Assessing The Impact of Psychological Distress on Burnout Among Nurses: The Protective Role of Self-Compassion

Abstract

Objective: The current study aimed to investigate the relationship between psychological distress and burnout and to explore whether self-compassion would moderate the relationship between psychological distress and burnout among nurses.

Study design: A cross-sectional research design was employed.

Place and duration of study: The current study was conducted from November 2024 to April 2025 at different hospitals of Islamabad and Rawalpindi, Pakistan.

Material and Methods: The cross-sectional research was conducted to examine the relationship between study variables among nurses. The sample consisted of 300 participants, including both male (N=48) and female (N=252), taken from different public and private hospitals in Islamabad and Rawalpindi, through convenience sampling. The age range of the participants were 25 to 45 years. The Depression, Anxiety and Stress Scale-21, Copenhagen Burnout Inventory, and Self-Compassion Scale-Short Form were used to collect data. SPSS, Version 25 was applied to analyze and interpret the data in statistical terminology.

Results: The results indicated that regression model is significant and predicted total 26% variance in the outcome (R²= 0.26, F=107.2, p<0.05). Furthermore, psychological distress was a significant positive predictor of burnout (β= 0.51, p=0.000). It was also found that self-compassion (B= -0.29, p=0.001) acted as a significant moderator in the relationship between psychological distress and burnout of nurses.

Conclusion: Psychological distress and burnout are prevalent among nurses because of their highly stressful profession. The finding has implications for healthcare interventions, may contribute to the growing body of research literature in the field and also suggests avenues for future research.

Keywords: Burnout; Nurses; Psychological Distress; Self-Compassion

https://doi.org/10.37939/jnah.v3i03.168
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References

Mehta, S., Machado, F., Kwizera, A., Papazian, L., et al. (2021) COVID‐19: a heavy toll on health‐care workers. The

Lancet Respiratory Medicine, 9(3), 226–228.

Ross, J. (2020) The exacerbation of burnout during COVID19: a major concern for nurse safety. Journal of Perianesthesia Nursing, 35(4), 439–440.

Sugawara, D., Mizuno, M., Tani, S., Fukiya, K., & Sato, J. (2023). Relationship Between Self‐Compassion and Turnover Intention Among Early Career Nurses in Japan 1. Japanese Psychological Research.

Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Sermeus, W., & Rn4cast Consortium. (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International journal of nursing studies, 50(2), 143-153.

Chang, H. Y., Shyu, Y. I. L., Wong, M. K., Chu, T. L., Lo, Y. Y., & Teng, C. I. (2017). How does burnout impact the three

components of nursing professional commitment?. Scandinavian journal of caring sciences, 31(4), 1003-1011.

Bhutto, M., Bhayo, N. H., Dong, J., Umar, M., & Akram, H. J. B. J. (2019). Understanding Students' Psychological Stress: A Case of Sukkur Iba University. British Journal of Education, 7(6), 38-52.

Belay, A. S., Guangul, M. M., Asmare, W. N., & Mesafint, G. (2021). Prevalence and associated factors of psychological distress among nurses in public hospitals, Southwest, Ethiopia: A cross-sectional study. Ethiopian Journal of Health Sciences, 31(6).

Parent-Thirion, A., Fernández Macías, E., Hurley, J., & Vermeylen Fourth, G. (2007). European Working Conditions

Survey. European Foundation for the Improvement of Living and Working Conditions.

Cui, S., Jiang, Y., Shi, Q., Zhang, L., Kong, D., Qian, M., & Chu, J. (2020). Impact of COVID-19 on psychology of nurses

working in the emergency and fever outpatient: A crosssectional survey.

Andlib, S., Inayat, S., Azhar, K., & Aziz, F. (2022). Burnout and psychological distress among Pakistani nurses providing care to COVID‐19 patients: A cross‐sectional study. International nursing review, 69(4), 529-537.

Hamid, R. A., & Hee, O. C. (2024). An empirical study of work-related stress and burnout among nurses. Middle East Journal of Management, 11(1), 87-105.

Schaufeli, W., & Enzmann, D. (2020). The burnout companion to study and practice: A critical analysis. CRC press

Naz, S., Hashmi, A.M. & Asif, A. (2016) Burnout and quality of life in nurses of a tertiary care hospital in Pakistan. JPMA. The Journal of the Pakistan Medical Association, 66(5), 532

Andlib, S., Inayat, S., Azhar, K., & Aziz, F. (2022). Burnout and psychological distress among Pakistani nurses providing care to COVID‐19 patients: A cross‐sectional study. International nursing review, 69(4), 529-537.

Woo, T., Ho, R., Tang, A., & Tam, W. (2020). Global prevalence of burnout symptoms among nurses: A systematic

review and meta-analysis. Journal of psychiatric research, 123, 9-20.

Kekeç, D., & Tan, M. (2021). Yoğun bakım ünitelerinde çalışan hemşirelerin tükenmişlik düzeyinin belirlenmesi.

Online Turkish Journal of Health Sciences, 6(1), 64-72.

White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered nurse burnout, job dissatisfaction, and missed care

in nursing homes. Journal of the American Geriatrics Society, 67(10), 2065-2071.

Yousif, S. Y., & Sadeq, A. F. (2025). Burnout among nurses practicing in critical care units: Predicting the contributing factors. Journal of Education and Health Promotion, 14(1), 38.

Vasconcelos, E. M. D., Martino, M. M. F. D., & França, S. P. D. S. (2018). Burnout and depressive symptoms in intensive care nurses: relationship analysis. Revista brasileira de enfermagem, 71, 135-141.

Emilia, I., Gómez-Urquiza, J. L., Cañadas, G. R., AlbendínGarcía, L., Ortega-Campos, E., & Cañadas-De la Fuente, G. A. (2017). Burnout and its relationship with personality factors in oncology nurses. European Journal of Oncology

Nursing, 30, 91-96.

Lee, T., Lee, S., Ko, H., & Lee, S. M. (2022). Self-compassion among university students as a personal resource in the job demand-resources model. Educational Psychology, 42(9), 1160-1179.

Paucsik, M., Nardelli, C., Bortolon, C., Shankland, R., Leys, C., & Baeyens, C. (2023). Self-compassion and emotion

regulation: testing a mediation model. Cognition and Emotion, 37(1), 49-61

Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in psychiatric treatment, 15(3), 199-208.

Dev, V., Fernando III, A. T., Lim, A. G., & Consedine, N. S. (2018). Does self-compassion mitigate the relationship

between burnout and barriers to compassion? A crosssectional quantitative study of 799 nurses. International

Journal of Nursing Studies, 81, 81-88.

Upton, K. V. (2018). An investigation into compassion fatigue and self-compassion in acute medical care hospital nurses: A mixed methods study. Journal of Compassionate health care, 5(1), 1-27.

Dev, V., Fernando III, A. T., Lim, A. G., & Consedine, N. S. (2018). Does self-compassion mitigate the relationship

between burnout and barriers to compassion? A crosssectional quantitative study of 799 nurses. International

Journal of Nursing Studies, 81, 81-88

Jang, M. H., Jeong, Y. M., & Park, G. (2022). Influence of the subfactors of self‐compassion on burnout among hospital nurses: A cross‐sectional study in South Korea. Journal of Nursing Management, 30(4), 993-1001.

Hashem, Z., & Zeinoun, P. (2020). Self-compassion explains less burnout among healthcare professionals. Mindfulness, 11(11), 2542-2551.

McDade, D., Frewen, A., & Fassnacht, D. B. (2021). Burnout and depression in Australian psychologists: The moderating role of self-compassion. Australian Psychologist, 56(2), 111122.

Kristensen, T. S., Borritz, M., Villadsen, E., & Christensen, K. B. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work & stress, 19(3), 192-207. https://doi.org/10.1080/02678370500297720

Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self‐compassion scale. Clinical psychology & psychotherapy, 18(3), 250-255.

Andlib, S., Inayat, S., Azhar, K., & Aziz, F. (2022). Burnout and psychological distress among Pakistani nurses providing care to COVID‐19 patients: A cross‐sectional study. International nursing review, 69(4), 529-537

Yousif, S. Y., & Sadeq, A. F. (2025). Burnout among nurses practicing in critical care units: Predicting the contributing factors. Journal of Education and Health Promotion, 14(1), 38.

Menon, G. R., Yadav, J., Aggarwal, S., Singh, R., Kaur, S., Chakma, T., ... & Panda, S. (2022). Psychological distress and burnout among healthcare worker during COVID-19 pandemic in India: A cross-sectional study. PLoS One, 17(3), 264-956.

Abdollahi, A., Taheri, A., & Allen, K. A. (2021). Perceived stress, self-compassion and job burnout in nurses: the

moderating role of self-compassion. Journal of Research in Nursing, 26(3), https://doi.org/10.1177/1744987120970612 182-191.

McCade, D., Frewen, A., & Fassnacht, D. B. (2021). Burnout and depression in Australian psychologists: The moderating role of self-compassion. Australian Psychologist, 56(2), 111122.

MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical psychology review, 32(6), 545-552.

4. Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Sermeus, W., & Rn4cast Consortium. (2013). Nurses’

Keng, S. L., & Hwang, E. Z. N. (2022). Self-compassion as a moderator of the association between COVID-19 stressors and psychological symptoms: a longitudinal study. Behaviour Change, 39(4), 263-274.

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