The relationships among factors affecting compassion fatigue, compassion satisfaction, and burnout in Japanese nurses: A cross-sectional study

IF 1.7 4区医学 Q2 NURSING Japan Journal of Nursing Science Pub Date : 2024-08-15 DOI:10.1111/jjns.12617

Kumiko Kishimoto, Kenichi Asano

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Abstract

Aim

This study aimed to investigate the relationships among factors affecting compassion fatigue/secondary traumatic stress, burnout, and compassion satisfaction in Japanese nurses, focusing on self-compassion, fears of compassion, and attachment styles.

Methods

This cross-sectional observational study enrolled 400 clinical nurses (aged ≥20 years) in Japan, registered with an online survey company, from June 6 to June 26, 2021. The subjects completed a web-based questionnaire that assessed compassion fatigue/secondary traumatic stress, burnout, compassion satisfaction, self-compassion, fears of compassion for self, anxiety, and avoidance. Additionally, descriptive statistics, correlation analysis, multiple regression analysis and path analysis were performed to examine the relationships among the influencing factors.

Results

Compassion fatigue/secondary traumatic stress was influenced by anxiety and fears of compassion for self (R² = .31). Burnout was affected by compassion fatigue/secondary traumatic stress, compassion satisfaction, self-compassion, anxiety, and avoidance (R² = .63). Compassion satisfaction was impacted by self-compassion, anxiety, and fears of compassion for self (R² = .31). Additionally, self-compassion (R² = .28) and fears of compassion for self (R² = .55) were influenced by anxiety and avoidance.

Conclusions

Compassion fatigue/secondary traumatic stress leads to burnout, whereas compassion satisfaction moderates burnout. Furthermore, there were associations among the factors leading to compassion fatigue/secondary traumatic stress and burnout and compassion satisfaction. Therefore, an approach that enhances self-compassion and promotes the development of a stable attachment style could mitigate compassion fatigue/secondary traumatic stress and fears of compassion for self while moderately maintaining and improving compassion satisfaction.

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影响日本护士同情心疲劳、同情心满意度和职业倦怠的因素之间的关系：一项横断面研究

目的：本研究旨在调查影响日本护士同情心疲劳/二次创伤应激、职业倦怠和同情心满意度的因素之间的关系，重点关注自我同情心、对同情心的恐惧和依恋风格：这项横断面观察研究在 2021 年 6 月 6 日至 6 月 26 日期间，在一家在线调查公司注册了 400 名日本临床护士（年龄≥20 岁）。受试者填写了一份网络问卷，该问卷评估了同情疲劳/二次创伤压力、职业倦怠、同情满意度、自我同情、对自我同情的恐惧、焦虑和回避。此外，还进行了描述性统计、相关分析、多元回归分析和路径分析，以研究各影响因素之间的关系：结果：同情疲劳/二次创伤压力受焦虑和对自我同情的恐惧的影响（R2 = .31）。职业倦怠受同情心疲劳/继发性创伤压力、同情心满意度、自我同情、焦虑和回避的影响（R2 = 0.63）。同情满意度受自我同情、焦虑和对自我同情的恐惧影响（R2 = 0.31）。此外，自我同情（R2 = .28）和对自我同情的恐惧（R2 = .55）受到焦虑和回避的影响：结论：怜悯疲劳/二次创伤压力会导致职业倦怠，而怜悯满意度则会调节职业倦怠。此外，导致慈悲疲劳/二次创伤压力的因素与职业倦怠和慈悲满意度之间存在关联。因此，增强自我怜悯和促进稳定依恋风格发展的方法可以减轻怜悯疲劳/二次创伤压力和对自我怜悯的恐惧，同时适度维持和提高怜悯满意度。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.