ArticleFrontiers in public health2026
Self-worth, emotional labor, work engagement, and anxiety among nurses: a latent profile and mediation analysis.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Nurse anxiety threatens care quality and workforce stability. The objective of this study was to examine the relationship between self-worth and anxiety among nurses, and to investigate the chain mediating roles of work engagement and emotional labor across heterogeneous subgroups. Methods: Using a cross-sectional design and random sampling, a questionnaire survey was conducted among 1,280 nurses from a Grade A tertiary hospital in Wuhan from March to August 2025. The measurement tools included a General Information Questionnaire, the Adult Self-Worth Questionnaire, the Generalized Anxiety Disorder Scale, the Work Engagement Scale, and the Emotional Labor Scale. Latent Profile Analysis (LPA) was applied to identify heterogeneous subgroups. PLS-SEM was used to examine the relationships between nurses' self-worth and anxiety (with work engagement and emotional labor as mediating variables). Results: Three nurse subgroups were identified: the "Resource-Depleted Group" (19.38%), the "Balanced Group" (69.92%), and the "Resource-Abundant Group" (10.70%). The anxiety scores of the three subgroups were (7.51 ± 4.61), (7.16 ± 5.16), and (6.46 ± 4.43) (mean ± SD), respectively, showing statistically significant differences ( Conclusion:
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