{"id":"https://openalex.org/W7214980595","doi":"https://doi.org/10.1111/nicc.70725","title":"Perceived Stress and Compassion Fatigue in Intensive Care Nurses: The Serial Mediating Roles of Psychological Resilience and Burnout","display_name":"Perceived Stress and Compassion Fatigue in Intensive Care Nurses: The Serial Mediating Roles of Psychological Resilience and Burnout","publication_year":2026,"publication_date":"2026-09-30","ids":{"openalex":"https://openalex.org/W7214980595","doi":"https://doi.org/10.1111/nicc.70725"},"language":"en","primary_location":{"id":"doi:10.1111/nicc.70725","doi":"https://doi.org/10.1111/nicc.70725","is_oa":true,"landing_page_url":"https://doi.org/10.1111/nicc.70725","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nicc.70725","source":{"id":"https://openalex.org/S4210176328","display_name":"Nursing in Critical Care","issn_l":"1362-1017","issn":["1362-1017","1478-5153"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing in Critical Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nicc.70725","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070753393","display_name":"M\u00fcjdat YE\u015e\u0130LDAL","orcid":"https://orcid.org/0000-0003-1286-903X","observed_orcids":["https://orcid.org/0000-0003-1286-903X"]},"institutions":[{"id":"https://openalex.org/I137996928","display_name":"Sel\u00e7uk University","ror":"https://ror.org/045hgzm75","country_code":"TR","type":"education","lineage":["https://openalex.org/I137996928"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"M\u00fcjdat Ye\u015fildal","raw_affiliation_strings":["Department of Healthcare Management, Faculty of Health Science Sel\u00e7uk University  Konya Turkey"],"raw_orcid":"https://orcid.org/0000-0003-1286-903X","affiliations":[{"raw_affiliation_string":"Department of Healthcare Management, Faculty of Health Science Sel\u00e7uk University  Konya Turkey","institution_ids":["https://openalex.org/I137996928"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009486859","display_name":"\u00d6zge U\u00e7ar","orcid":"https://orcid.org/0000-0002-5710-5394","observed_orcids":["https://orcid.org/0000-0002-5710-5394"]},"institutions":[{"id":"https://openalex.org/I254571519","display_name":"Bartin University","ror":"https://ror.org/03te4vd35","country_code":"TR","type":"education","lineage":["https://openalex.org/I254571519"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"\u00d6zge U\u00e7ar","raw_affiliation_strings":["Department of Nursing, Faculty of Health Science Bart\u0131n University  Bart\u0131n Turkey"],"raw_orcid":"https://orcid.org/0000-0002-5710-5394","affiliations":[{"raw_affiliation_string":"Department of Nursing, Faculty of Health Science Bart\u0131n University  Bart\u0131n Turkey","institution_ids":["https://openalex.org/I254571519"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5117780898","display_name":"Yunus Emre Tan\u0131\u015f","orcid":"https://orcid.org/0000-0003-4717-7949","observed_orcids":["https://orcid.org/0000-0003-4717-7949"]},"institutions":[{"id":"https://openalex.org/I137996928","display_name":"Sel\u00e7uk University","ror":"https://ror.org/045hgzm75","country_code":"TR","type":"education","lineage":["https://openalex.org/I137996928"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Yunus Emre Tan\u0131\u015f","raw_affiliation_strings":["Department of Healthcare Management, Institute of Health Science Sel\u00e7uk University  Konya Turkey"],"raw_orcid":"https://orcid.org/0000-0003-4717-7949","affiliations":[{"raw_affiliation_string":"Department of Healthcare Management, Institute of Health Science Sel\u00e7uk University  Konya Turkey","institution_ids":["https://openalex.org/I137996928"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5009486859"],"corresponding_institution_ids":["https://openalex.org/I254571519"],"apc_list":{"value":3400,"currency":"USD","value_usd":3400},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"31","issue":"6","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12704","display_name":"Stress and Burnout Research","score":0.8804000020027161,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12704","display_name":"Stress and Burnout Research","score":0.8804000020027161,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12869","display_name":"Occupational Health and Burnout","score":0.0608999989926815,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.0478999987244606,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/compassion-fatigue","display_name":"compassion fatigue","score":0.871999979019165},{"id":"https://openalex.org/keywords/perceived-stress","display_name":"perceived stress","score":0.9259999990463257},{"id":"https://openalex.org/keywords/psychological-resilience","display_name":"psychological resilience","score":0.8899999856948853},{"id":"https://openalex.org/keywords/burnout","display_name":"burnout","score":0.9879999756813049},{"id":"https://openalex.org/keywords/intensive-care-nurses","display_name":"intensive care unit nurses","score":0.9549999833106995},{"id":"https://openalex.org/keywords/serial-mediation","display_name":"serial mediation","score":0.9520000219345093},{"id":"https://openalex.org/keywords/occupational-stress","display_name":"occupational stress","score":0.7699999809265137},{"id":"https://openalex.org/keywords/nurse-well-being","display_name":"nurse well-being","score":0.8460000157356262},{"id":"https://openalex.org/keywords/workplace-interventions","display_name":"workplace interventions","score":0.46000000834465027},{"id":"https://openalex.org/keywords/nurse-retention","display_name":"nurse retention","score":0.3779999911785126},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.5960000157356262},{"id":"https://openalex.org/keywords/nursing-shortage","display_name":"nursing shortage","score":0.3109999895095825},{"id":"https://openalex.org/keywords/nurse-satisfaction","display_name":"nursing satisfaction","score":0.3109999895095825}],"concepts":[{"id":"https://openalex.org/C143916079","wikidata":"https://www.wikidata.org/wiki/Q2629248","display_name":"Burnout","level":2,"score":0.8942000269889832},{"id":"https://openalex.org/C71104824","wikidata":"https://www.wikidata.org/wiki/Q1476639","display_name":"Structural equation modeling","level":2,"score":0.7839000225067139},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.604200005531311},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5809000134468079},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.544700026512146},{"id":"https://openalex.org/C11625366","wikidata":"https://www.wikidata.org/wiki/Q5156139","display_name":"Compassion fatigue","level":3,"score":0.454800009727478},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.42590001225471497},{"id":"https://openalex.org/C179420905","wikidata":"https://www.wikidata.org/wiki/Q223871","display_name":"Mediation","level":2,"score":0.40529999136924744},{"id":"https://openalex.org/C2779885105","wikidata":"https://www.wikidata.org/wiki/Q182263","display_name":"Empathy","level":2,"score":0.39899998903274536},{"id":"https://openalex.org/C82793941","wikidata":"https://www.wikidata.org/wiki/Q1046024","display_name":"Path analysis (statistics)","level":2,"score":0.3686999976634979},{"id":"https://openalex.org/C88519622","wikidata":"https://www.wikidata.org/wiki/Q776232","display_name":"Emotional exhaustion","level":3,"score":0.3553999960422516},{"id":"https://openalex.org/C2776788475","wikidata":"https://www.wikidata.org/wiki/Q815298","display_name":"Occupational stress","level":2,"score":0.3449999988079071},{"id":"https://openalex.org/C2779229956","wikidata":"https://www.wikidata.org/wiki/Q83177","display_name":"Depersonalization","level":4,"score":0.3197999894618988},{"id":"https://openalex.org/C2780755674","wikidata":"https://www.wikidata.org/wiki/Q327988","display_name":"Occupational burnout","level":4,"score":0.30959999561309814},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.30070000886917114},{"id":"https://openalex.org/C2780015598","wikidata":"https://www.wikidata.org/wiki/Q3500368","display_name":"Psychological stress","level":2,"score":0.29089999198913574},{"id":"https://openalex.org/C21036866","wikidata":"https://www.wikidata.org/wiki/Q181767","display_name":"Stress (linguistics)","level":2,"score":0.27880001068115234},{"id":"https://openalex.org/C2775860198","wikidata":"https://www.wikidata.org/wiki/Q7257872","display_name":"Public hospital","level":2,"score":0.27300000190734863},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.26019999384880066}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1111/nicc.70725","doi":"https://doi.org/10.1111/nicc.70725","is_oa":true,"landing_page_url":"https://doi.org/10.1111/nicc.70725","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nicc.70725","source":{"id":"https://openalex.org/S4210176328","display_name":"Nursing in Critical Care","issn_l":"1362-1017","issn":["1362-1017","1478-5153"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing in Critical Care","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1111/nicc.70725","doi":"https://doi.org/10.1111/nicc.70725","is_oa":true,"landing_page_url":"https://doi.org/10.1111/nicc.70725","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nicc.70725","source":{"id":"https://openalex.org/S4210176328","display_name":"Nursing in Critical Care","issn_l":"1362-1017","issn":["1362-1017","1478-5153"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing in Critical Care","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214980595.pdf","grobid_xml":"https://content.openalex.org/works/W7214980595.grobid-xml"},"referenced_works_count":44,"referenced_works":["https://openalex.org/W1204404493","https://openalex.org/W1979422830","https://openalex.org/W1986234982","https://openalex.org/W1996299251","https://openalex.org/W2008930306","https://openalex.org/W2010348352","https://openalex.org/W2051598779","https://openalex.org/W2059796825","https://openalex.org/W2092584686","https://openalex.org/W2093609854","https://openalex.org/W2102797406","https://openalex.org/W2105846236","https://openalex.org/W2106096361","https://openalex.org/W2118185372","https://openalex.org/W2131568786","https://openalex.org/W2333463359","https://openalex.org/W2334540217","https://openalex.org/W2582701309","https://openalex.org/W2625774310","https://openalex.org/W2888181260","https://openalex.org/W3081123684","https://openalex.org/W3093889682","https://openalex.org/W3173363893","https://openalex.org/W3180739435","https://openalex.org/W3199264751","https://openalex.org/W3203848149","https://openalex.org/W3205990029","https://openalex.org/W4235678817","https://openalex.org/W4255990624","https://openalex.org/W4362014667","https://openalex.org/W4390750504","https://openalex.org/W4395041606","https://openalex.org/W4401478509","https://openalex.org/W4401690514","https://openalex.org/W4403214345","https://openalex.org/W4404800900","https://openalex.org/W4408419180","https://openalex.org/W4411900415","https://openalex.org/W4411977112","https://openalex.org/W4417451487","https://openalex.org/W7119686112","https://openalex.org/W7127575957","https://openalex.org/W7131131105","https://openalex.org/W7154061736"],"related_works":["https://openalex.org/W4289521435","https://openalex.org/W3032186946","https://openalex.org/W7124358811","https://openalex.org/W7151004606","https://openalex.org/W4200265918","https://openalex.org/W4389912584","https://openalex.org/W7127575957","https://openalex.org/W7123913896","https://openalex.org/W3199264751","https://openalex.org/W2769600204"],"abstract_inverted_index":{"ABSTRACT":[0],"Background":[1],"Intensive":[2],"care":[3,100,153],"nurses":[4,101,154],"face":[5],"substantial":[6],"occupational":[7],"stress":[8,48,62,160,195,268],"and":[9,27,57,78,95,104,107,123,165,168,206,223,276,281,348,372,400],"are":[10],"at":[11],"high":[12],"risk":[13,32],"of":[14,60,75,150,236,246,255,306],"compassion":[15,50,64,124,166,200,259,272],"fatigue.":[16,51],"While":[17],"psychological":[18,76,121,171,212,279,350,374],"resilience":[19,77,122,172,213,280],"is":[20,35],"recognized":[21],"as":[22,29,304,367,388],"a":[23,30,81,284,389],"protective":[24],"personal":[25],"resource":[26],"burnout":[28,79,164,218,242,311,347],"major":[31],"factor,":[33],"little":[34],"known":[36],"about":[37],"how":[38],"these":[39,297],"two":[40],"constructs":[41],"interact,":[42],"in":[43,110,156,258,283],"sequence,":[44],"to":[45,49,332,345],"link":[46],"perceived":[47,61],"Aims":[52],"To":[53],"examine":[54],"the":[55,71,157,224,237,241,247,256,288,293,353,381],"direct":[56],"indirect":[58,209,249,298,356],"effects":[59,232],"on":[63],"fatigue":[65,125,167,201,260,273],"among":[66],"nurses,":[67],"while":[68],"specifically":[69],"investigating":[70],"serial":[72,133,225,290],"mediating":[73],"roles":[74],"within":[80],"structural":[82,140],"equation":[83,141],"modelling":[84,142],"framework.":[85],"Methods":[86],"This":[87],"descriptive,":[88],"cross\u2010sectional":[89],"study":[90],"was":[91,136,196,269,295],"conducted":[92],"between":[93],"March":[94],"May":[96],"2026":[97],"with":[98,128,143,163,170,199,240,271,287],"intensive":[99,152],"from":[102],"training":[103],"research,":[105],"public":[106],"private":[108],"hospitals":[109],"Central":[111],"Anatolia,":[112],"T\u00fcrkiye,":[113],"recruited":[114],"through":[115,278,358],"convenience":[116],"sampling.":[117],"Perceived":[118,159,194,267],"stress,":[119],"burnout,":[120,282,318,359],"were":[126],"measured":[127],"validated":[129],"scales.":[130],"The":[131,177,251,309,335],"hypothesized":[132,289],"mediation":[134],"model":[135,178,252],"tested":[137],"using":[138],"covariance\u2010based":[139],"bootstrapping":[144],"(5000":[145],"subsamples).":[146],"Results":[147],"A":[148],"total":[149,238,248],"768":[151],"participated":[155],"study.":[158],"correlated":[161],"positively":[162],"negatively":[169],"(":[173,182,202,214,219,227,261],"p":[174],"<":[175],"0.001).":[176],"showed":[179,207],"excellent":[180],"fit":[181],"\u03c7":[183],"2":[184,263],"/df":[185],"=":[186,189,192,204,216,221,229,264],"1.396,":[187],"CFI":[188],"0.986,":[190],"RMSEA":[191],"0.023).":[193],"directly":[197,275],"associated":[198,270],"\u03b2":[203,215,220,228],"0.290)":[205],"significant":[208],"associations":[210,299],"via":[211],"0.059),":[217],"0.196)":[222],"path":[226],"0.036).":[230],"Indirect":[231],"accounted":[233],"for":[234,326,402],"50.1%":[235],"effect,":[239],"pathway":[243,312],"contributing":[244],"67.4%":[245],"effect.":[250],"explained":[253],"49.9%":[254],"variance":[257],"R":[262],"0.499).":[265],"Conclusions":[266],"both":[274],"indirectly":[277],"pattern":[285],"consistent":[286],"model.":[291],"Because":[292],"design":[294],"cross\u2010sectional,":[296],"should":[300,341],"not":[301],"be":[302,323],"interpreted":[303],"evidence":[305],"causal":[307],"mediation.":[308],"stronger":[310,355],"suggests":[313],"that":[314,338],"organizational":[315,360],"strategies":[316,344,361,394],"targeting":[317,362],"alongside":[319],"resilience\u2010enhancing":[320,384],"programmes,":[321],"may":[322,376,386,395],"particularly":[324],"relevant":[325],"protecting":[327],"nurses'":[328,397],"professional":[329,398],"well\u2010being.":[330],"Relevance":[331],"Clinical":[333],"Practice":[334],"findings":[336],"suggest":[337],"nursing":[339],"administrators":[340],"consider":[342],"multidimensional":[343],"address":[346],"support":[349,396],"resilience.":[351],"Given":[352],"relatively":[354],"association":[357],"modifiable":[363],"workplace":[364],"conditions,":[365],"such":[366],"balanced":[368],"workloads,":[369],"adequate":[370],"staffing":[371],"systematic":[373],"support,":[375],"warrant":[377],"particular":[378],"attention.":[379],"At":[380],"same":[382],"time,":[383],"interventions":[385],"serve":[387],"complementary":[390],"individual\u2010level":[391],"approach.":[392],"Such":[393],"well\u2010being":[399],"capacity":[401],"compassionate":[403],"care.":[404]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-10-01T00:00:00"}
