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Article Abstract

Background: Compassion fatigue and satisfaction impact nurses' patient care. Resilience acts as a mediator between protective organizational practices and mental health.

Objective: This study aimed to examine the mediating effect of resilience among nurses during the recent emerging infectious disease outbreak, the COVID-19 pandemic.

Methods: This is a cross-sectional study of 233 nurses who were caring for COVID-19 patients in the United States, Japan, Korea, and Guinea. Path analysis was used to assess associations between protective organizational practices and compassion fatigue and satisfaction.

Results: Path analysis indicated that resilience significantly mediated the association between protective organizational practices and the study outcomes of compassion satisfaction (indirect effect: β = 0.11,  < .01) and compassion fatigue (indirect effect: β = -0.11,  < .01). The analysis also indicated that resilience mediated associations between being asked to work at a higher patient acuity level and compassion satisfaction (indirect effect: β = -0.09,  < .05) and compassion fatigue (indirect effect: β = 0.09,  < .01). Our results provide further support for the mediating effect of resilience on compassion fatigue and compassion satisfaction during the COVID-19 crisis and the impact of poor protective organizational practices on compassion fatigue and compassion satisfaction.

Conclusions: This study highlights the critical impact of supportive protective organizational practices in enhancing nurse resilience, reducing compassion fatigue, and improving compassion satisfaction during emerging infectious disease outbreaks, such as the COVID-19 pandemic. The results emphasize the need for robust resiliency programs and organizational resources for infection control in health care settings to enhance nurses' psychological well-being.

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http://dx.doi.org/10.1177/01939459251324838DOI Listing

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