Xie Daixun, Zhu Xiaoqin, Zhang Xiurong, Jiang Zhaoquan, Liu Tao
Emergency Department, Yibin Second People's Hospital, Yibin, China.
Front Public Health. 2025 Apr 25;13:1551381. doi: 10.3389/fpubh.2025.1551381. eCollection 2025.
With ongoing healthcare system reforms in China and escalating demands for emergency services, emergency nurses frequently face high-pressure, complex work environments. This increases their psychological burden. Additionally, limited healthcare resources at the grassroots level and high workloads heighten their vulnerability to compassion fatigue. Current research into the interplay between psychological capital, perceived organizational support, and compassion fatigue among emergency nurses is limited, particularly regarding the mediating role of psychological capital.
This study aims to explore the relationship between organizational support, psychological capital, and compassion fatigue among emergency nurses. It specifically investigates the mediating role of psychological capital in the relationship between organizational support and compassion fatigue.
A total of 466 emergency nurses from medical institutions in the Chengdu-Chongqing area were selected through convenience sampling. Data were collected using the Psychological Capital Questionnaire, the Sense of Organizational Support Scale, and the Compassion Fatigue Scale. The correlations among these variables were analyzed using SPSS 26.0, and the mediating effects were tested using AMOS 26.0.
There is a significant negative correlation between psychological capital and compassion fatigue among emergency nurses ( = -0.309, < 0.01), as well as between organizational support and compassion fatigue ( = -0.449, < 0.01). Psychological capital acts as a partial mediator in the relationship between organizational support and compassion fatigue, with a mediating effect value of -0.169, accounting for 27% of the total effect.
The findings indicate a significant association between psychological capital, perceived organizational support, and compassion fatigue among emergency nurses, with psychological capital playing a mediating role. Enhancing psychological capital and perceived organizational support for emergency nurses is an effective strategy for managing emotional stress at work. Healthcare institutions should implement targeted interventions to improve nursing service quality and promote the sustainable development of the nursing profession.
随着中国医疗体系改革的不断推进以及对急诊服务需求的不断增加，急诊护士经常面临高压、复杂的工作环境。这增加了他们的心理负担。此外，基层医疗资源有限和高工作量使他们更容易产生同情疲劳。目前关于急诊护士心理资本、感知组织支持与同情疲劳之间相互作用的研究有限，尤其是心理资本的中介作用。
本研究旨在探讨急诊护士组织支持、心理资本与同情疲劳之间的关系。具体研究心理资本在组织支持与同情疲劳关系中的中介作用。
通过便利抽样选取了成渝地区医疗机构的466名急诊护士。使用心理资本问卷、组织支持感量表和同情疲劳量表收集数据。使用SPSS 26.0分析这些变量之间的相关性，并使用AMOS 26.0检验中介效应。
急诊护士的心理资本与同情疲劳之间存在显著负相关（=-0.309，<0.01），组织支持与同情疲劳之间也存在显著负相关（=-0.449，<0.01）。心理资本在组织支持与同情疲劳的关系中起部分中介作用，中介效应值为-0.169，占总效应的27%。
研究结果表明急诊护士的心理资本、感知组织支持与同情疲劳之间存在显著关联，心理资本起中介作用。增强急诊护士的心理资本和感知组织支持是管理工作中情绪压力的有效策略。医疗机构应实施有针对性的干预措施，以提高护理服务质量，促进护理专业的可持续发展。
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