A correlational study of burnout, compassion fatigue, and moral injury related to resilience of nurses in COVID-19 wards of a public hospital in Metro Manila

Janelle  P. Castro,; Adam Zedrick  Z. Bautista,; Mark Joshua  T. Baptista,; Alexine Jan Kiana  D. Cortez,; Ivanabel  E. Echaluse,; Erica Kaye  A. Guiling,; Joshua  M. Sabando,; Jill Hannah  N. Tolentino,; Alena Kyrene  C. Varez,; Jocelyn  M. Molo,; Tricia Kaye  P. Valerio,

A correlational study of burnout, compassion fatigue, and moral injury related to resilience of nurses in COVID-19 wards of a public hospital in Metro Manila

Abstract:

Introduction Increased healthcare demands due to the COVID-19 pandemic have overwhelmed nurses worldwide. Resilience of nurses has been impacted due to many factors (e.g., longer work shifts) causing psychological distress. The study aimed to determine the correlation of burnout, compassion fatigue, and moral injury with resilience among nurses assigned in COVID-19 wards. Methods Virtual survey tools were sent to nurses of a public hospital to obtain data. Data were analyzed using JAMOVI and SPSS. Results Levels of burnout showed moderate burnout in personal burnout (f=44) (65.7%); Moderate burnout in work-telated burnout (f=36) (53.7%); no/low level of burnout in client-related burnout (f=48) (71.6%). Level of compassion fatigue showed job burnout (f=59) (88.1%). Level of moral injury indicated “requiring clinical attention” (f=52) (77.6%). Level of resilience showed medium resilience (f=45) (67.2%). Correlation between burnout and resilience yielded negligible negative correlations between personal burnout and resilience (r=-0.160, p=0.031), work-related burnout and resilience (r=-0.222, p=0.008), and client-related burnout and resilience (r=-0.120, p=0.741). Correlation yielded weak negative correlations between compassion fatigue and resilience (r=-0.254, p=0.038) and between moral injury and resilience (r=-0.318, p=0.009). The linear regression showed no significant correlations between personal burnout and resilience (p=0.063), work-related burnout and resilience (p=0.070), client-related burnout and resilience (p=0.331), compassion fatigue and resilience (p=0.080), moral injury and resilience (p=0.227). Conclusion The findings showed significant correlations between personal burnout and resilience, work-related burnout and resilience, compassion fatigue and resilience, and moral injury and resilience. There were no significant correlations between client-related burnout and resilience. Multiple linear regression indicated burnout, compassion fatigue, and moral injury are not predictive factors for resilience.