Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID-19 pandemic

Abstract

Background 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. Aims 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. Design 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. Results 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). Conclusion 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.

Healthcare Workers' Resilience Mediates the Influence of Organizational Commitment and Anxiety Response to Viral Epidemic on Their Quality of Life in the COVID-19 Pandemic

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Facilitating nursing students' skill training in distance education via online game-based learning with the watch-summarize-question approach during the COVID-19 pandemic: A quasi-experimental study

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Decreasing On-shift Stress With a Crisis Intervention Cart

“…Literature strongly supports a correlation between resilience, stress, and retention 3 . Overall, highly resilient nurses cope with stress more effectively than nurses with lower levels of resilience 2 . At MDMC, we decided to organize volunteer inpatient clinical nurses who had demonstrated a high level of engagement as validated by their managers to launch a newly formed shared-governance council called the Engagement and Resilience Council.…”

“…An abundance of literature has focused on ways to improve resiliency, typically consisting of interventions done off-shift 1 . Multimodal resilience building performed away from a nursing unit over time is reported to improve compassion fatigue and burnout, 2 strengthening job satisfaction and retention in nurses.…”

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