ArticleJournal of nursing management2026
Psychological Safety and Workaholism Among Nurses: The Mediating Role of Patient Expectation Management and the Moderating Role of Age.
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.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundPsychological safety is an important organizational resource that promotes open communication, learning, and collaboration in nursing. However, its potential association with less desirable outcomes, such as workaholism, remains unclear. This study examined the associations between perceived psychological safety and workaholism among nurses, focusing on the mediating roles of supporting and suppressing patient expectations and the moderating role of age.
methodsData for this study were obtained from 523 nurses employed in public hospitals across Türkiye using a cross-sectional survey design. Data were collected using validated measures of perceived psychological safety, patient expectation management, and workaholism. Gender, marital status, professional experience, unit experience, and role were included as covariates. The hypothesized conditional process model was evaluated using Hayes' PROCESS macro (Model 58), incorporating 5000 bootstrap samples and HC3 robust standard error estimates.
resultsPerceived psychological safety was positively associated with supporting expectations (b = 0.762, p < 0.001) and suppressing expectations (b = 0.241, p < 0.001). Both dimensions were positively associated with workaholism. Significant indirect effects were observed through supporting expectations (effect = 0.170, 95% CI [0.057, 0.291]) and suppressing expectations (effect = 0.209, 95% CI [0.126, 0.292]) at mean age. Age moderated the association between psychological safety and suppressing expectations, with stronger effects among older nurses. Age also moderated the association between supporting expectations and workaholism, such that the indirect effect was significant only at mean and higher age levels.
conclusionsPerceived psychological safety may be associated with workaholism through patient expectation management behaviors, with age strengthening specific pathways. These findings highlight the importance of balancing psychologically safe work environments with strategies that promote sustainable work practices. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing managers should complement psychological safety initiatives with workload monitoring, role clarity, boundary-setting support, and patient expectation management training. Age-sensitive workload and support policies may help reduce the risk of workaholism and promote nurse well-being.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.