Applied nursing research : ANR · 2025
Analysis of factors influencing empathy fatigue among emergency nurses based on the Conservation of Resources theory.
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Dai Min, Li Ningxiang, Gao Yizhu, Yuan Zhenfei
Аннотация
AIM: The present study, grounded in the Conservation of Resources theory, aimed to investigate the levels of empathy fatigue among emergency department nurses.
BACKGROUND: Empathy fatigue is prevalent among emergency department nurses and is largely attributed to external factors, such as stress. However, the underlying psychological mechanisms of these factors remain underexplored.
METHODS: Using a cross-sectional survey design, data were collected from emergency department nurses across 22 general tertiary care hospitals. The survey included a general demographic questionnaire, the Chinese version of the Professional Quality of Life Scale, the Ruminative Thinking Scale, Pittsburgh Sleep Quality Index, and the Mental Capital Scale. Empathy fatigue was assessed using a specialized quality-of-life scale, with high scores indicating high levels of empathy fatigue.
RESULTS: The overall empathy fatigue score among emergency department nurses was 86.35 ± 20.34, with an average score of 2.87 ± 0.68. The mean scores for the dimensions, ranked in descending order, were as follows: burnout (3.01 ± 0.70), empathy satisfaction (2.92 ± 0.87), and secondary traumatic stress (2.70 ± 0.74). Univariate analysis indicated that marital status, residence, education, work area, job title, position, rotating shifts, and night shifts significantly influenced empathy fatigue scores. Multiple linear regression analysis identified ruminative thinking, sleep quality, educational level, work area, and position as significant predictors of empathy fatigue.
CONCLUSION: This study confirms a high incidence of empathy fatigue among emergency department nurses. Nursing administrators should focus on high-risk individuals and develop targeted prevention strategies.
BACKGROUND: Empathy fatigue is prevalent among emergency department nurses and is largely attributed to external factors, such as stress. However, the underlying psychological mechanisms of these factors remain underexplored.
METHODS: Using a cross-sectional survey design, data were collected from emergency department nurses across 22 general tertiary care hospitals. The survey included a general demographic questionnaire, the Chinese version of the Professional Quality of Life Scale, the Ruminative Thinking Scale, Pittsburgh Sleep Quality Index, and the Mental Capital Scale. Empathy fatigue was assessed using a specialized quality-of-life scale, with high scores indicating high levels of empathy fatigue.
RESULTS: The overall empathy fatigue score among emergency department nurses was 86.35 ± 20.34, with an average score of 2.87 ± 0.68. The mean scores for the dimensions, ranked in descending order, were as follows: burnout (3.01 ± 0.70), empathy satisfaction (2.92 ± 0.87), and secondary traumatic stress (2.70 ± 0.74). Univariate analysis indicated that marital status, residence, education, work area, job title, position, rotating shifts, and night shifts significantly influenced empathy fatigue scores. Multiple linear regression analysis identified ruminative thinking, sleep quality, educational level, work area, and position as significant predictors of empathy fatigue.
CONCLUSION: This study confirms a high incidence of empathy fatigue among emergency department nurses. Nursing administrators should focus on high-risk individuals and develop targeted prevention strategies.