ArticleFrontiers in public health2024
Understanding the interplay of compassion fatigue and moral resilience on moral distress in ICU nurses: a cross-sectional study.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of motivational messages on nurses' professional quality of life: a systematic review.BMJ open quality · 2025Pooled it
- Secure Base Leadership, Organizational Dehumanization, and Psychological Safety Among Intensive Care Nurses: A Cross-Sectional Study.International nursing review · 2026Observational
- Development of ICU nurses' compassion fatigue classification model: an explainable machine learning algorithm.BMC nursing · 2026Article
- Nurses' Experience in Providing End-of-Life Care in Intensive Care Unit: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Article
- Coping strategies for compassion fatigue among health care professionals in intensive care units: a group concept mapping study.Frontiers in public health · 2026Article
- Latent profile analysis of compassion fatigue and its relationship with humanistic care ability among psychiatric nurses in Henan Province.Frontiers in public health · 2026Article
- Heterogeneity of compassion fatigue and its relationship with resilience among nurses: a latent profile analysis.Frontiers in public health · 2026Article
- A predictive study of factors associated with burnout, compassion fatigue, and moral distress among emergency nurses.Scientific reports · 2025Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Intensive Care Unit (ICU) nurses frequently confront significant psychological challenges, including compassion fatigue, moral distress, and diminished moral resilience. These issues not only affect their well-being but also impact the quality of care provided to patients. The interplay of these factors is complex and not fully understood, particularly how compassion fatigue influences the relationship between moral resilience and moral distress. Objectives: To explore the complex interplay between compassion fatigue and moral distress among ICU nurses, and to elucidate how compassion fatigue influences the protective role of moral resilience against moral distress. Research design: A cross-sectional study was conducted using a nationwide random sample of ICU nurses in China. Latent profile analysis identified subgroups based on levels of compassion fatigue. Moderation analysis examined whether compassion fatigue moderated the association between moral resilience and moral distress. Results: Among 612 ICU nurses, latent profile analysis revealed three distinct groups with high, moderate, and low levels of compassion fatigue. Being female was protective against high compassion fatigue, while ages 30-49 yrs., lack of bachelor's degree, and dissatisfaction with salary increased compassion fatigue risk. Moderation analysis showed compassion fatigue significantly moderated the relationship between moral resilience and moral distress. Nurses with higher compassion fatigue exhibited a stronger association between low moral resilience and high moral distress. Conclusion: Compassion fatigue and moral distress are interconnected phenomena among ICU nurses. Demographic factors like gender, age, education, and income satisfaction impact compassion fatigue risk. High compassion fatigue impairs moral resilience, exacerbating moral distress. Comprehensive interventions targeting both compassion fatigue and moral resilience, tailored to nurses' demographic profiles, are needed to support this workforce.
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