Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID-19 pandemic.
Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID-19 pandemic.
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DOI：
10.1016/j.apnr.2021.151476
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
de Los Santos JAA
中科院分区：
文献类型：
--
作者：
Labrague LJ;de Los Santos JAA
对抗COVID-19的前线护士非常容易受到同情疲劳（CF）的影响，这可能会影响他们的心理健康，工作效率和患者安全结果。然而，没有研究调查护士的CF与工作成果和护理质量在大流行期间。本研究旨在探讨复原力在CF与前线护士工作成果（工作满意度与离职意愿）与照护品质间的中介作用。一项包含五个自我报告量表的在线横断面调查被用来收集菲律宾选定医院270名一线护士的数据。整体而言，38. 5%的前线护士在第二波疫情期间出现中度至高度CF。CF增加与护士报告的护理质量较差（β =-0.145，p = 0.019）、工作满意度较低（β =-0.317，p = 0.001）和组织离职意愿较高（β = 0.301，p = 0.001）相关。此外，复原力完全中介CF和护理质量之间的关系（β =-0.088，p = 0.169），并部分中介CF和工作满意度之间的关系（β =-0.259，p = 0.001），CF疲劳和组织离职意图之间的关系（β = 0.272，p = 0.001）。前线护士在大流行期间有患上CF的风险。心理弹性降低了CF对一线护士工作满意度、离职意愿和所在单位护理质量的负面影响。积极主动的措施，以减少CF应优先由护理管理人员。恢复力促进干预措施可以促进护士的工作满意度和保留，因此，在他们的单位提供的护理质量。
Nurses in the frontline of the battle against COVID-19 are highly vulnerable to compassion fatigue (CF), which may affect their mental health, work effectiveness, and patient safety outcomes. However, no studies have investigated nurses' CF in relation to job outcomes and care quality during the pandemic. This study aims to examine the mediating role of resilience in the relationship between CF and frontline nurses' job outcomes (job satisfaction and turnover intention) and care quality. An online, cross-sectional survey containing five self-report scales was used to collect data from 270 frontline nurses in selected hospitals in the Philippines. Overall, 38.5% of frontline nurses experienced medium to high CF during the second wave of the pandemic. Increased CF was associated with poorer nurse-reported quality of care (β = −0.145, p = 0.019), lower job satisfaction (β = −0.317, p = 0.001), and higher organizational turnover intention (β = 0.301, p = 0.001). Moreover, resilience fully mediated the relationship between CF and quality of care (β = −0.088, p = 0.169), and partially mediated the relationship between CF and job satisfaction (β = −0.259, p = 0.001), and CF fatigue and organizational turnover intention (β = 0.272, p = 0.001). Frontline nurses are at risk of developing CF during the pandemic. Psychological resilience reduces the negative impact of CF on frontline nurses' job satisfaction, turnover intention, and the quality of care in their assigned unit. Proactive measures to reduce CF should be prioritized by nursing administrators. Resilience-promoting interventions could foster job satisfaction and retention in nurses and, hence, the quality of care delivered in their units.
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