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Cited by 267Stress and Burnout ResearchHealthcare professionals’ stress and burnoutOccupational Health and Burnout

Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative meta-analysis

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Zhang, Ying-ying, Zhang, Cheng, Han, Xiao-Rong, Li, Wei, Wang, Ying-lei·2018·Medicine
DOI 10.1097/md.0000000000011086PMC PMC6242309
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Abstract

BACKGROUND: Compassionate care is essential for better clinical and patient outcomes, but during healthcare provision it can be compromised by several factors. This study evaluates factors affecting compassion satisfaction, compassion fatigue and burnout in nursing. METHODS: Literature search in electronic databases was followed by data extraction, conversion, and meta-analyses under random effect model. Correlation coefficients (r) reported by individual studies were first converted to z-scores for meta-analyses and the overall effect sizes were then back-transformed into r. RESULTS: Eleven studies (4054 respondents; 64.34 [95% confidence interval: 38.82, 89.86] % response rate; age 39.81 [31.36, 48.27] years; 87.11 [79.48, 94.73] % females) were used for meta-analysis. There was a strong positive correlation between compassion fatigue and burnout (r = 0.59), whereas compassion satisfaction had weak negative correlation with compassion fatigue (r = -0.226) but moderate with burnout (r = -0.446). Stress and negative affect were moderately positively associated with compassion fatigue (r = 0.405) but weakly correlated with burnout (r = 0.119). Positive affect and personal/social factors had weak inverse relationship with burnout (r = -0.197). Positive affect also had a moderately positive relationship with compassion satisfaction (r = 0.396). Demographic or professional factors were not significantly related to compassion satisfaction, compassion fatigue, or burnout. CONCLUSION: In nursing, a variety of stressful factors and negative affect promote compassion fatigue and burnout whereas positive affect is helpful in achieving compassion satisfaction.

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  • Aromatherapy uses essential oils and other aromatic substances to induce relaxation through olfactory stimulation, relieving emotional tension and stress.

    “Aromatherapy uses essential oils and other aromatic substances to induce relaxation through olfactory stimulation, relieving emotional tension and stress (Zhang et al. 2018).”

    From Interventions for Compassion Fatigue, Burnout, and Secondary Traumatic Stress in Nurses: A Systematic Review and Network Meta-Analysis. (2025) · cites this paper as Zhang et al. 2018

    The Discussion addresses nurses’ stress, compassion fatigue, and self-care strategies, but it does not discuss aromatherapy or how it might work. Searches for essential oils, aromatic substances, scent, and olfactory stimulation found no relevant passage in our copy. (LLM, conf=0.76)

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Cited by

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Authors
Zhang, Y.-Y., Zhang, C., Han, X.-R., Li, W., & Wang, Y.-L.
Affiliations
  • Shandong University (CN)
  • Binzhou People's Hospital (CN)
ORCID
Venue
Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2018-06
Volume
97
Issue
26
Pages
e11086
ISSN
0025-7974 (ISSN-L)
DOI
10.1097/md.0000000000011086
PMC
PMC6242309
OpenAlex
W2810056840
Cited by
267
References
2
Citations by year
2026: 14 · 2025: 37 · 2024: 50 · 2023: 42 · 2022: 47 · 2021: 40 · 2020: 31 · 2019: 5 · 2018: 1
FWCI
2.99
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Medicine (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
Keywords
compassion satisfaction, compassion fatigue, burnout, nursing, compassionate care, positive affect, negative affect, occupational stress
MeSH terms
Compassion Fatigue, Adult, Affect, Burnout, Professional, Empathy, Female, Humans, Job Satisfaction, Male, Middle Aged, Nurses, Nursing, Personal Satisfaction, Quality of Life, Stress, Psychological

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