{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:09:02Z","timestamp":1790672942250,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":["Nursing Open"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine nurses' levels of change fatigue and perceived innovation climate and to examine the association between these constructs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive, cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A census approach was used among 194 eligible nurses working in two healthcare centres; 186 completed the survey (response rate, 95.9%). Data were collected using a sociodemographic form, the Change Fatigue Scale, and the Innovation Climate Scale. Descriptive comparisons, Pearson correlation, and hierarchical multiple linear regression were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean change fatigue and innovation climate scores were 2.85 (SD 0.77) and 3.21 (SD 0.58), respectively. Higher perceived innovation climate was associated with lower change fatigue (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.438, 95% CI [\u22120.547, \u22120.314],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001;\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.192). This association remained after adjustment for age, gender, income, work schedule and institutional tenure (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22120.528, 95% CI [\u22120.711, \u22120.345], standardized\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.400,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Perceived innovation climate was inversely associated with change fatigue among nurses. The cross\u2010sectional design does not establish direction or causality; prospective and intervention studies are needed before concluding that changes to innovation climate reduce fatigue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Nursing managers can use these findings to identify potentially relevant organizational conditions\u2014communication, participation in change, workload and access to innovation resources\u2014that warrant assessment and prospective evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70820","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:11:25Z","timestamp":1789553485000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Determining the Relationship Between Change Fatigue and Innovation Climate Among Nurses: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8529-6466","authenticated-orcid":false,"given":"Yeter","family":"Uslu","sequence":"first","affiliation":[{"name":"Department of Health Management, Faculty of Health Sciences Istanbul Medipol University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6337-1314","authenticated-orcid":false,"given":"Yasemin","family":"Hancio\u011flu Ba\u015fk\u00f6y","sequence":"additional","affiliation":[{"name":"Department of Accounting and Tax, \u00dcnye Vocational School Ordu University  Ordu Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2901-6474","authenticated-orcid":false,"given":"G\u00f6zde","family":"Ye\u015filaydin","sequence":"additional","affiliation":[{"name":"Department of Health Management, Faculty of Health Sciences Eski\u015fehir Osmangazi University  Eski\u015fehir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5508-194X","authenticated-orcid":false,"given":"Erman","family":"Gedikli","sequence":"additional","affiliation":[{"name":"Department of Health Management, Faculty of Health Sciences Istanbul Medipol University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4502-9846","authenticated-orcid":false,"given":"Emre","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Health Management, Faculty of Health Sciences Istanbul Medipol University  Istanbul 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\u0130klimi \u00d6l\u00e7e\u011finin T\u00fcrk\u00e7e'ye uyarlanmas\u0131: Ge\u00e7erlik ve g\u00fcvenirlik \u00e7al\u0131\u015fmas\u0131 [Turkish Adaptation of the Scale of Climate for Innovation: A Validity and Reliability Study]","volume":"20","author":"S\u00f6nmez B.","year":"2017","journal-title":"Anadolu Hem\u015firelik Ve Sa\u011fl\u0131k Bilimleri Dergisi"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000040620"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0306109"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1566534"}],"container-title":["Nursing 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