Evidence map›Paper›PMID 42703672›Full record

ArticleJournal of nursing management2026

Work-Related Information and Communication Technologies Use After-Hours and Nurse Work Withdrawal Behavior: A Moderated Mediation Model.

Xiaofen Wang, Yichen Geng, Jingwen Yi, Danyan Li, Miliang Zou, Haiyan Liu, Kun Tang

Abstract read
In one paragraph

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. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Xiaofen WangSchool of Nursing, Health Science Center, Hunan Normal University, Changsha, Hunan, China, hunnu.edu.cn.ORCID https://orcid.org/0000-0002-1911-6201
Yichen GengSchool of Nursing, Health Science Center, Hunan Normal University, Changsha, Hunan, China, hunnu.edu.cn.ORCID https://orcid.org/0009-0008-6698-8273
Jingwen YiSchool of Nursing, Health Science Center, Hunan Normal University, Changsha, Hunan, China, hunnu.edu.cn.ORCID https://orcid.org/0009-0009-8008-7292
Danyan LiSchool of Nursing, Health Science Center, Hunan Normal University, Changsha, Hunan, China, hunnu.edu.cn.ORCID https://orcid.org/0009-0001-8537-871X
Miliang ZouSchool of Nursing, Health Science Center, Hunan Normal University, Changsha, Hunan, China, hunnu.edu.cn.ORCID https://orcid.org/0009-0003-4744-0214
Haiyan LiuSchool of Nursing, Health Science Center, Hunan Normal University, Changsha, Hunan, China, hunnu.edu.cn.ORCID https://orcid.org/0009-0002-2836-1804
Kun TangDepartment of Comprehensive Evaluation Center (Quality Management), Xiangya Hospital of Central South University, Changsha, Hunan, China, csu.edu.cn.ORCID https://orcid.org/0000-0003-4396-6756

Funding

Natural Science Foundation of Hunan Province 2026JJ80199Scientific Research Foundation of Hunan Provincial Education Department 202401000501Scientific Research Foundation of Hunan Provincial Education Department Y20230728
6 · The paper itself

Abstract

backgroundThe widespread adoption of information technology made the work-related use of information and communication technologies after hours (W_ICTs) a prevalent source of occupational stress among nurses. Grounded in conservation of resources theory and the effort-recovery model, this study constructed a moderated mediation model to examine the impact of W_ICTs on nurses' work withdrawal behavior, with a specific focus on the mediating role of job burnout and the moderating role of psychological detachment.

methodsUsing a cross-sectional design, data were collected through an online survey between September and December 2025. A total of 869 clinical nurses (mean age = 32.47 ± 5.95 years) from 10 tertiary hospitals in China completed validated scales measuring W_ICTs, job burnout, psychological detachment, and work withdrawal behavior. Data were analyzed using SPSS 26.0 and the PROCESS macro (Model 8), controlling for gender, age, and professional title. A moderated mediation model was tested.

resultsW_ICTs showed a direct positive association with work withdrawal behavior and an indirect association through job burnout. This mediating effect was consistent for both challenge-oriented and hindrance-oriented communications. Psychological detachment significantly moderated the relationship between W_ICTs and job burnout, attenuating the effect of challenge-oriented W_ICTs but not hindrance-oriented W_ICTs.

conclusionJob burnout mediates the effect of W_ICTs on nurses' work withdrawal behavior. Psychological detachment moderates this relationship for challenge-oriented but not hindrance-oriented communication. Nursing managers should therefore implement strategies to reduce hindrance-oriented W_ICTs, schedule challenge-oriented communications judiciously, and strengthen nurses' psychological detachment through systematic interventions to reduce job burnout and work withdrawal behavior. IMPLICATIONS FOR THE NURSING MANAGEMENT: Reducing W_ICTs, particularly those that are hindrance-oriented, and enhancing nurses' psychological detachment, can reduce job burnout and work withdrawal behavior. Findings inform targeted management strategies to protect nurse well-being and retention in the digital age.

Indexed as

Information TechnologyNursesAdultBurnout, ProfessionalChinaCross-Sectional StudiesFemaleHumansJob SatisfactionMaleSurveys and QuestionnairesWorkplacejob burnoutnursespsychological detachmentW_ICTswork withdrawal behavior

Identifiers

PMID42703672
PMCPMC13548051

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Registered trials

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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.