{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:07:26Z","timestamp":1790140046990,"version":"4.0.1"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Against the backdrop of continuously rising demand for healthcare services and an increasingly scarce nursing workforce, innovation and development within the nursing profession have become particularly urgent. Enhancing nurses\u2019 capacity for innovative practice is not only crucial for optimizing nursing efficiency but also directly impacts patient safety and the sustainable development of hospitals. This represents a critical issue that requires urgent attention in China\u2019s healthcare management sector.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined the associations of psychological resilience and change fatigue with innovative behavior among hemodialysis nurses in Chinese public hospitals, and explored whether change fatigue was statistically indirectly associated with the relationship between psychological resilience and innovative behavior, aiming to provide evidence for developing strategies to enhance nurses\u2019 innovative practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study recruited 338 hemodialysis nurses from 14 public hospitals in Sichuan Province, China, between March and June 2024. Data collection employed a demographic questionnaire, the Simplified Psychological Resilience Scale, the Change Fatigue Scale, and the Nurse Innovation Behavior Scale. An exploratory cross-sectional mediation analysis was performed using the SPSS PROCESS macro developed by Hayes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Innovative behaviors among hemodialysis nurses showed a positive correlation with total psychological resilience scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.558,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and a negative correlation with total change fatigue scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.383,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Psychological resilience itself exhibited a negative correlation with change fatigue (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.467,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Within the specified statistical model, the unstandardized indirect association between psychological resilience and innovative behavior through change fatigue was 0.113, and this indirect association accounted for 24.4% of the total association.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Psychological resilience was not only associated with the innovative behavior of hemodialysis nurses in public hospitals, but was also statistically indirectly associated with this behavior through change fatigue. Measures should be implemented at both the individual and managerial levels to enhance nurses\u2019 psychological resilience and reduce their change fatigue, which may be linked to strengthened proactive innovative behavior and the high-quality development of nursing services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1756479","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:49:17Z","timestamp":1790138957000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations of psychological resilience and change fatigue with innovative behavior among hemodialysis nurses in Chinese public hospitals: a cross-sectional mediation analysis"],"prefix":"10.3389","volume":"17","author":[{"given":"Wei","family":"Qing","sequence":"first","affiliation":[{"name":"Nephrology Department, Deyang People\u2019s Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiquan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Nephrology Department, Deyang People\u2019s Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Affiliated Hospital of Southwest Medical University","place":["Luzhou, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenfan","family":"Liu","sequence":"additional","affiliation":[{"name":"Nursing Department, Deyang People's Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaohua","family":"Zou","sequence":"additional","affiliation":[{"name":"Nephrology Department, Deyang People\u2019s Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1016\/j.anr.2018.11.003","article-title":"Innovative behavior in nursing context: a concept analysis","volume":"12","author":"Asurakkody","year":"2018","journal-title":"Asian Nurs Res (Korean Soc Nurs Sci)."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1186\/s12912-025-03569-w","article-title":"Unlocking innovation and resilience among emergency nurses through cultural intelligence: insights from a structural equation model","volume":"24","author":"Awad","year":"2025","journal-title":"BMC Nurs."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.3969\/j.issn.1674-8115.2012.08.025","article-title":"Development and analysis of reliability and validity of nurse innovative behavior scale","volume":"32","author":"Bao","year":"2012","journal-title":"J. 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