Evidence map›Paper›PMID 42768724›Full record

ArticleJournal of nursing management2026

The Relationships and Mediating Effects of Work-Life Factors on Acute and Chronic Fatigue Among Nurses.

Chia Jung Hu, Feng Ping Lee, Rei Mei Hong

Abstract read
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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

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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

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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

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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

3 authors.

Chia Jung HuSchool of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan, kmu.edu.tw.ORCID 0000-0002-1625-6831
Feng Ping LeeSchool of Health Sciences, University of the Pacific, Sacramento, USA, pacific.edu.ORCID 0009-0008-5657-2477
Rei Mei HongDepartment of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Chiayi County, Taiwan, cgust.edu.tw.ORCID 0009-0008-4944-1970

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFatigue is a prevalent occupational health concern among nurses. Inadequate recovery from acute fatigue may contribute to persistent fatigue, while work-related and life-related factors may influence this process.

aimTo examine factors associated with chronic fatigue and the mediating roles of life-related factors in the association between acute and chronic fatigue among Taiwanese nurses.

methodsA cross-sectional study was conducted. A total of 322 clinical nurses were recruited through online forums and social media groups and completed a web-based questionnaire assessing sociodemographic characteristics, work-related factors, health-promoting lifestyle behaviors, and occupational fatigue. Analysis of variance, Pearson's correlation, hierarchical multiple regression, and partial least squares structural equation modeling with bootstrapping were used.

findingsAcute fatigue was strongly correlated with chronic fatigue (r = 0.70), whereas intershift recovery was negatively correlated with chronic fatigue (r = -0.58). The addition of intershift recovery significantly increased the explained variance in chronic fatigue by 2.0% beyond acute fatigue and work-related factors. Life-related factors further increased the explained variance by 2.6%, while intershift recovery remained negatively associated with chronic fatigue in the adjusted model (β = -0.19, p < 0.001). Mediation analysis further showed significant indirect associations through interpersonal support and stress management, whereas the indirect effect through physical activity was not significant.

conclusionsAcute fatigue is strongly associated with chronic fatigue, while adequate intershift recovery and psychosocial and lifestyle-related factors may be important in limiting fatigue accumulation. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers should support adequate recovery between shifts, manage psychological work demands, and strengthen interpersonal support and stress-management resources to reduce persistent fatigue and promote nurses' long-term well-being.

Indexed as

FatigueNursesWork-Life BalanceAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesTaiwanfatiguenurseoccupational healthwork–life style

Identifiers

PMID42768724
PMCPMC13594556

What Socratic holds

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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 Socratic graph.