Effects of Compassion Satisfaction and Social Support in the Relationship between Compassion Fatigue and Burnout in Hospital Nurses

간호사의 공감피로와 소진과의 관계에서 공감만족과 사회적 지지의 효과

  • 염영희 (중앙대학교 적십자간호대학) ;
  • 김현정 (중앙대학교 대학원)
  • Received : 2012.04.12
  • Accepted : 2012.11.15
  • Published : 2012.12.31


Purpose: The purpose of this study was to identify the effects of compassion satisfaction and social support in the relationship between compassion fatigue and burnout among hospital nurses. Methods: The participants were 430 nurses working in general hospitals. Data were collected with self-administrated questionnaires and analyzed by hierarchical multiple regression. Results: (a) Compassion fatigue had a significant positive effect on burnout; (b) social support and compassion satisfaction had negative effects on burnout, and (c) social support and compassion satisfaction did not moderate the effects of compassion fatigue on burnout. Conclusion: These findings provide strong empirical evidence for the importance of compassion fatigue, compassion satisfaction and social support in explaining burnout of nurses. Also, it would be of great value to further define compassion fatigue and compassion satisfaction even though these concepts are not accepted in the realities of health care.


Supported by : 중앙대학교


  1. Adams, R. E., Figley, C. R., Boscarino, J. A. (2008). The compassion fatigue scale: Its use with social workers following urban disaster. Research on Social Work Practice, 18(3), 238-250.
  2. Alkema, K., Linton, J. M., & Davies, R. (2008). A study of the relationship between self-care, compassion satisfaction, compassion fatigue, and burnout among hospice professionals. Journal of Social Work in Endof- Life & Palliative Care, 4(2), 101-119.
  3. Byun, D. S., & Yom, Y. H. (2009). Factors affecting the burnout of clinical nurses -focused on emotional labor-. Journal of Korean Academic of Nursing Administration, 15(3), 444-454.
  4. Cobb, S. (1976). Social support and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.
  5. Embriaco, N., Papazian, L., Kentish-Barnes, N., Pochard, F., & Azoulay, E. (2007). Burnout syndrome among critical care healthcare workers. Current Opinion in Critical Care, 13(5), 482-488.
  6. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G power 3: A flexible statistical power analysis program for the social, behavioral, and biochemical sciences. Behavior Research Methods, 39(2), 175-191.
  7. 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. 107-119). New York: Brunner-Mazel.
  8. Figley, C. R. (2002). Treating compassion fatigue. New York: Brunner-Routledge.
  9. Gentry, J. E., Baranowsky, A. B., & Dunning, K. (2002). ARP: The accelerated recovery program (ARP) for compassion fatigue. In C. R. Figley (Ed.), Treating compassion fatigue (pp. 123-137). New York: Brunner-Routledge.
  10. 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.
  11. Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22(4), 116, 118-119, 120.
  12. Kim, H. J. (2011). The relationships between traumatic events, compassion fatigue, burnout and compassion satisfaction in emergency nurses. Unpublished master's thesis, Konkuk University, Seoul.
  13. Kim, S., Kim, J. H., Park, J. Y., Suh, E. Y., Yang, H. J., Lee, S. Y., et al. (2010). Oncology nurses' professional quality of life in a tertiary hospital. Journal of Korean Clinical Nursing Research, 16(3), 145-155.
  14. Ko, J. W. (1999). The effects of personality traits on job satisfaction. The Korean Journal of Sociology, 33(2), 359-387.
  15. Ko, J. W., & Seo, Y. J. (2002). Work rewards and occupational commitment of hospital nurses. Korea Journal of Health Policy & Administration, 12(13), 77-98.
  16. Ko, J. W., & Yom, Y. H. (2003). The role of social support in the relationship between job stress and job satisfaction/organizational commitment among hospital nurses. Journal of Korean Academy of Nursing, 33(2), 265-274.
  17. Kong, B. H. (2002). Aesthetical-ethical paradigm of care ethics in nursing. Journal of Korean Academy of Nursing, 32(3), 364-372.
  18. Lombardo, B., & Eyre, C. (2011). Compassion fatigue: A nurse's primer. The Online Journal of Issues in Nursing, 16(1), 3.
  19. Meadors, P., Lamson, A., Swanson, M., White, M., & Sira, N. (2010). Secondary traumatization in pediatric healthcare providers: Compassion fatigue, burnout, and secondary traumatic stress. Omega (Westport), 60(2), 103-128.
  20. Oh, J. H., & Lim, N. Y. (2006). Analysis of factors influencing secondary traumatic stress, burnout, and physical symptoms in firefighters. Journal of Korean Academy of Fundamentals of Nursing, 13(1), 96-106.
  21. Price, J. L., & Mueller, C. W. (1981). Professional turnover: The case of nurses. New York: SP Medical and Scientific Books.
  22. Robins, P. M., Meltzer, L., & Zelikovsky, N. (2009). The experience of secondary traumatic stress upon care providers working within a children's hospital. Journal of Pediatric Nursing, 24(4), 270-279.
  23. Shin, M. J. (2007). Compassion fatigue, burnout, and compassion satisfaction among child protection agency workers in Korea. Unpublished master's thesis, Sookmyung Women's University, Seoul.
  24. Slocum-Gori, S., Hemsworth, D., Chan, W. W., Carson, A., & Kazanjian, A. (2011). Understanding compassion satisfaction, compassion fatigue and burnout: A survey of the hospice palliative care workforce. Palliative Medicine, 1-7. Advanced online publication.
  25. Son, K. A., & Ko, J. W. (2007). The moderating effect of social support on the relations between teachers' job stress and job satisfaction, and organizational commitment. The Journal of Educational Administration, 25(4), 73-94.
  26. Stamm, B. H. (2002). Measuring compassion satisfaction as well as fatigue: Developmental history of the compassion fatigue and satisfaction test. In C. R. Figley (Ed.), Treating compassion fatigue (pp. 107-119). New York: Brunner-Routledge.
  27. Stamm, B. H. (2009). The concise proQOL manual (2nd ed.). Pocatello, ID: Professional Quality of Life (ProQOL). org.
  28. Stamm, B. H. (2010). The concise proQOL manual. Pocatello, ID: Professional Quality of Life (ProQOL). org.
  29. Watson, J. (1988). Nursing: Human science and human care, A theory of nursing. New York: National League for Nursing.