Zhang Yiqiu, Fu Yongkang, Zheng Xiaojia, Shi Xindi, Liu Jie, Chen Chaoran
Nursing Department of Huaihe Hospital, Henan University, Kaifeng, China.
Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, China.
BMC Nurs. 2025 Mar 18;24(1):291. doi: 10.1186/s12912-025-02905-4.
This study aimed to investigate the impact of the work environment, emotional intelligence, and empathy fatigue on nurse presenteeism and to examine the mediating roles of emotional intelligence and empathy fatigue.
This study employed a cross-sectional research design and conducted a questionnaire survey from April to July 2024 among 1,375 nurses (aged 18-24, 25-34, 35-44, and ≥ 45 years) from six tertiary hospitals in Henan Province. The questionnaire included demographic characteristics, the Nursing Practice Environment Scale, the Emotional Intelligence Scale, the Empathy Fatigue Scale, and the Stanford Presenteeism Scale. Statistical analyses were conducted using SPSS 27.0 and AMOS 26.0. A structural equation model was constructed, and the Bootstrap method was employed to assess the mediating effects.
The average presenteeism score among nurses was 19.49 ± 5.910. A partial mediation effect exists among the four variables: work environment, emotional intelligence, empathy fatigue, and nurse presenteeism. Specifically, the nursing work environment not only directly negatively influences nurse presenteeism but also indirectly affects it through the mediating roles of emotional intelligence and empathy fatigue. Furthermore, emotional intelligence and empathy fatigue serve as a chain mediator between the work environment and nurse presenteeism.
The results indicate that the nursing work environment not only directly affects nurse presenteeism but also indirectly influences their presenteeism through emotional intelligence and empathy fatigue. These findings provide theoretical support and guidance for reducing nurse presenteeism rates, emphasizing the importance of optimizing the nursing work environment, enhancing emotional intelligence, and alleviating empathy fatigue in nursing practice.
本研究旨在探讨工作环境、情商和共情疲劳对护士出勤主义的影响，并检验情商和共情疲劳的中介作用。
本研究采用横断面研究设计，于2024年4月至7月对河南省6家三级医院的1375名护士（年龄在18 - 24岁、25 - 34岁、35 - 44岁及≥45岁）进行问卷调查。问卷包括人口统计学特征、护理实践环境量表、情商量表、共情疲劳量表和斯坦福出勤主义量表。使用SPSS 27.0和AMOS 26.0进行统计分析。构建结构方程模型，并采用Bootstrap方法评估中介效应。
护士的平均出勤主义得分为19.49±5.910。工作环境、情商、共情疲劳和护士出勤主义这四个变量之间存在部分中介效应。具体而言，护理工作环境不仅直接对护士出勤主义产生负面影响，还通过情商和共情疲劳的中介作用间接影响它。此外，情商和共情疲劳在工作环境和护士出勤主义之间起链式中介作用。
结果表明，护理工作环境不仅直接影响护士出勤主义，还通过情商和共情疲劳间接影响他们的出勤主义。这些发现为降低护士出勤主义率提供了理论支持和指导，强调了优化护理工作环境、提高情商和减轻护理实践中的共情疲劳的重要性。
