Presenting the quality model of nurses' care in relation to job stressors during the outbreak of covid-19: the mediating role of cognitive assessment and job involvement

Introduction: The quality of nursing care is an important factor in the field of health services and providing quality care to patients. The purpose of this study was to investigate the relationship between occupational stressors and the quality of care of nurses during the Corona outbreak, with the mediation of cognitive evaluation and occupational involvement. Methods: The current research method was a descriptive correlation type (path analysis). The statistical population of this research included all the nurses of the public hospitals of Mashhad in 1401, which was selected using Morgan's table, a sample size of 400 people, and the questionnaires were completed by the available sampling method through the distribution of the questionnaire link in the virtual space. The research tools were the Nursing Care Quality Questionnaire (PESNWI), Nurses Occupational Stressors Questionnaire (NOSS), Cognitive Assessment Questionnaire, and Short Form of Occupational Involvement Questionnaire (UWES-9). Data were analyzed using path analysis and Amos24 software. Results: The findings from the path analysis showed that for the hypothetical model, all the indicators indicated that the model did not fit. The direct paths from job stress to cognitive evaluation and job engagement were positive and significant. The direct way of cognitive evaluation to the quality of care and the direct path of job engagement to quality of care were positive and significant. But the direct way of occupational stress on the quality of care was negative and significant. The indirect effect of job stressors on the quality of care with the mediation of job conflict and job stressors with the mediation of cognitive evaluation had a positive and significant relationship with the quality of care. Conclusion: It can be said that occupational involvement and cognitive evaluation alone had a mediating role in the relationship between occupational stressors and the quality of care of nurses during the outbreak of Covid-19.