Mediating Effect of Resilience Between Protective Organizational Practices and Professional Quality of Life: An International Perspective Among Nurses Caring for Patients With Emerging Infectious Diseases.
Soojung Jo, Elizabeth Reifsnider, Keenan A Pituch, Etsuko Takagi, Kala Mayer, Vicki Simpson, Jeanie Skibiski, Jo Anne Bennett, Sule Kurt
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Abstract
Background: Compassion fatigue and satisfaction impact nurses' patient care. Resilience acts as a mediator between protective organizational practices and mental health.
Objective: This study aimed to examine the mediating effect of resilience among nurses during the recent emerging infectious disease outbreak, the COVID-19 pandemic.
Methods: This is a cross-sectional study of 233 nurses who were caring for COVID-19 patients in the United States, Japan, Korea, and Guinea. Path analysis was used to assess associations between protective organizational practices and compassion fatigue and satisfaction.
Results: Path analysis indicated that resilience significantly mediated the association between protective organizational practices and the study outcomes of compassion satisfaction (indirect effect: β = 0.11, p < .01) and compassion fatigue (indirect effect: β = -0.11, p < .01). The analysis also indicated that resilience mediated associations between being asked to work at a higher patient acuity level and compassion satisfaction (indirect effect: β = -0.09, p < .05) and compassion fatigue (indirect effect: β = 0.09, p < .01). Our results provide further support for the mediating effect of resilience on compassion fatigue and compassion satisfaction during the COVID-19 crisis and the impact of poor protective organizational practices on compassion fatigue and compassion satisfaction.
Conclusions: This study highlights the critical impact of supportive protective organizational practices in enhancing nurse resilience, reducing compassion fatigue, and improving compassion satisfaction during emerging infectious disease outbreaks, such as the COVID-19 pandemic. The results emphasize the need for robust resiliency programs and organizational resources for infection control in health care settings to enhance nurses' psychological well-being.
背景：同情心疲劳和满意度会影响护士对病人的护理。复原力是保护性组织实践与心理健康之间的中介：本研究旨在探讨在最近爆发的新发传染病 COVID-19 大流行期间，护士的抗逆力的中介效应：这是一项横断面研究，研究对象是在美国、日本、韩国和几内亚护理 COVID-19 患者的 233 名护士。采用路径分析评估了保护性组织实践与同情疲劳和满意度之间的关联：路径分析结果表明，恢复力在保护性组织实践与同情满意度的研究结果之间起着重要的中介作用（间接效应：β = 0.11，p p p p 结论：本研究强调了在 COVID-19 大流行等新发传染病爆发期间，支持性保护性组织实践对增强护士复原力、减少同情心疲劳和提高同情心满意度的重要影响。研究结果表明，在医疗机构中需要有强有力的恢复力计划和感染控制组织资源，以提高护士的心理健康水平。
期刊介绍：
Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
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