背景：護理人員低專業生活品質與高盛行率之同理疲憊感(疲潰與二次創傷壓力)與低盛行率之同理滿足感有關。
目的：本研究目的在探討護理專業生活品質以及其與護理人員之專業價值、道德困境、同理疲憊感與自我關懷之關係
方法：本研究為相關性研究，採橫斷式問卷調查法收集資料。研究對象包含印尼中爪哇三所不同層級醫院護理部門之所有護理人員。使用群集隨機抽樣法共招募600位護理人員接受調查。研究工具使用5個量表包括：護理專業價值量表3-印尼版(NPVS3-I)、同理疲憊量表修定版(MDS-R)、自我關懷量表(SCS)、關懷能力量表(CCS)、專業生活品質量表5版(ProQOL 5)。相關資料以Pearson相關性與多元迴歸進行統計分析。
結果：參與者七成為女性(n= 416)，平均年齡為33.24±7.54歲。專業生活品質量表(ProQOL)各向度平均分別為中等程度同理滿足(CS，37.91±5.44；74.80%)、中等程度之同理疲憊(CF，49.15±11.68；51.70%)、中等程度之疲潰(BO，22.94±5.04；56.00%)，以及中等程度之二次創傷壓力(STS，26.21±7.78；53.85%)。結果發現同理滿足與護理專業價值具統計正相關(NVPS3-I，r= 0.083, p < 0.05)，且與同理疲憊量(MDS-R，r= 0.090, p < 0.05)有正相關。而自我關懷量表(SCS)與同理疲憊具負相關(CF，r= -0.281, p < 0.01)，與疲潰具負相關(BO，r= -0.231, p< 0.01)，並與二次創傷壓力呈現負相關(STS，r= -0.284, p < 0.01)。關懷能力量表與同理滿足呈負相關(CS，r= -0.265, p < 0.01)，但與疲潰(BO，r= 0.136, p< 0.01)呈正相關。
多元迴歸分析發現子女數只有2個以下較超過2個的有較高的同理滿足(B= 1.926, p < 0.01)；薪資> 800,000 ~ 1,500,000 IDR較 > 4,000,000 IDR者有較低的同理滿足(B= -2.670, p < 0.05)。護理價值可預測較低的同理滿足(B= - 0.100, p < 0.01)；關懷可預測較高的同理滿足(B= 0.343, p< 0.01)；自我關懷可預測較高的同理滿足(B= 1.693, p < 0.001)；孤立可預測較低的悲憫滿足(B= -0.721, p < 0.05)。
全職工作可預測較高的同理疲憊(B= 5.484, p < 0.001)，每日工作時間 < 8小時的護理人員有較低的悲憫疲憊(B= -2.290, p < 0.05)；自我關懷可預測較低的同理疲憊(B= -3.050, p < 0.05)；自我判斷可預測較低的同理疲憊(B= -2.870, p < 0.01)。
有全職工作的護理人員有較高的疲潰(B= 1.805,p< 0.01)；自我關懷可預測較低的疲潰(B= 5.484, p < 0.001)；自我判斷可預測較低的疲潰(B= -1.405, p < 0.01)。
有全職工作的護理人員有較高的二次創傷壓力(B= 3.354, p < 0.01)，每日工作時間<8小時的護理人員有較低的二次創傷壓力(B= - 1.767, p < 0.05)。
結論：綜整研究結果發現影響印尼護理人員護理專業生活品質之預測因子包括：護理人員子女數量、護理價質、關懷、自我關懷、自我判斷、每天工作時數與全職工作。

Background: The low professional quality of life in nurses can be seen from the high prevalence of compassion fatigue (burnout and secondary traumatic stress) and low prevalence of compassion satisfaction.
Objective: This study aims to explore nurses' professional quality of life and determine the correlation between professional quality of life with professional values, moral distress, and compassion among nurses.
Method: This study is a correlational study using cross-sectional survey design. The study was conducted at three hospitals in Central Java, Indonesia involved nurses in all levels and departments. Data collected from 600 nurses using a cluster random sampling technique. Measurements including five scales; the Nurses Professional Values Scale-3 Indonesian version (NPVS3-I), the Moral Distress Scale-Revised (MDS-R), Self-compassion Scale (SCS), Compassion Competence Scale (CCS), and Professional Quality of Life 5 (ProQOL 5). Pearson correlation analysis and multiple regression analysis were performed for data analysis
Results: The participant were mostly female (n = 416, 70.00%) with age ranged 33.24±7.54 years. The ProQOL mean score for compassion satisfaction (CS), compassion fatigue (CF), burnout (BO), and secondary traumatic stress (STS) were 37.91±5.44, 49.15±11.68, 22.94±5.04, and 26.21±7.78, respectively. The ProQOL level of each domain were moderate for CS (74.80%), moderate for BO (51.70%), and moderate for STS (56.00%). The level of CF was moderate (53.85%). The results indicated that NVPS-I have a positive correlation with CS, r = 0.083, p < 0.05. MDS-R have a positive correlation with CS, r = 0.090, p < 0.05. SCS have a positive correlation with , CF, BO, and STS, -0.281, p < 0.01, r = -0.231, p < 0.01, and r = -0.284, p < 0.01, respectively. CCS have a negative correlation with CS, r = -0.265, p < 0.01 and positive correlation with BO, r = 0.136, p < 0.01, respectively. Multivariate regression correlation showed some predictors are correlated with the professional quality of life. Having 1 to 2 children compared to having > 2 children predicted higher CS (B = 1.926, p < 0.01), nurses’ salary > 800,000 to 1,500,000 IDR compared to nurses’ salary > 4,000,000 IDR was predicted lower CS (B = -2.670, p < 0.05), nurses’ professional values was predicted lower CS (B = -0.100, p < 0.01), caring was predicted higher CS (B = 0.343, p < 0.01), and self-kindness was predicted higher CS (B = 1.693, p < 0.001) and isolation was predicted lower CS (B = -0.721, p < 0.05). Nurses who work with full-time job was predicted higher CF (B = 5.484, p < 0.001), nurses working time per day < 8 hours compared to ≥ 8 hours per day was predicted lower CF (B = -2.290, p < 0.05), self-kindness was predicted lower CF (B = -3.050, p < 0.05), and self-judgment was predicted lower CF (B = -2.870, p < 0.01). Nurses who work with full-time job was predicted higher BO (B = 1.805, p < 0.01), self-kindness was predicted lower BO (B = 5.484, p < 0.001), and self-judgment was predicted lower BO (B = -1.405, p < 0.01). Nurses who work with full-time job was predicted higher STS (B = 3.354, p < 0.01) and nurses working time per day < 8 hours compared to ≥ 8 hours per day was predicted lower STS (B = -1.767, p < 0.05).
Conclusion: We found the predictors of the professional quality of life among nurses in Indonesia are nurses’ number of children, nurses’ professional values, caring, self-kindness, self-judgment, isolation, working time per day, and a full-time job.

REFERENCES

Akinsanya, J., Cox, G., Crouch, C., & Fletcher, L. (1994). The roy adaptation model in action. London: The Macmillan Press.
Altun, I. (2002). Burnout and nurses' personal and professional values. Nursing Ethics, 9(3), 269-278. doi:10.1191/0969733002ne509oa
Ando, M., & Kawano, M. (2018). Relationships among moral distress, sense of coherence, and job satisfaction. Nursing Ethics, 25(5), 571-579. doi:10.1177/0969733016660882
Araújo-Dos-Santos, T., Silva-Santos, H., Silva, M. N. D., Coelho, A. C. C., Pires, Cgds, & Melo, C. M. M. (2018). Job insecurity among nurses, nursing technicians and nursing aides in public hospitals. Revista da Escola de Enfermagem da USP, 52, e03411. doi:10.1590/s1980-220x2017050503411
Ariste, R., & Béjaoui, A. (2015). Estimating nursing wage bill in Canada and breaking down the growth rate: 2000 to 2010. Healthcare Policy, 10(4), 48-60.
Armstrong, A. E. , Parsons, S., & Barker, P. J. (2000). An inquiry into moral virtues, especially compassion, in psychiatric nurses: Findings from a delphi study. Journal of Psychiatric and Mental Health Nursing, 7, 297-306.
Arroyo-Laguna, J. (2020). Redistribution of salary or professional recognition? The difficult construction of a profession, the Peruvian nursing. Cien Saude Colet, 25(1), 223-232. doi:10.1590/1413-81232020251.25972019
Asiandi, A., Erlina, M., Lin, Y. H., & Huang, M. C. (2021). Psychometric evaluation of the Nurses Professional Values Scale-3: Indonesian version. International Journal of Environmental Research and Public Health, 18(16), 8810. doi:10.3390/ijerph18168810
Austin, C. L., Saylor, R., & Finley, P. J. (2017). Moral distress in physicians and nurses: Impact on professional quality of life and turnover. Psychological Trauma: Theory, Research, Practice and Policy, 9(4), 399-406. doi:10.1037/tra0000201
Barr, P. (2018). The five-factor model of personality, work stress and professional quality of life in neonatal intensive care unit nurses. Journal of Advanced Nursing, 74(6), 1349-1358. doi:10.1111/jan.13543
Basogul, C., Arabaci, L. B., Satil, E. M., & Aslan, A. B. (2021). Professional values and professional quality of life among mental health nurses: A cross-sectional study. Nursing & Health Sciences, 23(2), 362-371. doi:10.1111/nhs.12811
Başoğul, C., Arabaci, L. B., Satıl, E. M., & Aslan, A. B. (2021). Professional values and professional quality of life among mental health nurses: A cross-sectional study. Nursing & Health Sciences, 23(2), 362-371. doi:10.1111/nhs.12811
Bein, Steve. (2013). Compassion and moral guidance. Honolulu: University of Hawai’i Press.
Berman, A. T., Snyder, S., & Frandsen, G. (2016). Kozier & Erb's fundamentals of nursing: concept, process, and practice (10th ed.). Boston/Tokyo: Pearson Education.
Borhani, F., Abbaszadeh, A., Nakhaee, N., & Roshanzadeh, M. (2014). The relationship between moral distress, professional stress, and intent to stay in the nursing profession. Journal of Medical Ethics and History of Medicine, 7(4), 1-8.
Boykin, A., & Schoenhofer, S. O. (2001). Nursing as caring: A model for transforming practice. Boston/Singapore: Jones and Bartlett Publisher and National League for Nursing.
BPS. (2021). Income Statistics February 2021. Jakarta: BPS-Satatistics Indonesia.
Bradshaw, A. (2009). Measuring nursing care and compassion: the McDonaldised nurse? Journal of Medical Ethics, 35(8), 465-468. doi:10.1136/jme.2008.028530
Burnell, L. (2009). Compassionate care: A concept analysis. Home Health Care Management & Practice, 21(5), 319-324. doi:10.1177/1084822309331468
Cetinkaya-Uslusoy, E., Pasli-Gurdogan, E., & Aydinli, A. (2017). Professional values of Turkish nurses: A descriptive study. Nursing Ethics, 24(4), 493-501. doi:10.1177/0969733015611072
Chambers, C., & Ryder, E. (2009). Compassion and Caring in Nursing. Oxford/New York: Radcliffe Publishing.
Choi, S. H., & Lee, H. (2017). Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention. Journal of Nursing Management, 25(7), 508-518. doi:10.1111/jonm.12488
Corley, M. C., Elswick, R. K., Gorman, M., & Clor, T. (2001). Development and evaluation of a moral distress scale. Journal of Advanced Nursing, 33(2), 250-256. doi:10.1046/j.1365-2648.2001.01658.x
Cox, C. E., Hough, C. L., Jones, D. M., Ungar, A., Reagan, W., Key, M. D., . . . Porter, L. S. (2019). Effects of mindfulness training programmes delivered by a self-directed mobile app and by telephone compared with an education programme for survivors of critical illness: A pilot randomised clinical trial. Thorax, 74(1), 33-42. doi:10.1136/thoraxjnl-2017-211264
Craigie, M., Slatyer, S., Hegney, D., Osseiran-Moisson, R., Gentry, E., Davis, S., . . . Rees, C. (2016). A pilot evaluation of a mindful self-care and resiliency (MSCR) intervention for nurses. Mindfulness, 7(3), 764-774. doi:10.1007/s12671-016-0516-x
Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., & Aiken, L. H. (2015). Association of 12 h shifts and nurses' job satisfaction, burnout and intention to leave: Findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9), e008331. doi:10.1136/bmjopen-2015-008331
Dasan, S., Gohil, P., Cornelius, V., & Taylor, C. (2015). Prevalence, causes and consequences of compassion satisfaction and compassion fatigue in emergency care: a mixed-methods study of UK NHS consultants. Emergency Medicine Journal, 32(8), 588-594. doi:10.1136/emermed-2014-203671
Dev, V., Fernando III, A. T., & Consedine, N. S. (2020). Self-compassion as a stress moderator: A cross-sectional study of 1700 doctors, nurses, and medical students. Mindfulness, 11(5), 1170-1181. doi:10.1007/s12671-020-01325-6
Dev, V., Fernando III, A. T., Lim, A. G., & Consedine, N. S. (2018). Does self-compassion mitigate the relationship between burnout and barriers to compassion? A cross-sectional quantitative study of 799 nurses. International Journal of Nursing Studies, 81, 81-88. doi:10.1016/j.ijnurstu.2018.02.003
Draper, N., & Smith, H. (1998). Applied regression analysis (3rd ed.). Canada: John Wiley & Sons.
Drury, V., Craigie, M., Francis, K., Aoun, S., & Hegney, D. G. (2014). Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Phase 2 results. Journal of Nursing Management, 22(4), 519-531. doi:10.1111/jonm.12168
Duarte, J., Pinto-Gouveia, J., & Cruz, B. (2016). Relationships between nurses' empathy, self-compassion and dimensions of professional quality of life: A cross-sectional study. International Journal of Nursing Studies, 60, 1-11. doi:10.1016/j.ijnurstu.2016.02.015
Engelbrecht, M. , van den Berg, H., & Bester, C. (2009). Burnout and compassion fatigue: The case of professional nurses in primary health care facilities in the free state province, South Africa. In Rachel V. Schwartzhoffer (Ed.), Psychology of burnout: Predictors and coping mechanisms (pp. 1-37). New York: Nova Science Publishers, Inc.
Figley, C. R. (1995). Compassion fatigue as secondary traumatic stress disorder: An overview. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 1-20). New York/London: Brunner-Routledge.
Fu, C. Y., Yang, M. S., Leung, W., Liu, Y. Y., Huang, H. W., & Wang, R. H. (2018). Associations of professional quality of life and social support with health in clinical nurses. Journal of Nursing Management, 26(2), 172-179. doi:10.1111/jonm.12530
Galbraith, S., Daniel, J. A., & Vissel, B. (2010). A study of clustered data and approaches to its analysis. Journal of Neuroscience, 30(32), 10601-10608.
Galbreath, J. G. (2014). Roy adaptation model sister Callista Roy. In J. B. George (Ed.), Nursing theories: The base for professional nursing practice (6th ed., pp. 311-357). Essex, England: Pearson Education Limited.
Ghasemi, E., Negarandeh, R., & Janani, L. (2019). Moral distress in Iranian pediatric nurses. Nursing Ethics, 26(3), 663-673. doi:10.1177/0969733017722824
Gilbert, P. (Ed.) (2005). Compassion: Conceptualisations, research and use in psychoterapy. London/New York: Roudledge.
Hamric, A. B., Borchers, C. T., & Epstein, E. G. (2012). Development and testing of an instrument to measure moral distress in healthcare professionals. AJOB Primary Research, 3(2), 1-9. doi:10.1080/21507716.2011.652337
Hedges, L. V. (2007). Correcting a significance test for clustering. Journal of Educational and Behavioral Statistics, 32(2), 151-179. doi:0.3102/1076998606298040
Hegel, J., Halkett, G. K. B., Schofield, P., Rees, C. S., Heritage, B., Suleman, S., . . . Breen, L. J. (2021). The relationship between present-centered awareness and attention, burnout, and compassion fatigue in oncology health professionals. Mindfulness, 12(5), 1224-1233. doi:10.1007/s12671-020-01591-4
Hegney, D. G., Craigie, M., Hemsworth, D., Osseiran-Moisson, R., Aoun, S., Francis, K., & Drury, V. (2014). Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Study 1 results. Journal of Nursing Management, 22(4), 506-518. doi:10.1111/jonm.12160
Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of Emergency Nursing, 36(5), 420-427. doi:10.1016/j.jen.2009.11.027
Hosking, P. (2007). Compassion: What is in a word? . In M. Konstanski (Ed.), The power of compassion: An exploration of the psychology of compassion in the 21st century (pp. 2-13). Newcastle, UK: Cambridge Scholars Publishing
House, R. J., & Rizzo, J. R. (1972). Role conflict and ambiguity as critical variables in a model of organizational behavior. Organizational Behavior and Human Performance, 7(3), 467-505. doi:10.1016:0030-5073(72)90030-X
Hsieh, C. C., Yu, C. J., Chen, H. J., Chen, Y. W., Chang, N. T., & Hsiao, F. H. (2019). Dispositional mindfulness, self-compassion, and compassion from others as moderators between stress and depression in caregivers of patients with lung cancer. Psycho-Oncology, 28(7), 1498-1505. doi:10.1002/pon.5106
Hui, Z., Dai, X., & Wang, X. (2020). Mediating effects of empathy on the association between nursing professional values and professional quality of life in Chinese female nurses: A cross-sectional survey. Nursing Open, 7(1), 411-418. doi:10.1002/nop2.404
Hunsaker, S., Chen, H. C., Maughan, D., & Heaston, S. (2015). Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. Journal of Nursing Scholarship, 47(2), 186-194. doi:10.1111/jnu.12122
Irving, J. A., & Snider, J. (2002). Preserving professional values. Journal of Professional Nursing, 18(1), 5. doi:10.1053/jpnu.2002.30893
Jameton, A. (1984a). Nursing Practice: The Ethical Issues Englewood Cliffs, NJ: Prentice Hall.
Jameton, A. (1984b). Nursing practice: The ethical issues. Englewood Cliffs, NJ: Prentice Hall.
Jameton, A. (1992). Nursing ethics and the moral situation of the nurse. In E. Friedman (Ed.), Choiches and conflict (pp. 101-109). Chicago: American Hospital Association.
Jameton, A. (1993). Dilemmas of moral distress: Moral responsibility and nursing practice. WHONN's Clinical Issues in Perinatal and Women's Health Nursing, 4, 542-551.
Jameton, A. (2013). A reflection on moral distress in nursing together with a current application of the concept. Journal of Bioethic Inquiry, 10(3), 297-308. doi:10.1007/s11673-013-9466-3
Kantek, F., & Kaya, A. (2017). Professional values, job satisfaction, and intent to leave among nursing managers. Journal of Nursing Research, 25(4), 319-325. doi:10.1097/jnr.0000000000000164
Kato, R., Haruyama, Y., Endo, M., Tsutsumi, A., & Muto, T. (2014). Heavy overtime work and depressive disorder among male workers. Occupational Medicine, 64(8), 622-628. doi:10.1093/occmed/kqu120
Kim, C., & Lee, Y. (2020). Effects of compassion competence on missed nursing care, professional quality of life and quality of life among Korean nurses. Journal of Nursing Management, 28(8), 2118-2127. doi:10.1111/jonm.13004
Kim, H. J., & Choi, H. (2012). Emergency nurses’ professional quality of life: Compassion satisfaction, burnout, and secondary traumatic stress. Journal of Korean Academy of Nursing Administration, 18(3), 320-328.
Kim, K., Han, Y., & Kim, J. S. (2015). Korean nurses' ethical dilemmas, professional values and professional quality of life. Nursing Ethics, 22(4), 467-478. doi:10.1177/0969733014538892
Lee, Y., & Seomun, G. (2016a). Development and validation of an instrument to measure nurses' compassion competence. Applied Nursing Research, 30, 76-82. doi:10.1016/j.apnr.2015.09.007
Lee, Y., & Seomun, G. (2016b). Role of compassion competence among clinical nurses in professional quality of life. International Nursing Review, 63(3), 381-387. doi:10.1111/inr.12295
Li, W. W., West, C., & Xie, G. J. (2021). The reflective risk assessment model of professional quality of life in Chinese nurses. Journal of Nursing Management, 29(4), 767-775. doi:10.1111/jonm.13217
Lin, C. C., Han, C. Y., Pan, I. J., & Lin, P. L. (2016). Exploring the perceptions of core values of nursing in Taiwanese nursing students at the baccalaureate level. Journal of Nursing Research, 24(2), 126-136. doi:10.1097/jnr.0000000000000108
Lin, Y. H., & Wang, L. S. (2010). A Chinese version of the revised Nurses Professional Values Scale: Reliability and validity assessment. Nurse Education Today, 30(6), 492-498. doi:10.1016/j.nedt.2009.10.016
Maley, M. (2018). Combatting compassion fatigue with mindfulness. Journal of Doctoral Nursing Practice, 11(1), 52-58. doi:10.1891/2380-9418.11.1.52
McCaffrey, G., & McConnell, S. (2015). Compassion: a critical review of peer-reviewed nursing literature. Journal of Clinical Nursing, 24(19-20), 3006-3015. doi:10.1111/jocn.12924
Merriam-Webster English Dictionary. (2021). Compassion. Merriam-Webster. Retrieved from https://www.merriam-webster.com/dictionary/compassion
Mills, J., Wand, T., & Fraser, J. A. (2015). On self-compassion and self-care in nursing: Selfish or essential for compassionate care? International Journal of Nursing Studies, 52(4), 791-793. doi:10.1016/j.ijnurstu.2014.10.009
Mohammadpoorasl, A., Maleki, A., & Sahebihagh, M. H. (2012). Prevalence of professional burnout and its related factors among nurses in Tabriz in 2010. Iranian Journal of Nursing and Midwifery Research, 17(7), 524-529.
Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223-250. doi:10.1080/15298860309027
Neff, K. D. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85-101. doi:10.1080/15298860390129863
Neff, K. D. (2009). The role of self-compassion in development: A healthier way to relate to oneself. Human Development, 52(4), 211-214. doi:10.1159/000215071
Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: two different ways of relating to oneself. Journal of Personality, 77(1), 23-50. doi:10.1111/j.1467-6494.2008.00537.x
Ntani, Georgia, Inskip, Hazel, Osmond, Clive, & Coggon, David. (2021). Consequences of ignoring clustering in linear regression. BMC Medical Research Methodology, 21(1), 139. doi:10.1186/s12874-021-01333-7
Nugent, P. M., & Vitale, B. A. (2014). Fundamentals of nursing: Content review plus practice questions. Philadelphia: F. A. Davis Company.
Oh, Y., & Gastmans, C. (2015). Moral distress experienced by nurses: A quantitative literature review. Nursing Ethics, 22(1), 15-31. doi:10.1177:0969733013502803
Ortega-Galán, Ángela María , Ruiz-Fernández, María Dolores , Ramos-Pichardo, Juan Diego , Salinas-Pérez, Virginia , Ibáñez-Masero, Olivia , Cabrera-Troya, José , . . . Fernández-Martínez, Elia (2020). Professional quality of life and perceived stress in health professionals before COVID-19 in Spain: Primary and hospital care. Healthcare, 8(4), 484. doi:10.3390/healthcare8040484
Oxford English Dictionary. (2021). Compassion. Oxford English Dictionary. Retrieved from https://www.oed.com/view/Entry/37475?rskey=39cYKB&result=1&isAdvanced=false#eid
Pang, Y., Dan, H., Jung, H., Bae, N., & Kim, O. (2020). Depressive symptoms, professional quality of life and turnover intention in Korean nurses. International Nursing Review, 67(3), 387-394. doi:10.1111/inr.12600
Perez-Garcia, E., Ortega-Galan, A. M., Ibanez-Masero, O., Ramos-Pichardo, J. D., Fernandez-Leyva, A., & Ruiz-Fernandez, M. D. (2021). Qualitative study on the causes and consequences of compassion fatigue from the perspective of nurses. International Journal of Mental Health Nursing, 30(2), 469-478. doi:10.1111/inm.12807
Pires, F. B. C., Lacerda, S. S., Balardin, J. B., Portes, B., Tobo, P. R., Barrichello, C. R. C., . . . Kozasa, E. H. (2018). Self-compassion is associated with less stress and depression and greater attention and brain response to affective stimuli in women managers. BMC Women's Health, 18(1), 195. doi:10.1186/s12905-018-0685-y
Poorchangizi, B., Farokhzadian, J., Abbaszadeh, A., Mirzaee, M., & Borhani, F. (2017). The importance of professional values from clinical nurses' perspective in hospitals of a medical university in Iran. BMC Medical Ethics, 18(1), 20. doi:10.1186/s12910-017-0178-9
Richardson, R. A., Nandi, A., Jaswal, S., & Harper, S. (2017). Are work demands associated with mental distress? Evidence from women in rural India. Social Psychiatry and Psychiatric Epidemiology, 52(12), 1501-1511. doi:10.1007/s00127-017-1448-z
Rokeach, M. (1973). The nature of human values. New York: The Free Press.
Ruiz-Fernández, M. D., Ramos-Pichardo, J. D., Ibáñez-Masero, O., Carmona-Rega, M. I., Sánchez-Ruiz, M. J., & Ortega-Galán Á, M. (2021). Professional quality of life, self-compassion, resilience, and empathy in healthcare professionals during COVID-19 crisis in Spain. Research in Nursing and Health, 44(4), 620-632. doi:10.1002/nur.22158
Ryan, T. P. (2013). Sample size determination and power (1st ed.). New Jersey: Wiley.
Sacco, T. L., & Copel, L. C. (2018). Compassion satisfaction: A concept analysis in nursing. Nursing Forum, 53(1), 76-83. doi:10.1111/nuf.12213
Saleh, Z. N., Loghmani, L., Rasouli, M., Nasiri, M., & Borhani, F. (2019). Moral distress and compassion fatigue in nurses of neonatal intensive care unit. Electronic Journal of General Medicine, 16(2), em116. doi:10.29333/ejgm/93473
Samson, T., & Shvartzman, P. (2018). Association between level of exposure to death and dying and professional quality of life among palliative care workers. Palliative & Supportive Care, 16(4), 442-451. doi:10.1017/S1478951517000487
Samuelsson, Å, Houkes, I., Verdonk, P., & Hammarström, A. (2012). Types of employment and their associations with work characteristics and health in Swedish women and men. Scandinavian Journal of Public Health, 40(2), 183-190. doi:10.1177/1403494811435498
Sansó, N., Galiana, L., Oliver, A., Tomás-Salvá, M., & Vidal-Blanco, G. (2020). Predicting professional quality of life and life satisfaction in Spanish nurses: A cross-sectional study. International Journal of Environmental Research and Public Health, 17(12), 4366. doi:10.3390/ijerph17124366
Sarabia-Cobo, C., Perez, V., de Lorena, P., Fernandez-Rodriguez, A., Gonzalez-Lopez, J. R., & Gonzalez-Vaca, J. (2021). Burnout, compassion fatigue and psychological flexibility among geriatric nurses: A multicenter study in Spain. International Journal of Environmental Research and Public Health, 18(14), 7560. doi:10.3390/ijerph18147560
Schantz, M. L. (2007). Compassion: A concept analysis. Nursing Forum, 42(2), 48-55.
Shih, F., Lin, Y., Smith, M. C., Liou, Y., Chiang, H., Lee, S., & Gau, M. (2009). Perspectives on professional values among nurses in Taiwan. Journal of Clinical Nursing, 18(10), 1480-1489. doi:10.1111/j.1365-2702.2008.02728.x
Sinclair, S., Kondejewski, J., Raffin-Bouchal, S., King-Shier, K. M., & Singh, P. (2017). Can self-compassion promote healthcare provider well-being and compassionate care to others? Results of a systematic review. Applied Psychology: Health and Well-being, 9(2), 168-206. doi:10.1111/aphw.12086
Sinclair, S., Raffin-Bouchal, S., Venturato, L., Mijovic-Kondejewski, J., & Smith-MacDonald, L. (2017). Compassion fatigue: A meta-narrative review of the healthcare literature. International Journal of Nursing Studies, 69, 9-24. doi:10.1016/j.ijnurstu.2017.01.003
Slocum-Gori, S., Hemsworth, D., Chan, W. W. Y., Carson, A., & Kazanjian, A. (2013). Understanding compassion satisfaction, compassion fatigue and burnout: A survey of the hospice palliative care workforce. Palliative Medicine, 27(2), 172-178. doi:10.1177/0269216311431311
Sorenson, C., Bolick, B., Wright, K., & Hamilton, R. (2016). Understanding compassion fatigue in healthcare providers: A review of current literature. Journal of Nursing Scholarship, 48(5), 456-465. doi:10.1111/jnu.12229
Sperber, A. D. (2004). Translation and validation of stusy instruments for cross-cultural research. Gastroenterology, 126(Suppl 1), S124-S128. doi:10.1016/S0016-5085(03)01564-6
Stamm, B. H. (2010). The concise ProQOL manual. Pocatello, ID: ProQOL.org.
Stimpfel, A. W., Sloane, D. M., & Aiken, L. H. (2012). The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Affairs, 31(11), 2501-2509. doi:10.1377/hlthaff.2011.1377
Taylor, C. R., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia/Tokyo: Wolters Kluwer Health/Lippincott Williams & Wilkins
Tehranineshat, B., Torabizadeh, C., & Bijani, M. (2020). A study of the relationship between professional values and ethical climate and nurses' professional quality of life in Iran. International Journal of Nursing Sciences, 7(3), 313-319. doi:10.1016/j.ijnss.2020.06.001
Thommai, J. (2019). Simulation study on the effects of ignoring clustering in regression analysis [Bachelor's thesis, University of Twente]. the University of Twente Theses. https://essay.utwente.nl/78374/
Tinsley, H. E., & Tinsley, D. J. (1987). Uses of factor analysis in counseling psychology research. Journal of Counseling Psychology, 34(4), 414-424. doi:10.1037:0022-0167.34.4.414
van Mol, M. M. C., Kompanje, E. J. O., Benoit, D. D., Bakker, J., & Nijkamp, M. D. (2015). The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: A systematic review. PloS One, 10(8), e0136955. doi:10.1371/journal.pone.0136955
von Dietze, E., & Orb, A. (2000). Compassionate care: A moral dimension of nursing. Nursing Inquiry, 7(3), 166-174. doi.org/10.1046/j.1440-1800.2000.00065.x
Watson, J. (2008). Nursing: The philosophy and science of caring (Revised Edition). Boulder, Colorado: University Press of Colorado.
Weis, D., & Schank, M. J. (2000). An instrument to measure professional nursing values. Journal of Nursing Scholarship, 32(2), 201-204. doi:10.1111/j.1547-5069.2000.00201.x
Weis, D., & Schank, M. J. (2009). Development and psychometric evaluation of the Nurses Professional Values Scale-Revised. Journal of Nursing Measurement, 17(3), 221-231. doi:10.1891/1061-3749.17.3.221
Weis, D., & Schank, M. J. (2010). Development and psychometric evaluation of the Nurses Professional Values Scale-Revised (erratum). Journal of Nursing Measurement, 18(1), 70-72.
Weis, D., & Schank, M. J. (2017). Development and psychometric evaluation of the Nurses Professional Values Scale-3. Journal of Nursing Measurement, 25(3), 400-410. doi:10.1891/1061-3749.25.3.400
Werner, K. H., Jazaieri, H., Goldin, P. R., Ziv, M., Heimberg, R. G., & Gross, J. J. (2012). Self-compassion and social anxiety disorder. Anxiety Stress & Coping, 25(5), 543-558. doi:10.1080/10615806.2011.608842
Wersebe, H., Lieb, R., Meyer, A. H., Hofer, P., & Gloster, A. T. (2018). The link between stress, well-being, and psychological flexibility during an acceptance and commitment therapy self-help intervention. International Journal of Clinical and Health Psychology, 18(1), 60-68. doi:10.1016/j.ijchp.2017.09.002
Woo, M. J., & Kim, D. H. (2021). Factors associated with secondary traumatic stress among nurses in regional trauma centers in South Korea: A descriptive correlational study. Journal of Emergency Nursing, 47(3), 400-411. doi:10.1016/j.jen.2020.08.006
Wu, S., Singh-Carlson, S., Odell, A., Reynolds, G., & Su, Y. H. (2016). Compassion fatigue, burnout, and compassion satisfaction among oncology nurses in the United States and Canada. Oncology Nursing Forum, 43(4), E161-E169. doi:10.1188/16.Onf.E161-E169
Xie, G., Li, W., & McDermott, B. (2021). Professional quality of life as potential mediators of the association between anxiety and depression among Chinese health-care clinicians. International Journal of Psychiatry in Medicine, 56(2), 83-96. doi:10.1177/0091217420913395
Xie, W. Q., Wang, J. L., Zhang, Y. G., Zuo, M., Kang, H., Tang, P., . . . Ma, C. (2021). The levels, prevalence and related factors of compassion fatigue among oncology nurses: A systematic review and meta-analysis. Journal of Clinical Nursing, 30(5-6), 615-632. doi:10.1111/jocn.15565
Xie, W., Wang, J., Okoli, C. T. C., He, H., Feng, F., Zhuang, L., . . . Jin, M. (2020). Prevalence and factors of compassion fatigue among Chinese psychiatric nurses: A cross-sectional study. Medicine , 99(29), e21083. doi:10.1097/md.0000000000021083
Xu, T. M., Wang, Y. L., Wang, R. J., Lamb, K. V., Ren, D. X., Dai, G. Z., . . . Yue, P. (2021). Predictors of caring ability and its dimensions among nurses in China: A cross-sectional study. Scandinavian Journal of Caring Sciences. 35(4), 1226-1239doi:10.1111/scs.12941
Yeun, E. J., Kown, Y. M., & Ahn, O. H. . (2005). Development ofa nursing professional values scale. Journal of the Korean Academy of Nursing, 35(6), 1091-1100.
Yu, H., Jiang, A., & Shen, J. (2016). Prevalence and predictors of compassion fatigue, burnout and compassion satisfaction among oncology nurses: A cross-sectional survey. International Journal of Nursing Studies, 57, 28-38. doi:10.1016/j.ijnurstu.2016.01.012
Yu, H., Qiao, A., & Gui, L. (2021). Predictors of compassion fatigue, burnout, and compassion satisfaction among emergency nurses: A cross-sectional survey. International Emergency Nursing, 55, 100961. doi:10.1016/j.ienj.2020.100961
Zakeri, M. A., Bazmandegan, G., Ganjeh, H., Zakeri, M., Mollaahmadi, S., Anbariyan, A., & Kamiab, Z. (2021). Is nurses' clinical competence associated with their compassion satisfaction, burnout and secondary traumatic stress? A cross-sectional study. Nursing Open, 8(1), 354-363. doi:10.1002/nop2.636
Zhang, Y. Y., Zhang, C., Han, X. R., Li, W., & Wang, Y. L. (2018). Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative meta-analysis. Medicine, 97(26), e11086. doi:10.1097/MD.0000000000011086
Zyzanski, S. J., Flocke, S. A., & Dickinson, L M. (2004). On the nature and analysis of clustered data. Annals of Family Medicine, 2(3), 199-200. doi:10.1370/afm.197