BMC NURSING, cilt.22, ss.1-12, 2023 (SCI-Expanded)
Abstract
Background While compassion fatigue is evaluated positively in nurses, compassion fatigue and burnout are
undesirable from the viewpoint of professionals, service providers, institutions and ultimately society. It is necessary to
identify the factors that lead to undesirable results and to reduce their efects. This study aimed to investigate nurses’
levels of compassion fatigue, compassion satisfaction, burnout, various psychopathological symptom levels, coping
skills, and the relationship between them.
Methods This was a descriptive cross-sectional study. The participants were 356 nurses working in tertiary university
hospitals in Istanbul (Türkiye). The Healthcare Professional Information Form, ProQOL-IV, Brief Symptom Inventory, and
the Coping Orientations to Problems Experienced scale were used to collect data. Descriptive statistics, correlation
analyses, and regression models were used to analyze the data.
Results According to the fndings, low-level burnout, moderate-high compassion satisfaction, and low-moderate
compassion fatigue symptoms were detected. Low-level anxiety, depression, somatization, hostility, and negative
self-esteem were found. According to the results of regression analysis, mental disengagement and planning coping
strategies positively afect the synergy of compassion fatigue (p<0.05). Turning religion and restraint coping have
a positive efect on compassion fatigue (p<0.05). While depression has a positive efect on burnout, nurses’ positive reinterpretation and growth strategy is efective in coping with burnout (p<0.05). Positive reinterpretation and
growth coping strategies are also efective in increasing job satisfaction (p<0.05).
Conclusions Nurses showing somatization symptoms are risk factors for compassion fatigue, and nurses showing
depression symptoms are risk factors for burnout, so they should be closely monitored and should be given support.
Mental disengagement and planning coping strategies can reduce compassion fatigue, and positive reinterpretation
and growth methods can reduce burnout and increase compassion satisfaction. It may be useful to provide counseling and training for nurses to use the right coping methods.
Keywords Compassion fatigue, Burnout, Compassion satisfaction, Coping strategies, Depression; anxiety