The Mediating Role of Self-Differentiation in the Relationship Between Moral Distress, Compassions Fatigue and Work-family Conflict in Nurses

Abstract

Background & Aims: Many nurses are involved in work-family conflicts due to the nature of the nursing profession and high workload. Identification of the factors related to work-family conflict can help reduce or control this conflict. Compassion fatigue and moral distress are some of the factors that may affect the work-family conflict of nurses. This study aims to determine the mediating role of self-differentiation in the relationship between compassion fatigue, moral distress and work-family conflict among nurses. Materials & Methods: This is a descriptive-correlational study. The study population includes all married nurses from eight public hospitals in Kerman, Iran. Of these, 159 were selected using a convenience sampling method. Data were collected using the subscale of compassion fatigue in the professional quality of life scale, the moral distress scale, the work-family conflict scale, and the self-differentiation inventory-short form. They were analyzed using structural equation modeling. Results: Compassion fatigue, moral distress and self-differentiation could significantly predict work-family conflict in nurses (P<0.05). Self-differentiation was not only directly related to work-family conflict, but also indirectly affected it by reducing moral distress and compassion fatigue. Conclusion: Self-differentiation skills can help reduce the compassion fatigue and moral stress in nurses and thus reduce their work-family conflicts.

Intensive care unit nurses' futile care perception in COVID-19 patients and its relationship with resilience and turnover intention: A cross-sectional descriptive study

“…One's perception of leaving the profession despite being in a job position is called "turnover intention" (9). Work issues, such as burnout, job dissatisfaction, job stress, and high work pressure, are factors affecting the desire to leave the nursing profession (3,10). In a study conducted in 82 ICUs in Europe, Piers et al (2011) reported a high level of futile care perception and introduced the increased turnover intention as one of the consequences of futile care (11).…”