Applied nursing research : ANR · 2025
Resilience as a mediator between empathy and professional grief among nurses in high-mortality services.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Uguz Ozkan, Ozkol Ozan, Gungor Dilay, Ozcan Zeynep
Аннотация
BACKGROUND: Nurses working in high-mortality clinical services, such as intensive care, oncology, and palliative care units, frequently witness patient deaths. This repeated exposure places them at a high risk of bereavement reactions; however, limited research has explored how individual emotional traits, particularly empathy and resilience, shape this experience.
AIMS: This study aimed to investigate the mediating role of resilience in the relationship between empathy and bereavement reactions-both short-term emotional reactions and long-term cumulative effects-among nurses working in high-mortality services.
METHODS: A cross-sectional design was used. Data were collected online from 238 purposively sampled nurses working in a tertiary public hospital in northwestern Turkey. Standardized tools were used to measure empathy, resilience, and professional bereavement.
RESULTS: Nurses reported moderate levels of bereavement reactions following patient deaths. Empathy was positively associated with both short-term bereavement reactions (β = 0.253, p = 0.001) and long-term cumulative effects (β = 0.359, p < 0.001). Resilience partially mediated these associations, reducing the impact of empathy on both short-term bereavement reactions (β = 0.071, 95 % CI [0.017, 0.133]) and long-term cumulative effects (β = 0.137, 95 % CI [0.084, 0.193]).
CONCLUSION: Nurses in high-mortality services are particularly vulnerable to experiencing bereavement. While higher empathy intensifies bereavement reactions, resilience plays a protective role. Interventions aimed at strengthening resilience may help mitigate the negative effects of bereavement and promote emotional well-being, job sustainability, and improved patient care outcomes in these emotionally demanding settings.
AIMS: This study aimed to investigate the mediating role of resilience in the relationship between empathy and bereavement reactions-both short-term emotional reactions and long-term cumulative effects-among nurses working in high-mortality services.
METHODS: A cross-sectional design was used. Data were collected online from 238 purposively sampled nurses working in a tertiary public hospital in northwestern Turkey. Standardized tools were used to measure empathy, resilience, and professional bereavement.
RESULTS: Nurses reported moderate levels of bereavement reactions following patient deaths. Empathy was positively associated with both short-term bereavement reactions (β = 0.253, p = 0.001) and long-term cumulative effects (β = 0.359, p < 0.001). Resilience partially mediated these associations, reducing the impact of empathy on both short-term bereavement reactions (β = 0.071, 95 % CI [0.017, 0.133]) and long-term cumulative effects (β = 0.137, 95 % CI [0.084, 0.193]).
CONCLUSION: Nurses in high-mortality services are particularly vulnerable to experiencing bereavement. While higher empathy intensifies bereavement reactions, resilience plays a protective role. Interventions aimed at strengthening resilience may help mitigate the negative effects of bereavement and promote emotional well-being, job sustainability, and improved patient care outcomes in these emotionally demanding settings.