ArticleFrontiers in psychology2025
Association between nursing work environment and decision fatigue among clinical nurses: a moderated mediation analysis on the roles of job stress and resilience.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- From Leader Narcissistic Rivalry to Unethical Pro-Organizational Behavior: The Mediating Role of Workplace Ostracism and the Moderating Role of Underdog Expectations.Behavioral sciences (Basel, Switzerland) · 2026Article
- Psychosocial Job Characteristics and Job Strain Among Nurses in Urban Primary Healthcare Centers in Vietnam: A Multicenter Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Decent work perception and burnout in pediatric nurses: the mediating effect of basic psychological needs based on self-determination theory.Frontiers in public health · 2026Article
- Perceived stress and mobile phone addiction among Chinese undergraduate nursing students: the mediating role of organizational caring climate and self-control.Frontiers in psychology · 2026Article
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Authors and funding
4 authors.
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Abstract
Background: Decision fatigue significantly impairs nurses' clinical judgment and threatens patient safety. Although the nursing work environment is a recognized contributor, the underlying psychological mechanisms, particularly the roles of job stress and resilience, remain inadequately explored. Objective: This study aimed to test the relationship between nursing work environment, job stress and decision fatigue among clinical nurses. The study also examined the moderation role of resilience on the relationship between nursing work environment and job stress. Methods: A cross-sectional study was conducted between May 2023 and July 2023 among clinical nurses in four public hospitals in Guangdong, China. A convenience sampling method was used to collect questionnaire data from 812 clinical nurses. Data analysis was performed by SPSS 27.0, while PROCESS macro v3.5 was used to test the moderated mediation model. Results: Nursing work environment mediated by job stress had a significant positive predictive effect on decision fatigue. Resilience played a negative moderating role in the relationship between nursing work environment and job stress. For nurses with low resilience, nursing work environment had a greater impact on job stress. Conclusion: This study highlights the relationship between the nursing work environment and decision fatigue, and how job stress can be mediated and moderated by resilience.
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