ArticleBMC nursing2025
The impact of hindrance-challenge stress on nurses' work engagement: a cross-sectional study.
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 3 papers.
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Who cites it
3 citing papers in PubMed.
- Self-regulatory fatigue and its associated factors among nursing interns: a cross-sectional study.BMC nursing · 2026Article
- The association between compassion fatigue and nurses' creativity: the mediating role of ego depletion.Frontiers in psychology · 2026Article
- The mediating role of self-regulatory fatigue on the relationship between insomnia and sleep-related worry among shift nurses: a cross-sectional study.BMC nursing · 2025Article
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Authors and funding
7 authors.
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Abstract
backgroundWork engagement is vitally crucial in nursing practice. While hindrance-challenge stress significantly influence work engagement across many professions, their specific effects and underlying mechanisms in nursing remain unclear.
aimsTo investigate how hindrance-challenge stress affect nurses' work engagement, examining the mediating role of self-regulatory fatigue and the moderating role of self-compassion.
methodsA cross-sectional online survey was conducted among 559 nurses in a public tertiary medical center in Nanjing, China. Standardized measures for hindrance-challenge stress, self-regulatory fatigue, work engagement, and self-compassion were employed, and a moderated mediation model was tested via the PROCESS macro in SPSS software (v22.0).
resultsHindrance stress reduced work engagement both directly and indirectly via self-regulatory fatigue. Challenge stress influenced work engagement only indirectly through self-regulatory fatigue. Self-compassion moderated the direct effect of hindrance stress, weakening its negative impact on work engagement among nurses with high self-compassion.
conclusionsHindrance and challenge stress diminish nurses' work engagement through self-regulatory fatigue, with self-compassion mitigating the direct detrimental impact of hindrance stress. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing leaders can enhance nurses' work engagement by mitigating hindrance-challenge stress and alleviating self-regulatory fatigue. This may be achieved through improved working conditions, optimized workload allocation, and the provision of robust organizational support resources. Furthermore, fostering self-compassion is essential, as it serves to buffer the detrimental effects of hindrance stress on engagement. Nurse managers are encouraged to implement interventions such as compassion-focused therapy or mindful self-compassion training to help maintain nurses' engagement in high-demand clinical environments.
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