{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:41:08Z","timestamp":1792662068600,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/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":["Nursing Open"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Perceived maternal parenting self\u2010efficacy is negatively correlated with postpartum fatigue, and paternal involvement is positively correlated with perceived maternal parenting self\u2010efficacy. However, studies examining whether perceived maternal parenting self\u2010efficacy exhibits a statistical mediating association between paternal involvement and postpartum fatigue are scarce. This study aimed to construct structural equation models to examine whether perceived maternal parenting self\u2010efficacy shows a statistical mediating association in the hypothesized relationship between paternal involvement and postpartum fatigue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional correlational research design was adopted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Mediation analysis was performed by structural equation modelling. Indirect effects were evaluated through bootstrapping.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>A convenience sample of 584 women who attended routine 6\u2010week postpartum follow\u2010up was recruited from obstetric outpatient departments at two tertiary hospitals in Yangzhou, China. From September to December 2025, data were collected through a self\u2010report questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Paternal involvement was positively correlated with perceived maternal parenting self\u2010efficacy. In addition, paternal involvement and perceived maternal parenting self\u2010efficacy were negatively correlated with postpartum fatigue. Within the hypothesized mediation model, findings were consistent with partial statistical mediation: perceived maternal parenting self\u2010efficacy was associated with an indirect statistical association linking paternal involvement to postpartum fatigue. This indirect statistical association accounted for 33.33% of the total statistical association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Paternal involvement showed not only a direct negative statistical association with postpartum fatigue, but also an indirect statistical association with postpartum fatigue via perceived maternal parenting self\u2010efficacy, consistent with the hypothesized model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession<\/jats:title>\n                    <jats:p>These findings provide empirical observational evidence for obstetric nursing practice and highlight the value of incorporating paternal involvement into family\u2010centred postpartum care strategies. Targeted interventions designed to promote paternal involvement and perceived maternal parenting self\u2010efficacy may help improve the physical and mental well\u2010being of postpartum women; future longitudinal and intervention studies are required to verify their actual effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This cross\u2010sectional observational study was reported following the STROBE reporting guideline.<\/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. Participants only took part in this study by completing self\u2010reported questionnaires; patients or the public were not involved in the design, conduct, reporting or dissemination plans of our research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70945","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:05:38Z","timestamp":1792659938000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paternal Involvement and Postpartum Fatigue: The Mediation Role of Perceived Maternal Parenting Self\u2010Efficacy"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8275-5065","authenticated-orcid":false,"given":"Rong","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Maternity Ward Jiangyin People's Hospital  Jiangyin Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuexia","family":"Liao","sequence":"additional","affiliation":[{"name":"School of Nursing Yangzhou University  Yangzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyan","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Maternity Ward Jiangyin People's Hospital  Jiangyin Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Bao","sequence":"additional","affiliation":[{"name":"Nursing Department Jiangyin People's Hospital  Jiangyin Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinghua","family":"Yang","sequence":"additional","affiliation":[{"name":"Nursing Department Jiangyin People's Hospital  Jiangyin Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhua","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Maternity Ward Jiangyin People's Hospital  Jiangyin Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1207\/s15374424jccp2401_4","article-title":"Development of a Parenting Alliance Inventory","volume":"24","author":"Abidin R. 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