Evidence map›Paper›PMID 41310628›Full record

ArticleBMC nursing2025

The silent strain beyond the screen: conceptualizing digital compassion fatigue in nursing.

Ebtsam Aly Abou Hashish, Hend Alnajjar

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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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

2 authors.

Ebtsam Aly Abou Hashish *College of Nursing - Jeddah, King Saud bin Abdul-Aziz University for Health Sciences, Jeddah, Saudi Arabia. ebtsam_ss@hotmail.com.ORCID http://orcid.org/0000-0003-0492-7615
Hend Alnajjar *College of Nursing - Jeddah, King Saud bin Abdul-Aziz University for Health Sciences, Jeddah, Saudi Arabia.ORCID http://orcid.org/0009-0005-9322-6010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe integration of digital technologies into healthcare has transformed the way nurses deliver care. While these advancements improve access and efficiency, they also introduce new emotional demands. One emerging phenomenon is Digital Compassion Fatigue (DCF), a form of emotional exhaustion experienced by nurses who provide empathic care through virtual platforms.

aimTo conceptually analyze DCF using Walker and Avant's eight-step model and to identify its defining attributes, antecedents, consequences, and empirical referents.

methodsA concept analysis design guided by Walker and Avant's method was applied. Literature was reviewed to identify current definitions, theoretical underpinnings, and applications of compassion fatigue within digital healthcare contexts. Key sources included peer-reviewed articles, theoretical models, and scoping reviews between 2000 and 2025.

findingsDigital Compassion Fatigue is defined by six key attributes: emotional numbing in digital care, persistent emotional exhaustion post-digital engagement, compassion withdrawal, cognitive overload related to screen-mediated empathy, feelings of professional inefficacy in virtual environments, and a decline in care quality and therapeutic presence. Antecedents include prolonged digital caregiving, high emotional demands, insufficient virtual empathy training, and lack of institutional support. Consequences affect nurses (burnout, emotional withdrawal), patients (reduced satisfaction, trust), and organizations (decreased care quality, retention challenges). No validated tool exists to measure DCF specifically among nurses.

conclusionDigital Compassion Fatigue is a technology-mediated emotional challenge that warrants focused recognition in nursing. The analysis clarifies the unique attributes of DCF and supports the development of measurement tools and targeted interventions to mitigate its effects. Addressing DCF is essential for sustaining nurse well-being and ensuring compassionate care in virtual environments.

Indexed as

Concept analysisDigital compassion fatigueDigital empathyEmotional laborNursingTelehealthVirtual care

Identifiers

PMID41310628
PMCPMC12676866

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.