ArticleJournal of nursing management2026
From Stress to Safety: The Chain Mediating Role of Cognitive Reappraisal and Work Engagement in the Influence of Nurses' Work Stress on Safety Behavior.
Article 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.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- From Stress to Safety: The Chain Mediating Role of Cognitive Reappraisal and Work Engagement in the Influence of Nurses' Work Stress on Safety Behavior.Journal of nursing management · 2026Article
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Authors and funding
8 authors.
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Abstract
backgroundNurses face multiple work stress in clinical practice, and the relationship between work stress and safety behavior has attracted much attention. However, no research has explored the chain-mediating role of cognitive reappraisal and work engagement in this relationship.
aimThis study aimed to examine the roles of work stress on safety behavior in nurses, along with the mediating effects of cognitive reappraisal and work engagement.
methodsA cross-sectional study was conducted among 677 nurses in Shaanxi Province, China, from September to October 2025. The Chinese Nurses Stressor Scale, the Emotion Regulation Questionnaire, the Work Engagement Scale, and the Nurse Safety Behavior Questionnaire were used. IBM SPSS Statistics 26.0 and IBM SPSS AMOS 29.0 were used to analyze data and construct a structural equation model. The research complied with the STROBE checklist.
resultsNurses' scores were as follows: work stress (86.09 ± 18.44), cognitive reappraisal (27.75 ± 6.59), work engagement (46.89 ± 13.10), and safety behavior (53.41 ± 6.42). Work stress had a significant negative effect on safety behavior (r = -0.200, p < 0.001). Cognitive reappraisal and work engagement separately mediated the link between safety behavior and work stress, accounting for 25.12% and 13.95% of the total effect. Furthermore, cognitive reappraisal and work engagement served as chain mediators between work stress and safety behavior, accounting for 7.91% of the total effect.
conclusionWork stress among nurses can affect their safety behavior through the mediating role of cognitive reappraisal and work engagement. Future efforts should focus on alleviating nurses' work stress and cultivating their cognitive reappraisal strategies to enhance work engagement, which may help improve and strengthen nurses' safety behaviors. IMPLICATIONS: Nurses need to be fully empowered to ensure patient safety. Hospital managers should prioritize optimizing workload distribution and providing psychological support to reduce nurses' work stress. Additionally, integrating cognitive reappraisal training into routine nursing education may enhance nurses' active stress management and engagement.
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