{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T07:00:42Z","timestamp":1791529242471,"version":"4.3.4"},"reference-count":61,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":237,"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"}],"funder":[{"DOI":"10.13039\/501100018525","name":"Key Research and Development Program of Sichuan Province","doi-asserted-by":"publisher","award":["2023YFS0084"],"award-info":[{"award-number":["2023YFS0084"]}],"id":[{"id":"10.13039\/501100018525","id-type":"DOI","asserted-by":"publisher"}]}],"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>Problematic smartphone use (PSU) poses a significant risk to nurses\u2019 well\u2010being and may have potential implications for patient safety. Although fatalistic determinism may contribute to addictive behaviors, its relation to PSU and the underlying psychological mechanisms remain unclear. This study examined the association between fatalistic determinism and PSU among nurses and the potential mediating roles of self\u2010control and grit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This quantitative, cross\u2010sectional study collected data from nurses in several hospitals in Sichuan Province, China, between July and August 2025. Participants completed validated questionnaires measuring fatalistic determinism, self\u2010control, grit, and PSU. Statistical analyses began with descriptive statistics, correlation testing, and a check for common method bias, followed by multiple mediation modeling to examine the direct and indirect effects (statistical associations) of the study variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 429 registered nurses (mean age\u2009=\u200934.46\u2009years, range\u2009=\u200919\u201360; 93.7% female) participated in this study. Fatalistic determinism showed a moderate\u2010to\u2010large correlation with PSU (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.37,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Self\u2010control and grit both independently and statistically mediated this relationship (all\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009&gt;\u20090.03, 95% confidence intervals [CIs]: [0.01, 0.17]). Critically, both sequential mediation pathways were found to be statistically significant: Model 1 (specifying self\u2010control before grit:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.04, 95% CI: [0.01, 0.07]) and Model 2 (specifying grit before self\u2010control:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.07, 95% CI: [0.03, 0.11]). All findings persisted even after controlling for sociodemographic factors and job stress.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fatalistic determinism was associated with PSU among nurses, and this association showed indirect effects through both self\u2010control and grit. The interrelated nature of these variables suggests that interventions targeting either self\u2010regulatory domain may have synergistic benefits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>To mitigate PSU in nursing staff, nurse managers and leaders should consider implementing multilevel strategies that address maladaptive fatalistic beliefs while simultaneously fostering impulse control and long\u2010term goal commitment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/6614190","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:09:44Z","timestamp":1787728184000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Association of Fatalistic Determinism With Problematic Smartphone Use in Nurses: A Cross\u2010Sectional Study Assessing the Mediating Roles of Self\u2010Control and Grit"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7212-5862","authenticated-orcid":false,"given":"Zhuqing","family":"Feng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4395-6574","authenticated-orcid":false,"given":"Wei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4476-1915","authenticated-orcid":false,"given":"Song","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_15_1_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1806949"},{"key":"e_1_2_15_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182212257"},{"key":"e_1_2_15_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112686"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2055207620966860"},{"key":"e_1_2_15_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.104909"},{"key":"e_1_2_15_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2010.528483"},{"key":"e_1_2_15_7_2","doi-asserted-by":"publisher","DOI":"10.1037\/pas0001076"},{"key":"e_1_2_15_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2021.110992"},{"key":"e_1_2_15_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.erap.2017.10.001"},{"key":"e_1_2_15_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-024-05812-0"},{"key":"e_1_2_15_11_2","doi-asserted-by":"publisher","DOI":"10.2224\/sbp.13116"},{"key":"e_1_2_15_12_2","first-page":"83","volume-title":"Psychiatry and Neuroscience Update\u2013Vol. V: Addiction: From Laboratory and Anthropology to Clinical Practice","author":"Gennaro R. 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