{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:50:57Z","timestamp":1792050657831,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":287,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Aim<\/jats:title>\n To examine the relationship between perceived organizational support and nurses\u2019 pressure injury care behaviors and to test the serial mediating roles of self\u2010efficacy in pressure injury management and change fatigue.<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n Pressure injuries are largely preventable, and nurses\u2019 care behaviors are critical to prevention. Perceived organizational support may influence these behaviors, but the mediating mechanisms remain unclear.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n From November 2025 to June 2026, 524 nurses from three tertiary\u2010level A hospitals in Xinjiang were recruited using purposive sampling. Data were collected using the Perceived Organizational Support Scale, the Pressure Ulcer Management Self\u2010Efficacy Scale, the Change Fatigue Scale, and the Pressure Injury Care Behavior Questionnaire. Path analysis was conducted using AMOS 26.0, with serial mediation tested using bias\u2010corrected bootstrapping (5000 resamples).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Perceived organizational support was positively associated with self\u2010efficacy in pressure injury management (\n \u03b2<\/jats:italic>\n \u2009=\u20090.590,\n p<\/jats:italic>\n < 0.001) and pressure injury care behaviors (\n \u03b2<\/jats:italic>\n \u2009=\u20090.387,\n p<\/jats:italic>\n < 0.001). Self\u2010efficacy was negatively associated with change fatigue (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.268,\n p<\/jats:italic>\n < 0.001), and change fatigue was negatively associated with pressure injury care behaviors (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.187,\n p<\/jats:italic>\n < 0.001). The serial indirect effect was 0.021 (95% CI: 0.012\u20130.032).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The findings are consistent with a serial indirect pathway in which perceived organizational support is associated with nurses\u2019 pressure injury care behaviors through self\u2010efficacy and change fatigue. Longitudinal studies are needed to confirm this pathway.<\/jats:p>\n <\/jats:sec>\n \n Implications for Nursing Management<\/jats:title>\n Nursing managers should strengthen organizational support, cultivate nurses\u2019 self\u2010efficacy in pressure injury management, and monitor change fatigue during organizational change to support preventive care behaviors.<\/jats:p>\n <\/jats:sec>","DOI":"10.1155\/jonm\/5681859","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:01:53Z","timestamp":1792047713000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Organizational Support and Nurses\u2019 Pressure Injury Care Behaviors: The Serial Mediating Roles of Self\u2010Efficacy and Change Fatigue"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5050-412X","authenticated-orcid":false,"given":"Chenxin","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Nursing Xinjiang Medical University Urumqi 830017 Xinjiang China xjmu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0403-9428","authenticated-orcid":false,"given":"Yi","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing Xinjiang Medical University Urumqi 830017 Xinjiang China xjmu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0061-2846","authenticated-orcid":false,"given":"Zhenghui","family":"Dong","sequence":"additional","affiliation":[{"name":"The Sixth Affiliated Hospital of Xinjiang Medical University Urumqi 830002 Xinjiang China xjmu.edu.cn"},{"name":"Health Care Research Center for Xinjiang Regional Population Urumqi 830017 Xinjiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2025.107753"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1603321"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2025.100853"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14655"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1388996"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.2486\/indhealth.2024-0060"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/10803548.2019.1694778"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1037\/ocp0000056"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1037\/\/0003-066x.44.3.513"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1037\/\/0033-295x.84.2.191"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/1744-7941.12348"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S338967"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-94025-x"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15546"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7237.768"},{"key":"e_1_2_11_16_2","first-page":"7","article-title":"Survey on Nurses\u2019 Perceived Organizational Support and Need for Organizational Support","volume":"11","author":"Zuo H. 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