护士正念自我照顾与同情疲劳:心理弹性与职业认同的连锁中介作用

IF 4 2区 医学 Q2 MANAGEMENT Journal of Nursing Management Pub Date : 2025-02-16 DOI:10.1155/jonm/8572654
Junfan Wei, Zhengcheng Yun, Yang Zhang, Yongqi Liang, Ziping Hu, Chanchan Gao, Xiaona Tang, Hanjiao Liu
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摘要

目的:探讨正念自我照顾与同情疲劳的关系,以及心理弹性和职业认同的连锁中介效应。背景:同情心是护士的一项重要品质,但他们经常面临同情心疲劳的风险。方法:于2023年10月至2024年5月在广东、河南、江苏三省6家三级医院采用方便抽样的横断面调查方法。采用社会人口学特征问卷、中文版正念自我照顾简易量表、中文版康诺-戴维森弹性量表、护士职业认同量表和中文版同情疲劳短量表对医院1315名临床护士进行调查。采用spss26.0中PROCESS 4.1实现的偏差校正bootstrapping方法对中介模型进行分析。结果:Pearson相关分析显示,护士正念自我护理、心理弹性与职业认同呈正相关。正念自我照顾、复原力和职业认同与同情疲劳呈负相关。适应力在正念自我照顾和同情疲劳之间起部分中介作用。职业认同在正念自我照顾与同情疲劳之间也起部分中介作用;正念自我照顾通过弹性和职业认同影响同情疲劳。结论:护士正念自我护理通过心理弹性和职业认同的中介作用影响同情疲劳。未来应注重培养护士的正念自我护理能力和复原力,提高护士的职业认同,这可能有助于减少护士的同情疲劳。
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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Mindful Self-Care and Compassion Fatigue in Nurses: The Chain Mediating Roles of Resilience and Professional Identity

Aim: To investigate the relationship between mindful self-care and compassion fatigue and the chain mediating effects of resilience and professional identity.

Background: Compassion is a critical quality for nurses, but they often face the risk of compassion fatigue.

Methods: From October 2023 to May 2024, a cross-sectional survey was conducted in six tertiary hospitals in Guangdong, Henan, and Jiangsu provinces by convenience sampling. A total of 1315 clinical nurses in the hospital were surveyed using the Social–demographic Characteristics Questionnaire, the Chinese Version of the Brief Mindful Self-Care Scale, the Chinese Version of the Connor–Davidson Resilience Scale, the Professional Identity Scale for Nurses, and the Chinese Version of the Compassion Fatigue Short Scale. The mediation model was analyzed using a bias-corrected bootstrapping method with PROCESS 4.1 implemented in SPSS 26.0.

Results: Pearson correlation analysis showed that there was a positive correlation between nurses’ mindful self-care, resilience, and professional identity. Mindful self-care, resilience, and professional identity were negatively correlated with compassion fatigue. Resilience played a partial mediating role between mindful self-care and compassion fatigue. Professional identity also played a partial mediating role between mindful self-care and compassion fatigue; mindful self-care affected compassion fatigue through resilience and professional identity.

Conclusion: Nurses’ mindful self-care can affect compassion fatigue through the mediating role of resilience and professional identity. In the future, attention should be paid to cultivating nurses’ mindful self-care ability and resilience and improving nurses’ professional identity, which may help to reduce nurses’ compassion fatigue.

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来源期刊
CiteScore
9.40
自引率
14.50%
发文量
377
审稿时长
4-8 weeks
期刊介绍: The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety
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