Evidence map›Paper›PMID 42057252›Full record

ArticleBrain and behavior2026

Quiet Quitting of Job in Nurses Working in Hospitals, a Multicenter Study in Iran.

Sulmaz Ghahramani, Ahmad Nemati, Mahdi Hazrati, Mobin Gholami, Aida Eskandari, Hassan Gholami, Kamran Bagheri Lankarani

Abstract readMulticenter Study
In one paragraph

Article in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sulmaz GhahramaniHealth Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-4161-5146
Ahmad NematiHealth Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-0741-1561
Mahdi HazratiFaculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0009-0005-3459-1886
Mobin GholamiHealth Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0009-0000-5654-8196
Aida EskandariHealthcare Services Management, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran.ORCID https://orcid.org/0009-0006-6616-8588
Hassan GholamiDepartment of Medical Education, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0000-0002-3670-0282
Kamran Bagheri LankaraniHealth Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-7524-9017

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionQuiet quitting (QQ), characterized by reduced work engagement and effort, is an emerging concern in healthcare, potentially impacting patient care and organizational outcomes. This study aims to investigate the prevalence and associated factors of QQ among Iranian nurses.

methodsA 2024 cross-sectional survey was conducted in thirteen hospitals located in the Iranian cities of two provinces in Iran. Nurses were randomly selected by using stratified sampling from various hospital departments. The nine-item QQ scale was adapted and validated for use within the Iranian healthcare environment. Receiver Operating Characteristic (ROC) curve analysis led to the identification of an optimal quiet quitting scale (QQS) cutoff point of 2.38. To determine key predictors of QQ, logistic regression analysis was employed.

resultsThe study included 754 participants (541 females and 213 males) with an average age of 33.17 ± 7.32 years. The prevalence of QQ was 59.5% among Iranian nurses. Among QQS subscales, lack of motivation had the highest average score, while detachment had the lowest mean score. Logistic regression analysis indicated that nurses employed in specialized hospitals and those experiencing higher levels of job burnout had increased odds of engaging in QQ (2.249, 95% CI: 1.581, 3.199, p < 0.001 and 1.49, 95% CI: 1.3, 1.709, p < 0.001, respectively). In contrast, higher job satisfaction was associated with lower odds of QQ (0.747, 95% CI: 0.586, 0.954, p = 0.01).

conclusionWe found the QQ Scale as a valid and reliable tool for nurses in healthcare settings of Iran. Findings demonstrated QQ was prevalent among Iranian nurses and emphasize the role of organizational aspects, particularly hospital type, and individual well-being elements, such as job satisfaction and burnout, in shaping QQ behavior among nurses. Further research is warranted to explore additional factors contributing to QQ and to develop effective strategies for enhancing nurse engagement.

Indexed as

Burnout, ProfessionalJob SatisfactionNursesNursing Staff, HospitalWork EngagementAdultCross-Sectional StudiesFemaleHospitalsHumansIranMaleSurveys and QuestionnaireshospitalIrannursesquiet quittingscalework place

Identifiers

PMID42057252
PMCPMC13128962

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.