.102066","article-title":"COVID-19 and mental health: A review of the existing literature","volume":"52","author":"Rajkumar","year":"2020","journal-title":"Asian J Psychiatr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1192\/bjp.185.2.127","article-title":"Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital","volume":"185","author":"Chong","year":"2004","journal-title":"Br. J. Psychiatry"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Goulia, P., Mantas, C., Dimitroula, D., Mantis, D., and Hyphantis, T. (2010). General hospital staff worries, perceived sufficiency of information and associated psychological distress during the A\/H1N1 influenza pandemic. BMC Infect. Dis., 10.","DOI":"10.1186\/1471-2334-10-322"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1159\/000095443","article-title":"The mental health of hospital workers dealing with severe acute respiratory syndrome","volume":"75","author":"Lu","year":"2006","journal-title":"Psychother. Psychosom."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1503\/cmaj.1031077","article-title":"Psychosocial effects of SARS on hospital staff: Survey of a large tertiary care institution","volume":"170","author":"Nickell","year":"2004","journal-title":"Can. Med. Assoc. J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1017\/S0033291704002247","article-title":"Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: Stress and psychological impact among frontline healthcare workers","volume":"34","author":"Tam","year":"2004","journal-title":"Psychol. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1111\/j.1440-1819.2012.02336.x","article-title":"Psychological impact of the pandemic (H1N1) 2009 on general hospital workers in Kobe","volume":"66","author":"Matsuishi","year":"2012","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e203976","DOI":"10.1001\/jamanetworkopen.2020.3976","article-title":"Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019","volume":"3","author":"Lai","year":"2020","journal-title":"JAMA Netw. Open"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1924","DOI":"10.3201\/eid1212.060584","article-title":"Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak","volume":"12","author":"Maunder","year":"2006","journal-title":"Emerg. Infect. Dis."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Mittelmark, M., and Bauer, G. (2017). The meaning of salutogenesis. The Handbook of Salutogenesis, Springer.","DOI":"10.1007\/978-3-319-04600-6"},{"key":"ref_15","unstructured":"Michaelson, J., Abdallah, S., Steuer, N., Thompson, S., and Marks, N. (2009). National Accounts of Wellbeing: Bringing Real Wealth onto the Balance Sheet, The New Economics Foundation."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"222","DOI":"10.5502\/ijw.v2i3.4","article-title":"The challenge of defining wellbeing","volume":"2","author":"Dodge","year":"2012","journal-title":"Int. J. Wellbeing"},{"key":"ref_17","unstructured":"Huppert, F., Baylis, N., and Kevern, B. (2005). The Science of Wellbeing, Oxford University Press."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"845","DOI":"10.3855\/jidc.6925","article-title":"Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak perceptions of risk and stress evaluation in nurses","volume":"10","author":"Bukhari","year":"2016","journal-title":"J. Infect. Dev. Ctries."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1097\/00003727-200507000-00008","article-title":"The impact of work-related risk on nurses during the SARS outbreak in Hong Kong","volume":"28","author":"Chan","year":"2005","journal-title":"Fam. Community Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1002\/nop2.608","article-title":"Comparing feeling of competence regarding humanistic caring in Belgian nurses and nursing students: A comparative cross-sectional study conducted in a French Belgium teaching hospital","volume":"8","author":"Lecocq","year":"2021","journal-title":"Nurs. Open"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.apnu.2017.09.006","article-title":"Mental health of nurses working at a government-designated hospital during a MERS-CoV outbreak: A cross-sectional study","volume":"32","author":"Park","year":"2018","journal-title":"Arch. Psychiatr. Nurs."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/JOM.0000000000001235","article-title":"A systematic, thematic review of social and occupational factors associated with psychological outcomes in healthcare employees during an infectious disease outbreak","volume":"60","author":"Brooks","year":"2018","journal-title":"J. Occup. Environ. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1177\/070674370705200406","article-title":"Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers","volume":"52","author":"McAlonan","year":"2007","journal-title":"Can. J. Psychiatry"},{"key":"ref_24","unstructured":"(2022, June 10). COVID-19 Data Explorer. Available online: https:\/\/ourworldindata.org\/coronavirus."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1097\/JOM.0000000000001987","article-title":"Nurses\u2019 mental health during the COVID-19 outbreak: A cross-sectional study","volume":"62","author":"Sampaio","year":"2020","journal-title":"J. Occup. Environ. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"110620","DOI":"10.1016\/j.envres.2020.110620","article-title":"Impact of the COVID-19 outbreak on nurses\u2019 mental health: A prospective cohort study","volume":"194","author":"Sampaio","year":"2021","journal-title":"Environ. Res."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Pinho, L.G., Sampaio, F., Sequeira, C., Teixeira, L., Fonseca, C., and Lopes, M.J. (2021). Portuguese nurses\u2019 stress, anxiety, and depression reduction strategies during the COVID-19 outbreak. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18073490"},{"key":"ref_28","unstructured":"World Health Organization (1998). Programme on Mental Health: WHOQOL User Manual, World Health Organization."},{"key":"ref_29","unstructured":"International Labour Organization (2022, October 17). Workplace Well-Being. Available online: https:\/\/www.ilo.org\/safework\/areasofwork\/workplace-health-promotion-and-well-being\/WCMS_118396\/lang--en\/index.htm."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"110828","DOI":"10.1016\/j.envres.2021.110828","article-title":"The use of mental health promotion strategies by nurses to reduce anxiety, stress, and depression during the COVID-19 outbreak: A prospective cohort study","volume":"195","author":"Pinho","year":"2021","journal-title":"Environ. Res."},{"key":"ref_31","unstructured":"Fawcett, J., and Desanto-Madeya, S. (2013). Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories, F.A. Davis Company. [3rd ed.]."},{"key":"ref_32","unstructured":"(2022, June 09). When Culture Clashes with COVID-19: MIT Panelists Examine the Roles of Social Norms in Countries\u2019 Differing Responses to the Coronavirus Pandemic. Available online: https:\/\/news.mit.edu\/2020\/when-culture-clashes-covid-19-0625."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Jubin, J., Delmas, P., Gilles, I., Oulevey Bachmann, A., and Ortoleva Bucher, C. (2022). Protective Factors and Coping Styles Associated with Quality of Life during the COVID-19 Pandemic: A Comparison of Hospital or Care Institution and Private Practice Nurses. Int. J. Environ. Res. Public. Health, 19.","DOI":"10.3390\/ijerph19127112"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e057021","DOI":"10.1136\/bmjopen-2021-057021","article-title":"Stressors, Self-Reported Overall Health, Potential Protective Factors and the Workplace Well-Being of Nurses during the COVID-19 Pandemic in Switzerland: A Longitudinal Mixed-Methods Study Protocol","volume":"11","author":"Delmas","year":"2021","journal-title":"BMJ Open"},{"key":"ref_35","unstructured":"Ritchie, H., Mathieu, E., Rod\u00e9s-Guirao, L., Appel, C., Giattino, C., Ortiz-Ospina, E., Hasell, J., Macdonald, B., Beltekian, D., and Roser, M. (2022, June 08). Coronavirus Pandemic (COVID-19). Our World Data. Available online: https:\/\/ourworldindata.org\/coronavirus."},{"key":"ref_36","unstructured":"(2022, June 22). The EQUATOR Network Observational Studies, Study Designs. Available online: https:\/\/www.equator-network.org\/?post_type=eq_guidelines&eq_guidelines_study_design=observational-studies&eq_guidelines_clinical_specialty=0&eq_guidelines_report_section=0&s=+&eq_guidelines_study_design_sub_cat=0."},{"key":"ref_37","unstructured":"Neuman, B., and Fawcett, J. (2011). The Neuman Systems Model, Pearson Education. [5th ed.]."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s11205-009-9493-y","article-title":"New Well-Being Measures: Short Scales to Assess Flourishing and Positive and Negative Feelings","volume":"97","author":"Diener","year":"2010","journal-title":"Soc. Indic. Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1023\/B:QURE.0000018486.91360.00","article-title":"The World Health Organization\u2019s WHOQOL-BREF Quality of Life Assessment: Psychometric Properties and Results of the International Field Trial. A Report from the WHOQOL Group","volume":"13","author":"Skevington","year":"2004","journal-title":"Qual. Life Res."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A Global Measure of Perceived Stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J. Health Soc. Behav."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1002\/jts.20271","article-title":"Psychometric Analysis and Refinement of the Connor-Davidson Resilience Scale (CD-RISC): Validation of a 10-Item Measure of Resilience","volume":"20","author":"Stein","year":"2007","journal-title":"J. Traum. Stress"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1207\/s15327752jpa5503&4_17","article-title":"Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support","volume":"55","author":"Zimet","year":"1990","journal-title":"J. Pers. Assess."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"438","DOI":"10.5271\/sjweh.948","article-title":"The Copenhagen Psychosocial Questionnaire\u2014A Tool for the Assessment and Improvement of the Psychosocial Work Environment","volume":"31","author":"Kristensen","year":"2005","journal-title":"Scand. J. Work. Environ. Health"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1111\/bjso.12006","article-title":"A Single-Item Measure of Social Identification: Reliability, Validity, and Utility","volume":"52","author":"Postmes","year":"2013","journal-title":"Br. J. Soc. Psychol."},{"key":"ref_45","unstructured":"Cooper, C.L. (2014). Conceptualizing and Measuring Wellbeing at Work. Wellbeing, John Wiley & Sons, Ltd."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1111\/j.1524-4733.2005.04054.x","article-title":"Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation","volume":"8","author":"Wild","year":"2005","journal-title":"Value Health"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1590\/S0034-89102000000200012","article-title":"Aplica\u00e7\u00e3o da Vers\u00e3o em Portugu\u00eas do Instrumento Abreviado de Avalia\u00e7\u00e3o da Qualidade de Vida \u201cWHOQOL-Bref","volume":"34","author":"Fleck","year":"2000","journal-title":"\u201d Rev. Sa\u00fade P\u00fablica"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1177\/1359105309346343","article-title":"Perceived Stress Scale: Reliability and Validity Study in Brazil","volume":"15","author":"Reis","year":"2010","journal-title":"J. Health Psychol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"e026836","DOI":"10.1136\/bmjopen-2018-026836","article-title":"Connor-Davidson Resilience Scale: Validation Study in a Portuguese Sample","volume":"9","author":"Ribeiro","year":"2019","journal-title":"BMJ Open"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"331","DOI":"10.14195\/1647-8606_54_13","article-title":"Caracter\u00edsticas Psicom\u00e9tricas Da Vers\u00e3o Portuguesa Da Escala Multidimensional de Suporte Social Percebido (Multidimensional Scale of Perceived Social\u2014MSPSS)","volume":"54","author":"Carvalho","year":"2011","journal-title":"Psychologica"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s12995-017-0170-9","article-title":"The Portuguese Long Version of the Copenhagen Psychosocial Questionnaire II (COPSOQ II)\u2014A Validation Study","volume":"12","author":"Azevedo","year":"2017","journal-title":"J. Occup. Med. Toxicol."},{"key":"ref_52","unstructured":"(2022, July 04). Ordem dos Enfermeiros. Anu\u00e1rio Estat\u00edstico 2021. Available online: https:\/\/www.ordemenfermeiros.pt\/estat%C3%ADstica-de-enfermeiros\/."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"817639","DOI":"10.3389\/fpsyg.2022.817639","article-title":"Occupational stress and the quality of life of nurses in infectious disease departments in China: The mediating role of psychological resilience","volume":"13","author":"Yan","year":"2022","journal-title":"Front. Psychol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1111\/nicc.12690","article-title":"Stress and quality of life of intensive care nurses during the COVID-19 pandemic: Self-efficacy and resilience as resources","volume":"26","author":"Catala","year":"2021","journal-title":"Nurs. Crit. Care"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"101079","DOI":"10.1016\/j.ienj.2021.101079","article-title":"Perceived health, perceived social support and professional quality of life in hospital emergency nurses","volume":"59","year":"2021","journal-title":"Int. Emerg. Nurs."},{"key":"ref_56","unstructured":"Barmanpek, N.K., \u015eahin, A., Demirel, C., and Kili\u00e7, S.P. (Perspect. Psychiatr. Care, 2022). The relationship between nurses\u2019 job satisfaction levels and quality of life, Perspect. Psychiatr. Care, ahead of print."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1080\/02678378708258477","article-title":"Identifying the causes of nurses\u2019 stress: A survey of the New Zealand nurses","volume":"1","author":"Dewe","year":"1987","journal-title":"Work Stress"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1111\/j.1478-5153.2009.00384.x","article-title":"Personality, stress and coping in intensive care nurses: A descriptive exploratory study","volume":"15","author":"Burgess","year":"2010","journal-title":"Nurs. Crit. Care"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1111\/jan.12231","article-title":"Development and validation of the work stressor inventory for nurses in oncology: Preliminary findings","volume":"70","author":"Borteyrou","year":"2014","journal-title":"J. Adv. Nurs."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1111\/1744-7941.12049","article-title":"The effects of emotional intelligence and stress-related presenteeism on nurses\u2019 well-being","volume":"53","author":"Karimi","year":"2014","journal-title":"Asia Pac. J. Hum. Resour."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Chung, H., Chen, Y., Chang, S., Hsu, W., and Hsieh, T. (2020). Nurses\u2019 well-being, health-promoting lifestyle and work environment satisfaction correlation: A psychometric study for development of nursing health and job satisfaction model and scale. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17103582"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/inm.12610","article-title":"Workplace stressors, psychological well-being, resilience, and caring behaviours of mental health nurses: A descriptive correlational study","volume":"29","author":"Foster","year":"2020","journal-title":"Int. J. Ment. Health Nurs."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1111\/j.1365-2648.2007.04233.x","article-title":"A model of job satisfaction of nurses: A reflection of nurses\u2019 working lives in Mainland China","volume":"58","author":"Lu","year":"2007","journal-title":"J. Adv. Nurs."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1111\/j.1365-2834.2009.01028.x","article-title":"Hospital nurses\u2019 job satisfaction: A literature review","volume":"17","author":"Utriainen","year":"2009","journal-title":"J. Nurs. Manag."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/21\/14231\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:06:38Z","timestamp":1760144798000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/21\/14231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,31]]},"references-count":64,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["ijerph192114231"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192114231","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,31]]}}}