From compassion fatigue to brilliance: Embracing hope and resilience for nurses’ well-being

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ID: 287401
2025
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Abstract
This study examined the complex relationships between compassion fatigue, resilience, and various locus-of-hope (LOH) dimensions in shaping the psychological well-being of Filipino nurses (N = 168). Using a moderated mediation framework, the study explored whether resilience mediated the relationship between compassion fatigue and psychological well-being and whether different LOH dimensions moderated this process. Results confirmed that resilience mediated the negative impact of compassion fatigue on psychological well-being, though compassion fatigue still exerted a direct negative effect. Moderation analyses revealed that internal LOH and external-peer LOH significantly buffered the negative effects of compassion fatigue on resilience, while external-family and external-spiritual LOH did not. Additionally, internal LOH, external-peer LOH, and external-family LOH moderated the direct relationship between compassion fatigue and psychological well-being; however, contrary to expectations, higher levels of these hope loci intensified rather than buffered the negative effects of compassion fatigue on psychological well-being. Only internal LOH significantly moderated the indirect effect of compassion fatigue on psychological well-being via resilience, suggesting that nurses with higher internal hope were better able to maintain resilience and psychological well-being despite compassion fatigue. These findings highlight the distinct roles of locus-of-hope dimensions, emphasizing the need to cultivate hope alongside resilience to support nurses' psychological well-being in high-stress healthcare settings.
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Authors Malolos, Reinard John A
Journal Malay Journal
Year 2025
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