Self-compassion and work engagement among clinical nurses: the mediating role of moral resilience

BackgroundAs the workload of clinical nursing continues to increase, the mental health of nurses has emerged as a critical area of concern. Self-compassion, moral resilience, and work engagement are essential components in enhancing the mental health of clinical nurses. Although it is well-establish...

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Main Authors: Xingxing Liu, Fang He, Tian Tian, Jun Zhang, Yuanjiao Ji, Yuexia Zhong
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1507539/full
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author Xingxing Liu
Fang He
Tian Tian
Jun Zhang
Yuanjiao Ji
Yuexia Zhong
author_facet Xingxing Liu
Fang He
Tian Tian
Jun Zhang
Yuanjiao Ji
Yuexia Zhong
author_sort Xingxing Liu
collection DOAJ
description BackgroundAs the workload of clinical nursing continues to increase, the mental health of nurses has emerged as a critical area of concern. Self-compassion, moral resilience, and work engagement are essential components in enhancing the mental health of clinical nurses. Although it is well-established that self-compassion significantly contributes to improved work engagement, there remains a notable lack of research investigating the specific mechanisms through which self-compassion influences work engagement, particularly from the perspective of moral resilience. This study aimed to address this gap by examining the relationships among self-compassion, moral resilience, and work engagement in clinical nurses, while also validating the mediating role of moral resilience in the relationship between self-compassion and work engagement.MethodsThis study utilized a convenience sampling method to conduct a cross-sectional online survey involving 844 clinical nurses from four tertiary A hospitals in Xi’an, China, between January and March 2024. Participants completed self-report questionnaires that included the Self-Compassion Scale, the Rushton Moral Resilience Scale, and the Utrecht Work Engagement Scale. The data analysis involved descriptive statistics, the Mann–Whitney U test, the Kruskal-Wallis H rank-sum test, Spearman correlation analysis, and the SPSS PROCESS macro.ResultsA significant positive correlation was observed between clinical nurses’ self-compassion and moral resilience (r = 0.700, p < 0.01). Additionally, a significant positive correlation was identified between self-compassion and work engagement (r = 0.455, p < 0.01). Furthermore, there was a significant positive correlation between moral resilience and work engagement (r = 0.510, p < 0.01). Mediation analysis indicated that moral resilience partially mediates the relationship between clinical nurses’ self-compassion and work engagement. The overall effect of self-compassion on work engagement (β = 0.493) consists of both a direct effect (β = 0.251) and an indirect effect mediated by moral resilience (β = 0.242). Notably, the mediating effect accounts for 49.09% of the total effect.ConclusionClinical nurses’ moral resilience plays a mediating role in the relationship between self-compassion and work engagement. Nursing managers should prioritize fostering and enhancing the self-compassion and moral resilience of clinical nurses to effectively elevate their levels of work engagement. These targeted interventions can ultimately improve not only the mental health and professional well-being of nurses but also the overall quality of care delivered in medical institutions.
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spelling doaj-art-08f4ba3f92d140fc898e31b57f61f3e72025-01-20T07:19:56ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.15075391507539Self-compassion and work engagement among clinical nurses: the mediating role of moral resilienceXingxing LiuFang HeTian TianJun ZhangYuanjiao JiYuexia ZhongBackgroundAs the workload of clinical nursing continues to increase, the mental health of nurses has emerged as a critical area of concern. Self-compassion, moral resilience, and work engagement are essential components in enhancing the mental health of clinical nurses. Although it is well-established that self-compassion significantly contributes to improved work engagement, there remains a notable lack of research investigating the specific mechanisms through which self-compassion influences work engagement, particularly from the perspective of moral resilience. This study aimed to address this gap by examining the relationships among self-compassion, moral resilience, and work engagement in clinical nurses, while also validating the mediating role of moral resilience in the relationship between self-compassion and work engagement.MethodsThis study utilized a convenience sampling method to conduct a cross-sectional online survey involving 844 clinical nurses from four tertiary A hospitals in Xi’an, China, between January and March 2024. Participants completed self-report questionnaires that included the Self-Compassion Scale, the Rushton Moral Resilience Scale, and the Utrecht Work Engagement Scale. The data analysis involved descriptive statistics, the Mann–Whitney U test, the Kruskal-Wallis H rank-sum test, Spearman correlation analysis, and the SPSS PROCESS macro.ResultsA significant positive correlation was observed between clinical nurses’ self-compassion and moral resilience (r = 0.700, p < 0.01). Additionally, a significant positive correlation was identified between self-compassion and work engagement (r = 0.455, p < 0.01). Furthermore, there was a significant positive correlation between moral resilience and work engagement (r = 0.510, p < 0.01). Mediation analysis indicated that moral resilience partially mediates the relationship between clinical nurses’ self-compassion and work engagement. The overall effect of self-compassion on work engagement (β = 0.493) consists of both a direct effect (β = 0.251) and an indirect effect mediated by moral resilience (β = 0.242). Notably, the mediating effect accounts for 49.09% of the total effect.ConclusionClinical nurses’ moral resilience plays a mediating role in the relationship between self-compassion and work engagement. Nursing managers should prioritize fostering and enhancing the self-compassion and moral resilience of clinical nurses to effectively elevate their levels of work engagement. These targeted interventions can ultimately improve not only the mental health and professional well-being of nurses but also the overall quality of care delivered in medical institutions.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1507539/fullself-compassionmoral resiliencework engagementmental healthclinical nurses
spellingShingle Xingxing Liu
Fang He
Tian Tian
Jun Zhang
Yuanjiao Ji
Yuexia Zhong
Self-compassion and work engagement among clinical nurses: the mediating role of moral resilience
Frontiers in Public Health
self-compassion
moral resilience
work engagement
mental health
clinical nurses
title Self-compassion and work engagement among clinical nurses: the mediating role of moral resilience
title_full Self-compassion and work engagement among clinical nurses: the mediating role of moral resilience
title_fullStr Self-compassion and work engagement among clinical nurses: the mediating role of moral resilience
title_full_unstemmed Self-compassion and work engagement among clinical nurses: the mediating role of moral resilience
title_short Self-compassion and work engagement among clinical nurses: the mediating role of moral resilience
title_sort self compassion and work engagement among clinical nurses the mediating role of moral resilience
topic self-compassion
moral resilience
work engagement
mental health
clinical nurses
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1507539/full
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