ArticleBMC nursing2024
The effect of perceived organizational support and ego-resilience on the relationship between occupational stressors and compassion fatigue in COVID-19 frontline nurses: a cross-sectional study in Sichuan, China.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed.
- Compassion fatigue and its associated factors among clinical nurses: a cross-sectional study.BMC nursing · 2026Article
- Machine learning and SHAP interpretation to identify high-level compassion fatigue among operating room nurses: a multicenter cross-sectional study.BMC nursing · 2026Article
- Mapping global evidence on compassion fatigue among healthcare workers during COVID-19: insights and implications for future preparedness - a scoping review.Journal of global health · 2026Article
- Navigating workplace ostracism: the potential protective power of career adaptability against job burnout.BMC nursing · 2026Article
- Job Crafting Mediates the Relationship Between Ego-Resiliency and Subjective Well-Being Among Community Nurses in China: A Multicenter Cross-Sectional Study.Journal of nursing management · 2026Article
- Emotional labor and occupational well-being among endoscopy healthcare workers: a moderated serial mediation model.Frontiers in public health · 2026Article
- Organizational Support and Work Engagement in General Intensive Care Unit Nurses: The Double-Edged Sword Effect of Emotional Labor.Journal of nursing management · 2026Article
- Perceived organizational Support and Nurses' Caring Behaviors: The Serial Mediating Roles of Perceived Stress and Career Calling.Journal of nursing management · 2026Article
- Salutogenic resource profiles and compassion fatigue among nurses: a latent profile analysis.Frontiers in public health · 2026Article
- Relationship between compassion fatigue, medical narrative ability, and retention intention among nurses: a cross-sectional multi-center study.Frontiers in health services · 2026Article
- Further analysis and refinements of the perceived stressors in intensive care units (PS-ICU) scale: a French nation-wide cross-sectional multicentre study.Annals of intensive care · 2025Article
- The effect of nurses' professional quality of life on attitudes toward organ donation: a structural equation modeling approach.BMC nursing · 2025Article
- Developing a crisis leadership evaluation system for Chinese nursing staff during major infectious disease emergencies: a modified Delphi study.BMC nursing · 2025Article
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Abstract
aimTo investigate the level of compassion fatigue among frontline nurses during the COVID-19 pandemic and to explore the relationship between occupational stressors and compassion fatigue among frontline nurses based on structural equation modelling.
backgroundThree years into the COVID-19 pandemic, nurses on the frontlines of the battle were overwhelmed by affective and emotional inputs while caring for patients, and they generally experienced varying degrees of psychological problems. High levels of compassion fatigue can affect nursing quality and patient safety and therefore should be taken seriously by nursing managers.
methodsA cross-sectional survey of 1432 frontline nurses in Sichuan Province, China, was conducted from January to March 2023 via convenience sampling methods. The General Information Questionnaire, the Nurses' Occupational Stressors Scale, the Ego-Resilience Scale, the Chinese version of the Compassion Fatigue Brief Scale, and the Perceived Organizational Support Scale were used to collect the data. Hypotheses were tested using structural equation models and bootstrapping methods.
resultsNurse occupational stressors had a significant direct effect on compassion fatigue (B = 2.429, p < 0.001). Perceived organizational support exerted a mediating effect of 11.36% between occupational stressors and compassion fatigue. In addition, ego-resilience had a moderating role in the relationship between nurses' occupational stressors and compassion fatigue, between nurses' occupational stressors and perceived organizational support, and between perceived organizational support and compassion fatigue. Multiple linear regression analysis revealed that the most influential dimension of occupational stressors on compassion fatigue was work-family conflict (β = 0.253, p < 0.001), followed by organizational issues (β = 0.153, p < 0.001), work demands (β = 0.103, p < 0.001) and difficulty taking leave (β = 0.102, p < 0.001).
conclusionNurse occupational stressors are positively associated with compassion fatigue and influence nurse compassion fatigue through the mediating effect of perceived organizational support and the moderating mechanism of ego-resilience. Managers can reduce nurses' compassion fatigue levels by reducing occupational stressors, promoting nurses' perceived organizational support, and fostering ego-resilience. IMPLICATIONS FOR NURSING MANAGEMENT: This study further integrated the external and internal factors affecting compassion fatigue and constructed a structural equation model of the mechanism of compassion fatigue in frontline nurses, which has implications for the early identification and intervention of compassion fatigue in nurses.
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