Evidence map›Paper›PMID 40836062›Full record

ArticleScientific reports2025

A predictive study of factors associated with burnout, compassion fatigue, and moral distress among emergency nurses.

Salman Amish Alshammari, Chandrakala Sankarapandian, Eddieson Pasay An, Ayed Amesh Alshammary, Analita Gonzales, Jeneth Gutierrez, Maha Sanat Alreshidi, Nojoud Abdullah Alrashidi, Petelyne Pangket, Dolores Cabansag and 5 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Predictors of Moral Distress Among Nurses: A Cross-Sectional Study.International journal of environmental research and public health · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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

15 authors.

Salman Amish AlshammariEmergency Nursing Department, King Khalid Hospital, Hail City, Saudi Arabia.
Chandrakala SankarapandianDepartment of Medical-Surgical Nursing, College of Nursing, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, 11671, Riyadh, Kingdom of Saudi Arabia. eanan@kku.edu.sa.
Eddieson Pasay AnDepartment of Nursing Administration, College of Nursing, King Khalid University, Abha, Kingdom of Saudi Arabia.
Ayed Amesh AlshammaryHail Cardiac Center, Hail Health Cluster, Hail City, Kingdom of Saudi Arabia.
Analita GonzalesNursing Education and Administration Department, Faculty of Nursing, University of Tabuk, 47512, Tabuk, Saudi Arabia.
Jeneth GutierrezNursing Education and Administration Department, Faculty of Nursing, University of Tabuk, 47512, Tabuk, Saudi Arabia.
Maha Sanat AlreshidiCollege of Nursing, University of Hail, Hail City, Saudi Arabia.
Nojoud Abdullah AlrashidiCollege of Nursing, University of Hail, Hail City, Saudi Arabia.
Petelyne PangketDepartment of Community and Mental Health Nursing Sciences, College of Nursing, Taif University, Taif City, Saudi Arabia.
Dolores CabansagCollege of Nursing, University of Hail, Hail City, Saudi Arabia.
Sameer AlkubatiCollege of Nursing, University of Hail, Hail City, Saudi Arabia.
Romeo MostolesCollege of Nursing, University of Hail, Hail City, Saudi Arabia.
Grace Ann LaguraCollege of Nursing, University of Hail, Hail City, Saudi Arabia.
Sattam Hameed AlbarakAlbadia, Primary Health Center, Hail City, Hail, Kingdom of Saudi Arabia.
Reynita SagubanCollege of Nursing, University of Hail, Hail City, Saudi Arabia.

Funding

Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia PNURSP2025R837
6 · The paper itself

Abstract

Emergency nurses face high demands that potentially lead to burnout, compassion fatigue, and moral distress. This study aimed to identify and assess the predictive factors of burnout, compassion fatigue, and moral distress among Emergency Nurses. A cross-sectional predictive design was employed. Data collected from 290 emergency nurses via Google Forms using convenience sampling from four government hospitals in Hail City, Saudi Arabia. Data collection was conducted between May and June 2024. The findings revealed that socio-demographic factors significantly predict these outcomes, with the regression model explaining 67.9% of the variance. Older age and being female (β = -6.532 for burnout) were consistently associated with lower levels of all three negative outcomes. While nurses with 6-10 years of experience reported lower levels (β = -5.071 for burnout), this benefit didn't extend to the most experienced group. Shift patterns had a strong impact, with the 3 PM - 11 PM shift being most protective (β = -6.377 for burnout), while the 11 PM - 7 AM night shift correlated with significantly higher distress (β = 3.151 for burnout). Counterintuitively, higher education levels (e.g., Master's β = 16.437 for burnout) were linked to increased negative outcomes, and the absence of social support (β = -8.726 for burnout) was surprisingly associated with lower levels of these outcomes. Younger nurses, male, and less experienced emergency nurses who are highly educated are more susceptible to burnout, compassion fatigue, and moral distress. These phenomena reveal the need for integrated organizational and educational restructuring, emphasizing the intersection of sociodemographic and occupational characteristics. Strikingly, postgraduate-educated nurses display greater compassion fatigue and moral distress which paradoxically suggests that higher training may subject them to more frequent and heightened ethical dilemmas.

Indexed as

Burnout, ProfessionalCompassion FatigueEmergency NursingNursesAdultCross-Sectional StudiesEthical DilemmasFemaleHumansMaleMiddle AgedMoralsSaudi ArabiaSurveys and QuestionnairesBurnoutCompassion fatigueEmergency nursingMoral distressPredictors

Identifiers

PMID40836062
PMCPMC12368157

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.