ArticleFrontiers in public health2023
Chain mediations of perceived social support and emotional regulation efficacy between role stress and compassion fatigue: insights from the COVID-19 pandemic.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 9 citations in OpenAlex.
- High-Performance Work Systems and Nurse Role Stress: Serial Indirect Associations of Psychological Capital and Professional Identity.Healthcare (Basel, Switzerland) · 2026Article
- Latent profile analysis and influencing factors of compassion fatigue in intensive care unit nurses.Scientific reports · 2026Article
- Compassion fatigue and satisfaction in post-earthquake psychosocial support providers: the roles of self-compassion, resilience, and mindfulness.BMC psychology · 2026Article
- Development of ICU nurses' compassion fatigue classification model: an explainable machine learning algorithm.BMC nursing · 2026Article
- The relationship between role stress and compassion fatigue of medical workers: the mediating role of emotional labor and the moderating role of positive psychological capital.BMC psychology · 2026Article
- Development and Internal Validation of an Explainable Machine Learning Model for Compassion Fatigue Risk Stratification Among Clinical Nurses in China.Risk management and healthcare policy · 2026Article
- The Effect of Emotional Labor on Young Nurses' Job Burnout: The Mediating Role of Social Support and Emotional Regulation.Nursing open · 2025Article
- The effect of self-efficacy on compassion fatigue among nursing interns: The mediation of psychological resilience and social support.Medicine · 2025Article
- Psychological hardiness, sleepiness, and fatigue as predictors of occupational errors in nurses: implications for enhancing nurse well-being and patient safety.Industrial health · 2025Article
- Effect of illness perception on self-regulatory fatigue in older adult patients with hypertension: chain-mediating role of self-efficacy and coping style.Frontiers in public health · 2025Article
- Occupational stress and social support among nurses.Frontiers in public health · 2025Article
- The dual roles of empathy in mediating structural empowerment and compassion fatigue among Chinese nurses.BMC nursing · 2024Article
- Tell Me MoreJournal of patient experience · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Nurses at the frontline faced high risks of the COVID-19 infection, undertook heavy workloads of patient care, and experienced tremendous stress that often led to compassion fatigue. Aim: This study was to explore the role of positive psychosocial resources (i.e., perceived social support and emotional regulation efficacy) in the relationship between role stress and compassion fatigue. Methods: A cross-sectional design was conducted in Hubei Province, China between May and September 2021. The Role Stress Questionnaire, the Perceived Social Support Scale, the Emotional Regulation Efficacy Scale, and the Professional Quality of Life Scale were used to measure key variables of interest. Nurse socio-demographic data were also collected. Structural equation modeling was used to explore the relationships, including potential mediating effect, among role stress, perceived social support, emotional regulation efficacy, and compassion fatigue. Results: A total of 542 nurses participated in this investigation, and 500 were eventually enrolled in the analysis. The incidence of compassion fatigue among nurses was 94.2%, including 65.8% of nurses reporting at least moderate compassion fatigue. Univariate analysis showed that educational level, marital status, hospital rank, sleep time were the factors affecting compassion fatigue of the nurses. The structural equation modeling revealed that: Role stress had a direct positive effect on compassion fatigue; Perceived social support and emotional regulation efficacy partially mediated the link between role stress and compassion fatigue respectively; And there was a chain mediating role of perceived social support and emotional regulation efficacy between role stress and compassion fatigue. Conclusion: The incidence of compassion fatigue was high during the COVID-19 pandemic among bedside nurses in China. Improving social support and enhancing the efficacy of emotion regulation may help alleviate compassion fatigue directly and/or via buffering the impact of role stress.
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