1. Introduction 
he prevalence of Coronavirus and its health-related social consequences is one of the most important human social events of the 21st century [4]. What distinguishes this spread is people’s irrational behavior due to fear of exposure to the disease [5]. One of the most important consequences of the outbreak of the Coronavirus is social anxiety [6]. Hospital healthcare personnel are always at the forefront of specific epidemics and risk their lives to perform their duties [9]. Meanwhile, nurses are at the forefront of fighting infectious diseases in close contact with COVID-19; thus, they are vulnerable to infection [34]. 
In addition to physical stress, they also face tremendous pressure. Because of the nature of the nursing job, it leads to long-term contact with infected patients, and in these critical situations, they provide care as the most basic nursing job [11]. The process of providing nursing care is influenced by nurses’ working environment [16]. There are still concerns about nurses’ capacity in the field of care, given the COVID 19 pandemic in the world [20]. Therefore, the present study aimed to investigate the relationship between Corona’s anxiety and nursing care behaviors in nurses working in Corona's Referral Hospitals in Kerman City in 2020.
2. Methods
The present study is a cross-sectional descriptive-correlational study conducted in 2020 to determine the relationship between care behaviors and Corona’s anxiety in nurses working in Corona’s referral hospitals in Kerman city. Due to the limited research population, sampling was performed by the census method. 
A total of 166 nurses entered the study. Due to the conditions prevailing in the research environment and the limited presence in medical centers, the research was conducted electronically. In other words, the electronic form of the questionnaires, along with the conscious consent form for participating in the study, was designed and uploaded using the online Porsline software. Three questionnaires used demographic Corona Disease Anxiety Scale (CDAS) and Caring Behaviors Inventory (CBI) in the present study.
The demographic and contextual information questionnaire included age, gender, workplace, work experience, education level, and more. CDAS has been prepared and validated to measure anxiety caused by the prevalence of Coronavirus in Iran [21]. The CBI, containing 25 items, was used. Its validity and reliability have been confirmed by Watson et al. (1997) [10], which mainly covers the professional psychological and technical aspects of care. In Iran, the questionnaire’s validity has been confirmed through formal and content validity and instrumentation reliability. Cronbach’s alpha coefficient was reported to be α=0.93 [11]. The analysis was performed in SPSS v. 18 software using descriptive and empirical statistics by Spearman correlation coefficient tests and Mann-Whitney U and Kruskal-Wallis H tests.
3. Results
A total of 166 nurses participated in this study. Corona’s overall score in the nurses studied was 21.39±9.8, and the overall score of the nurses in the survey was 109.7±4.2 ranged 94-118. Spearman’s correlation coefficient showed no significant relationship between care behaviors and Corona’s anxiety (P>0.05). It should be noted that the number of items in each subscale was different. Therefore, to make the comparison possible, the scores obtained from each subscale and the number of things related to it divided total care behaviors. 
The average scores that can be obtained in each case are between 1-5 scores. The highest mean was related to the dimension of professional behaviors with a mean of 4.81±0.48, and the lowest standard was associated with the measurement of inappropriate behavior of 1.25±0.40. Mann-Whitney U test showed that Corona›s anxiety and care behaviors did not significantly differ between the sexes. The Kruskal-Wallis H test showed that Corona›s anxiety and care behaviors did not differ significantly between people with different education and employment in other work areas (Table 1 & 2). 





Spearman›s correlation coefficient showed that there was no significant relationship between corona anxiety and caring behavior. In studying psychological and physical dimensions of anxiety, no meaningful relationship was found with subgroups of care behaviors (unnecessary actions, professional behaviors, psychosocial behaviors, inappropriate behaviors, physical-technical behaviors) (Table 3). 



4. Discussion and Conclusions
The present study showed that COVID-19 is a source of anxiety for nurses directly exposed to it. Basically, COVID-19 is a source of great anxiety for all people and different social groups. Different people experience different psychological levels of the crisis, especially people like nurses at the center of the crisis [11]. Another finding of this study was that in general, the mean score of nursing behavior in nurses was high, indicating that nursing behavior was very desirable, and the findings of this study showed no significant relationship between Corona’s anxiety and nursing care behaviors. Despite having anxiety, nurses tried to play patient care behaviors as the most fundamental role of nursing. Overall, the medical staff has shown great compassion in the face of the COVID-19 pandemic globally, while it was beyond their official duty [35]. These results also confirm that nurses in our country, as one of the largest medical staff groups, were no exception to this rule. However, it seems necessary to provide psychological support to nurses and provide training to deal with corona anxiety in the current crisis.
Ethical Considerations
Compliance with ethical guidelines
All ethical principles are observed in this article. Participants were allowed to leave the study if they were reluctant to cooperate in the investigation and assured that their information would remain confidential. This article has received the Research Ethics Committee’s approval steps from Kerman University of Medical Sciences with the identification number 1399.181.IR.KMU.REC.
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Authors' contributions
All authors contributed to designing, running, and writing all parts of the research.
Conflicts of interest
The authors declared no conflict of interest.
Acknowledgements
The authors would like to thank the Vice-Chancellor for Research and Technology of Kerman University of Medical Sciences, the nursing staff of Afzalipour Hospital and the Payambar Azam Hospital, and all contributors.



Reference

1. Surveillances V. The epidemiological characteristics of an out break of 2019 novel Coronavirus Diseases (COVID-19)-China.China CDC Weekly. 2020; 2(8):113-22. [DOI:10.46234/ccdcw2020.032]
2. Chan JF-W, Yuan S, Kok KH, To KKW, Chu H, Yang J, et al. Afamilial cluster of pneumonia associated with the 2019 novel cor onavirus indicating person-to-person transmission: A study of a family cluster. The Lancet. 2020; 395(10223):514-23. [DOI:10.1016/S0140-6736(20)30154-9]
3. Arefi MF, Poursadeqiyan M. A review of studies on the epidemic crisis of COVID-19 disease with a preventive approach.Work. 2020; 66(4):717-29. [DOI:10.3233/WOR-203218] [PMID] [DOI:10.3233/WOR-203218] [PMID]
4. Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: Pivotal role for old style public health measures in the novel coronavirus(2019- nCoV) outbreak. Journal of Travel Medicine. 2020; 27(2):taaa020.[DOI:10.1093/jtm/taaa020] [PMID] [PMCID]
5. Bo HX, Li W, Yang Y, Wang Y, Zhang Q, Cheung T, et al. Post traumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19 in China. Psychological Medicine. 2020:1-2. [DOI:10.1017/S0033291720000999] [PMID] [PMCID]
6. Sadati AK, Lankarani MHB, Bagheri Lankarani K. Risk society, global vulnerability and fragile resilience; Sociological view on the coronavirus outbreak. Shiraz E-Medical Journal. 2020; 21(4):e102263. [DOI:10.5812/semj.102263]
7. Poursadeghiyan M, Abbasi M, Mehri A, Hami M, Raei M, Ebrahimi MH. Relationship between job stress and anxiety, depression and job satisfaction in nurses in Iran. The Social Sciences. 2016; 11(9):2349-55. https://acgih.ir/wp-content/uploads/2018/09/989.pdf
8. Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: A review. EXCLI Journal. 2017; 16:1057-72. [DOI: 10.17179/excli2017-480]
9. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England). 2020; 395(10223):497-506.[DOI:10.1016/S0140-6736(20)30183-5]
10. Asadi N, Memarian R, Vanaki Z. Motivation to care: A qualitative study on Iranian nurses. The Journal of Nursing Research. 2019; 27(4):e34. [DOI:10.1097/jnr.0000000000000294] [PMID] [PMCID]
11. Huang L, Rong Liu H. Emotional responses and coping strategies of nurses and nursing college students during COVID-19 outbreak. MedRxiv. 2020. https://www.medrxiv.org/content/10.1101/2020.03.05.20031898v1
12. Seccia R. The Nurse Rostering Problem in COVID-19 emergency scenario [Internet]. 2020 [Updated 2020 March 31]. Available from: http://www.optimization online.org/DB_HTML/2020/03/7712.html
13. Rahimian Boogar E, Nouri A, Oreizy H, Molavi H, Foroughi Mobarake A. [Relationship between adult attachment styles with job satisfaction and job stress in nurses (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2007; 13(2):148-57. http://ijpcp.iums.ac.ir/article-1-165-en.html
14. Nemati M, Ebrahimi B, Nemati F. Assessment of Iranian nurses’ knowledge and anxiety toward COVID-19 during the current outbreak in Iran. Archives of Clinical Infectious Diseases. 2020; 15(COVID-19); e102848. [DOI:10.5812/archcid.102848]
15. Soltani M, Khajei R, Rashidlamir A. Investigating the effect of aquatic aerobic training on the speed of walking in high and low-degree multiple sclerosis patients. Iranian Journal of Health and Physical Activity. 2011; 2(1):67. https://www.magiran.com/paper/837749
16. Hosseinzadeh H, Mohammadi M, Shamshiri M. [The study of caring behaviors and its determinant factors from the perspective of nurses in educational hospitals of Ardabil(Persian)]. Journal of Health and Care. 2019; 21(3):203-11. [DOI:10.29252/jhc.21.3.203]
17. Soltani M, Hejazi SM, Noorian A, Zendedel A, Ashkanifar F. [The effect of aerobic training on the improvement of Expanded Disability Status Scale (EDSS) in multiple sclerosis patients (Persian)]. Journal of Medical Science of Islamic Azad University of Mashhad. 2009; 5(1):15-20. https://www.sid.ir/En/Journal/ViewPaper.aspx?ID=204704.
18. J Ehlers V. Is caring a lost art in nursing or is it a changing reality? Commentary on the editorial written by Juliet Corbin. International Journal of Nursing Studies. 2008; 45(5):802-4.[DOI:10.1016/j.ijnurstu.2007.09.004] [PMID]
19. Lak Dizaji S, Rahmani A, Zamanzadeh V, Pashaei S. Perspec tives of patients and nurses on priorities of caring behaviors in critical care units: A comparative study. The Journal of Urmia Nursing and Midwifery Faculty. 2014; 12(9):866-73. http://eprints.umsu.ac.ir/4135/
20. Jackson D, Bradbury‐Jones C, Baptiste D, Gelling L, Morin K,Neville S, et al. Life in the pandemic: Some reflections on nursing in the context of COVID‐19. Journal of Clinical Nursing. 2020; 29(13-14):2041-3. [DOI:10.1111/jocn.15257] [PMID] [PMCID]
21. Alipour A, Ghadami A, Alipour Z, Abdollahzadeh H. [Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample (Persian)]. Quarterly Journal of Health Psychology. 2020; 8(32):163-75. [DOI: 10.30473/HPJ.2020.52023.4756]
22. Watson R, Lea A. The Caring Dimensions Inventory(CDI): Content validity, reliability and scaling. Journal of Advanced Nursing. 1997; 25(1):87-94. [DOI:10.1046/j.1365-2648.1997.1997025087.x][PMID]
23. Salimi S, Azimpour A, Mohammadzadeh S, Fesharaki M. Psychometric properties of Persian version of the Caring DimensionInventory (PCDI-25). Iranian Journal of Nursing and Midwifery Research. 2014; 19(2):173-9. [PMCID] [PMID]
24. Campbell AM. An increasing risk of family violence during the Covid-19 pandemic: Strengthening community collaborations to save lives. Forensic Science International: Reports. 2020; 2:100089. [DOI:10.1016/j.fsir.2020.100089] [PMCID]
25. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity. 2020; 88:901-7. [DOI:10.2139/ssrn.3594632]
26. Xuehua L, Li M, Fangiang ME. Psychological stress of nurses in SARS wards. Chinese Mental Health Journal. 2003; 17:526-7. https://en.cnki.com.cn/Article_en/CJFDTotal-ZXWS200308003.htm
27. Khalilzadeh Naghneh MH, Tafreshi MZ, Naderi M, Shakeri N, Bolourchifard F, Goyaghaj NS. The relationship between organi zational commitment and nursing care behavior. Electronic Physician. 2017; 9(7):4835-40. [DOI:10.19082/4835] [PMID] [PMCID]
28. Rasti F, Joolaee S, Ghiyasvandian S, Haghan H. [Patients’ perceptions of caring behaviors in oncology settings (Persian)]. Iranian Journal of Nursing Research. 2014; 9(1):59-67. http://ijnr.ir/browse.php?a_id=1335&sid=1&slc_lang=en
29. Kaveh M, Davari-tanha F, Varaei S, Shirali E, Shokouhi N, Nazemi P, et al. Anxiety levels among Iranian health care workersduring the COVID-19 surge: A cross-sectional study. MedRxiv. 2020. [DOI:10.1101/2020.05.02.20089045]
30. Mehrabi T, Parvin N, Yazdani M, Rafat NA. A study of the severity of some occupational stresses in nurses. Iranian Journal of Nursing and Midwifery Research. 2008; 12(1):21-4. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/6/6
31. Mohebbifar R, Kiaei MZ, Khosravizadeh O, Sadeghi T,Ahansazan H. [Job stress and its related factors in nurses of Qaz vin University of Medical Sciences (Persian)]. The Journal of Medical Education and Development. 2015; 7(1):55-63. http://eprints.qums.ac.ir/2779/
32. Rodrigues VM, Ferreira AS. Stressors in nurses working in Intensive Care Units. Revista latino-americana de enfermagem. 2011; 19(4):1025-32. [DOI:10.1590/S0104-11692011000400023] [PMID]
33. Cho I, Ahn S, Kim SY, Park YS, Kim HW, Lee SO, et al. Depression of married and employed women based on social-roletheory. Journal of Korean Academy of Nursing. 2012; 42(4):496-507. [DOI:10.4040/jkan.2012.42.4.496] [PMID]
34. Al Thobaity A, Alshammari F. Nurses on the frontline against the COVID-19 Pandemic: An integrative review. Dubai Medical Journal. 2020; 3(3):87-92. [DOI:10.1159/000509361] [PMCID]
35. Derakhshanpour F, Izadyar H, Shahini N, Vakili MA. [Anxiety levels in the primary school students in Gorgan (Persian)].Pajoohandeh. 2016; 21(1):30-4. http://pajoohande.sbmu.ac.ir/article-1-2137-en.html