Evidence map›Paper›PMID 42254626›Full record

ArticleFrontiers in public health2026

The impact of emotional labor on sleep-related worry among pediatric nurses in Chinese public hospitals: the mediating role of self-regulatory fatigue.

Yu Liu, Xiufang Zhao

Abstract readMulticenter Study
In one paragraph

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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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

2 authors.

Yu LiuDepartment of Pediatric Intensive Care Unit Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Xiufang ZhaoDepartment of Pediatric Intensive Care Unit Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pediatric nurses frequently engage in emotional labor in their interactions with children who have difficulty expressing themselves and with anxious families. This practice is associated with emotional numbness and burnout, and may negatively affect the quality of care. While pediatric nurses are a high-risk group for emotional labor, the intrinsic associations among emotional labor, self-regulatory fatigue, and sleep-related worry in this population remain unclear. Aims: This study aims to examine the mediating role of self-regulatory fatigue in the relationship between emotional labor and sleep-related worry. Method: This multicenter cross-sectional study recruited 604 pediatric nurses from various medical institutions across China. Data were collected using self-reported questionnaires, including a demographic questionnaire, the Emotional Labor Scale (ELS), the Self-regulatory Fatigue Scale (SRF-S), and the Anxiety and Preoccupation about Sleep Questionnaire (APSQ), which was used to assess sleep-related worry. Descriptive statistics, correlation analysis, univariate analysis, and multivariate analysis were performed using SPSS 27.0. Mediation analysis was conducted using the PROCESS macro (Model 4) for SPSS 27.0. Results: Emotional labor showed significant positive correlations with self-regulatory fatigue ( Conclusion: The findings indicate that, among pediatric nurses, emotional labor and sleep-related worry are positively associated, and this relationship is statistically mediated by self-regulatory fatigue.

Indexed as

AnxietyEmotionsFatigueNurses, PediatricAdultChinaCross-Sectional StudiesFemaleHospitals, PublicHumansMaleSleepSurveys and Questionnairesemotional labormediation analysispediatric nursesself-regulatory fatiguesleep-related worry

Identifiers

PMID42254626
PMCPMC13233409

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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.