Work stress and professional quality of life among Chinese nurses during the COVID-19 pandemic: the chain mediating role of self-compassion and benefit finding.

Zhaozhao Hui, Caihua Wang, Jiaru Sun, Wenjin Han, Tianmeng Wang, Jing Li, Yuhui Fan, Wenjing Wu, Niuniu Sun, Zhenxiang Zhang, Fang Liang, Mao Ma, Xiaoqin Wang, Xiaohong Liu
Author Information
  1. Zhaozhao Hui: School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China.
  2. Caihua Wang: School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, China.
  3. Jiaru Sun: College of Health Care, Xi'an Vocational and Technical College, Xi'an, China.
  4. Wenjin Han: School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, China.
  5. Tianmeng Wang: School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, China.
  6. Jing Li: School of Public Health, Xi'an Medical University, Xi'an, China.
  7. Yuhui Fan: Department of Urology, Xi'an Gaoxin Hospital, Xi'an, China.
  8. Wenjing Wu: Department of Neonatology, Xi'an International Medical Center Hospital, Xi'an, China.
  9. Niuniu Sun: School of Nursing, Henan University of Science and Technology, Luoyang, China.
  10. Zhenxiang Zhang: School of Nursing and Health, Zhengzhou University, Zhengzhou, China.
  11. Fang Liang: Trade Union, Xianyang First People's Hospital, Xianyang, China.
  12. Mao Ma: Department of Medical Examination, The First Hospital of Xi'an Jiaotong University, Xi'an, China.
  13. Xiaoqin Wang: School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, China. wangxiaoqin@mail.xjtu.edu.cn.
  14. Xiaohong Liu: The First Hospital of Xi'an Jiaotong University, Xi'an, China. liuxiaoh@mail.xjtu.edu.cn.

Abstract

BACKGROUND: Since the outbreak of the Coronavirus Disease 2019 (COVID-19), front-line nurses have faced not only daily work stress but also a high risk of infection and excessive workload, leading to unsatisfactory professional quality of life (ProQOL). This study aimed to explore whether self-compassion (SC) and benefit finding (BF) play a chain mediating role between work stress and ProQOL among Chinese nurses during the COVID-19 pandemic.
METHODS: From March to April 2022, a sample of 13,936 Chinese nurses was recruited through snowball sampling. Demographic information, work stress, SC, BF, and ProQOL were assessed. The SPSS 25.0 software and Amos 24.0 software were used for statistical analysis. The bootstrap method was employed to construct and examine the chain mediating structural equation model.
RESULTS: The ProQOL level of Chinese nurses during the COVID-19 pandemic was moderate. The overall fit indices for the compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) models were satisfactory (χ²/df = 2.486, 3.256, 2.553, RMSEA = 0.011, 0.014, 0.011, the GFI, AGFI, NFI, and CFI values were all above 0.90). Work stress had direct effects on CS, BO, and STS (β=-0.171, 0.334, 0.222, P < 0.001), and also indirectly affected these outcomes through SC (point estimate=-0.010, 0.021, 0.024, P < 0.001), BF (point estimate=-0.033, 0.015, - 0.011, P < 0.001), as well as their chain mediating effect (point estimate=-0.015, 0.006, - 0.005, P < 0.001).
CONCLUSIONS: Our study suggests that SC and BF partially mediated the association between work stress and ProQOL in Chinese nurses during the COVID-19 pandemic. Training on SC and BF may be crucial components of interventions aimed at improving ProQOL.

Keywords

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Grants

  1. SK2023004/Fundamental Research Funds for the Central Universities
  2. 2023-YBSF-027/Natural Science Foundation of Shaanxi Province

MeSH Term

Humans
COVID-19
China
Quality of Life
Adult
Female
Male
Occupational Stress
Empathy
Burnout, Professional
Pandemics
Middle Aged
Nurses
Young Adult
Nursing Staff, Hospital
Surveys and Questionnaires
East Asian People