{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T10:34:56Z","timestamp":1792924496193,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medical nursing assistants are non\u2010professional auxiliary care workers who provide daily living care and assist with basic activities under the guidance of healthcare professionals in China. Guided by the Job Demands\u2010Resources (JD\u2010R) model, this study examined how job demands, job resources, and personal resources were associated with decent work perception and whether occupational burnout statistically accounted for part of the psychological capital\u2010decent work perception association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional convenience sample of 846 medical nursing assistants was recruited from 21 general hospitals in Guangdong Province, China, in December 2025. The primary regression used variables selected through univariate screening at two\u2010tailed\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05, while JD\u2010R categories were prespecified for conceptual interpretation. Random forest reproducibility was evaluated through nested five\u2010fold cross\u2010validation, explicit hyperparameter tuning, held\u2010out repeated permutation importance, and conditional permutation for correlated predictors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The primary regression explained 42.8% of the variance and achieved a five\u2010fold cross\u2010validated R2 of 0.414; the random forest nested cross\u2010validated R2 was 0.393. Psychological capital, occupational burnout, and innovation climate remained the leading random\u2010forest predictors. CR2 standard errors with Satterthwaite degrees of freedom supported six of the eight primary adjusted associations; daily working hours and insurance were attenuated to\n                      <jats:italic>p<\/jats:italic>\n                      = 0.059 and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.057, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Decent work perception was associated with personal resources, job demands, and organizational resources. The cross\u2010sectional indirect association through occupational burnout was small and does not establish temporal causality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.71752","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:13:18Z","timestamp":1791889998000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Decent Work Perception Among Chinese Medical Nursing Assistants: A Cross\u2010Sectional Study With Exploratory Mediation Analysis"],"prefix":"10.1002","volume":"16","author":[{"given":"Jinhong","family":"Lu","sequence":"first","affiliation":[{"name":"Department of General Surgery, Zhujiang Hospital Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Zhujiang Hospital Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huina","family":"Mao","sequence":"additional","affiliation":[{"name":"Nursing Department, Zhujiang Hospital Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guizhi","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Zhujiang Hospital Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/ocp0000056"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010023\u201001662\u20106"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.elerap.2010.07.003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR\u2010182732"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2025.1547777"},{"key":"e_1_2_11_7_1","volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis: a Regression\u2010Based Approach","author":"Hayes A. F.","year":"2018"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003\u2010066X.44.3.513"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16572"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.936900"},{"issue":"5","key":"e_1_2_11_11_1","first-page":"677","article-title":"The Impact of Distributive Justice and Procedural Justice on Job Burnout","volume":"35","author":"Li C.","year":"2003","journal-title":"Acta Psychologica Sinica"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.70090"},{"issue":"9","key":"e_1_2_11_13_1","first-page":"853","article-title":"Reliability and Validity Analysis of the Psychological Capital Questionnaire in a Nursing Population","volume":"19","author":"Luo H.","year":"2010","journal-title":"Chinese Journal of Behavioral Medicine and Brain Science"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010orgpsych\u2010032516\u2010113324"},{"issue":"14","key":"e_1_2_11_15_1","first-page":"86","article-title":"Perceived Decent Work: Scale Development and Validation","volume":"30","author":"Mao G.","year":"2014","journal-title":"Statistics & Decision"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/job.4030020205"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.397"},{"key":"e_1_2_11_18_1","unstructured":"National Health Commission of the People's Republic of China. Ministry of Finance. Ministry of Human Resources and Social Security. et\u00a0al.Notice on Strengthening the Training and Standardized Management of Medical Nursing Assistants [in Chinese]. Published August 262019. Accessed June 30 2026.https:\/\/www.nhc.gov.cn\/yzygj\/c100068\/201908\/1e8142327ed04a7f895bf3732f856c36.shtml."},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.13072"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021\u20109010.88.5.879"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.12181\/jjgl.2020.03.05"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010024\u201002019\u20103"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1099687"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960\u2010025\u201000986\u20105"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12939"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.13041"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104964"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.17100"}],"container-title":["Brain and Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/brb3.71752","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/brb3.71752","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/brb3.71752","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T10:07:01Z","timestamp":1792922821000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/brb3.71752"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":27,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/brb3.71752"],"URL":"https:\/\/doi.org\/10.1002\/brb3.71752","archive":["Portico"],"relation":{},"ISSN":["2162-3279","2162-3279"],"issn-type":[{"value":"2162-3279","type":"print"},{"value":"2162-3279","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-02-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71752"}}