論文種別 原著(症例報告除く)
言語種別 英語
査読の有無 その他(不明)
表題 Model for compassion fatigue onset in cancer care nurses: focusing on patient traumatic events and nurses' cognitive reactions.
掲載誌名 正式名:BMC nursing
略  称:BMC Nurs
ISSNコード:14726955/14726955
掲載区分国外
巻・号・頁 24(1),pp.1423
著者・共著者 Takaki Fukumori, Yuki Shirai, Yoshitake Takebayashi, Mariko Asai
発行年月 2025/11
概要 BACKGROUND:Continuous interaction with patients with cancer is key in the onset of compassion fatigue (CF) among nurses, and cognitive reactions are hypothesized to mediate the relationship between patient interactions and CF. This study develops and evaluates a model addressing traumatic events in patients with cancer, nurses’ cognitive reactions, and professional quality of life, including CF.METHODS:A cross-sectional survey was conducted among nurses working at designated cancer hospitals. The Professional Quality of Life Scale was used to measure CF, while items assessing patient traumatic events and nurses’ cognitive reactions were developed based on previous qualitative findings. Structural equation modeling was employed to examine associations among variables.RESULTS:Data from 536 participants were analyzed. Among five event categories, “bad news from doctors” directly affected CF; the others indirectly affected CF, mediated by four subfactors of cognitive reactions: “reconsideration of the meaning of life,” “desire to avoid one’s professional duties,” “sense of professional mission,” and “compassion for patients and their families.” All effects on CF, except “compassion for patients and their families” (β=-0.357, p = 0.001), were positive.CONCLUSIONS:These findings highlight the significance of specific traumatic events experienced by patients and cognitive reactions to these events at the onset of CF among cancer care nurses. Preventing CF is conceivable by targeting nurses’ cognitive reactions—especially thoughts confronting life’s meaning, desire to avoid or escape professional duties, and a sense of mission as a nurse—while promoting compassionate thoughts toward patients and their families.SUPPLEMENTARY INFORMATION:The online version contains supplementary material available at 10.1186/s12912-025-04050-4.
DOI 10.1186/s12912-025-04050-4
PMID 41272589