Risk of compassion fatigue among emergency department nurses: a systematic review and meta-analysis.

IF 2.3 3区医学 Q1 EMERGENCY MEDICINE

BMC Emergency Medicine Pub Date : 2025-08-15 DOI:10.1186/s12873-025-01314-9

Yunyun Pan, Xiaoyou Wang, Wanglu Jin

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引用次数: 0

Abstract

Background: Emergency nurses face heightened vulnerability to compassion fatigue due to chronic exposure to trauma and high-stress environments, potentially compromising both their well-being and patient care quality. However, comprehensive syntheses of its prevalence and modifiable factors remain limited.

Methods: Observational studies on the risk and factors influencing the occurrence of compassion fatigue among emergency department nurses were included by searching the CNKI, Wanfang, Vip, China Biomedical Literature Database, PubMed, Cochrane Library, Embase, and Web of science databases from inception to December 2024. Data were statistically analysed using RevMan 5. 2 software.

Results: Eleven cross-sectional studies were included, with seven (n = 2,385 nurses) reporting risk estimates. Random-effects meta-analysis indicated significantly elevated compassion fatigue risk (OR = 3.48, 95%CI:1.66-7.30, P = 0.001). Subgroup analysis indicated numerically higher risk among Chinese nurses (OR = 4.33, 95%CI:2.12-8.86, P < 0.0001) versus US nurses (OR = 1.73, 95%CI:0.16-19.11, P = 0.65), though without significant subgroup differences (P = 0.47). Descriptive analysis showed that factors such as personal characteristics and work-related factors were associated with compassion fatigue.

Conclusion: There is a high risk of developing compassion fatigue among emergency department nurses. While point estimates suggested higher risk in China than the US, this difference lacked statistical significance. Factors such as personal characteristics and work-related factors were associated with compassion fatigue.

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急诊科护士同情疲劳的风险：一项系统回顾和荟萃分析。

背景：由于长期暴露于创伤和高压力环境中，急诊护士面临更高的同情疲劳脆弱性，这可能会损害他们的健康和患者护理质量。然而，全面综合其流行程度和可改变的因素仍然有限。方法：通过检索中国知网、万方、维普、中国生物医学文献库、PubMed、Cochrane图书馆、Embase、Web of science等数据库，纳入急诊科护士同情心疲劳发生的风险及影响因素的观察性研究。数据采用revman5进行统计学分析。2软件。结果：纳入了11项横断面研究，其中7项（n = 2385名护士）报告了风险估计。随机效应荟萃分析显示同情疲劳风险显著升高（OR = 3.48, 95%CI:1.66 ~ 7.30, P = 0.001）。亚组分析显示中国护士发生同情疲劳的风险较高（OR = 4.33, 95%CI:2.12-8.86， P）。结论：急诊科护士发生同情疲劳的风险较高。虽然点估计表明中国的风险高于美国，但这种差异缺乏统计学意义。个人特征和工作相关因素与同情疲劳有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Emergency Medicine Medicine-Emergency Medicine

CiteScore

3.50

自引率

8.00%

发文量

178

审稿时长

29 weeks

期刊介绍： BMC Emergency Medicine is an open access, peer-reviewed journal that considers articles on all urgent and emergency aspects of medicine, in both practice and basic research. In addition, the journal covers aspects of disaster medicine and medicine in special locations, such as conflict areas and military medicine, together with articles concerning healthcare services in the emergency departments.