Nursing and Midwifery Studies

Nursing and Midwifery Studies

The relationship between work-family conflict and nurses' professional commitment in Iran, 2024: A cross-sectional study

Document Type : Original Article

Authors
1 School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Biostatistics, Nursing and Midwifery Research Center, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
Abstract
Background: Balancing work and family responsibilities remains a pervasive challenge in nursing, attracting significant international research attention. Difficulties in managing these demands, combined with workplace pressures, can adversely affect nurses’ professional commitment.
Objectives: This study examined the association between work–family conflict and professional commitment among nurses in Iran.
Methods: From September to December 2023, a cross-sectional study was conducted with 270 nurses employed in medical-surgical units in Tehran, Iran. Participants were selected using a quota sampling method. Data collection involved a demographic questionnaire, the Work–Family Conflict Scale, and the Nursing Professional Commitment Scale. Statistical analyses were performed using SPSS version 25.
Results: Among the participants (n=270), 215 (79.6%) were women, and 156 (57.8%) were unmarried, with a mean age of 31.41 years (SD=7.56). A significant negative correlation was observed between work–family conflict and professional commitment (r=–0.27, P<0.001). The mean work–family conflict score indicated a moderate level (61.58±11.57), while the mean professional commitment score was in the upper-moderate range (83.72±16.02). Higher professional commitment was noted among nurses aged over 40 years, those working morning shifts, and those with permanent employment status (P<0.05).
Conclusion: The findings suggest that work–family conflict undermines nurses’ professional commitment and efficiency. Healthcare administrators should implement supportive strategies and family-friendly policies, identify nurses experiencing high levels of work–family conflict, and design interventions aimed at mitigating these conflicts to enhance professional commitment.
Keywords

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1.       Yarifard K, Abravesh A, Sokhanvar M, Mehrtak M, Mousazadeh Y. Work-family conflict, burnout, and related factors among nurses during the COVID-19 pandemic in the Northwest of Iran. Work. 2023;76(1):47-59. doi:10.3233/WOR-220210. PMID:36872826.
2.       Arthi R, Sumathi G. Work-family conflict and professional commitment: Proactive effect of transformational leadership. Probl Perspect Manag. 2020;18(1):97-106. doi:10.21511/ppm.18(1).2020.09
3.       Karakurt N, Erden Y, Sis Çelik A. The relationship between nurses' work stress levels and work-family conflict during the COVID-19 pandemic and the affecting factors: A study from Turkey. Arch Psychiatr Nurs. 2023;42:61-7. doi:10.1016/j.apnu.2022.12.015. PMID:36842830; PMCID:PMC9800012.
4.       Mokhtari SM, Nasirizadeh M, Abdollahi S. Investigating the relationship between happiness and self-efficacy with work-family conflict among nurses. Iranian J Nurs Res. 2023;18(2):50-9. doi:10.22034/IJNR.18.2.6.
5.       Greenhaus JH, Beutell NJ. Sources of conflict between work and family roles. Academy of management review. 1985;10(1):76-88. doi:10.5465/amr.1985.4277352.
6.       Sadeghi SJ, Taheri A, Kashani FL, Sharifi N. Predicting the safety behavior of health care staff based on work-family conflict and emotional intelligence with the mediating role of burnout. Iran J Psychiatr Nurs. 2020;8(4):24-34.
7.       Tran ANP, To QG, Huynh VN, Le KM, To KG. Professional quality of life and its associated factors among Vietnamese doctors and nurses. BMC Health Serv Res. 2023;23(1):924. doi:10.1186/s12913-023-09908-4. PMID:37649084; PMCID:PMC10469419.
8.       Zandian H, Sharghi A, Moghadam TZ. Quality of work life and work-family conflict: a cross-sectional study among nurses in teaching hospitals. Nurs Manag (Harrow). 2020. doi:10.7748/nm.2020.e1881. PMID:32067439.
9.       Wu Y, Zhou X, Gong Y, Jiang N, Tian M, Zhang J, et al. Work-Family conflict of emergency nurses and its related factors: A national cross-sectional survey in China. Front Public Health. 2021;9:736625. doi:10.3389/fpubh.2021.736625. PMID:34722444; PMCID:PMC8551550.
10.     Mosalanezhad L, Abiri S, Zeini Jahromi M, Hatami N, Kalani N. A study about the work-family conflict for the doctors and nurses taking care of COVID-19 patients: a moral challenge for the healthcare workers. J Educ Ethics Nurs. 2020;9(1&2):93-101.
11.     AlAzzam M, AbuAlRub RF, Nazzal AH. The Relationship between work-family conflict and job satisfaction among hospital nurses. Nurs Forum. 2017;52(4):278-88. doi:10.1111/nuf.12199. PMID:28407250.
12.     Wang J, Jiao Y, Peng M, Wang Y, Guo D, Tian L. The relationship between personality traits, metacognition and professional commitment in Chinese nursing students: a cross-sectional study. BMC Nurs. 2024;23(1):729. doi:10.1186/s12912-024-02399-6. PMID:39379949; PMCID:PMC11462768.
13.     Nabi Foodani M, Abbasi Dolatabadi Z, Goudarzian AH, Mosazadeh H, Poortaghi S. Factors effective in lowering professional commitment in nursing and strategies to address them: A scoping review. SAGE Open Nurs. 2024;10: 23779608241299291. doi:10.1177/23779608241299291. PMID:39584153; PMCID:PMC11583279.
14.     Mersin S, İbrahimoğlu Ö, Çağlar M, Akyol E. Compassionate love, burnout and professional commitment in nurses. J Nurs Manag. 2020;28(1):72-81. doi:10.1111/jonm.12892. PMID:31642139.
15.     Hossieni SF, Soltani F. The relationship between emotional stability with job conscience and professional commitment. Iran J Nurs Res. 2018;13(1):33-9. doi:10.21859/ijnr-13015.
16.     Khoshab H, Yoosefee S, khoramirad A, Khodabandeh Shahraki S. The effect of spiritual care education on nurses' empathy and professional commitment. J Military Med. 2023;25(1):1730-8. doi:10.30491/jmm.2023.1001204.
17.     Tuna R, Sahin S. The effect of attitude towards work on professional commitment. Nurs Ethics. 2021;28(7-8):1359-74. doi:10.1177/0969733021999770. PMID:34080467.
18.     Babaei F, Nayeri ND, Hajibabaee F, Sharifi F. Investigating the relationship between missed/rationed nursing care and organizational commitment in Iranian nurses. BMC Nurs. 2024; 23(1):540. doi:10.1186/s12912-024-02199-y. PMID:39113029; PMCID:PMC11304906.
19.     Joker Z, Torabizadeh C, Movahednia Z, Haghighi LHF, Bijani M. Resilience and professional commitment in nurses in practice in COVID-19 units compared to other nurses. Neuropsychiat Neuropsych. 2022;17(1):108-14. doi:10.5114/nan.2022.117961.
20.     Bsharat R, Amro N, AbuKallid H, Alwawi A. Knowledge, attitude, and practice regarding the COVID-19 pandemic and its psychological impact on nursing students in Palestine. J Prev Complement Med. 2025;4(1):1-9. doi: 10.22034/jpcm.2025.501316.1202
21.     Zheng J, Wu G. Work-family conflict, perceived organizational support and professional commitment: A mediation mechanism for Chinese project professionals. Int J Environ Res Public Health. 2018;15(2):344. doi:10.3390/ijerph15020344. PMID:29462860; PMCID:PMC5858413.
22.     Karimi L, Leggat SG, Donohue L, Farrell G, Couper GE. Emotional rescue: the role of emotional intelligence and emotional labour on well-being and job-stress among community nurses. J Adv Nurs. 2014;70(1):176-86. doi:10.1111/jan.12185. PMID:23763612.
23.     Ahmadzadeh-Zeidi MJ, Rooddehghan Z, Haghani S. The relationship between work-family conflict and missed nursing care; a cross-sectional study in Iran. BMC Nurs. 2024;23(1):869. doi:10.1186/s12912-024-02556-x. PMID:39616343; PMCID:PMC11608465.
24.     Dargahi S, Barati Moghadam B, Ahmadboukani S, Ayadi N. The relationship of perceived intimacy from the main family and work-family conflict with empathy and addiction to work in medical staff. Iran J Med Ethics Hist Med. 2019;12:325-37.
25.     Mozafari M, Azami G, Lotfizadeh Dehkordi M, Aazami S. Validation of multidimensional Persian version of the work-family conflict questionnaire among nurses. Int J Occup Environ Med. 2016;7(3):164-71. doi:10.15171/ijoem.2016.748. PMID:27393323; PMCID:PMC6818081.
26.     Sarkoohi Z, Nematollahi M, Dehghan M, Mehdipour-Rabori R, Khoshnood Z, Parandeh-Afshar P, et al. Can internship programs affect nursing students’ critical thinking disposition, caring behaviors, and professional commitment. BMC Nurs. 2024; 23(1):418. doi: 10.1186/s12912-024-02089-3
27.     Ahmadzadeh-Zeidi MJ, Rooddehghan Z, Haghani S. The relationship between nurses' professional commitment and missed nursing care: a cross-sectional study in Iran. BMC Nurs. 2024;23(1):533. doi:10.1186/s12912-024-02196-1. PMID:39103786; PMCID:PMC11302289.
28.     Chunjiang Y, Aobo C. Work–family conflict, organizational identification, and professional identification among Chinese nurses from a resource perspective. J Nurs Res. 2022;30(5):e230.
29.     Ebrahimi B, Faraji O, Nouri B, Valiee S. Relationship between work-family conflict and perceived organizational support among nurses of Kurdistan University of Medical Sciences. Casp J Health Res. 2021;6(4):137-46. doi:10.32598/CJHR.6.4.5.
30.     Mohamed BES, Ghaith RFA Ahmed HAA. Relationship between work–family conflict, sleep quality, and depressive symptoms among mental health nurses. Middle East Curr Psychiatry. 2022;29:19. doi:10.1186/s43045-022-00183-3.
31.     Yan W, Cheng Z, Xiao D, Wang H, Du X, Li L, et al. Patient mistreatment, emotional exhaustion and work-family conflict among nurses: a moderated mediation model of social sharing of negative work events and perceived organizational support. BMC Med Educ. 2024;24(1):1041. doi:10.1186/s12909-024-06022-9. PMID:39334234; PMCID:PMC11429466.
32.     El Keshky MES, Sarour EO. The relationships between work-family conflict and life satisfaction and happiness among nurses: a moderated mediation model of gratitude and self-compassion. Front Public Health. 2024;12:1340074. doi:10.3389/fpubh.2024.1340074. PMID:38450130; PMCID:PMC10914949.
33.     Pien LC, Cheng WJ, Chou KR, Lin LC. Effect of work-family conflict, psychological job demand, and job control on the health status of nurses. Int J Environ Res Public Health. 2021;18 (7): 3540. doi:10.3390/ijerph18073540. PMID:33805465; PMCID:PMC8037057.
34.     Tanaka M, Taketomi K, Yonemitsu Y, Kawamoto R. The current status of nursing professionalism among nursing faculty in Japan. J Nurs Res. 2017;25(1):7-12. doi:10.1097/jnr.0000000000000155. PMID:28072677.
35.     Tabatabaei A, Abbaszadeh A, Mohamadnejad E. Nursing and professionalism: perception of cardiac care unit nurses. J Qual Res Health Sci. 2020;4(1):87-97.
36.     Tavakoli MA, Foroughameri G, Farokhzadian J, Shahraki SK. Nurses’ critical thinking disposition and professional commitment: A cross-sectional study. Front Nurs. 2024;11(1): 119-26. doi:10.2478/fon-2024-0013.
37.     Rakhshany Zabol F, Akbari O, Kiani F, Sarhadi F. Correlations of organizational justice and professional commitment with the demographic variables of nurses. Iran J Nurs. 2019;31(116):28-39. doi:10.29252/ijn.31.116.28.
38.     Hendy A, Abdel Fattah HA, Abouelela MA, Atia GAE, Alshammari MSS, Hables RMM, et al. Nursing professional commitment as a mediator of the relationship between work environment and missed nursing care among nurses: A cross-sectional analysis. SAGE Open Nurs. 2024;10: 23779608231226063. doi:10.1177/23779608231226063. PMID:38250456; PMCID:PMC10798127.
Volume 14, Issue 4
Autumn 2025
Pages 275-283

  • Receive Date 01 July 2025
  • Revise Date 03 September 2025
  • Accept Date 05 November 2025