Eftekhari Adel, Sharifi Tahere, Khoddami Nahid, Sadoghian Mostafa, Abedini Somayeh, Baghian Najmeh
Department of Nursing, Meybod School of Medical Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
BMC Nurs. 2025 Jul 8;24(1):883. doi: 10.1186/s12912-025-03442-w.
Nowadays, declining fertility rates are a significant societal challenge that particularly affects working women. While research has examined a variety of contributing factors, there is a significant lack of studies specifically on nurses, whose demanding clinical schedules and work environments may significantly influence their childbearing intentions. This study, using the theory of planned behavior, examines these factors for nurses in Yazd teaching hospitals. The results provide valuable data for policymakers to design targeted strategies and support systems to encourage nursing professionals to pursue parenting responsibilities and ultimately reduce the negative effects of low fertility rates.
This cross-sectional study was conducted on female nurses working in teaching hospitals in Yazd, Iran (2024). To do so, 190 nurses were selected using stratified proportional random sampling and a 14-item questionnaire developed by Nakhaei et al. study was completed. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics including independent samples T-test, one-way ANOVA, Mann-Whitney test, Kruskal-Wallis, Pearson correlation coefficient, Spearman correlation coefficient, and logistic regression.
Based on our findings, 35% of nurses intended to have children in the next three years. Based on the results of the Pearson correlation coefficient test, a significant inverse correlation was observed between the subjective norm towards having children and the number of children (P < 0.001, r=-0.450). A statistically significant difference was reported in the mean score of perceived control over childbearing in terms of childbearing intention (P = 0.019); besides, a statistically significant difference was observed regarding childbearing in terms of age group (P = 0.004). Multivariate regression analysis with the effect of background variables considered constant, only the number of children had a significant effect on subjective norm (P < 0.001), meaning that for each added child, the score of subjective norm towards childbearing decreased meanly by 1.657 points.
Given the negative impact of increasing age on perceived control and childbearing intention, health policymakers and hospital administrators can help ameliorate perceived control and foster the childbearing intention by creating more flexible working conditions and incentive policies, including financial support for female nurses. Moreover, programs that focus on encouraging childbearing in younger women can be more effective.
Not applicable.
如今，生育率下降是一项重大的社会挑战，对职业女性影响尤甚。尽管已有研究探讨了多种促成因素，但专门针对护士群体的研究严重不足，而护士繁重的临床工作安排和工作环境可能会显著影响她们的生育意愿。本研究运用计划行为理论，对亚兹德教学医院的护士群体进行了这些因素的调查。研究结果为政策制定者设计针对性策略和支持系统提供了宝贵数据，以鼓励护理专业人员承担育儿责任，最终减轻低生育率带来的负面影响。
本横断面研究于2024年在伊朗亚兹德教学医院工作的女性护士中开展。为此，采用分层比例随机抽样法选取了190名护士，并完成了由纳凯伊等人编制的一份包含14个条目的问卷。数据采用描述性统计（均值和标准差）以及推断性统计方法进行分析，包括独立样本t检验、单因素方差分析、曼 - 惠特尼检验、克鲁斯卡尔 - 沃利斯检验、皮尔逊相关系数、斯皮尔曼相关系数和逻辑回归分析。
根据我们的研究结果，35%的护士打算在未来三年内生育。基于皮尔逊相关系数检验结果，生育方面的主观规范与子女数量之间存在显著的负相关（P < 0.001，r = -0.450）。在生育意愿方面，生育感知控制的平均得分存在统计学显著差异（P = 0.019）；此外，在年龄组方面，生育情况也存在统计学显著差异（P = 0.004）。在考虑背景变量影响不变的多变量回归分析中，只有子女数量对主观规范有显著影响（P < 0.001），这意味着每增加一个孩子，生育主观规范得分平均下降1.657分。
鉴于年龄增长对生育感知控制和生育意愿的负面影响，卫生政策制定者和医院管理人员可以通过创造更灵活的工作条件和激励政策，包括为女性护士提供经济支持，来帮助改善生育感知控制并促进生育意愿。此外，专注于鼓励年轻女性生育的项目可能会更有效。
不适用。
