Exposure to suffering can lead to compassion fatigue in undergraduate nursing students.
Objective:
Guided by resilience theory, a cross-sectional, correlational design was used to investigate the potential moderating effect of positive thinking skills on the relationships between views of suffering, compassion fatigue, and compassion satisfaction.
Results:
In 157 undergraduate nursing students, multiple regressions revealed that views of suffering and positive thinking explained 23.8% of the variance in compassion satisfaction (F11,145 = 4.121, P < .001), and 21.9% of the variance in burnout (F11,144 = 3.786, P < .001). The Suffering God view, which stresses the presence of a compassionate deity amid suffering, and positive thinking had significant main effects on compassion satisfaction (β = 0.349, P = .025; and β = 0.309, P < .001, respectively). Positive thinking, the Suffering God view, and the Random view, in which the occurrence of suffering is random and purposeless, had significant main effects on burnout (β = −0.280, P < .001; β = −0.392, P = .014; and β = −0.206, P = .014, respectively). The Unorthodox view, in which a deity exists that allows suffering, had a significant main effect on secondary traumatic stress (β = 0.232, P = .027). Positive thinking did not moderate any of the relationships between the views of suffering and the dependent variables.
Conclusions:
Knowledge of these relationships can aid in the assessment of nursing students at risk for poor outcomes and guide intervention development to promote professional quality of life.
ChenYLiTChangYLiaoHHuangHHuangL.Exploring the relationships among professional quality of life, personal quality of life and resignation in the nursing profession. J Adv Nurs. 2021;77(6):2689-2699. doi:10.1111/jan.14770
8.
ChachulaKM.A comprehensive review of compassion fatigue in pre-licensure health students: antecedents, attributes, and consequences. Curr Psychol. 2022;41(9):6275-6287. doi:10.1007/s12144-020-01122-3
9.
RasoRFitzpatrickJJMasickK.Nurses’ intent to leave their position and the profession during the COVID-19 pandemic. J Nurs Adm. 2021;51(10):488-494. doi:10.1097/NNA.0000000000001052
10.
KoehlerTOldsD.Generational differences in nurses’ intention to leave. West J Nurs Res. 2022;44(5):446-455. doi:10.1177/0193945921999608
11.
EleyDEleyRBertelloMRogers-ClarkC.Why did I become a nurse? Personality traits and reasons for entering nursing. J Adv Nurs. 2012;68(7):1546-1555. doi:10.1111/j.1365-2648.2012.05955.x
12.
JardenRJardenAWeilandTJTaylorGBrockenshireNGerdtzM.Registered nurses’ experiences of psychological well-being and ill-being in their first year of practice: a qualitative meta-synthesis. J Adv Nurs. 2021;77(3):1172-1187. doi:10.1111/jan.14667
National Academies of Sciences, Engineering, and Medicine. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. National Academies Press; 2019. doi:10.17226/25521
15.
RoweJ.Nurses’ perceptions of the suffering of the healer. Int J Hum Caring. 2012;16(3):21. doi:10.20467/1091-5710.16.3.21
16.
SaberDAAngladeDSchirleLM.A study examining senior nursing students’ expectations of work and the workforce. J Nurs Manag. 2016;24(2):E183-E191. doi:10.1111/jonm.12322
17.
WoodsMRodgersVTowersALa GrowS.Researching moral distress among New Zealand nurses: a national survey. Nurs Ethics. 2015;22(1):117-130. doi:10.1177/0969733014542679
18.
MastenAS.Ordinary Magic: Resilience in Development. Guilford Publications; 2014.
19.
ten HoeveYKunnenSBrouwerJRoodbolPF.The voice of nurses: novice nurses’ first experiences in a clinical setting. A longitudinal diary study. J Clin Nurs. 2018;27(7-8):e1612-e1626. doi:10.1111/jocn.14307
20.
EifriedS.Bearing witness to suffering: the lived experience of nursing students. J Nurs Educ. 2003;42(2):59-67. doi:10.3928/0148-4834-20030201-06
21.
PedersenBSivonenK.The impact of clinical encounters on student nurses’ ethical caring. Nurs Ethics. 2012;19(6):838-848. doi:10.1177/0969733012447017
22.
WolfLStidhamAWRossR. Predictors of stress and coping strategies of US accelerated vs. Generic baccalaureate nursing students: an embedded mixed methods study. Nurse Educ Today. 2015;35(1):201-205. doi:10.1016/j.nedt.2014.07.005
23.
KadappuranJJGuzmanRD.Practicality and potency of the positive emotions enhancement program (PEEP): an experimental investigation on nursing students. Indian J Posit Psychol. 2021;12(2):108-112.
24.
CaoXWangLWeiSLiJGongS.Prevalence and predictors for compassion fatigue and compassion satisfaction in nursing students during clinical placement. Nurse Educ Pract. 2021;51:102999. doi:10.1016/j.nepr.2021.102999
25.
DwyerPAHunter RevellSMSetharesKAAyotteBJ.The influence of psychological capital, authentic leadership in preceptors, and structural empowerment on new graduate nurse burnout and turnover intent. Appl Nurs Res. 2019;48:37-44. doi:10.1016/j.apnr.2019.04.005
26.
Hale-SmithAParkCLEdmondsonD.Measuring beliefs about suffering: development of the views of suffering scale. Psychol Assess. 2012;24(4):855-866. doi:10.1037/a0027399
27.
von ElmEAltmanDGEggerMPocockSJGøtzschePCVandenbrouckeJP.The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-349. doi:10.1016/j.jclinepi.2007.11.008
28.
SoperD.Calculator: a-priori sample size for multiple regression. Free A-priori sample size calculator for multiple regression—free statistics calculators. Updated 2022. Accessed April 16, 2022. https://www.danielsoper.com/statcalc/calculator.aspx?id=1
BekhetAKZauszniewskiJA.Measuring use of positive thinking skills: psychometric testing of a new scale. West J Nurs Res. 2013;35(8):1074-1093. doi:10.1177/0193945913482191
31.
Matel-AndersonDBekhetAKGarnier-VillarrealM.Mediating effects of positive thinking and social support on suicide resilience. West J Nurs Res. 2019;41(1):25-41. doi:10.1177/0193945918757988
32.
BekhetAKGarnier-VillarrealM.Effects of positive thinking on dementia caregivers’ burden and care-recipients’ behavioral problems. West J Nurs Res. 2020;42(5):365-372. doi:10.1177/0193945919861970
33.
BekhetAKGarnier-VillarrealM.Depression, positive thinking, personal and social resourcefulness among caregivers of persons with autism spectrum disorders. Arch Psychiatr Nurs. 2018;32(6):823-827. doi:10.1016/j.apnu.2018.06.006
34.
AngSYHemsworthDLimSHAyreTCAngELopezV.Evaluation of psychometric properties of professional quality of life scale among nurses in Singapore. J Nurs Meas. 2020;28(3):521-533. doi:10.1891/JNM-D-19-00036
35.
GeoffrionSLamotheJMorizotJGiguèreC.Construct validity of the professional quality of life (ProQoL) scale in a sample of child protection workers. J Trauma Stress. 2019;32(4):566-576. doi:10.1002/jts.22410
DarlingtonRBHayesAF.Regression Analysis and Linear Models: Concepts, Applications, and Implementation. Guilford Press; 2016.
38.
SchistermanEFColeSRPlattRW.Overadjustment bias and unnecessary adjustment in epidemiologic studies. Epidemiology. 2009;20(4):488-495. doi:10.1097/EDE.0b013e3181a819a1
39.
McMartinJHallMEL. Christian functional views of suffering: a review and theoretical overview. Ment Health Relig Cult. 2022;25(3):247-262. doi:10.1080/13674676.2021.1968812
40.
CurrierJMDrescherKDNieuwsmaJAMcCormickWH.Theodicies and professional quality of life in a nationally representative sample of chaplains in the veterans’ health administration. J Prev Interv Community. 2017;45(4):286-296. doi:10.1080/10852352.2016.1197748
41.
BekhetAKSarsourI.The relationship between positive thinking, religion, and health from the perspectives of Arab university students. JTO Clin Res Rep. 2018;1(2):106-111.
42.
Felicilda-ReynaldoRFDCruzJPPapathanasiouIV, et alQuality of life and the predictive roles of religiosity and spiritual coping among nursing students: a multi-country study. J Relig Health. 2019;58(5):1573-1591. doi:10.1007/s10943-019-00771-4
43.
AslanHErciBPekinceH.Relationship between compassion fatigue in nurses, and work-related stress and the meaning of life. J Relig Health. 2022;61(3):1848-1860. doi:10.1007/s10943-020-01142-0
44.
WiltJAExlineJJGrubbsJBParkCLPargamentKI.God’s role in suffering: theodicies, divine struggle, and mental health. Psycholog Relig Spiritual. 2016;8(4):352-362. doi:10.1037/rel0000058
45.
ExlineJJHallTWPargamentKIHarriottVA.Predictors of growth from spiritual struggle among Christian undergraduates: religious coping and perceptions of helpful action by God are both important. J Posit Psychol. 2017;12(5):501-508. doi:10.1080/17439760.2016.1228007
46.
HaleA.Religious Beliefs About Suffering: Measure Validation and Relationships With Well-being [doctoral dissertation]. University of Connecticut; 2014.
47.
WangKTCowanKJErikssonCBJanuzikMConantMR.Religious views of suffering profile groups during COVID-19. Religions. 2022;13(5):453-467. doi:10.3390/rel13050453
48.
Motamed-JahromiMFereidouniZDehghanA.Effectiveness of positive thinking training program on nurses’ quality of work life through smartphone applications. Int Sch Res Notices. 2017;2017:4965816. doi:10.1155/2017/4965816
49.
IrwinKMSaathoffAJanzDALongC.Resiliency program for new graduate nurses. J Nurses Prof Dev. 2021;37(1):35-39. doi:10.1097/NND.0000000000000678
50.
PolitDFBeckCT.Nursing Research: Generating and Assessing Evidence for Nursing Practice. Lippincott Williams & Wilkins;2008.
51.
HildebrandAReimer-KirkhamSQuinnB.Exploring the interprofessional contributions of spiritual health practitioners to prevent compassion fatigue in nurses. Dimens Crit Care Nurs. 2023;42(4):223-233. doi:10.1097/DCC.0000000000000587
52.
LibermanTKozikowskiACarneyM, et alKnowledge, attitudes, and interactions with chaplains and nursing staff outcomes: a survey study. J Relig Health. 2020;59(5):2308-2322. doi:10.1007/s10943-020-01037-0
53.
BekhetAKNakhlaK.Positive thinking training intervention: assessing critical parameters from first generation middle eastern immigrants’ perspectives. Psychol Behav Sci Int J. 2019;12(4):555841.
