Evidence map›Paper›PMID 40597139›Full record

ArticleBMC nursing2025

Compassion fatigue, psychological resilience, moral sensitivity, and humanistic caring ability in clinical nurses: a structural equation model.

Shuqi Zhai, Qinqin Liu, Congcong Dai, Yifan Lu, Huanhuan Zhang, Jie Liu, Chaoran Chen

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shuqi Zhai *Nursing Department of Huaihe Hospital, Henan University, Kaifeng, Henan, 475004, China.
Qinqin Liu *Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, China.
Congcong DaiInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, China.
Yifan LuInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, China.
Huanhuan ZhangNursing Department of Huaihe Hospital, Henan University, Kaifeng, Henan, 475004, China.
Jie LiuNursing Department of Huaihe Hospital, Henan University, Kaifeng, Henan, 475004, China. 603838964@qq.com.
Chaoran ChenNursing Department of Huaihe Hospital, Henan University, Kaifeng, Henan, 475004, China. kfccr@126.com.ORCID http://orcid.org/0000-0002-6237-2999

Funding

the Medical Science and Technology Tackling Program of Henan Province RKX202402028the Soft Science Program of the Henan Provincial Science and Technology Department 242400410523
6 · The paper itself

Abstract

backgroundThe level of nursing humanistic caring ability, as a core topic in the development of nursing discipline, directly affects the quality of nursing services and patient health outcomes. Although existing studies have focused on the negative impact of compassion fatigue on nursing staff's professional status, the intrinsic mechanism of its role with humanistic caring ability has not been systematically elucidated, and in particular, the mediating role of compassion fatigue and clinical nurses' humanistic caring ability still lacks empirical evidence. In view of this, the present study aimed to investigate the effects of compassion fatigue on clinical nurses' humanistic caring ability and its mediating role, with a view to providing a theoretical basis for optimizing nurses' mental health management and humanistic literacy training.

objectiveThis study aimed to construct and empirically test a structural equation model to clarify the pathways through which compassion fatigue affects clinical nurses' humanistic caring ability. Specifically, it investigated whether psychological resilience and moral sensitivity serve as mediating variables in this relationship, thereby providing theoretical and empirical support for interventions to enhance nurses' humanistic caring ability in clinical settings.

methodsThis study employed the the Compassion Fatigue Scale, the Nurses' Humanistic Caring Ability Scale, the Psychological Resilience Scale, and the Moral Sensitivity Questionnaire to survey 724 clinical nurses from three general hospitals in Henan Province, China, between June and September 2024.Data analysis was conducted using SPSS 25.0, while AMOS 26.0 was utilized for model mapping and mediation path analysis.

resultsCompassion fatigue was a significant negative predictor of their humanistic caring ability (r= -0.537, P < 0.01), and psychological resilience and moral sensitivity acted as chain mediators between compassion fatigue and humanistic caring ability (β= -0.015, P < 0.01).

conclusionsClinical nurses' compassion fatigue was significantly associated with their humanistic caring ability, with psychological resilience and moral sensitivity acting as chain mediators between the two. Therefore, hospital administrators should pay attention to the situation of nurses' compassion fatigue and humanistic caring ability, and develop a series of targeted measures to enhance their humanistic caring ability with psychological resilience and moral sensitivity as the entry point. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Compassion fatigueHumanistic caring abilityMoral sensitivityNursePsychological resilienceStructural equation model

Identifiers

PMID40597139
PMCPMC12210762

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.