Compassion Satisfaction and Fatigue in Cardiovascular Nurses: A Cross sectional Descriptive Study

Sima Babaei, Marzieh Haratian


Background: Cardiovascular nurses play a key role in improving the treatment outcomes in patients. Compassion satisfaction and fatigue influence the quality of nursing care. Thus, it is important to examine the levels of compassion satisfaction and fatigue in cardiovascular nurses.This study was performed to determine compassion satisfaction and fatigue in cardiovascular nurses.

Materials and Methods: This cross‑sectional, descriptive study was conducted with a single‑stagedesign on 200 cardiovascular nurses who were randomly selected from among nurses working in four educational hospitals in Isfahan, Iran, in July–October 2018. Data collection was conducted using the Professional Quality Of Life Scale (version 5) (ProQOL‑ version 5) with 30 items in the three subscales of compassion satisfaction, burnout, and Secondary Traumatic Stress (STS). The results were analyzed using descriptive and inferential statistics in SPSS software.

Results: The results indicatedthe high mean (SD) score of 41.39 (5.54) for compassion satisfaction and the moderate mean (SD) scores of 26.93 (4.62) and 26.69 (5.90) for burnout and STS, respectively, in more than two‑thirdsof the nurses. Pearson correlation coefficient showed no significant relationship between the nurses’age, level of education, work experience, and monthly working hours and scores of compassionsatisfaction, burnout, and STS, and total compassion fatigue score (p > 0.05). Work experience was directly related to STS score (r = 0.18, p = 0.01). However, it had no significant relationship with compassion satisfaction and burnout (p > 0.05).

Conclusions: The results showed that the score of compassion satisfaction was high and fatigue was moderate in the cardiovascular nurses. Furtherresearch seems necessary to enhance compassion satisfaction and reduce fatigue in nurses.


Cardiovascular system, empathy, fatigue, Iran, nurses

Full Text:



Ariapooran S. Compassion fatigue and burnout in Iranian nurses: The role of perceived social support. Iran J Nurs Midwifery Res 2014;19:279-84.

Yilmaz G, Ustun B. Professional quality of life in nurses: Compassion satisfaction and compassion fatigue. J Psychiatr Nurs 2018;9:205-11.

Tirgari B, Azizzadeh Forouzi M, Ebrahimpoure M. Relationship between posttraumatic stress disorder and compassion satisfaction, compassion fatigue, and burnout in Iranian psychiatric nurses. J Psychosoc Nurs Ment Health Serv 2019;57:39-47.

Babaei S, Taleghani F, Keyvanara M. Contextual facilitators and maintaining of compassion based care: An ethnographic study. Iran J Nurs Midwifery Res 2017;22:91-6.

Stamm BH. Compassion satisfaction and compassion fatigue. In: The Concise Pro QOL Manual. 2nd ed. Pocatello, ID: Proqol. org; 2010.

Pashib M, Abbaspour S, Tadayyon H, Khalafi A. Quality of professional life among nurses of hospitals in Torbat Heydariyeh city in 2016. J Health Chimes 2016;4:36-41.

Babaei S, Taleghani F, Keyvanara M. Compassionate behaviours of clinical nurses in Iran: an ethnographic study. Int Nurs Rev 2016; 63: 388-94.

Sung K, Seo Y, Kim JH. Relationships between compassion fatigue, burnout, and turnover intention in Korean hospital nurses. J Korean Acad Nurs 2012;42:1087-94.

van Mol MM, Kompanje EJ, Benoit D, Bakker J, Nijkamp MD. The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: A systematic review. PLoS One 2015;10:e0136955.

Jakimowicz S, Perry L, Lewis J. Compassion satisfaction and Fatigue: A cross sectional survey of Australian intensive care nurses. Australian Critical Care 2018; 31:396-405.

Gorgi M, Keshavarz Z, Ebadi A, Nasiri M. Persian translation and psychometric properties of professional quality of life scale (Pro QOL) for health care providers. J Mazandaran Univ Med Sci 2018;163:93-106.

Available from: http://www. Pro[Last accessed on 201Dec 01].

Hosaini SS, Ariapooran S. Secondary traumatic stress in nurses: The role of problem and emotion focused coping styles. J Res Dev Nurs Midwifery 2014;11:86-94.

Jennifer L, Deise M, Vikki J, Sonya B. Compassion satisfaction, burnout, and secondary traumatic stress in heart and vascular nurses. Crit Care Nursing Q 2011;l34:227-34.

Gholami M, Mohamadi F, Fllahi M, Seyed Bagher Maddah S, Ahmadi F, Rafii F, et al. Quality of nursing care in chronic heart diseases: Concept analysis based on hybrid model. The J Uremia Nurs Midwifery Fac 2013;11:199-211.

Babaei S, Taleghani F. Compassionate care challenges and barriers in clinical nurses: A qualitative study. Iran J Nurs Midwifery Res 2019;24:213-9.

Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nurs Scholarsh 2014;47:186-94.

Mohammadi S, Borhani F, Roshanzadeh M. Compassion fatigue in nurses of intensive care unit. Med Ethics J 2015;9:85- 102.

Mokhtari S, Ahi Gh, Sharifzadeh Gh. Investigating the role of self compassion and clinical competencies in the prediction of nurses professional quality of life. Iranian J Nurs Res 2018; 12:1- 9.

Salimi S, Pakpoure V, Rahmani A, Wilson M, Feizollahzadeh H. Compassion satisfaction burnout and secondary traumatic stress among critical care nurses in Iran. J Transcult Nurs 2020;31:59- 66.

Petleski TA. Compassion fatigue among emergency department nurses. Nursing Theses and Capstone Projects Hunt School of Nursing 2013;82.

Kotula KR. Compassion fatigue in critical care nursing and development of an educational module. Submitted to the Graduate Faculty of the North Dakota State University of Agriculture and Applied Science 2015;2:1-78.

: Griffiths N, Barr P, Galea G. Relation of demographic characteristics with burnout, secondary traumatic stress and Compassion satisfaction in NICU nurses. Journal of paediatrics and child health 2017; 53:39.

Duarte J. Professional quality of life in nurses: Contribution for the validation of the Portuguese version of the professional quality of life scale 5 (ProQOL 5). Analise Psicologica 2017; 35:529-42.

Hooper C, Craig J, Janvrin DR, Wetsel MA, Reimels E, Greenville A, et al. Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Emerg Nurs Assoc 2010;36:420-7.

Zhang YY, Zhang C, Han XR, Li W, Wang YL. Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative meta analysis. Medicine (Baltimore) 2018;97:e11086.

Ebrahimpour M, Azzizadeh Forouzi M, Tirgari B. The relationship between post traumatic stress symptoms and professional quality of life in psychiatric nurses. Hayat 2017;22:312-24.

Yom YH, Kim HJ. Effects of compassion satisfaction and social support in the relationship between compassion fatigue and burnout in hospital nurses. J Korean Acad Nurse 2012;42:870-8.

Shen J, Hairong Yu, Zhang Y, Jiang A. Professional quality of life: A cross sectional survey among Chinese clinical nurses. Nurs Health Sci 2015;17:507-15


  • There are currently no refbacks.