Evidence map›Paper›PMID 41877104›Full record

ArticleBMC nursing2026

Change fatigue profiles of clinical nurses and their associations with perceived organizational support and self-efficacy: A latent profile analysis.

Yujiao Peng, Qing Zhao, Xiaohua He, Yuan Yang, Liang Wang, Lin Ma, Rong Lu, Caixia Xie, Yan Wang

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Article in BMC 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yujiao Peng *Central Sterile Supply Department, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China.
Qing Zhao *Central Sterile Supply Department, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China.
Xiaohua HeCentral Sterile Supply Department, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China.
Yuan YangDepartment of Anesthesiology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China.
Liang WangCentral Sterile Supply Department, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China.
Lin MaDepartment of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China.
Rong LuDepartment of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China.
Caixia Xie *Department of Nursing, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China. caixiaxie@uestc.edu.cn.
Yan Wang *Department of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China. wangyansn@med.uestc.edu.cn.

Funding

Sichuan Science and Technology Program Number 2023YFS0067
6 · The paper itself

Abstract

backgroundFrequent healthcare reforms have led to change fatigue among nurses; however, the heterogeneous characterization of change fatigue has not been adequately studied, and there is limited research evidence on how different change fatigue characteristics interact with perceived support and self-efficacy.

aimsThis study aimed to determine the potential heterogeneity of clinical nurse change fatigue and the factors influencing different potential profiles.

methodsThis cross-sectional study was conducted with among clinical nurses using convenient sampling, from December 2024 to January 2025. A total of 515 clinical nurses from 10 hospitals in Sichuan Province participated in an online questionnaire. By using the General Demographic Questionnaire, the Change Fatigue Scale, the Perceived Organizational Support-Simplified Version Scale, and the General Self-Efficacy Scale. Data were analyzed using latent profile analysis, chi-square, one-way ANOVA and multinomial logistic regression analysis. We followed STROBE guidelines in this research.

resultsFour latent profiles were identified and labeled as follows: "low fatigue-stable group", "moderate fatigue-fluctuating group", "moderate fatigue-low burnout/high craving group", and "high fatigue-low burnout/high craving group". Nurses without administrative positions (p = 0.047), those experiencing fewer organizational changes (p < 0.001), those with perceived higher organizational support (p < 0.001), and those demonstrating greater self-efficacy (p = 0.010) were more likely to be classified in the "low fatigue-stable group".

conclusionsThis study revealed that change fatigue among clinical nurses could be categorized into four subtypes. Position, the frequency of organizational changes, perceived organizational support, and self-efficacy were factors associated with nurses' membership in different change fatigue subgroups. MEDICAL AND NURSING IMPLICATIONS: Nursing administrators must develop policies to alleviate nurses' change fatigue. These policies may include evaluating nurses' positions, carefully considering the frequency of organizational change implementation, providing adequate organizational support, and enhancing nurses' self-efficacy. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Change fatigueClinical nursesLatent profile analysisPerceived organizational supportSelf-efficacy

Identifiers

PMID41877104
PMCPMC13214391

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LicenceCC BY-NC-ND
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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 Socratic graph.