Effects of work stress, psychological resilience and perceived social support on compassion fatigue of nurses in assisted reproduction departments

doi:10.3969/j.issn.1674-8115.2021.12.004

Abstract

Abstract: Objective

·To understand the current status of work stress, psychological resilience, perceived social support, and compassion fatigue among assisted reproduction department nurses in China, and explore their quantitative relationship model on this basis.

Methods

·Using a convenience sampling method, 511 assisted reproduction department nurses from 32 tertiary hospitals in 17 provinces and cities in the eastern, central and western economic regions of China were surveyed from September to December 2020 with using a general information questionnaire, the Nurses' Work Stressor Scale, the Mental Toughness Scale, the Appreciative Social Support Scale and the Compassion Fatigue Scale. Through basic statistics and structural equation modeling, we constructed a quantitative relationship model among work stress, psychological resilience, perceived social support, and compassion fatigue, and analyzed the relationships among these variables and their effects on compassion fatigue among assisted reproduction department nurses in China.

Results

·The mean item scores of the dimensions of compassion fatigue among nurses in our assisted reproduction departments were compassion satisfaction (3.68±0.63), job burnout (2.39±0.52), and secondary traumatic stress (2.46±0.56), all of which were at moderate levels; there was a correlation between work stress, psychological resilience, perceived social support, and compassion fatigue among nurses in assisted reproduction departments (all P=0.000).The results of structural equation modeling showed that job stress had a direct negative effect on compassion satisfaction (β=-0.34, P=0.000), a direct positive effect on compassion fatigue symptoms (β=0.25, P=0.000); psychological resilience had a direct positive effect on compassion satisfaction (β=0.53, P=0.000), and a direct negative effect on compassion fatigue symptoms (β=-0.29, P=0.000); psychological resilience mediated the effect between job stress and compassion fatigue symptoms and between job stress and compassion satisfaction, and appreciating the role of social support in compassion fatigue symptoms and compassion satisfaction was not significant.

Conclusion

·Compassion fatigue of nurses in our assisted reproduction departments is affected by a variety of factors, among which the role of psychological resilience is significant in improving compassion satisfaction. It is recommended to start from enhancing the psychological resilience of nurses, take effective measures to improve the psychological resilience of nurses, reduce the incidence of compassion fatigue of nurses, and thus improve the quality of care.

Key words: compassion fatigue, work stress, psychological resilience, perceived social support, nurse, assisted reproductive technology

CLC Number:

Yu-lian HU, Ya-qing ZHANG. Effects of work stress, psychological resilience and perceived social support on compassion fatigue of nurses in assisted reproduction departments[J]. JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE), 2021, 41(12): 1565-1571.

Figures/Tables 6

TrendMD

References 25

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Item	n （%）
Gender
Male	4 （0.8）
Female	507 （99.2）
Educational degree
Diploma and below	82 （16.0）
Bachelor degree and above	429 （84.0）
Post
Nurse staff	431 （84.3）
Teaching nurse	45 （8.8）
Head nurse and above	35 （6.9）
Job title
Nurse	87 （17.0）
Primary nurse	235 （46.0）
Intermediate nurse and above	189 （37.0）
Marital status
Married	384 （75.1）
Single	127 （24.9）
Employment type
Permanent	156 （30.5）
Contract	355 （69.5）
Child status
With	360 （70.5）
Without	151 （29.5）
Monthly night shift
0 time	325 （63.6）
1‒5 times	145 （28.4）
>5 times	41 （8.0）
Monthly income
<5 000 yuan	52 （10.2）
5 000‒6 999 yuan	107 （20.9）
7 000‒8 999 yuan	168 （32.9）
≥9 000 yuan	184 （36.0）

Item	n （%）
Gender
Male	4 （0.8）
Female	507 （99.2）
Educational degree
Diploma and below	82 （16.0）
Bachelor degree and above	429 （84.0）
Post
Nurse staff	431 （84.3）
Teaching nurse	45 （8.8）
Head nurse and above	35 （6.9）
Job title
Nurse	87 （17.0）
Primary nurse	235 （46.0）
Intermediate nurse and above	189 （37.0）
Marital status
Married	384 （75.1）
Single	127 （24.9）
Employment type
Permanent	156 （30.5）
Contract	355 （69.5）
Child status
With	360 （70.5）
Without	151 （29.5）
Monthly night shift
0 time	325 （63.6）
1‒5 times	145 （28.4）
>5 times	41 （8.0）
Monthly income
<5 000 yuan	52 （10.2）
5 000‒6 999 yuan	107 （20.9）
7 000‒8 999 yuan	168 （32.9）
≥9 000 yuan	184 （36.0）

Item	Score	Item score range	Average score of item
Compassion fatigue
Compassion satisfaction	36.78±6.29	1‒5	3.68±0.63
Job burnout	23.87±5.16	1‒5	2.39±0.52
Secondary traumatic stress	24.58±5.60	1‒5	2.46±0.56
Perceived social support	63.05±11.36	1‒7	5.25±0.95
Family support	21.41±4.44	1‒7	5.35±1.11
Friends' support	21.41±4.08	1‒7	5.35±1.02
Other support	20.24±4.17	1‒7	5.06±1.04
Psychological resilience	64.09±14.97	0‒4	2.56±0.60
Optimism	10.25±2.71	0‒4	2.56±0.68
Tenacity	32.20±8.21	0‒4	2.48±0.63
Self-improvement	21.64±4.90	0‒4	2.70±0.61
Work stress	102.34±15.70	1‒4	2.92±0.45
Problems in nursing profession and work	19.38±3.66	1‒4	2.77±0.52
Problems in time allocation and workload	14.26±2.71	1‒4	2.85±0.54
Problems in working environment and instrumentation	7.32±1.74	1‒4	2.44±0.58
Problems in patient care	26.98±4.43	1‒4	2.45±0.40
Problems in management and interpersonal relationship	21.21±4.60	1‒4	2.36±0.51

Item	Score	Item score range	Average score of item
Compassion fatigue
Compassion satisfaction	36.78±6.29	1‒5	3.68±0.63
Job burnout	23.87±5.16	1‒5	2.39±0.52
Secondary traumatic stress	24.58±5.60	1‒5	2.46±0.56
Perceived social support	63.05±11.36	1‒7	5.25±0.95
Family support	21.41±4.44	1‒7	5.35±1.11
Friends' support	21.41±4.08	1‒7	5.35±1.02
Other support	20.24±4.17	1‒7	5.06±1.04
Psychological resilience	64.09±14.97	0‒4	2.56±0.60
Optimism	10.25±2.71	0‒4	2.56±0.68
Tenacity	32.20±8.21	0‒4	2.48±0.63
Self-improvement	21.64±4.90	0‒4	2.70±0.61
Work stress	102.34±15.70	1‒4	2.92±0.45
Problems in nursing profession and work	19.38±3.66	1‒4	2.77±0.52
Problems in time allocation and workload	14.26±2.71	1‒4	2.85±0.54
Problems in working environment and instrumentation	7.32±1.74	1‒4	2.44±0.58
Problems in patient care	26.98±4.43	1‒4	2.45±0.40
Problems in management and interpersonal relationship	21.21±4.60	1‒4	2.36±0.51

Item	Compassion satisfaction	Job burnout	Secondary traumatic stress	Work stress	Perceived social support	Psychological resilience
Compassion satisfaction	1
Job burnout	-0.738^①	1
Secondary traumatic stress	-0.123^①	0.544^①	1
Work stress	-0.432^①	0.507^①	0.289^①	1
Perceived social support	0.490^①	-0.464^①	-0.161^①	-0.262^①	1
Psychological resilience	0.577^①	-0.518^①	-0.150^①	-0.209^①	0.626^①	1