ArticleFrontiers in psychology2026
Association between workload, compassion fatigue and presenteeism among maternal and newborn health professionals: the moderated role of self-compassion.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Presenteeism is prevalent in healthcare settings and is significantly associated with impaired physical and psychological wellbeing among healthcare professionals, as well as reduced quality of care. While workload is a known trigger, the psychological mechanisms linking it to presenteeism remain underexplored. Compassion fatigue may serve as a mediator, and self-compassion as a potential moderator, yet empirical evidence in maternal and newborn health settings is limited. Therefore, we aimed to investigate the roles of compassion fatigue and self-compassion on workload and presenteeism among maternal and newborn health professionals. Methods: A cross-sectional study was employed between October 2024 and June 2025. A total of 737 maternal and newborn health professionals from 13 hospitals in Beijing, China, completed measures of workload (NASA Task Load Index, NASA-TLX), presenteeism (Stanford Presenteeism Scale, SPS-6), compassion fatigue (Compassion Fatigue Short Scale, CF-Short Scale), and self-compassion (Self-Compassion Scale Short Form, SCS-SF). Data were analyzed using correlation, mediation, and moderated mediation analyses (PROCESS macro). Results: The mean presenteeism score among MNH professionals was 15.13 ± 4.21. Presenteeism was positively associated with workload and compassion fatigue, and negatively associated with self-compassion (all Conclusion: Elevated workload increases presenteeism primarily through compassion fatigue. Importantly, self-compassion substantially mitigated this pathway, reducing associated fatigue risk and weakening its impact on work functioning. Interventions targeting workload management and the cultivation of self-compassion may help reduce presenteeism and support workforce wellbeing in MNH settings. However, the cross-sectional design of this study limits causal interpretation, and future longitudinal research is needed to confirm these pathways.
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