title: Influencing factors on professional commitment in Iranian nurses: A qualitative study.
abstract: BACKGROUND
  Dissatisfaction and tending to leave are some of the major nursing problems around the world. Professional commitment is a key factor in attracting and keeping the nurses in their profession. Commitment is a cultural dependent variable. Some organizational and socio-cultural factors are counted as the drivers of professional commitment. This study aimed to explore factors influencing the professional commitment in Iranian nurses.
  
  
  METHODS
  A qualitative content analysis was used to obtain rich data. We performed 21 in-depth face-to-face semi-structured interviews. The sampling was based on the maximum variation with the staff nurses and managers in 5 university affiliated hospitals. Constant comparative method used for data analysis.
  
  
  RESULTS
  TWO MAIN CATEGORIES WERE EMERGED: "Challenging with different feelings" and "Managers' role". Challenging with different feelings had two subcategories: "Burnout" and "sense of valuing". The other theme was composed of three subcategories: "Gratitude or punishment climate", "manager's view of caring" and "knowledge-based vs. routine-based nursing".
  
  
  CONCLUSIONS
  Findings revealed the burnout as a common sense in nurses. They also sensed being valued because of having a chance to help others. Impediments in the health care system such as work overload and having more concern in the benefits of organization rather than patient's care and wellbeing lead to a sense of humiliation and frustration. Congruence between the managers and nurses' perceived values of the profession would be a main driver to the professional commitment. Making a sense of support and gratitude, valuing the care and promoting the knowledge-based practice were among the other important factors for making the professional commitment.
authors.affiliation: Social Determinants of Health Research Center, School of Nursing and Midwifery, Guilan University of Medical Scienses, Rasht, Iran.
authors.forename: Fateme
authors.initials: F
authors.lastname: Jafaraghaee
authors.affiliation: Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran ; Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Neda
authors.initials: N
authors.lastname: Mehrdad
authors.affiliation: School of Nursing and Midwifery, Centre for Educational Research in Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Soroor
authors.initials: S
authors.lastname: Parvizy
keywords: Commitment; Iran; nurses; qualitative research