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Chen X, Li J, Arber A, Qiao C, Wu J, Sun C, Han X, Wang D, Zhu Z, Zhou H. The impact of the nursing work environment on compassion fatigue: The mediating role of general self-efficacy. Int Nurs Rev 2024. [PMID: 39344174 DOI: 10.1111/inr.13044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2024] [Accepted: 09/06/2024] [Indexed: 10/01/2024]
Abstract
AIM To explore the interplay between the perceived nursing work environment, general self-efficacy, and compassion fatigue among registered nurses in Chinese hospitals. BACKGROUND Compassion fatigue emerges as a significant occupational stress response globally, with the nursing work environment being a pivotal influencer. There is a knowledge gap in understanding how the nursing work environment and general self-efficacy interrelate to affect compassion fatigue, particularly among Chinese nurses. METHODS Employing a cross-sectional, descriptive design, this study utilized validated questionnaires to gather data from 7085 nurses across public and private hospitals in China. The analysis focused on assessing the interrelations among the perceived nursing work environment, general self-efficacy, and different dimensions of compassion fatigue. FINDING More than half (65.67%) of the participants experienced moderate or high burnout levels, with 76.43% experiencing secondary traumatic stress. The lowest rating in the nursing work environment was for nurse/physician collaboration (10 ± 2.07), while general self-efficacy scored higher (27.54 ± 6.26). A positive relationship existed between the work environment and both general self-efficacy and compassion satisfaction, with a negative correlation to burnout and traumatic stress. General self-efficacy was a partial mediator in the link between work environment and compassion fatigue, suggesting that improving the work environment can decrease compassion fatigue by boosting nurses' self-efficacy. CONCLUSION This study underscores the profound impact of the nursing work environment on compassion fatigue, mediated by general self-efficacy. It highlights the necessity of fostering a supportive work environment to enhance nurses' self-efficacy and overall well-being. IMPLICATIONS FOR NURSING AND HEALTH POLICY Healthcare managers and institutions must create supportive work environments to reduce compassion fatigue among nurses. This includes professional development programs to enhance self-efficacy and job satisfaction. Policies should address high workloads and inadequate support. Nurse leaders should foster environments that promote psychological well-being, improving outcomes for both nurses and patients. Regular assessments and adjustments of work conditions are essential to maintain a healthy work environment.
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Affiliation(s)
- Xian Chen
- Department of Gynecological Oncology, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Hospital), Nanjing, PR China
| | - Jie Li
- School of Nursing, Nanjing Medical University, Nanjing, PR China
| | - Anne Arber
- Faculty of Health and Medical Sciences., University of Surrey, Guildford, UK
| | - Chengping Qiao
- Department of Gynecological Oncology, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Hospital), Nanjing, PR China
| | - Jinfeng Wu
- School of Nursing, Nanjing Medical University, Nanjing, PR China
| | - Cuihua Sun
- Jiangsu Nursing Association, Nanjing, PR China
| | - Xue Han
- Department of Gynecological Oncology, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Hospital), Nanjing, PR China
| | - Dan Wang
- Oncology Department, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, PR China
| | - Zhu Zhu
- Nursing Department, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Hospital), Nanjing, PR China
| | - Hui Zhou
- Nursing Department, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Hospital), Nanjing, PR China
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Wang X, Xia Y, Gou L, Wen X. Exploring the influence of the spiritual climate on psychological empowerment among nurses in China: a cross-sectional study. BMC Nurs 2024; 23:374. [PMID: 38831307 PMCID: PMC11145847 DOI: 10.1186/s12912-024-02011-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 05/13/2024] [Indexed: 06/05/2024] Open
Abstract
BACKGROUND Psychological empowerment notably impacts nurses' work engagement and high-quality care. A spiritual climate is a work environment that respects individuals and encourages them to express personal views. Previous studies have shown that a spiritual climate enhances psychological empowerment, however, the relationship between them among the nursing population remains unclear. This study aimed to explore the effect of a spiritual climate on nurses' psychological empowerment and provide a scientific basis for improving psychological empowerment among nurses. METHODS A cross-sectional survey of 837 nurses from five hospitals in Sichuan Province, Southwest China, was conducted using a convenience sampling method; this survey included nurses' demographic characteristics, the Psychological Empowerment Scale (PES), and the Chinese version of the Spiritual Climate Scale (C-SCS). The data were analysed using one-way analysis of variance (ANOVA), correlation analysis, and multiple linear regression. RESULTS The sample of 837 nurses attained a psychological empowerment score of (45.49 ± 6.42) and a spiritual climate score of (75.25 ± 16.75). The one-way ANOVA revealed that psychological empowerment scores among nurses varied based on differences in age, department, years of work experience, professional title, level of work intensity, and children (yes/no). Pearson's correlation analyses revealed a significant positive correlation between the spiritual climate and nurses' psychological empowerment (r = 0.564, P < 0.001), and multiple linear regression analysis showed that working in the intensive care unit (ICU), work intensity, and the four items pertaining to spiritual climate influenced nurses' psychological empowerment, explaining 32.6% of the total variance in psychological empowerment. CONCLUSION The findings suggested that the spiritual climate perceived by nurses and psychological empowerment are moderately high. Working in the ICU, work intensity, and the four items pertaining to spiritual climate influence nurses' psychological empowerment. Nursing managers should pay attention to the daily work intensity of nurses, especially ICU nurses, organize work tasks reasonably, promote dynamic and balanced nurse human resource deployment based on patients' conditions and nurses' workloads, and implement scientific scheduling plans to establish a positive spiritual climate in the workplace. Additionally, group workshops and systematic training programs can effectively enhance psychological empowerment among nurses.
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Affiliation(s)
- Xuan Wang
- Department of Nursing, Sichuan Provincial People's Hospital, school of medicine, University of Electronic Science and Technology of China, 32 West second Section, 1st Ring Road, Chengdu, 610072, China
- Department of Nursing, Sichuan Provincial People's Hospital, school of medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Yulan Xia
- Department of Geriatrics Cardiovascular, Sichuan Provincial People's Hospital, school of medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Li Gou
- Department of Nursing Research Centre, Sichuan Provincial People's Hospital, school of medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Xianxiu Wen
- Department of Nursing, Sichuan Provincial People's Hospital, school of medicine, University of Electronic Science and Technology of China, 32 West second Section, 1st Ring Road, Chengdu, 610072, China.
- Department of Nursing, Sichuan Provincial People's Hospital, school of medicine, University of Electronic Science and Technology of China, Chengdu, China.
- Department of Nursing Research Centre, Sichuan Provincial People's Hospital, school of medicine, University of Electronic Science and Technology of China, Chengdu, China.
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Cruz JP, Alquwez N, Balay-Odao E. Work engagement of nurses and the influence of spiritual climate of hospitals: A cross-sectional study. J Nurs Manag 2021; 30:279-287. [PMID: 34619805 DOI: 10.1111/jonm.13492] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 10/02/2021] [Accepted: 10/04/2021] [Indexed: 11/29/2022]
Abstract
AIM This investigation was endeavoured to study the influence of the hospital's spiritual climate on nurse's work engagement in Saudi Arabia. BACKGROUND Creating a safe clinical environment for nurses to express their spirituality despite preferences or religiosity is essential to increase work productivity, satisfaction and commitment. METHOD This quantitative and cross-sectional research surveyed a convenience sample of 302 nurses employing the 'Utrecht Work Engagement Scale' and 'Spiritual Climate Scale'. RESULTS The overall average of the respondents in work engagement was 4.33 (SD = 1.10), with more nurses reporting high or very high work engagement (53.7%). The hospital, age and spiritual climate were recognized as significant predictors of 'vigour'. The hospital's spiritual climate was the only significant factor influencing nurses' 'dedication'. The hospital and spiritual climate significantly influenced the variable 'absorption'. CONCLUSION Having a positive hospital spiritual climate was associated with better work engagement among nurses. IMPLICATIONS FOR NURSING MANAGEMENT The findings underscore the significance of ensuring that hospitals have positive spiritual climate and a clinical area that respects, accepts and welcomes various spirituality of nurses. Therefore, nurse managers should ensure that the spirituality of nurses has a safe home in the hospital.
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Affiliation(s)
- Jonas Preposi Cruz
- Department of Medicine, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St 5/1, Nur-Sultan, 010000, Kazakhstan.,Nursing Department, College of Applied Medical Sciences, Shaqra University, Al Dawadmi, Saudi Arabia
| | - Nahed Alquwez
- Nursing Department, College of Applied Medical Sciences, Shaqra University, Al Dawadmi, Saudi Arabia
| | - Ejercito Balay-Odao
- Nursing Department, College of Applied Medical Sciences, Shaqra University, Al Dawadmi, Saudi Arabia.,School of Advanced Studies, Saint Louis University, Baguio, Philippines
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Balay-odao EM, Alquwez N, Inocian EP, Alotaibi RS. Hospital Preparedness, Resilience, and Psychological Burden Among Clinical Nurses in Addressing the COVID-19 Crisis in Riyadh, Saudi Arabia. Front Public Health 2021; 8:573932. [PMID: 33490012 PMCID: PMC7821043 DOI: 10.3389/fpubh.2020.573932] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 11/26/2020] [Indexed: 11/24/2022] Open
Abstract
In the continuous effort to minimize the devastating effects of coronavirus disease (COVID-19) and to curb the spread of the disease, hospital preparedness and resilience play significant roles in the psychological well-being of clinical nurses given that their work demands immediate action to adapt and adjust to stressors. Thus, this study investigates the hospital preparedness, psychological burden, and resilience of clinical nurses in addressing COVID-19 in Riyadh, Saudi Arabia. A total of 281 clinical nurses participated in the survey from April 2020 to June 2020. Results show that clinical nurses perceived a high self-assessed COVID-19 hospital preparedness (49.65, SD = 2.30); high self-assessed nurses' resilience (4.03, SD = 0.36); and most have normal levels of depression, anxiety, and stress. The variables were predicted to be statistically significant (F 18,262 = 4.14, p = 0.001) and accounted for 16.8% of the variance in the nurses' perception of hospital preparedness (R 2 = 0.221; adjusted R 2 = 0.168). The regression analysis was statistically significant (F 30,250 = 6.71, p = 0.001) and accounted for 38% of the variance in nurses' resilience (R 2 = 0.446, Adjusted R 2 = 0.380). The predictors of depression, anxiety, and stress show that the overall relationship was statistically significant at (F 23,257 = 6.71, p < 0.001), (F 23,257 = 6.675, p 0.000), and (F 23,257 = 6.692, p 0.000) with 31.9% of the variance (R 2 = 0.375, Adjusted R 2 = 0.319), 31.8% of the variance (R 2 = 0.374, Adjusted R 2 = 0.318), and 31.9 % of the variance (R 2 = 0.375, Adjusted R 2 = 0.319), respectively. The findings of this study helps in improving the continuing education program, psychological support, and mental health program to ensure that the needs of clinical nurses are addressed during the outbreak of a disease.
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Affiliation(s)
| | - Nahed Alquwez
- Nursing Department, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
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Cruz JP, Alquwez N, Mesde JH, Almoghairi AMA, Altukhays AI, Colet PC. Spiritual climate in hospitals influences nurses’ professional quality of life. J Nurs Manag 2020; 28:1589-1597. [DOI: 10.1111/jonm.13113] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 07/25/2020] [Indexed: 12/12/2022]
Affiliation(s)
- Jonas Preposi Cruz
- Nursing Department College of Applied Medical Sciences Shaqra University Al Dawadmi Saudi Arabia
| | - Nahed Alquwez
- Nursing Department College of Applied Medical Sciences Shaqra University Al Dawadmi Saudi Arabia
| | - Jennifer H. Mesde
- Nursing Department College of Applied Medical Sciences Shaqra University Al Dawadmi Saudi Arabia
| | | | | | - Paolo C. Colet
- School of Medicine Nazarbayev University Nur‐Sultan Kazakhstan
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Fradelos EC, Tzavella F. Spiritual Climate as is Perceived by Greek Clinical Nurses. A Validation study. Mater Sociomed 2020; 32:66-70. [PMID: 32410895 PMCID: PMC7219727 DOI: 10.5455/msm.2020.32.66-70] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Introduction: Organisational climate generally refers to issues such as information sharing climate, appreciation and recognition, concern for employee well-being, ethics and quality performance. In hospitals, it represents the shared beliefs and values that may affect the quality of care in health care groups and which could be managed to improve the quality of care. Aim: Aim of the study was the translation of the Spiritual climate Scale (SCS) in Greek language and the validation of the scale for the Greek population. Methods: The SCS is an anonymous self-administered questionnaire that contains four, five-point Likert scale, closed questions. The questionnaire was translated into Greek language and then back translated in the English in order to be checked for any inconsistencies. The sample of the study was 275 nurses, working in two public hospital in Athens. Exploratory factor analysis, with principal components analysis was performed for checking the construct validity of the questionnaire. The test–retest reliability and the internal consistency were also examined. Statistical analysis performed by the use of SPSS 25.0. Statistical significance level was set at p=0.05. Results: From the total 275 of the participants 238(86.5%) were women and the mean age was 43.8±8.7. The final Greek version of the questionnaire includes all of the four questions and one factor was exported from the exploratory factor analysis. The Cronbach-α coefficient was 0.902 for the total questionnaire. Conclusions: The SCS is a valid and reliable questionnaire that can be used for assessing spiritual climate in Greek clinical areas.
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Affiliation(s)
- Evangelos C Fradelos
- Internal Medicine Department, Special Infections Unit, Athens Hospital for Chest Diseases "Sotiria", Athens, Greece
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Wu X, Hayter M, Lee AJ, Yuan Y, Li S, Bi Y, Zhang L, Cao C, Gong W, Zhang Y. Positive spiritual climate supports transformational leadership as means to reduce nursing burnout and intent to leave. J Nurs Manag 2020; 28:804-813. [PMID: 32145113 DOI: 10.1111/jonm.12994] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Revised: 02/14/2020] [Accepted: 03/01/2020] [Indexed: 12/14/2022]
Affiliation(s)
- Xiaxin Wu
- School of Nursing Yangzhou University Yangzhou China
| | - Mark Hayter
- Faculty of Health Sciences University of Hull Hull UK
| | - Amanda J Lee
- Faculty of Health Sciences University of Hull Hull UK
| | - Yuan Yuan
- Affiliated Hospital of Yangzhou University Yangzhou China
| | - Shuang Li
- School of Nursing Yangzhou University Yangzhou China
| | - Yaxin Bi
- School of Nursing Yangzhou University Yangzhou China
| | - Lu Zhang
- School of Nursing Yangzhou University Yangzhou China
| | - Chaoyu Cao
- Yangzhou University Affiliated Northern Jiangsu People's Hospital Yangzhou China
| | - Weijuan Gong
- School of Nursing Yangzhou University Yangzhou China
| | - Yu Zhang
- School of Nursing Yangzhou University Yangzhou China
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Zhang Y, Wu X, Wan X, Hayter M, Wu J, Li S, Hu Y, Yuan Y, Liu Y, Cao C, Gong W. Relationship between burnout and intention to leave amongst clinical nurses: The role of spiritual climate. J Nurs Manag 2019; 27:1285-1293. [PMID: 31144776 DOI: 10.1111/jonm.12810] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Revised: 05/26/2019] [Accepted: 05/27/2019] [Indexed: 11/28/2022]
Abstract
AIM This study aims to identify the role that spiritual climate has in reducing burnout and intentions to leave amongst clinical nurses. BACKGROUND Both shortages and the high turnover of nurses are challenging problems worldwide. Enhancing the spiritual climate amongst nurses can enhance teamwork, organisational commitment and job satisfaction and can play a role in reducing burnout and turnover intention. METHODS A total of 207 clinical nurses working at a tertiary university hospital were included in this cross-sectional, single-site study. Independent-samples t test and ANOVA, Pearson correlation analysis and hierarchical regression analysis were used to explore the relationships amongst related factors. RESULTS Most clinical departments showed a moderate spiritual climate (60.24 ± 0.82) with high job burnout (33.62 ± 0.28) and turnover intention (2.37 ± 0.57). A good spiritual climate was correlated with high job satisfaction (r = 0.412, p < 0.01), low burnout and turnover intention (r = -0.423, p < 0.01 and r = -0.292, p < 0.01, respectively). Spiritual climate could also indirectly influence nurses' job burnout and turnover intention (R2 = 10.31%). CONCLUSIONS Different departments have different spiritual climates. The findings from this study indicate that spiritual climate may impact nursing burnout and turnover. IMPLICATIONS FOR NURSING MANAGEMENT Using a spiritual climate scale provides health care decision-makers with clear information about staff spirituality well-being. Interventions to improve spiritual climate can benefit teamwork in clinical departments.
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Affiliation(s)
- Yu Zhang
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Xiaxin Wu
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Xiaojuan Wan
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Mark Hayter
- Faculty of Health Science, University of Hull, Hull, UK
| | - Jinfeng Wu
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Shuang Li
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Yi Hu
- School of Nursing, Yangzhou University, Yangzhou, China.,Department of Education, Yangzhou University Affiliated Hospital, Yangzhou, China
| | - Yuan Yuan
- School of Nursing, Yangzhou University, Yangzhou, China.,Department of Nursing, Yangzhou University Affiliated Hospital, Yangzhou, China
| | - Yongbin Liu
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Chaoyu Cao
- Department of ICU, Northern Jiangsu People's Hospital, Affiliated Hospital to Yangzhou University, Yangzhou, China
| | - Weijuan Gong
- School of Nursing, Yangzhou University, Yangzhou, China
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Alharbi H, Alshehry A. Perceived stress and coping strategies among ICU nurses in government tertiary hospitals in Saudi Arabia: a cross-sectional study. Ann Saudi Med 2019; 39:48-55. [PMID: 30712051 PMCID: PMC6464677 DOI: 10.5144/0256-4947.2019.48] [Citation(s) in RCA: 45] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Accepted: 01/05/2019] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia. OBJECTIVES Examine perceived stress and coping behaviors among nurses in intensive care units in Saudi Arabia, and the influence of cop.ing mechanisms on stress. DESIGN Descriptive cross-sectional. SETTING Two tertiary training hospitals in Riyadh, Saudi Arabia. SUBJECTS AND METHODS Nurses from cardiac, surgery and pediatric intensive care units responded to an online survey. Perceived Stress Scale-10 (PSS-10) and the Brief COPE Inventory were used as primary research tools. Multivariate methods were used to analyze the data. MAIN OUTCOME MEASURES Stress levels, coping strategies, and associated factors. SAMPLE SIZE 154 nurses. RESULTS The majority of the respondents reported a moderate level of stress in the past month (87.0%). Mean (SD) scores for nurses working in the cardiac ICU indicated significantly higher levels of stress compared to surgical ICU (18.18 [3.88] vs 6.17 [3.21], P=.025). Belief in religion was the most common coping behavior while the use of substances was the lowest (mean scores [SD] 6.70 [ 1.72] vs 2.22 [0.81]). In the multivariate analysis, behavioral disengagement (P=.016) and self-blame (P less than .001) intensified the PSS-10 score, whereas acceptance (P=.048) reduced the PSS-10 score. CONCLUSION The additional knowledge that behavioral disengagement and blaming aggravate stress can serve as the basis in formulating work-related stress reduction strategies among nurses caring for critical patients. LIMITATIONS The use of self-reports, convenience sampling, and selected demographic factors may have limited the scope and generalizability of the findings and induced social desirability bias. CONFLICT OF INTEREST None.
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Affiliation(s)
- Homood Alharbi
- Dr. Homood Alharbi, Nursing College,, King Saud University,, Riyadh 11451, Saudi Arabia, T: +966118063920, , ORCID: http:// orcid.org/0000-0002-6144-513X
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