Relationship between compassion fatigue, conscience stress, and perceived quality of care in emergency nurses

IF 1.8 4区医学 Q2 NURSING International Emergency Nursing Pub Date : 2025-02-01 Epub Date: 2024-11-28 DOI:10.1016/j.ienj.2024.101543

Semra Kayacan , Simge Coskun Palaz

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Abstract

Background

Examining factors affecting nursing care is vital for enhancing practices, improving care quality, and achieving desired patient outcomes.

Aim

To explore emergency nurses’ perceptions of care quality, compassion fatigue and conscience stress levels; and evaluate the mediating role of conscience stress between compassion fatigue and perception of nursing care quality.

Methods

This cross-sectional and descriptive study was conducted between April 1 and September 1, 2022, with 384 nurses working in emergency departments across Turkey. “Sociodemographic Data Collection Form”, “Compassion Fatigue Scale”, “Stress of Conscience Scale” and “Caring Behaviors Scale” were used to collect data.

Results

The mean total scores for the Caring Behaviors Scale, Compassion Fatigue Scale, and Conscience Stress Scale among emergency nurses were 5.16 ± 0.67, 71.28 ± 25.19, and 100.48 ± 41.97, respectively. The study revealed a positive correlation between Conscience Stress Scale and Compassion Fatigue Scale scores, and no correlation between Caring Behaviors Scale scores. Additionally, a negative correlation was found between Compassion Fatigue Scale and Caring Behaviors Scale scores.

Conclusion

It was found that emergency nurses had high perceptions of care quality, moderate levels of compassion fatigue and stress of conscience, and that stress of conscience did not mediate the relationship between perception of care quality and compassion fatigue.

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急诊护士同情疲劳、良心压力与感知护理质量的关系

研究影响护理的因素对于加强实践、提高护理质量和实现预期的患者结果至关重要。目的探讨急诊护士对护理质量的感知、同情疲劳和良心压力水平；评估良心压力在同情疲劳与护理质量感知之间的中介作用。方法横断面描述性研究于2022年4月1日至9月1日进行，共有384名在土耳其急诊科工作的护士参与。采用《社会人口学数据收集表》、《同情疲劳量表》、《良心压力量表》和《关怀行为量表》进行数据收集。结果急诊护士关爱行为量表、同情疲劳量表和良心压力量表的平均总分分别为5.16±0.67、71.28±25.19和100.48±41.97。研究发现，良心压力量表与同情疲劳量表得分呈正相关，关怀行为量表得分无相关。此外，同情疲劳量表与关怀行为量表得分呈负相关。结论急诊护士对护理质量的感知较高，同情疲劳和良心压力处于中等水平，良心压力在护理质量感知与同情疲劳之间没有中介作用。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.