Volume 29, Issue 5 (Iran South Med J 2026)
Iran South Med J 2026, 29(5): 319-336 |
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Salehi Y, Sameh F, Bahrami M. Compassion Fatigue in Hemodialysis Nurs-es: A Systematic Review of Level, Risk Factors, and Protective Factors. Iran South Med J 2026; 29 (5) :319-336
URL: http://ismj.bpums.ac.ir/article-1-2674-en.html
URL: http://ismj.bpums.ac.ir/article-1-2674-en.html
1- Department of Emergency Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sab-zevar, Iran
2- Student research committee, Sabzevar University of Medical Sciences, Sabzevar, Iran
3- School of Nursing and Midwifery, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran ,bahramim@bums.ac.ir
2- Student research committee, Sabzevar University of Medical Sciences, Sabzevar, Iran
3- School of Nursing and Midwifery, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran ,
Abstract: (25 Views)
Background: Compassion fatigue represents a significant psychological challenge among nurses providing care to patients with chronic conditions. This systematic review aimed to analyze and synthesize evidence on the prevalence, risk factors, and protective factors associated with compassion fatigue among nurses working in hemodialysis units.
Materials and Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, Embase, and Google Scholar up to December 2025. English-language cross sectional studies that examined compassion fatigue in hemodialysis nurses were included. Study quality was assessed using the JBI critical appraisal checklist. Data were independently extracted by two reviewers.
Results: Of the 351 initial records, six studies with a total sample of 2,957 hemodialysis nurses were included. These studies were conducted in China, Turkey, Greece, and South Korea. The level of compassion fatigue ranged from moderate to high across the included studies. Major risk factors included working in dialysis units, inadequate social support, low job satisfaction, diminished resilience, high workload, and younger age. Protective factors included self‑compassion, high resilience, adequate social support, job satisfaction, and work engagement. Study quality ranged from moderate to high (5 to 8 out of 8), with a mean score of 7.42.
Conclusion: Compassion fatigue is a significant concern among hemodialysis nurses and is influenced by individual, interpersonal, and organizational factors. The development of comprehensive interventions designed to enhance resilience, self compassion, and social support is essential to mitigate this phenomenon.
Materials and Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, Embase, and Google Scholar up to December 2025. English-language cross sectional studies that examined compassion fatigue in hemodialysis nurses were included. Study quality was assessed using the JBI critical appraisal checklist. Data were independently extracted by two reviewers.
Results: Of the 351 initial records, six studies with a total sample of 2,957 hemodialysis nurses were included. These studies were conducted in China, Turkey, Greece, and South Korea. The level of compassion fatigue ranged from moderate to high across the included studies. Major risk factors included working in dialysis units, inadequate social support, low job satisfaction, diminished resilience, high workload, and younger age. Protective factors included self‑compassion, high resilience, adequate social support, job satisfaction, and work engagement. Study quality ranged from moderate to high (5 to 8 out of 8), with a mean score of 7.42.
Conclusion: Compassion fatigue is a significant concern among hemodialysis nurses and is influenced by individual, interpersonal, and organizational factors. The development of comprehensive interventions designed to enhance resilience, self compassion, and social support is essential to mitigate this phenomenon.
Original: Review Systematic and Meta Analysis |
Subject:
Nursing
Received: 2026/04/24 | Accepted: 2026/08/15 | Published: 2026/10/21
Received: 2026/04/24 | Accepted: 2026/08/15 | Published: 2026/10/21
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