en مدیریت پرستاری Nursing management پژوهشي Research <div style="text-align: justify;"><span style="font-family:Times New Roman;"><span style="font-size:12pt"><strong>Background<span style="color:black"><span style="font-weight:normal">&nbsp;and Objective:</span></span></strong><span style="color:black"> A diminished sense of belonging among nurses within healthcare organizations has emerged as a significant challenge, underscoring the need to identify influencing factors. This study examined the effect of enhancing metacognitive beliefs via the multimodal LEARN method on nurses&rsquo; clinical belongingness.</span></span><br> <span style="font-size:12pt"><span style="color:black"><strong>Methods</strong>&nbsp;This quasi-experimental, one-group pretest&ndash;posttest design included 48 nurses randomly selected from hospitals in Mahabad. Participants completed the Wells & Cartwright-Hatton Metacognition Questionnaire (1997) and the Levett-Jones et al. Clinical Belongingness Scale (2009). Inclusion criteria comprised a bachelor&rsquo;s degree (or higher) in nursing, current employment as a nurse, at least three years&rsquo; professional experience, and absence of concurrent interventions targeting metacognitive beliefs or diagnosed psychological disorders. Data analysis was conducted in SPSS v22 using the Kolmogorov&ndash;Smirnov test, ANOVA, and independent t-test.</span></span><br> <span style="font-size:12pt"><span style="color:black"><strong>Result</strong> The multimodal LEARN intervention significantly increased both clinical belongingness and metacognitive belief scores among participants. ANOVA indicated that workplace unit, age, and education level had no significant effect on belongingness. The independent t-test revealed a significant gender difference, with female nurses reporting higher levels of clinical belongingness compared with male nurses.</span></span><br> <span style="font-size:12pt"><span style="color:black"><span style="font-weight:normal"><strong>Conclusion</strong>&nbsp;</span> These findings suggest that enhancing metacognitive beliefs through the multimodal Learn method has a positive effect on nurses&rsquo; clinical belongingness. Accordingly, strategies to strengthen perceptions of professional competence, promote psychological well-being, and deliver structured educational workshops and training programs to develop metacognitive beliefs and foster supportive work environments may effectively enhance nurses&rsquo; sense of belonging and overall mental health.</span></span></span><br> &nbsp;</div> Belongingness, Metacognition, LEARNING models, Nurses 47 54 http://unmf.umsu.ac.ir/browse.php?a_code=A-10-4422-1&slc_lang=en&sid=1 yousef Haghighi Moghadam hghighimoghadam.y@umsu.ac.ir 100319475328460041550 100319475328460041550 Yes Department of Nursing, Urmia University of Medical Sciences, Urmia, Iran sasan alikazemi sasanalikazemi76@gmail.com 100319475328460041549 0009-0005-9295-2520 No School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia saeide davar Davarsaeide@gmail.com 100319475328460041551 100319475328460041551 No Department of Epidemiology Biostatistics, Urmia University of Medical Sciences, Urmia, Iran