{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T05:53:10Z","timestamp":1775713990898,"version":"3.50.1"},"reference-count":66,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012554","name":"Hubei Provincial Department of Education","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012554","id-type":"DOI","asserted-by":"publisher"}]}],"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>Nurse anxiety threatens care quality and workforce stability. The objective of this study was to examine the relationship between self-worth and anxiety among nurses, and to investigate the chain mediating roles of work engagement and emotional labor across heterogeneous subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a cross-sectional design and random sampling, a questionnaire survey was conducted among 1,280 nurses from a Grade A tertiary hospital in Wuhan from March to August 2025. The measurement tools included a General Information Questionnaire, the Adult Self-Worth Questionnaire, the Generalized Anxiety Disorder Scale, the Work Engagement Scale, and the Emotional Labor Scale. Latent Profile Analysis (LPA) was applied to identify heterogeneous subgroups. PLS-SEM was used to examine the relationships between nurses' self-worth and anxiety (with work engagement and emotional labor as mediating variables).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three nurse subgroups were identified: the \u201cResource-Depleted Group\u201d (19.38%), the \u201cBalanced Group\u201d (69.92%), and the \u201cResource-Abundant Group\u201d (10.70%). The anxiety scores of the three subgroups were (7.51 \u00b1 4.61), (7.16 \u00b1 5.16), and (6.46 \u00b1 4.43) (mean \u00b1 SD), respectively, showing statistically significant differences (\n                      <jats:italic>F<\/jats:italic>\n                      = 7.85,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.050). Hierarchical mediation analysis revealed that the chain mediation effect was non-significant in the Resource-Depleted Group, where only professional self-worth exerted a direct negative predictive effect on anxiety (\u03b2 = \u22121.1047,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.050). In contrast, significant chain mediation effects were observed in both the Balanced Group and Resource-Abundant Group (both\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.050).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      <jats:bold>:<\/jats:bold>\n                      Three subgroups with significantly distinct resource states were identified among nurses: the Resource-Depleted Group, the Balanced Group, and the Resource-Abundant Group. Moreover, the effect of self-worth on nurses' anxiety through work engagement and emotional labor was found to be subgroup-dependent.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1782042","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T05:20:55Z","timestamp":1775712055000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-worth, emotional labor, work engagement, and anxiety among nurses: a latent profile and mediation analysis"],"prefix":"10.3389","volume":"14","author":[{"given":"Jiayi","family":"Gu","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Wuhan University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Zeng","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Wuhan University of Science and 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