{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:18:19Z","timestamp":1783491499010,"version":"3.55.0"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"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>Healthcare workers, particularly nurses, face high occupational stress andinadequate organizational support, which threaten workforce stability and public health service quality. Structural empowerment is a core organizational resource for improving occupational health and wellbeing among nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify latent profiles of structural empowerment among clinical nurses, examine their distribution characteristics, and explore associations with perceived stress and occupational factors, to support evidence-based occupational health interventions and workforce management strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted among 518 clinical nurses from a tertiary general hospital in Inner Mongolia, China. We collected demographic data using a general information questionnaire. Structural empowerment was measured using the six-dimensional Conditions of Work Effectiveness Questionnaire-II, and perceived stress was assessed with the Perceived Stress Scale-10. Latent profile analysis was performed in Mplus8.3 to identify empowerment profiles, followed by pairwise binary logistic regression to examine the cross-sectional associations between perceived stress, demographic variables, and profile membership.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean score of structural empowerment among clinical nurses was (43.76\u202f\u00b1\u202f12.93), and the mean score of perceived stress was (26.83\u202f\u00b1\u202f7.92). The optimal latent profile model was a 4-class model: low structural empowerment group (66.6%,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f345), moderate-low structural empowerment group (10.2%,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f53), moderate structural empowerment group (11.4%,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f59), and high structural empowerment group (11.8%,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f61). Multivariate Logistic regression analysis showed that monthly night shift frequency in the past year, self-rated health status, involvement in or occurrence of nursing adverse events in the past year, and perceived stress were core influencing factors of structural empowerment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Structural empowerment among clinical nurses comprises four levels: low, moderate-low, moderate, and high. It is influenced by night shift frequency, self-rated health, nursing adverse events, and perceived stress. These findings support targeted interventions: optimizing shift scheduling, reducing work stress, prioritizing nurse health, and reframing adverse events as learning opportunities, to enhance nurse wellbeing, workforce stability, and public health service delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1869234","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:54:35Z","timestamp":1783490075000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived stress and structural empowerment profiles among clinical nurses: a latent profile analysis in occupational health"],"prefix":"10.3389","volume":"14","author":[{"given":"Wei","family":"Zhao","sequence":"first","affiliation":[{"name":"Inner Mongolia Medical University","place":["Hohhot, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Guo","sequence":"additional","affiliation":[{"name":"Inner Mongolia Medical University","place":["Hohhot, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Nv","family":"Hao","sequence":"additional","affiliation":[{"name":"The Affiliated Hospital of Inner Mongolia Medical University","place":["Hohhot, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"ref1","year":"2021"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"4281","DOI":"10.1111\/jocn.17650","article-title":"Association of burnout and intention-to-leave the job with objective nursing workload and nursing working environment: a cross-sectional study among intensive care nurses","volume":"34","author":"Arnaud","year":"2025","journal-title":"J Clin 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