Ahmadi Mir Hossein, Heidarzadeh Mehdi, Fathiazar Alireza, Ajri-Khameslou Mehdi
Ardabil University of Medical Sciences.
Nurs Ethics. 2025 Feb;32(1):201-211. doi: 10.1177/09697330241247323. Epub 2024 Apr 27.
Compassion fatigue and professional quality of life are important in health and professional ethics.
This study aimed to determine the relationship between compassion satisfaction, compassion fatigue, secondary traumatic stress, and moral injury in nurses.
This research is a cross-sectional descriptive-analytical study. The research community of this research was all the nurses of the teaching hospitals of Ardabil city. Three questionnaires on demographic characteristics, the Professional Quality of Life Scale (ProQOL), and the Moral Injury Events Scale were used to collect data. SPSS (version 22) software was used for data analysis.
The study recruited 297 nurses randomly selected from five teaching hospitals in Ardabil city.
Ethical approval was obtained from the Ardabil University of Medical Sciences ethics committee (with the code of ethics IR.ARUMS.REC.1401.198). Informed consent was obtained from the participants.
The results showed that the mean compassion satisfaction score of this study's participants was 37.61 ± 8.86, the mean compassion fatigue score of this study's participants was 28.73 ± 7.04, and the mean secondary traumatic stress score of this study's participants was 29.95 ± 7.84. The mean score of moral injury among nurses was 31.19 ± 8.54. The results showed a negative significant relationship between compassion satisfaction and moral injury ( < 0.001). Also, there is a positive significant relationship between compassion fatigue and secondary traumatic stress with moral injury ( < 0.001).
The results of this study show a negative relationship between compassion satisfaction and moral injury. According to the results of the present study, nurse managers should implement educational interventions, create ethical processes, and clear ethical guidelines to reduce moral injury and increase compassion satisfaction.
同情疲劳和职业生活质量在健康和职业道德中很重要。
本研究旨在确定护士的同情满意度、同情疲劳、继发性创伤应激和道德伤害之间的关系。
本研究为横断面描述性分析研究。本研究的研究群体为阿尔达比勒市教学医院的所有护士。使用了三份关于人口统计学特征、职业生活质量量表（ProQOL）和道德伤害事件量表的问卷来收集数据。使用SPSS（版本22）软件进行数据分析。
该研究从阿尔达比勒市的五家教学医院中随机招募了297名护士。
获得了阿尔达比勒医科大学伦理委员会的伦理批准（伦理代码IR.ARUMS.REC.1401.198）。获得了参与者的知情同意。
结果显示，本研究参与者的同情满意度平均得分为37.61±8.86，同情疲劳平均得分为28.73±7.04，继发性创伤应激平均得分为29.95±7.84。护士的道德伤害平均得分为31.19±8.54。结果显示同情满意度与道德伤害之间存在显著负相关（<0.001）。此外，同情疲劳和继发性创伤应激与道德伤害之间存在显著正相关（<0.001）。
本研究结果表明同情满意度与道德伤害之间存在负相关。根据本研究结果，护士管理者应实施教育干预措施，建立道德流程，并制定明确的道德准则，以减少道德伤害并提高同情满意度。
