Frontiers in public health · 2026
The prevalence and associated factors of compassion fatigue among pediatric intensive care unit nurses in Southwest China: a cross-sectional study.
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Liu Zhangqin, Zhang Shuai, Lei Lei, Yang Cheng, Xu Min
Аннотация
BACKGROUND: Compassion fatigue, a form of emotional exhaustion resulting from repeated exposure to patients' suffering and trauma, is prevalent among nurses in pediatric intensive care units (PICUs). It damages nurses' health and reduces care safety and quality. This study aims to investigate the prevalence and associated factors of compassion fatigue among PICU nurses in China.
METHODS: A cross-sectional study was conducted among 186 PICU nurses from seven hospitals in Chengdu, China, using convenience sampling. Data were collected using the Professional Quality of Life Scale (Pro-QOL) and the Social Support Rating Scale, along with assessments of sociodemographic characteristics, work-related information, and self-perceived health status. According to the Pro-QOL Manual, compassion fatigue comprises two distinct subdimensions: burnout and secondary traumatic stress.
RESULTS: The study found that 74.7% of PICU nurses reported moderate to high secondary traumatic stress, and 79.6% reported moderate to high burnout. In contrast, 24.7% reported high compassion satisfaction. Multiple linear regression identified several significant factors associated with the subdimensions of professional quality of life. Higher social support was significantly associated with higher compassion satisfaction (β = 0.375, p < 0.001) and lower burnout (β = -0.224, p < 0.001). Poorer self-perceived health, worse sleep quality, more frequent end-of-life care experiences, and less frequent gratitude from patients/families were also significantly linked to higher burnout or secondary traumatic stress (all p < 0.05).
CONCLUSION: The high prevalence of burnout and secondary traumatic stress among PICU nurses underscores the need for targeted interventions. Interventions should prioritize strengthening social support systems, improving sleep quality, and providing additional support for nurses frequently engaged in end-of-life care.
METHODS: A cross-sectional study was conducted among 186 PICU nurses from seven hospitals in Chengdu, China, using convenience sampling. Data were collected using the Professional Quality of Life Scale (Pro-QOL) and the Social Support Rating Scale, along with assessments of sociodemographic characteristics, work-related information, and self-perceived health status. According to the Pro-QOL Manual, compassion fatigue comprises two distinct subdimensions: burnout and secondary traumatic stress.
RESULTS: The study found that 74.7% of PICU nurses reported moderate to high secondary traumatic stress, and 79.6% reported moderate to high burnout. In contrast, 24.7% reported high compassion satisfaction. Multiple linear regression identified several significant factors associated with the subdimensions of professional quality of life. Higher social support was significantly associated with higher compassion satisfaction (β = 0.375, p < 0.001) and lower burnout (β = -0.224, p < 0.001). Poorer self-perceived health, worse sleep quality, more frequent end-of-life care experiences, and less frequent gratitude from patients/families were also significantly linked to higher burnout or secondary traumatic stress (all p < 0.05).
CONCLUSION: The high prevalence of burnout and secondary traumatic stress among PICU nurses underscores the need for targeted interventions. Interventions should prioritize strengthening social support systems, improving sleep quality, and providing additional support for nurses frequently engaged in end-of-life care.