{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:44:07Z","timestamp":1792608247798,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":293,"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\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["2026JJ81863"],"award-info":[{"award-number":["2026JJ81863"]}],"id":[{"id":"10.13039\/501100001809","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>Objective<\/jats:title>\n                    <jats:p>To examine whether work\u2013family conflict (WFC) and work\u2013family facilitation (WFF) act as parallel statistical mediators in the association between spousal support (SS) and burnout among nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nurse burnout represents a substantial management challenge, contributing to high staff turnover and diminished quality of patient care. SS is a potentially important protective resource for mitigating burnout. Nevertheless, the mechanisms through which SS influences nurse burnout, particularly via positive work\u2013family spillover, remain understudied within nursing populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional online survey was conducted among 343 married clinical nurses from multiple provinces across China. Validated self\u2010report questionnaires were used to measure SS, WFC, WFF, and burnout. Path analysis with bootstrapping was performed to test the parallel dual\u2010mediator model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The model achieved good fit indices, with\n                      <jats:italic>X<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \/df\u2009=\u20091.281 and RMSEA\u2009=\u20090.029. SS was negatively associated with WFC (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.225, SE\u2009=\u20090.038, 95% CI [\u22120.300, \u22120.151]) and positively associated with WFF (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.279, SE\u2009=\u20090.022, 95% CI [0.236, 0.321]). Both mediators were significantly associated with burnout. The total indirect effect of SS on burnout was statistically significant (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.643, SE\u2009=\u20090.095, 95% CI [\u20130.835, \u22120.461]). The indirect pathway operating through WFF accounted for 62.36% of the total indirect effect, which was larger than the 37.64% attributable to the WFC pathway.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These correlational findings suggest that higher SS is associated with lower nurse burnout through both reduced WFC and enhanced positive WFF. The results highlight the critical \u201cresource\u2010gain\u201d function of family support for married nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Interventions should not merely target workload reduction but also actively foster SS to promote personal resource development. It is recommended to foster a family\u2010friendly corporate culture, implement comprehensive initiatives that involve partners, and regard proactive work\u2013family integration as a strategic approach to alleviating nurse burnout.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/7277746","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:29:31Z","timestamp":1792607371000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Relationship Between Spousal Support and Nurse Burnout: A Parallel Dual\u2010Mediator Model of Work\u2013Family Conflict and Work\u2013Family Facilitation"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8252-8703","authenticated-orcid":false,"given":"Juan","family":"Li","sequence":"first","affiliation":[{"name":"The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University\/Hunan Cancer Hospital  Changsha Hunan China  csu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sha","family":"Lin","sequence":"additional","affiliation":[{"name":"The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University\/Hunan Cancer Hospital  Changsha Hunan China  csu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Li","sequence":"additional","affiliation":[{"name":"The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University\/Hunan Cancer Hospital  Changsha Hunan China  csu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Liang","sequence":"additional","affiliation":[{"name":"The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University\/Hunan Cancer Hospital  Changsha Hunan China  csu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiaofeng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Lengshuijiang People\u2019s Hospital  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyu","family":"Huang","sequence":"additional","affiliation":[{"name":"The First People\u2019s Hospital of Changsha County  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Tan","sequence":"additional","affiliation":[{"name":"The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University\/Hunan Cancer Hospital  Changsha Hunan China  csu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulian","family":"Yuan","sequence":"additional","affiliation":[{"name":"The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University\/Hunan Cancer Hospital  Changsha Hunan China  csu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-4560.1974.tb00706.x"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.397"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-210283"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2024.117141"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.36469"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.103933"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10010026"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.947189"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.9507"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2018.09.005"},{"key":"e_1_2_13_11_2","first-page":"1118","article-title":"Analysis of Occupational Burnout Status and Influencing Factors Among Young Medical Staff in Beijing","volume":"27","author":"Zhou T.","year":"2020","journal-title":"Practical Preventive Medicine"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1492662"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1037\/ocp0000298"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.3724\/sp.j.1042.2022.00449"},{"key":"e_1_2_13_15_2","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v15.i7.106613"},{"key":"e_1_2_13_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2023.2270747"},{"key":"e_1_2_13_17_2","first-page":"1919","article-title":"The Impact of Work-Family Gain and Occupational Resilience on Occupational Burnout Among Internal Medicine Nurses","volume":"40","author":"Li Y. 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