ArticleBMC psychology2026
The relationship between role stress and compassion fatigue of medical workers: the mediating role of emotional labor and the moderating role of positive psychological capital.
Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Association between role stress and job burnout among clinical research nurses: a cross-sectional study in China.Frontiers in public health · 2026Article
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Abstract
backgroundCompassion fatigue has numerous adverse effects on the mental health of medical workers and the diagnosis, treatment of patients. The increase in role stress among medical workers is closely related to compassion fatigue. However, few studies have explored whether their relationship is mediated by emotional labor and moderated by positive psychological capital.
methodsWe investigated 1456 medical workers and assessed their role stress, compassion fatigue, emotional labor and positive psychological capital using the Role Stressors Scale, Compassion Fatigue Scale, Emotional Labor Scale and Positive Psychological Capital Questionnaire. The moderated mediation model was tested by SPSS software and PROCESS macro program.
resultsRole stress was positively associated with compassion fatigue of medical workers, and the surface acting and deep acting of emotional labor play a partial mediating role in the relationship between role stress and compassion fatigue, respectively. Positive psychological capital has a moderating effect on the second half of the path with surface acting as the mediating variable, and has a moderating effect on both the first half and second half of the path with deep acting as the mediating variable, the association of role stress and deep acting and the association of emotional labor and compassion fatigue will gradually weaken with the improvement of the level of positive psychological capital.
conclusionThe role stress of medical workers can be associated through emotional labor and compassion fatigue, in which positive psychological capital has a certain moderating effect. High surface acting and low positive psychological capital may be important risk factors for compassion fatigue when medical workers face role stress, while high deep acting and high positive psychological capital may be protective factors for medical workers to resist compassion fatigue caused by role stress. Therefore, reducing the surface acting, improving the deep acting and enhancing the positive psychological capital of medical workers will help to alleviate their compassion fatigue and maintain their mental health.
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