A structural equation model analysis of the association between work-related stress, burnout and job-related affective well-being among nurses in Saudi Arabia during the COVID-19 pandemic

J Nurs Manag. 2022 May;30(4):892-900. doi: 10.1111/jonm.13587. Epub 2022 Mar 22.

Abstract

Aim: To test a model that examines the direct and indirect effects of work-related stress on job-related affective well-being through compassion fatigue.

Background: Despite the danger of infection, nurses' dedication to their work appears to be an innate desire to provide care for patients with COVID-19. Nonetheless, the universal effort to control the outbreak has led to extended work hours and workload, which has been defined as the primary contributor to work-related stress among nurses and might impact their job-related affective well-being.

Method: We used a cross-sectional exploratory design. Data were collected using an online survey from 161 nurses working in the Saudi health care system. The survey included obtaining information on demographics and work-related stress using Professional Quality of Life Scale version 5 to measure compassion fatigue as well as a job-related affective well-being scale.

Results: Work-related stress had significant negative direct effects on job-related affective well-being and positive effects on compassion fatigue. Compassion fatigue had significantly negative direct effects on job-related affective well-being. Work-related stress exerted negative indirect effects on job-related affective well-being through compassion fatigue, which partially mediated the relationship.

Conclusion: The findings supported the model and added to our understanding regarding the impact of work-related stress on nurses.

Implications for nursing management: Stress reduction is an important element in improving staff outcomes as well as job-related affective well-being.

Keywords: burnout; compassion fatigue; job-related affective well-being; secondary traumatic stress; work-related stress.

MeSH terms

  • Burnout, Professional* / epidemiology
  • Burnout, Professional* / etiology
  • Burnout, Professional* / psychology
  • COVID-19* / epidemiology
  • Compassion Fatigue* / epidemiology
  • Compassion Fatigue* / etiology
  • Compassion Fatigue* / psychology
  • Cross-Sectional Studies
  • Empathy
  • Humans
  • Job Satisfaction
  • Nurses*
  • Pandemics
  • Quality of Life / psychology
  • Saudi Arabia / epidemiology
  • Surveys and Questionnaires