{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:05:49Z","timestamp":1784696749835,"version":"3.55.0"},"reference-count":57,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"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>Objective<\/jats:title>\n                    <jats:p>Adopting both person-centered and variable-centered perspectives, this study examined the relationship between workplace telepressure and workplace cognitive failure among hospital financial personnel, along with the underlying mechanisms. Latent profile analysis was further employed to identify potential subgroups of workplace telepressure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted using convenience sampling, with data collected from March to April 2026 in Sichuan Province, China. Standardized instruments were used for measurement, including the Workplace Telepressure Scale, the Work\u2013Family Conflict Scale, the Self-Regulatory Fatigue Scale, and the Workplace Cognitive Failure Scale. From the variable-centered perspective, PROCESS Model 6 was applied to test the chain mediating effect of the chain of work\u2013family conflict and self-regulatory fatigue, while latent profile analysis was used adopt a person-centered perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All core variables were significantly and positively correlated. Workplace telepressure was positively associated with workplace cognitive failure among hospital financial personnel. The indirect association through work\u2013family conflict and self-regulatory fatigue was statistically significant and was consistent with the proposed chain mediation model. The person-centered analysis identified two latent subgroups of hospital financial personnel, namely the \u201clow-telepressure type\u201d and the \u201chigh-telepressure type.\u201d Financial personnel in the high-telepressure subgroup tended to exhibit higher levels of work\u2013family conflict, self-regulatory fatigue, and workplace cognitive failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>By integrating dual analytical perspectives, this study addresses the limitations of prior single-perspective research and provides targeted intervention references for hospital human resource management and finance departments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1898266","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:41:59Z","timestamp":1784695319000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Workplace telepressure and workplace cognitive failure among hospital financial personnel: a mediation analysis and latent profile analysis based on work\u2013family conflict and self-regulatory fatigue"],"prefix":"10.3389","volume":"14","author":[{"given":"Qian","family":"Li","sequence":"first","affiliation":[{"name":"Department of Finance, Affiliated Hospital of North Sichuan Medical College","place":["Nanchong, Sichuan, China"]},{"name":"School of Management, North Sichuan Medical College","place":["Nanchong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"He","sequence":"additional","affiliation":[{"name":"Department of Radiology, Affiliated Hospital of North Sichuan Medical College","place":["Nanchong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kexin","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Management, North Sichuan Medical College","place":["Nanchong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Finance, Affiliated Hospital of North Sichuan Medical College","place":["Nanchong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keer","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Operations Management, Affiliated Hospital of North Sichuan Medical College","place":["Nanchong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianqian","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Affiliated Hospital of 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Psychol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1080\/10705510902751010","article-title":"Classical latent profile analysis of academic self-concept dimensions: synergy of person-and variable-centered approaches to theoretical models of self-concept","volume":"16","author":"Marsh","year":"2009","journal-title":"Struct Equ Model"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1111\/joop.12185","article-title":"Workaholism profiles: associations with determinants, correlates, and outcomes","volume":"90","author":"Gillet","year":"2017","journal-title":"J Occup Organ Psychol"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"846","DOI":"10.1177\/1094428117744021","article-title":"Variable-centered, person-centered, and person-specific approaches: where theory meets the method","volume":"21","author":"Howard","year":"2018","journal-title":"Organ Res 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