The mediating role of nurses' spiritual well-being between moral resilience and compassion fatigue: A multicenter structural equation model study

IF 3.8 3区医学 Q1 NURSING International Nursing Review Pub Date : 2024-12-17 DOI:10.1111/inr.13082

Mohammed Hamdan Alshammari PhD, RN, Mohammad Alboliteeh PhD, RN

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Abstract

Aims

To investigate the mediating role of spiritual well-being in the association between compassion fatigue and moral resilience among nurses.

Background

Nurses are inevitably placed in situations of compassion fatigue. Their moral resilience and spiritual well-being may play a crucial role in mitigating the impacts of compassion fatigue. Nonetheless, spiritual well-being, which mediates the influence between compassion fatigue and moral resilience, remains scarce among nurses.

Design

Cross-sectional and correlational design.

Methods

Nurses (n = 465) from four government-owned tertiary hospitals in Saudi Arabia were recruited and completed three self-report scales from July to December 2023. Descriptive statistics (e.g., mean, standard deviation, frequency, and proportions) and inferential statistics (Spearman rho and structural equation modeling) were used for data analysis.

Results

The emerging model afforded acceptable model fit parameters. Moral resilience had a negative effect on compassion fatigue (β = –0.05, p = 0.003) and a positive influence on spiritual well-being (β = 0.51, p = 0.003). Spiritual well-being negatively influenced compassion fatigue (β = –0.90, p = 0.003). Moral resilience had a moderate, negative, indirect effect on compassion fatigue through the mediation of spiritual well-being (β = –0.47, p = 0.002).

Conclusion

Our study offered a model that validated the mediating role of spiritual well-being in the association between moral resilience and compassion fatigue. Moral resilience directly and indirectly influences spiritual well-being and compassion fatigue, respectively.

Implications for nursing practice and policy

Healthcare institutions that employ nurses must continually assess compassion fatigue levels and provide necessary interventions. Nurses, nurse managers, and healthcare institutions may leverage moral resilience to improve nurses’ spiritual well-being while averting the negative effects of compassion fatigue. Healthcare institutions may incorporate spiritual care into their mainstream support interventions to enhance their compassion, reduce fatigue, and enhance their mental well-being.

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护士精神幸福感在道德弹性与同情疲劳之间的中介作用：多中心结构方程模型研究。

目的：探讨精神幸福感在护士同情疲劳与道德弹性之间的中介作用。背景：护士不可避免地处于同情疲劳状态。他们的道德弹性和精神健康可能在减轻同情疲劳的影响方面发挥关键作用。尽管如此，精神健康，调解同情疲劳和道德弹性之间的影响，在护士中仍然很少。设计：横断面和相关设计。方法：2023年7月至12月，从沙特阿拉伯4所公立三级医院招募护士465名，完成3份自述量表。使用描述性统计（如平均值、标准差、频率和比例）和推理统计（Spearman rho和结构方程模型）进行数据分析。结果：新模型提供了可接受的模型拟合参数。道德弹性对同情疲劳有负向影响（β = -0.05, p = 0.003），对精神幸福感有正向影响（β = 0.51, p = 0.003）。精神幸福感负向影响同情疲劳（β = -0.90, p = 0.003）。道德弹性通过精神幸福感中介对同情疲劳有中度、负向、间接的影响（β = -0.47, p = 0.002）。结论：本研究提供了一个模型，验证了精神幸福感在道德弹性与同情疲劳之间的中介作用。道德弹性分别直接和间接影响精神幸福感和同情疲劳。对护理实践和政策的影响：雇用护士的医疗机构必须不断评估同情疲劳水平并提供必要的干预措施。护士、护士管理者和医疗机构可以利用道德弹性来改善护士的精神健康，同时避免同情疲劳的负面影响。医疗机构可以将精神护理纳入其主流支持干预措施，以增强他们的同情心，减少疲劳，并提高他们的心理健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.