{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T07:03:22Z","timestamp":1790147002759,"version":"4.0.1"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":264,"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>In addition to providing direct care, clinical nurses often undertake teaching, research, quality improvement and care coordination responsibilities. However, whether these extra\u2010task demands form distinct workload patterns, and how such patterns relate to narrative cognitive ability, remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify distinct extra\u2010task workload patterns among clinical nurses and compare narrative cognitive ability across the identified profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey was conducted among 1081 clinical nurses at a tertiary general hospital in Henan Province, China, between March and April 2025. Data were collected using a demographic questionnaire, the Clinical Nurse Extra\u2010Task Workload Scale and the Narrative Cognitive Ability Scale. Latent profile analysis was performed to identify extra\u2010task workload profiles, and covariate\u2010adjusted Bolck\u2013Croon\u2013Hagenaars (BCH) analysis was used to compare narrative cognitive ability across the identified profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four profiles were identified: moderate demands\u2013minimal constraints (12.40%), high demands\u2013high constraints (18.59%), moderate demands\u2013low constraints (25.16%) and elevated demands\u2013moderate constraints (43.85%). Profile membership differed according to several demographic and work\u2010related characteristics, including night\u2010shift frequency, work\u2010related mood, leisure activities and narrative training experience. After covariate adjustment, significant differences remained in overall narrative cognitive ability, life and health narrative awareness and professional narrative thinking. Nurses in the moderate demands\u2013minimal constraints profile demonstrated the highest levels of narrative cognitive ability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Extra\u2010task workload among clinical nurses exhibited distinct profile heterogeneity. Different combinations of work environment demands and behavioural constraints were associated with narrative cognitive ability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nursing managers should adopt profile\u2010informed strategies rather than uniform workload interventions for clinical nurses. Identifying nurses with different extra\u2010task workload profiles may help guide targeted management measures, including optimisation of work demands, clarification of role expectations and tailored narrative training and professional support programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/7831111","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:31:21Z","timestamp":1790145081000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Profiles of Extra\u2010Task Workload Among Clinical Nurses and Associations With Narrative Cognitive Ability: A Latent Profile 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