ArticleJournal of military, veteran and family health2025
Predicting well-being among military health care workers: The role of self-care and leadership.
Article in Journal of military, veteran and family health, 2025. 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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4 authors.
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Abstract
Introduction: U.S. military health care workers were surveyed regarding individual and organizational factors that might promote professional well-being. Relevant factors can be used as a blueprint for supportive interventions. Methods: Military health care workers from two military treatment facilities were surveyed (N = 204). Individual (i.e., self-care attitudes and behaviours) and organizational (i.e., health-promoting leadership) factors were assessed at baseline, and compassion fatigue, burnout, and effective functioning were assessed at three-month follow-up. Path mediation models assessed 1) the role of self-care behaviours in predicting well-being, 2) the degree to which self-care behaviours mediated the relationship between self-care attitudes and well-being, and 3) whether self-care behaviours mediated the relationship between health-promoting leadership and well-being. Results: The majority (98.5%) of participants regularly engaged in at least one self-care behaviour, and more than half (56.0%) indicated their leaders engaged in at least one health-promoting leadership behaviour sometimes or more frequently. Most respondents (79.0%) reported functioning at, or near, their best; 17.0% scored above cut-off on burnout, and 9.0% scored above cut-off on compassion fatigue. Self-care behaviours independently predicted professional well-being over time, and self-care attitudes indirectly predicted professional well-being through their influence on self-care behaviours. Health-promoting leadership independently predicted self-care behaviours and professional well-being over time. Discussion: Self-care behaviours are associated with better outcomes, and these behaviours are rooted in attitudes. Health-promoting leadership was directly correlated with less compassion fatigue and burnout. A productive self-care mindset and the right climate are critical for optimizing health care worker well-being in the military setting.
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