Alshammari Mohammed Hamdan, Alboliteeh Mohammad
Mental Health Nursing Department, College of Nursing, University of Ha'il, Ha'il City, Saudi Arabia.
Leadership Department, College of Nursing, University of Ha'il, Ha'il City, Saudi Arabia.
Int Nurs Rev. 2025 Mar;72(1):e13082. doi: 10.1111/inr.13082.
To investigate the mediating role of spiritual well-being in the association between compassion fatigue and moral resilience among nurses.
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.
Cross-sectional and correlational design.
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.
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).
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.
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.
探讨精神幸福感在护士同情疲劳与道德韧性之间的关联中所起的中介作用。
护士不可避免地会面临同情疲劳的情况。他们的道德韧性和精神幸福感可能在减轻同情疲劳的影响方面发挥关键作用。然而，精神幸福感在同情疲劳和道德韧性之间的影响中起到中介作用这一点，在护士群体中仍未得到充分研究。
横断面相关性设计。
招募了沙特阿拉伯四家政府所有的三级医院的护士（n = 465），他们在2023年7月至12月期间完成了三份自我报告量表。数据分析采用描述性统计（如均值、标准差、频率和比例）和推断性统计（斯皮尔曼等级相关系数和结构方程模型）。
新出现的模型提供了可接受的模型拟合参数。道德韧性对同情疲劳有负面影响（β = -0.05，p = 0.003），对精神幸福感有正面影响（β = 0.51，p = 0.003）。精神幸福感对同情疲劳有负面影响（β = -0.90，p = 0.003）。道德韧性通过精神幸福感的中介作用对同情疲劳有中度、负面的间接影响（β = -0.47，p = 0.002）。
我们的研究提供了一个模型，验证了精神幸福感在道德韧性和同情疲劳之间的关联中所起的中介作用。道德韧性分别直接和间接地影响精神幸福感和同情疲劳。
雇佣护士的医疗机构必须持续评估同情疲劳水平并提供必要的干预措施。护士、护士长和医疗机构可以利用道德韧性来提高护士的精神幸福感，同时避免同情疲劳的负面影响。医疗机构可以将精神关怀纳入其主流支持干预措施中，以增强同情心、减少疲劳并提升心理健康。
