Health Psychology Research / HPR / Volume 13 / Issue 3 / DOI: 10.14440/hpr.0187
Cite this article
10
Download
21
Citations
78
Views
Journal Browser
Volume | Year
Issue
Search
News and Announcements
View All
RESEARCH ARTICLE

An Investigation of Compassion Fatigue and Compassion Satisfaction among Critical Care Nurses: A Cross-sectional Study

Waddah Mohammad D’emeh1* Mohammed Ibrahim Yacoub2 Ahmad Rajeh Saifan3
Show Less
1 Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman 11942, Jordan
2 Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman 11942, Jordan
3 Department of Adult Health Nursing, Faculty of Nursing, Yarmouk University, Irbid 21163, Jordan
HPR 2025 , 13(3), e81240031; https://doi.org/10.14440/hpr.0187
Submitted: 30 June 2025 | Revised: 13 September 2025 | Accepted: 22 September 2025 | Published: 13 October 2025
(This article belongs to the Special Issue Connecting Mind to Body: the Psychosomatic Perspective)
© 2025 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Background

Critical care nurses (CCNs) employed in critical care units encounter adverse working conditions, such as substantial workloads and inadequate managerial support, as well as professional challenges, including the management of patients with severe health issues, engagement with patients’ emotional and physical suffering, and ethical dilemmas. These circumstances contribute to considerable physical and psychological stress, resulting in complex emotional responses such as anxiety, fear, frustration, and burnout.

Objective

This study aims to evaluate the levels of compassion fatigue (CF) and compassion satisfaction (CS) among CCNs and to propose evidence-based strategies for enhancing and promoting their psychosocial health and well-being.

Methods

A descriptive cross-sectional design was adopted, employing the Professional Quality of Life-5 scale. A convenience sample of 168 CCNs participated, with anonymous online questionnaires serving as the primary data collection method. Data were analyzed using descriptive and inferential statistical tests, with the significance level established at α < 0.05.

Results

The findings revealed that participants exhibited low-to-average levels of CS, alongside average-to-high levels of burnout and secondary traumatic stress. Statistically significant differences were observed in the mean scores for CS, burnout, and secondary traumatic stress across variables such as age, sex, education, and work experience.

Conclusion

Average-to-high levels of CF were observed among nurses, whereas CS was approximately average. Nurse managers and healthcare organizations should implement strategies to enhance CS and mitigate CF. These strategies may include mentoring, mindfulness practices, stress-reduction techniques, resilience building, coping strategies, and fostering positive workplace relationships.

Keywords
Compassion fatigue
Compassion satisfaction
Critical care nurses
Funding
None.
References
  1. Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. doi: 10.1001/ jamanetworkopen.2020.3976

 

  1. Jakimowicz S, Perry L, Lewis J. Compassion satisfaction and fatigue: A cross-sectional sur­vey of Australian intensive care nurses. Aust Crit Care. 2018;31(6):396-405. doi: 10.1016/j. aucc.2017.10.003

 

  1. Kelly L, Runge J, Spencer C. Predictors of com­passion fatigue and compassion satisfaction in acute care nurses. J Nurs Scholarsh. 2015;47(6):522-528. doi: 10.1111/jnu.12162

 

  1. Cocker F, Joss N. Compassion fatigue among healthcare, emergency and community ser­vice workers: A systematic review. Int J Environ Res Public Health. 2016;13(6):618. doi: 10.3390/ ijerph13060618

 

  1. Kelly L. Burnout, compassion fatigue, and sec­ondary trauma in nurses: Recognizing the occu­pational phenomenon and personal consequences of caregiving. Crit Care Nurs Q. 2020;43(1):73-80. doi: 10.1097/CNQ.0000000000000293

 

  1. Teng Z, Wei Z, Qiu Y, et al. Psychological status and fatigue of frontline staff two months after the COVID-19 pandemic outbreak in China: A cross-sectional study. J Affect Disord. 2020;275:247-252. doi: 10.1016/j.jad.2020.06.032

 

  1. Lima A, Moreira MT, Fernandes C, et al. The burnout of nurses in intensive care units and the impact of the SARS-CoV-2 pandemic: A scoping review. Nurs Rep. 2023;13(1):230-242. doi: 10.3390/ nursrep13010022

 

  1. Figley CR, Ludick M. Secondary trauma­tization and compassion fatigue. In: Gold SN, editor. APA handbook of Trauma Psychology: Foundations in Knowledge. Vol. 1. United States: American Psychological Association; 2017. p. 573-593. Available from: https://psycnet.apa. org/record/2017-14410-029 [Last accessed on 2021 Jan 16]. doi: 10.1037/0000019-029

 

  1. Noureen N, Gul S, Maqsood A, Hakim H, Yaswi A. Navigating the shadows of others’ traumas: An in-depth examination of secondary traumatic stress and psychological distress among rescue professionals. Behav Sci (Basel). 2023;14(1):21. doi: 10.3390/bs14010021

 

  1. World Health Organization (WHO). Burn-out an “Occupational Phenomenon”: International Classification of Diseases; 2019. Available from: https://www.who.int/mental_health/evidence/ burn-out/en [Last accessed on 2020 Dec 22].

 

  1. Missouridou E, Karavasopoulou A, Psycharakis A, Segredou E. Compassion fatigue and compassion satisfaction among addiction nursing care providers in greece: A mixed method study design. J Addict Nurs. 2021;32(4):225-234. doi: 10.1097/JAN.0000000000000434

 

  1. Chachula KM. Professional quality of life factors and relationships in nursing and psy­chiatric nursing students: An exploratory study. SAGE Open Nurs. 2021;7:2377960821994394. doi: 10.1177/2377960821994394

 

  1. Kelly LA, Johnson KL, Bay RC, Todd M. Key ele­ments of the critical care work environment asso­ciated with burnout and compassion satisfaction. Am J Crit Care. 2021;30(2):113-120. doi: 10.4037/ ajcc2021775

 

  1. Crabtree-Nelson S, DeYoung PM, Vincent NJ, Myers TP, Czerwinskyj J. Compassion fatigue, com­passion satisfaction, and burnout: A study of nurses in a large Texas health-care system. J Nurs Scholarsh. 2022;54(6):720-727. doi: 10.1111/jnu.12780

 

  1. Xie W, Chen L, Feng F, et al. The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analy­sis. Int J Nurs Stud. 2021;120:103973. doi: 10.1016/j. ijnurstu.2021.103973

 

  1. Alharbi J, Jackson D, Usher K. Personal char­acteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross-sectional study. Nurs Health Sci. 2020;22(1):20-27. doi: 10.1111/nhs.12650

 

  1. Alharbi J, Jackson D, Usher K. Compassion fatigue in critical care nurses and its impact on nurse-sensitive indicators in Saudi Arabian hospitals. Aust Crit Care. 2020;33(6):553-559. doi: 10.1016/j.aucc.2020.02.002

 

  1. Alreshidi SM, Rayani AM. Predictors of com­passion satisfaction, compassion fatigue, and burnout among nursing professionals in a medi­cal city in saudi Arabia. Risk Manag Healthc Policy. 2023;16:2883-2892. doi: 10.2147/RMHP.S430082

 

  1. Lluch C, Galiana L, Doménech P, Sansó N. The impact of the COVID-19 pandemic on burnout, compassion fatigue, and compassion satisfaction in healthcare personnel: A systematic review of the literature published during the first year of the pandemic. Healthcare (Basel). 2022;10(2):364. doi: 10.3390/healthcare10020364

 

  1. Alluhidan M, Tashkandi N, Alblowi F, et al. Challenges and policy opportunities in nursing in Saudi Arabia. Hum Resour Health. 2020;18(1):98. doi: 10.1186/s12960-020-00535-2

 

  1. Stamm B. The Concise ProQOL Manual: The Concise Manual for the Professional Quality of Life Scale. 2nd ed; 2010. Available from: https://proqol. org/proqol-manual [Last accessed on 2020 Dec 29].

 

  1. Batran A, Aqtam I, Ayed A, Ejheisheh MA. The relationship between professional quality of life and work environment among nurses in neo­nate care units. PLoS One. 2025;20(4):e0322023. doi: 10.1371/journal.pone.0322023

 

  1. Aloweni F, Ayre TC, Teo I, Tan HK, Lim SH. A year after COVID-19: Its impact on nurses’ psychological well-being. J Nurs Manag. 2022;30(7):2585-2596. doi: 10.1111/jonm.13814

 

  1. Jiang W, Zhao X, Jiang J, et al. Hospital ethical climate associated with the profes­sional quality of life among nurses during the early stage of COVID-19 pandemic in Wuhan, China: A cross-sectional study. Int J Nurs Sci. 2021;8(3):310-317. doi: 10.1016/j.ijnss.2021.05.002

 

  1. Dixit P, Srivastava SP, Tiwari SK, Chauhan S, Bishnoi R. Compassion satisfaction, burnout, and secondary traumatic stress among nurses after the second wave of the COVID-19 pandemic. Ind Psychiatry J. 2024;33(1):54-61. doi: 10.4103/ipj. ipj_45_23

 

  1. Salimi S, Pakpour V, Rahmani A, Wilson M, Feizollahzadeh H. Compassion satisfaction, burnout, and secondary traumatic stress among critical care nurses in Iran. J Transcult Nurs. 2020;31(1):59-66. doi: 10.1177/1043659619838876

 

  1. Ahmadi MH, Heidarzadeh M, Fathiazar A, Ajri-Khameslou M. Investigating the relation­ship between compassion fatigue and moral injury in nurses. Nurs Ethics. 2025;32(1):201-211. doi: 10.1177/09697330241247323

 

  1. Nadarajan SS, Chui PL, Lee WL, Zaini NH. Factors influencing compassion satisfaction and compassion fatigue among nurses: A study in a tertiary hospital. BMC Nurs. 2025;24(1):93. doi: 10.1186/s12912-025-02736-3

 

  1. İlter SM, Ovayolu Ö, Serçe S, Ovayolu N. An investigation of the relationship between com­passion fatigue and moral sensitivity of intensive care nurses. Omega (Westport). 2024;90(2):521-535. doi: 10.1177/00302228221107976

 

  1. Özan A, Polat H. Determination of compassion and compassion fatigue in intensive care nurses. SAGE Open Nurs. 2024;10:23779608241247395. doi: 10.1177/23779608241247395

 

  1. Dosil M, Ozamiz-Etxebarria N, Redondo I, Picaza M, Jaureguizar J. Psychological symptoms in health professionals in spain after the first wave of the COVID-19 pandemic. Front Psychol. 2020;11:606121. doi: 10.3389/fpsyg.2020.606121

 

  1. Amarneh BH, AL-Dwieb HM. Compassion fatigue, compassion satisfaction, and resilience among intensive care unit nurses. Int J Health Sci. 2022;6(2):1123-1134. doi: 10.53730/ijhs. v6n2.11415

 

  1. Lasalvia A, Bonetto C, Porru S, et al. Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy. Epidemiol Psychiatr Sci. 2020;30:e1. doi: 10.1017/S2045796020001158

 

  1. Al Barmawi MA, Subih M, Salameh O, Sayyah Yousef Sayyah N, Shoqirat N, Abdel-Azeez Eid Abu Jebbeh R. Coping strategies as moderating factors to compassion fatigue among critical care nurses. Brain Behav. 2019;9(4):e01264. doi: 10.1002/ brb3.1264

 

  1. Cortés-Álvarez NY, Vuelvas-Olmos CR. COVID 19: Psychological effects and associated factors in Mexican nurses. Disaster Med Public Health Prep. 2022;16(4):1377-1383. doi: 10.1017/ dmp.2020.495

 

  1. Daly J, Jackson D, Anders R, Davidson PM. Who speaks for nursing? COVID-19 highlighting gaps in leadership. J Clin Nurs. 2020;29(15-16):2751-2752. doi: 10.1111/jocn.15305
Conflict of interest
The authors have no competing interests to declare that are relevant to the content of this article.
Share
Back to top
Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research