{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T16:41:59Z","timestamp":1781800919393,"version":"3.54.5"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"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. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Occupational fatigue among nurses has become a critical global public health concern. Endoscopy nurses, in particular, face unique occupational demands that significantly impact their physical and psychological well-being, as well as the quality of patient care. This study aimed to assess the prevalence of occupational fatigue among endoscopy nurses in China and examine its associated factors. Specifically, the mediating role of coping styles in the relationship between work\u2013family conflict and occupational fatigue was analyzed, and the influence of social support was explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multicenter cross-sectional study was conducted involving 332 endoscopy nurses from 26 tertiary hospitals across 14 provincial regions in China. Standardized instruments were used to measure occupational fatigue, work\u2013family conflict, coping styles, and perceived social support. Descriptive statistics, univariate analyses, Pearson correlations, multiple linear regression, and structural equation modeling (SEM) were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Endoscopy nurses reported a high level of occupational fatigue (22.075\u202f\u00b1\u202f2.588). Age, gender, marital status, daily working hours, and weekly working days were significantly associated with fatigue levels (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). Work\u2013family conflict was positively correlated with occupational fatigue, whereas social support and positive coping were negatively correlated. Negative coping was associated with increased fatigue. SEM revealed that work\u2013family conflict exerted a direct positive effect on occupational fatigue (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.637), and both positive (\u03b2\u202f=\u202f\u22120.360) and negative (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.077) coping styles partially mediated this relationship. The model showed an acceptable fit (CFI\u202f=\u202f0.853, TLI\u202f=\u202f0.837, RMSEA\u202f=\u202f0.079).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Occupational fatigue is prevalent among endoscopy nurses in China and is influenced by work\u2013family conflict, coping styles, and social support. Interventions targeting scheduling optimization, the enhancement of social support, and the promotion of adaptive coping strategies are essential to mitigate fatigue and improve workforce well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1759966","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T06:47:09Z","timestamp":1770187629000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Occupational fatigue and its determinants among endoscopy nurses in China: a cross-sectional study with structural equation modeling"],"prefix":"10.3389","volume":"14","author":[{"given":"Zhi","family":"Zeng","sequence":"first","affiliation":[{"name":"Endoscopy Center, Deyang People\u2019s Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yazhi","family":"He","sequence":"additional","affiliation":[{"name":"Endoscopy Center, Deyang People\u2019s Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Liao","sequence":"additional","affiliation":[{"name":"Endoscopy Center, Deyang People\u2019s Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Song","sequence":"additional","affiliation":[{"name":"Endoscopy Center, Deyang People\u2019s Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumei","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Deyang People\u2019s Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"23779608221078158","DOI":"10.1177\/23779608221078158","article-title":"Occupational fatigue and associated factors among Saudi nurses working 8-hour shifts at public hospitals","volume":"8","author":"Alsayed","year":"2022","journal-title":"SAGE Open Nurs"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2313","DOI":"10.1111\/jan.15246","article-title":"Occupational fatigue, workload and nursing teamwork in hospital nurses","volume":"78","author":"Cho","year":"2022","journal-title":"J Adv Nurs"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1177\/0193945921990892","article-title":"Nurse fatigue and nurse, patient safety, and organizational outcomes: a systematic review","volume":"43","author":"Cho","year":"2021","journal-title":"West J Nurs 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