ArticleBMC nursing2025
Determinants of nurses' job performance: the interaction of perceived occupational stress, psychological safety, and digital fatigue.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Relational Ontology in a Digital World: Integrating African Personhood and Platformized Nursing.Nursing philosophy : an international journal for healthcare professionals · 2026Article
- Alarm Fatigue and Nursing Performance Among Hospital Nurses in South Korea: A Cross-Sectional Study of Indirect Association Through Perceived Stress and Moderating Role of Patient Safety Culture.Healthcare (Basel, Switzerland) · 2026Article
- Digital burnout in nursing: development of a valid and reliable scale to assess digital burnout associated with the digitalization process in nursing.BMC nursing · 2026Article
- Inclusive Leadership, Psychological Safety, AI Readiness, and Nurses' AI Literacy: A Longitudinal Study.Journal of nursing management · 2026Article
- Brain Rot as an Emerging Concept in Nursing: A Concept Analysis for Nursing Management.Journal of nursing management · 2026Review
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Authors and funding
5 authors.
Funding
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Abstract
backgroundThis study aims to determine nurses' perceptions of occupational stress, digital fatigue, psychological safety, and job performance, and to examine the mediating role of digital fatigue in the effect of occupational stress and psychological safety on job performance.
methodsThe study was conducted using a cross-sectional research design. The study population consisted of nurses working at a public hospital in Samsun province. Data were collected through an online survey and random sampling method. A total of 477 valid survey forms were evaluated in the analyses.
resultsIn the structural equation model, the first model revealed that occupational stress has a direct negative effect on job performance (β = -0.189, p < 0.001), digital fatigue significantly reduces job performance (β = -0.247, p < 0.05), and it plays a partial mediating role in this relationship; this model explains 23.9% of the variance in job performance (R² = 0.239). In the second model, it was found that psychological safety directly positively affects job performance (β = 0.246, p < 0.001), digital fatigue has a negative effect (β = -0.201, p < 0.001), and it plays a partial mediating role in the effect of psychological safety on job performance; This model explains 18.8% of the variance (R² = 0.188).
conclusionThe findings show that digital fatigue and occupational stress reduce nurses' job performance, whereas psychological safety enhances performance. Furthermore, digital fatigue plays a partial mediating role in the relationship between occupational stress, psychological safety, and job performance, emerging as a structural element in occupational functioning. These results reveal that organizational strategies such as supportive leadership, stress management programs, and the development of user-friendly digital infrastructure are critical in reducing digital burnout among nurses, thereby improving job performance and, consequently, the quality of patient care.
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