Evidence map›Paper›PMID 42163797›Full record

Observational studyJournal of nursing management2026

Congruence and Incongruence in Sickness Presenteeism and Emotional Labor With Job Burnout in Pediatric Nurses: A Multicenter Response Surface Analysis.

Zuoming Zhang, Chaowei Guo, Yifan Wu, Xudong Wei, Xinying Yu, Shuang Zang

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zuoming ZhangDepartment of Community Nursing, China Medical University, Shenyang, China, cmu.edu.tw.ORCID https://orcid.org/0009-0002-3524-6767
Chaowei GuoDepartment of Community Nursing, China Medical University, Shenyang, China, cmu.edu.tw.ORCID https://orcid.org/0000-0003-3429-2948
Yifan WuDepartment of Basic Nursing, Jilin University, Changchun, China, jlu.edu.cn.ORCID https://orcid.org/0000-0002-7916-8783
Xudong WeiDepartment of Management, Shijiazhuang Tiedao University, Shijiazhuang, China, stdu.edu.cn.ORCID https://orcid.org/0009-0001-9324-7912
Xinying YuDepartment of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0000-0002-9356-1522
Shuang ZangDepartment of Community Nursing, China Medical University, Shenyang, China, cmu.edu.tw.ORCID https://orcid.org/0000-0001-7814-8011

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric nurses are particularly vulnerable to job burnout, which can negatively impact both care quality and workforce retention. Sickness presenteeism and emotional labor are prevalent in pediatric nursing environments and may interact to influence burnout, yet their combined effects remain.

objectiveThis study investigated the joint association of sickness presenteeism and emotional labor with job burnout among pediatric nurses in China.

methodsA multicenter cross-sectional study. Polynomial regression with response surface analysis was employed to assess the effects of congruence and incongruence between sickness presenteeism and emotional labor on burnout levels.

resultsParticipants reported moderate levels of both sickness presenteeism and emotional labor, alongside low levels of job burnout. Notably, job burnout was minimized when both sickness presenteeism and emotional labor were at moderate levels. In contrast, burnout was highest when both variables were either very high or very low (a

conclusionsThis study found that the joint association of sickness presenteeism and emotional labor with job burnout among pediatric nurses is both linear and nonlinear, exhibiting a U-shaped pattern along congruence and incongruence lines. Job burnout was the highest when both sickness presenteeism and emotional labor were either very high or very low and when marked incongruence existed between them. These findings suggest that nursing managers should monitor sickness presenteeism and emotional labor, avoid extreme imbalance and incongruence, and foster a supportive work environment to mitigate job burnout.

Indexed as

Burnout, ProfessionalNurses, PediatricPresenteeismAdultChinaCross-Sectional StudiesFemaleHumansJob SatisfactionMaleMiddle AgedSurveys and QuestionnairesWorkplaceemotional laborjob burnoutpediatric nursesresponse surface analysissickness presenteeism

Identifiers

PMID42163797
PMCPMC13191768

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.