ArticleJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing2026
Citizenship Fatigue as a Mediator Between Compulsory Citizenship Behavior and Work-Life Balance Among Nurses.
Article in Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 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
introductionNurses' compulsory citizenship behaviors can negatively impact work-life balance over time, both directly and through citizenship fatigue.
designIt is a cross-sectional descriptive study.
aimThis study aimed to examine the relationships between compulsory citizenship behavior, citizenship fatigue, and work-life balance among nurses.
methodsData were collected from 499 nurses working in a public hospital in a provincial setting in İstanbul (Türkiye) between August 1, 2025, and September 20, 2025. Data were collected using the Citizenship Fatigue Scale, the Compulsory Citizenship Behavior Scale, and the Work-Life Balance Scale. Analyses included descriptive statistics, Pearson correlations, and mediation analyses using the PROCESS macro for SPSS. The STROBE reporting method, which is one of the EQUATOR guidelines, was followed.
resultsNurses reported moderate levels of compulsory citizenship behavior, citizenship fatigue, and work-life balance. Compulsory citizenship behavior was positively associated with citizenship fatigue and negatively associated with work-life balance, while citizenship fatigue was negatively associated with work-life balance (p < 0.05). Mediation analysis indicated that citizenship fatigue partially mediated the relationship between compulsory citizenship behavior and work-life balance (p < 0.05).
conclusionCompulsory citizenship behavior and citizenship fatigue are key organizational factors that undermine nurses' ability to maintain a healthy work-life balance by accelerating resource loss processes. CLINICAL RELEVANCE: This study aims to guide the development of strategies that reduce citizenship fatigue and improve work-life balance by examining the relationship between nurses' workloads and their voluntary behaviors in the clinic.
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