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AimsTo investigate the mediating role of spiritual well‐being in the association between compassion fatigue and moral resilience among nurses.BackgroundNurses are inevitably placed in situations of compassion fatigue. Their moral resilience and spiritual well‐being may play a crucial role in mitigating the impacts of compassion fatigue. Nonetheless, spiritual well‐being, which mediates the influence between compassion fatigue and moral resilience, remains scarce among nurses.DesignCross‐sectional and correlational design.MethodsNurses (n = 465) from four government‐owned tertiary hospitals in Saudi Arabia were recruited and completed three self‐report scales from July to December 2023. Descriptive statistics (e.g., mean, standard deviation, frequency, and proportions) and inferential statistics (Spearman rho and structural equation modeling) were used for data analysis.ResultsThe emerging model afforded acceptable model fit parameters. Moral resilience had a negative effect on compassion fatigue (β = –0.05, p = 0.003) and a positive influence on spiritual well‐being (β = 0.51, p = 0.003). Spiritual well‐being negatively influenced compassion fatigue (β = –0.90, p = 0.003). Moral resilience had a moderate, negative, indirect effect on compassion fatigue through the mediation of spiritual well‐being (β = –0.47, p = 0.002).ConclusionOur study offered a model that validated the mediating role of spiritual well‐being in the association between moral resilience and compassion fatigue. Moral resilience directly and indirectly influences spiritual well‐being and compassion fatigue, respectively.Implications for nursing practice and policyHealthcare institutions that employ nurses must continually assess compassion fatigue levels and provide necessary interventions. Nurses, nurse managers, and healthcare institutions may leverage moral resilience to improve nurses’ spiritual well‐being while averting the negative effects of compassion fatigue. Healthcare institutions may incorporate spiritual care into their mainstream support interventions to enhance their compassion, reduce fatigue, and enhance their mental well‐being.
AimsTo investigate the mediating role of spiritual well‐being in the association between compassion fatigue and moral resilience among nurses.BackgroundNurses are inevitably placed in situations of compassion fatigue. Their moral resilience and spiritual well‐being may play a crucial role in mitigating the impacts of compassion fatigue. Nonetheless, spiritual well‐being, which mediates the influence between compassion fatigue and moral resilience, remains scarce among nurses.DesignCross‐sectional and correlational design.MethodsNurses (n = 465) from four government‐owned tertiary hospitals in Saudi Arabia were recruited and completed three self‐report scales from July to December 2023. Descriptive statistics (e.g., mean, standard deviation, frequency, and proportions) and inferential statistics (Spearman rho and structural equation modeling) were used for data analysis.ResultsThe emerging model afforded acceptable model fit parameters. Moral resilience had a negative effect on compassion fatigue (β = –0.05, p = 0.003) and a positive influence on spiritual well‐being (β = 0.51, p = 0.003). Spiritual well‐being negatively influenced compassion fatigue (β = –0.90, p = 0.003). Moral resilience had a moderate, negative, indirect effect on compassion fatigue through the mediation of spiritual well‐being (β = –0.47, p = 0.002).ConclusionOur study offered a model that validated the mediating role of spiritual well‐being in the association between moral resilience and compassion fatigue. Moral resilience directly and indirectly influences spiritual well‐being and compassion fatigue, respectively.Implications for nursing practice and policyHealthcare institutions that employ nurses must continually assess compassion fatigue levels and provide necessary interventions. Nurses, nurse managers, and healthcare institutions may leverage moral resilience to improve nurses’ spiritual well‐being while averting the negative effects of compassion fatigue. Healthcare institutions may incorporate spiritual care into their mainstream support interventions to enhance their compassion, reduce fatigue, and enhance their mental well‐being.
Aims This study aims to examine the mediating effect of moral distress on the relationship between moral resilience and the intention to leave. Background Moral distress is a phenomenon that negatively impacts healthcare workers, healthcare institutions, and recipients. To eliminate or minimize the negative effects of moral distress, it is necessary to increase the moral resilience of nurses. Moral resilience is important in protecting against the negative effects of moral distress, such as burnout and turnover intention. In this direction, it is necessary to increase the moral resilience of nurses to reduce negative situations such as turnover intention in nurses. Methods It is a descriptive–predictive study. Sociodemographic Information Form, Measure of Moral Distress – Healthcare Professionals, and Rushton Moral Resilience Scale were used to collect data from the nurses. A total of 220 clinical nurses were recruited. Ethical considerations Approval was obtained from the university’s non-interventional ethics committee, and informed consent was obtained from the participants. Results The study found a total moral distress score of 6.39 ± 0.3.12 and moral resilience score of 2.69 ± 0.48. A moderate and weak negative correlation was found between moral distress and moral resilience. Moral distress has a moderating effect on the intention to leave nursing (β = −0.158, p = .010) and the intention to leave the current position (β = −0.174, p = .000). Individual’s moral resilience directly affects the intention to leave. The presence of moral distress eliminates the direct effect of moral resilience and affects the intention to leave together with moral resilience. Conclusions Moral resilience leads to decreased intention to leave, and moral distress mediates this situation. An increase in moral distress decreases moral resilience and increases intention to leave. It can be assumed that if moral distress is not controlled, increasing moral resilience will not affect the intention to leave the job.
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