{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:00:22Z","timestamp":1790056822164,"version":"4.0.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":263,"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":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fatigue is a prevalent occupational health concern among nurses. Inadequate recovery from acute fatigue may contribute to persistent fatigue, while work\u2010related and life\u2010related factors may influence this process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine factors associated with chronic fatigue and the mediating roles of life\u2010related factors in the association between acute and chronic fatigue among Taiwanese nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted. A total of 322 clinical nurses were recruited through online forums and social media groups and completed a web\u2010based questionnaire assessing sociodemographic characteristics, work\u2010related factors, health\u2010promoting lifestyle behaviors, and occupational fatigue. Analysis of variance, Pearson\u2019s correlation, hierarchical multiple regression, and partial least squares structural equation modeling with bootstrapping were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Acute fatigue was strongly correlated with chronic fatigue (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.70), whereas intershift recovery was negatively correlated with chronic fatigue (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.58). The addition of intershift recovery significantly increased the explained variance in chronic fatigue by 2.0% beyond acute fatigue and work\u2010related factors. Life\u2010related factors further increased the explained variance by 2.6%, while intershift recovery remained negatively associated with chronic fatigue in the adjusted model (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.19,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Mediation analysis further showed significant indirect associations through interpersonal support and stress management, whereas the indirect effect through physical activity was not significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Acute fatigue is strongly associated with chronic fatigue, while adequate intershift recovery and psychosocial and lifestyle\u2010related factors may be important in limiting fatigue accumulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nurse managers should support adequate recovery between shifts, manage psychological work demands, and strengthen interpersonal support and stress\u2010management resources to reduce persistent fatigue and promote nurses\u2019 long\u2010term well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/6087500","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:07:56Z","timestamp":1790053676000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Relationships and Mediating Effects of Work\u2013Life Factors on Acute and Chronic Fatigue Among Nurses"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1625-6831","authenticated-orcid":false,"given":"Chia Jung","family":"Hu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5657-2477","authenticated-orcid":false,"given":"Feng Ping","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4944-1970","authenticated-orcid":false,"given":"Rei Mei","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_2_13_1_2","volume-title":"Coronavirus Disease (COVID-19) Pandemic","author":"World Health Organization (WHO)","year":"2020"},{"key":"e_1_2_13_2_2","volume-title":"COVID-19 Dashboard","author":"National Center for High-performance Computing","year":"2022"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.36469"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-21084-6"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/s2155-8256(23)00047-9"},{"key":"e_1_2_13_6_2","first-page":"1","article-title":"Examining Nursing Fatigue Levels and Antecedents: An Integrative Literature Review","volume":"4","author":"Al-Masaeed M.","year":"2021","journal-title":"International Journal of Nursing and Health Care Research"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2018.10.024"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/s2155-8256(24)00072-3"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2024.05.005"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.907637"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.98.2.310"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.20463\/pan.2024.0015"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2023.106415"},{"key":"e_1_2_13_14_2","volume-title":"A Primer on Partial Least Squares Structural Equation Modeling (PLS\u2013SEM)","author":"Hair J. 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