Nursing Work Research Articles

Nursing in a culture of peace

The knowledge and practice in the field of Peacebuilding is congruent with Nursing and offers important dimensions and insight that can strengthen the work of Nurses in building safe and healthy communities and individuals. This article summarizes key literature and discussions with faculty in each field to outline impactful opportunities for interprofessional collaboration around peace and health. An exemplary case for collaboration is found in the work of understanding and addressing direct and indirect violence locally and globally.

Effectiveness of End-of-Life Care Debriefing for Intensive Care Unit Nurses

Purpose : This study aimed to determine the effectiveness of end-of-life care debriefing as an intervention to reduce moral distress among intensive care unit (ICU) nurses after end-of-life care. Methods : This quasiexperimental study included 104 nurses (46 in the control group and 58 in the intervention group) working in three medical ICUs and two surgical ICUs. The data collection period was from September 1, 2017, to January 31, 2018, and end-of-life care debriefing in the intervention group was implemented over three months. Debriefings were conducted in groups or individually, with eight people participating in three or more debriefings. Comparisons of end-of-life care stress, end-of-life care attitudes, and wellness between the two groups were performed using an ANCOVA. Satisfaction with the debriefing was analyzed using descriptive statistics. Results : End-of-life care stress and wellness did not differ between the groups, but there was a significant difference in end-of-life care attitudes. Overall, 50% of the participants were satisfied with the debriefing. Conclusion : Based on the finding that end-of-life care debriefing has a positive impact on ICU nurses’ attitudes toward end-of-life care, it can be used as an effective measure to reduce nurses’ moral distress. An institutional debriefing system should be established and operationalized.

Which diversity factors influence the attribution of competences and co-operation in nursing teams?

Abstract Background Diversity within nursing teams increases due to staff shortages in Germany, nurse migration and the current academization of the profession. Quality of patient care is associated with intraprofessional teamwork. Little is known about how nurse’s own diversity factors and those of team members impact nurse’s perception and behavior in team situations. Methods A quasi-experimental, cross-sectional study with a factorial online survey with fictional case studies (vignettes) was conducted in two German hospital operators in 2023. Nurses of legal age working in hospitals or nursing homes were eligible to participate. Associations of diversity factors, i.e., gender, age, migration background, and qualification, on the participant and vignette level on perceived competences and willingness to cooperate were preliminary analyzed via multi-level fixed effects models in SPSS. Results N = 684 nurses participated (76% female; mean age: 44.2 years; 88% born in Germany; 75% completed vocational training). Competency of team members in patient’s personal hygiene was rated higher by respondents born in Germany (.36), when fictional colleagues were of middle age (.06) compared to higher age and were from Germany (.22) or France (.08) compared to China. Competency in inserting infusions was rated higher by respondents born in Germany (.56), when fictional colleagues were from Germany (.29) or France (.20) compared to China and when one worked together for months compared to days (-.39). Willingness to swap shifts was affected by the fictional length of collaboration (-.08). All significance levels were p<.02. Conclusions How nurses perceive their colleagues’ competences is mainly influenced by their own and the other’s migration background, while willingness to cooperate is only affected by length of collaboration. Improving the onboarding process of new nurses in teams, and providing the time and space for professional exchange might improve mutual trust and teamwork. Key messages • Diversity in German nursing teams increases due to nurse migration and plurality of qualifications. • Facilitating professional exchange about individual competences might improve team work in nurses.

It must not be dangerous to talk about it! Parents views of communication with schoolnurses on weight

Abstract Background The study aimed to describe parents’ experiences of communication with school nurses concerning the growth data and weight development of their children aged 8 and 10 years old in Sweden. Methods The design was descriptive and qualitative. 15 women and 3 men in south Sweden were included, with children who had performed health visits in the School Health Service (SHS). Data were collected through in - person semi structured interviews. Qualitative content analysis was used. Results The results illustrated the health visit’s purpose as unclear with need for improved dialogue and lacking feedback from the SHS. “To be able to get guidelines of what is the normal growth and what is a normal deviation and maybe a bit more about diet and lifestyle and movement.” The need for an improved channel for receiving information from SHS, and access to their child’s growth data. “Couldn’t they have a school nurse site or information page, where you get information about your child from the day they enroll in school until they leave.” Parents experienced a lack of a child-centered perspective, described the child’s context as not in focus, and desired collaboration. “I think that it is very important that children feel good in their bodies, and that is a really important task for health care.” Conclusions (a) Initiating a discussion regarding the preventive health work of school nurses and the main assignment of SHS. (b) Development of a child-centered perspective towards parents and children with focus on the child’s entire social context. (c) Implementation of evidence-based methods for communicating growth data and weight development between SHS and parents. Key messages • An increased dialogue between parents and SHS was requested, with a reachable way of communication via a digital platform. • A holistic view of the child, with positive professional attitudes seem essential to meet the needs of the child.

ATUAÇÃO DA ENFERMAGEM À CRIANÇA COM LEUCEMIA E EM CUIDADOS PALIATIVOS

Introduction: Cancer in pediatrics is always a challenge. Palliative care is a difficult discussion to be dealt with the family and the role of the nurse in this matter is essential. Objective: To describe the nursing practice in children with leukemia and in palliative care. Materials and methods: This is an integrative literature review that took as a research question "what is the role of nursing in children diagnosed with leukemia and in palliative care?". To this end, the search for articles took place through the Virtual Health Library, using the following inclusion criteria: publications between the years 2019 and 2023, in Portuguese and English. Results: A total of 20 articles were included in this review, 13 of which were developed in Brazil. Discussion: To facilitate the understanding of the findings, three topics were established: the implications of leukemia in children and caregivers; nurses' role in the care of children and families with leukemia and in palliative care; Importance of the nurse's role as a health educator. Conclusions: The results emphasized an important participation of the nurse in palliative care, being part of the reception of both the child and the family members/guardians. However, there is a limitation regarding specific studies that relate to the work of nurses, palliative care and children with leukemia.

Experts in promotion and prevention - The 100th Anniversary of Finnish public health nurse education

Abstract Issue/Problem Two key public health issues at present are mental health problems and obesity. Both typically begin before adulthood and once occurred, typically persist. Prevention would be important but also economically and humanely sensible. For this, competent experts in preventive work and health promotion are needed. Description of the problem Public health nurse education, originally known as health sister education, was initiated in Finland in 1924, by the Mannerheim League for Child Welfare. The six-month health sister education was targeted at nurses and began from the desire to focus not only on treating diseases but also on promoting health. In the 1940s, education was reformed and in the 1950s significantly expanded. In the 1970s, the professional title changed from ‘health sister’ to ‘public health nurse’. In 1987, the education was extended to 3 years, including the education of registered nurses. In 1992, the education was further extended to 3.5 years. By the beginning of the 21st century, education evolved into 4 years bachelor’s degree. Results In 2024, eighteen Universities of Applied Sciences provide public health nurse education in Finland. The 4-year Bachelor of Health Care in Public Health Nursing -degree (240 ECTS credits) also qualifies for a registered nurse. Nearly half of the education consists of clinical training. In addition, registered nurses can supplement their degrees by completing a one-year education (60 ECTS credits) that qualifies them as public health nurses. Lessons In Finland, approximately 700 new public health nurses graduate annually. They are trained to work independently as experts in preventive work, health promotion, and public health. Around 9,500 Finnish public health nurses work in settings such as maternity and child health clinics, school health services, occupational health care, and outpatient clinics. Key messages • Due to the overcrowding in many healthcare services providing treatment, educating experts in health promotion and disease prevention is crucial now and in the future. • By ensuring competent experts in health promotion and disease prevention, future healthcare services can continue to provide economically and humanely sensible and effective help for people.

"Organizing practice": The hidden work of homecare nurses in fighting health inequity and advancing social justice.

The nursing profession has a long history of advocating for social justice and health equity, and both values profoundly infuse nursing ethics, theory, and education. Homecare nursing occurs between the patient's daily life at home and the public health care system. Therefore, homecare nurses ideally possess insight into the living conditions and social determinants of health that their patients experience. This interpretive phenomenological study explores the strategies employed by homecare nurses to fight health inequity and advance social justice. Data were collected through participant observations, situational interviews, and small group interviews with 12 homecare nurses from two municipalities. Three analytical approaches were used: paradigm cases, exemplars, and thematic analysis. The data identified two primary strategies homecare nurses use to circumvent, solve, and mitigate the negative consequences of social determinants of health on patients' care and treatment: "Negotiating practice" and "Aligning practice." "Negotiating practice" ensures that care and treatment are delivered in a way acceptable to all involved. "Aligning practice" ensures cohesion, progression in the treatment and care trajectory, and support for patients and relatives in navigating the system. Both strategies are part of nurses' largely hidden work, reflecting the nursing profession's position as nested between the individual patient and the system.

Attitude toward vital signs monitoring and its predictors among clinical nurses in Saudi Arabia.

Positive attitudes toward assessing vital signs are essential in ensuring quality assessments and recognizing patients' declining conditions. However, few studies have been conducted that examine the attitudes of nurses toward this fundamental nursing skill. This research investigated the predictors of clinical nurses' attitudes toward vital signs monitoring in identifying the patients' deteriorating state. A cross-sectional, correlational study was conducted in two hospitals in Saudi Arabia. A sample of 427 clinical nurses was surveyed from February 2023 and April 2023 using a questionnaire on attitudes toward vital signs monitoring. The subscale "key indicators" achieved the highest mean, followed by "workload," "communication," and "knowledge." The hospital where the nurses work (Hospitals 1 and 2), younger age, gender (being male), marital status (being single), clinical area (working in intensive care unit), number of handled patients per shift (handling 11-20 and > 20 patients), and longer years of experience were identified as significant predictors of the nurses' positive attitude toward vital signs monitoring. This research provides valuable knowledge on which aspect of the attitudes toward vital signs monitoring necessitates educational enhancement among clinical nurses. The factors influencing the clinical nurses' attitude toward vital signs monitoring reported in this study may be useful for nurse managers and other hospital policymakers in developing focused continuing educational interventions targeting enhanced vital signs monitoring competencies.

ANXIETY, DEPRESSION, AND QUALITY OF LIFE OF NURSES WORKING IN PUBLIC HOSPITALS

Nursing is often described as the art of caring, providing holistic patient assistance without time restrictions. However, due to this nature of work, it is common for these professionals to present symptoms of mental illnesses such as anxiety and depression. This results in a reduction in the quality of life at work, directly affecting the efficiency of care provision. This study aimed to verify the presence of anxiety and depression symptoms, as well as the index of quality of life at work among nurses working in the inpatient sector of public hospitals in the city of Aracaju. Among the 128 professionals included in the sample, 46.1% presented anxiety symptoms and 30.5% depression symptoms, according to the HADS scale. Additionally, 66.4% of nurses reported an unsatisfactory quality of life at work index (QLWI). The majority of professionals who presented symptoms of both diseases were female; 17.2% had two employment bonds, and 19.5% reported an unsatisfactory QLWI. Therefore, it is possible to infer that the accumulation of employment bonds and the reduction in quality of life at work may have been determining factors for the development of these symptoms. It is concluded that it is extremely important to improve working conditions, safety, and remuneration, as well as increase the institutional appreciation and recognition of nursing professionals. This would contribute to raising the quality of life indices at work and reducing the need for multiple employment bonds.

Factors influencing medication errors among nurses at a tertiary level hospital in Bangladesh

Medication errors represent a significant global issue, leading to numerous fatalities each year and adding complexity to healthcare systems. In Bangladesh, the prevalence of medication errors stands at 38%. This study aimed to identify the factors that influence medication errors among nurses at a tertiary-level hospital in the country. A descriptive cross-sectional study was conducted involving 114 registered nurses at Dhaka Medical College Hospital, utilizing a convenience sampling method. Data were gathered through face-to-face interviews using a structured questionnaire and analyzed using both descriptive and inferential statistics. The findings indicated that nurses in Bangladesh exhibited moderate to high susceptibility to medication errors in a tertiary-level setting. Key factors identified as contributing to these errors included inadequate staffing levels (4.41 ± 0.81), patients being off the ward for other care (4.39 ± 0.74), communication issues between nurses and physicians (4.36 ± 0.95), nurses being pulled between teams and other units (4.32 ± 0.77), and insufficient in-service training on new medications (4.23 ± 0.87). Moreover, nurses working ward (F=11.51, P=.001) and working experience (t=4.13, P=.041) had a significant relationship with factors influencing medication errors. The research found several variables that cause medication mistakes, including nurses' service experience and working ward. This study's results might help hospital administrators establish effective intervention methods and mitigate medication error risk variables to improve patient safety and care. Asian J. Med. Biol. Res. 2024, 10(4), 131-140

Exploring The Connection of Spirituality at Work in Enhancing Nurses’ Job Performance: Insight from Malaysian Hospitals

The performance of nurses can be seen as a reflection of healthcare organizations, as they constitute the most critical human resources within hospitals. However, challenges arise when issues such as staff shortages, high turnover rates, and burdensome workloads contribute to poor nurse performance. Conversely, the incorporation of spirituality in the workplace provides nurses with an opportunity to align their inner selves within a supportive community environment, fostering a deeper sense of purpose in their professional responsibilities. This study sought to determine the connection between spirituality at work and nurses’ job performance, surveying 350 nurses employed in public hospitals across Malaysia. Data analysis was conducted using Statistical Package for Social Sciences (SPSS) software version 27, revealing that all three aspects of spirituality at work, namely inner life, meaningful work, and sense of community, had a positive and significant influence on nurses’ job performance. This study provides potential aid to decision-makers in Malaysian healthcare organizations by offering significant insights for the development of strong spirituality at work values within their organizational setting. Additionally, this study presents recommendations for future research and proposes methods for the authorities to incorporate spirituality at work values into nurses’ jobs, ultimately enhancing the overall performance of healthcare services.

Examining graduate student perspectives on supervision and peer mentoring across four professional faculties

Purpose The purpose of the study was to examine graduate student perspectives on the common and unique roles peer mentors and supervisors play in supporting student success and wellbeing during their program. Design/methodology/approach A qualitative research design involving semistructured interviews with 62 thesis-based masters and doctoral students from four professional faculties, Education, Medicine, Nursing and Social Work, at a large public research-intensive university in Canada. Findings Findings transcend the four disciplines of study. Communities of support are described that involve both supervisors and peers in combination, clusters of meaning by supervisory paradigm are identified and original findings presented that expand upon the learning alliance framework by explicitly considering the role of peer mentors in graduate student success. Research limitations/implications While supervisors bear primary responsibility for fostering effective research-based relationships, this study’s findings strengthen the argument that mentoring and advising of graduate students is most effective when conducted within a collaborative community of support that involves learning alliances among faculty, peers, program staff and academic leaders across the institution. Practical implications A four-pronged approach to graduate education that emphasizes the collective responsibility of institutions, programs, supervisors and students in creating a supportive ecosystem for holistic graduate student academic success and wellbeing is recommended. Social implications Key argument that it is essential to embrace a collaborative and community of support mindset, where multiple stakeholders actively contribute to the wellbeing and academic development of graduate students throughout their programs. Originality/value A cross-disciplinary perspective is offered on the importance of both supervisors and peers in assisting thesis-based graduate students to successfully navigate academic, social and personal journeys through graduate school.

Changes in Patient Care Experiences and the Nurse Work Environment: A Longitudinal Study of U.S. Hospitals.

Addressing patient experience is a priority in the health care system. Hospital Consumer Assessment of Providers and Systems (HCAHPS) survey results incentivize hospitals to elevate patient experience, a factor in patient-centered care. Although hospital nursing resources have been positively associated with better HCAHPS ratings, it is unknown how changes in nursing resources are associated with changes in HCAHPS ratings over time. This two-period longitudinal study ranked the associations between changes in nurse staffing, skill mix, nurse education, and work environment on HCAHPS ratings and found that changes in the work environment had the strongest associations (β = 2.29; p < .001) with improved HCAHPS ratings. Our findings provide hospital administrators with empirical evidence that may help make informed decisions on how to best invest limited resources to improve HCAHPS ratings, including the potential utility of improving the work environment through enhancing Nursing Quality of Care and Nurse Participation in Hospital Affairs.

Graduate qualities for preservice health and welfare professionals for collaborative prevention and early intervention for child maltreatment: a qualitative study

AimThis study explored Australian nursing, midwifery and social work perspectives on needs within pre-service education to enable interprofessional public health responses to child maltreatment. BackgroundChild maltreatment is a global public health concern, but little is known about how well health and welfare professionals are equipped for interprofessional responses to child maltreatment during initial pre-service qualification. DesignQualitative, World Café approach with online roundtable discussions. MethodsTwenty-five participants attended one of three online roundtables in October 2023. Participants were nurses, midwives and social workers from Australia with expertise in tertiary education, professional regulation and/or child protection. Data were analysed through inductive thematic analysis. ResultsGraduates are not well-equipped during their pre-service education for collaborative responses to child maltreatment. Findings identified four core areas of focus so health and welfare professionals can effectively collaborate to respond to child maltreatment. Core areas are described as graduate qualities and encompass broad domains of knowledge, skills and values which are transferable across multiple areas of practice. ConclusionsOur study proposes core qualities which are essential for health and welfare professional pre-service education to equip graduates for collaborative responses to child maltreatment. Key barriers included lack of shared interprofessional language and priorities, meaning future work should establish consensus on essential knowledge, skills and values. A shared understanding which acknowledges disciplinary nuances is vital to inform curriculum that equips future professionals to collaboratively mitigate harms from child maltreatment.

Validity and Reliability of the Korean Version of the Trauma-Informed Climate Scale-10

PurposeThe Trauma-Informed Climate Scale-10 is a short form developed to efficiently measure staff perceptions of the values of trauma-informed care within the service environment. This study aimed to evaluate the reliability and validity of the Korean version of the Trauma-Informed Climate Scale-10 (K-TICS-10) among Korean nurses. MethodsThe K-TICS-10 underwent a linguistic validation process, including translation, back-translation, and expert committee review. Data were collected from 218 nurses in tertiary general hospital in South Korea. Internal consistency reliability was assessed using Cronbach’s α. Structural validity was tested through confirmatory factor analysis. Convergent validity was examined using Pearson’s correlation with affective commitment and burnout. Item-convergent validity was evaluated to examine the internal structure of the scale. ResultsThe Korean version of the TICS-10 demonstrated reliable internal consistency, with Cronbach’s α of .82. The fitness of the modified model was acceptable (χ2/Df = 2.85, goodness-of-fit index = .92, root mean square error of approximation = .09, standardized root mean square residual = .08, Normed fit index = .88, Tucker–Lewis index = .88, and comparative fit index = .91). Convergent validity of the K-TICS-10 was confirmed by significant correlation with affective commitment (r = .56, p <.001) and burnout (r = -.53, p <.001), respectively. The average extracted variances (.34) and composite reliability (.81) indicated adequate convergent validity of the items. ConclusionThe findings of this study support the satisfactory psychometric properties of the K-TICS-10, indicating its utility for evaluating the trauma-informed climate among nursing work environment in Korea.

Assessment of the Level of Knowledge and Attitude Regarding Advanced Life Support Skills among Nurses Working in the Critical Areas (CCU, ICU and ER) of Punjab Institute of Cardiology, Lahore

Advance life support is the basic intervention to deal with cardiac arrest. Cardiac arrest has no time, place, or personal boundaries. According to WHO, it is estimated that about 23 million of people will die every year due to cardiovascular diseases and the chances of cardiac arrest are greater in people who have history of cardiovascular diseases. Advanced life support training consists of a set of life-saving protocols, interventions, and skills. Objectives: To determine the level of knowledge and attitude of critical care nurses regarding Advanced Life Support (ALS) skills and to assess association between level of knowledge and attitude and demographic characteristics of nurses. Methods: A descriptive cross-sectional study was conducted among critical care nurses of Punjab Institute of Cardiology. About 115 nurses were selected through convenient sampling method. The study was completed in four months from October 2023 to January 2024. Data were analyzed using SPSS Version 25. Results: Findings of study showed that 18 participants were male and 97 were female. Overall results indicated that 8.7% (n=10) nurses have poor knowledge, 39.1% (n=45) have average knowledge, 43.5% (n=50) have a good knowledge and only 8.7% (n=10) have excellent knowledge. On the other side, 71.3% (n=82) have a positive attitude and 28.7% (n=33) have negative attitude regarding ALS. Conclusions: A significant proportion of nurses have average to good knowledge and positive attitude. Only a few nurses have poor knowledge and negative attitude.

The status quo and correlational analysis of nursing practices, burnout, and social support among nurses from private hospitals in Dazhou, a less developed area of China

ObjectiveTo investigate the status quo of nursing practices, job burnout and social support among private hospitals in Dazhou, Sichuan Province, and perform correlational analysis.MethodsA cross-sectional study was conducted. A total of 244 nurses were surveyed via convenience sampling from 7 private hospitals, which were randomly selected from Dazhou city. A self-designed demographic sociology questionnaire was applied, and the Chinese versions of the Maslach Burnout Scale and the Social Support scale administered from September to November 2022.ResultsThe investigated nurses were relatively young (26.84 ± 4.90 years), had a short duration of service, a low academic background, a low professional title and a low income; however, they were highly satisfied with their working environment and had a low level of burnout, and their level of personal achievement was low. Overtime work, education level and number of children had significant impacts on the level of nurse burnout. The level of social support was high, and various dimensions were negatively correlated with the emotional exhaustion and depersonalization dimensions of burnout (r=-0.438, P < 0.01; r=-0.372, P < 0.01) and positively correlated with personal achievement (r = 0.291, P < 0.01). However, the level of social support was not significantly associated with burnout (r=-0.060, p = 0.354).ConclusionsNursing managers in private hospitals should consider ways of improving nurses’ education, professional titles, working environment and increasing nurses’ income to stabilize the nursing team. Efforts should be made to relieve the nurses’ pressure, and notice the overtime work and professional development of nurses to enhance the personal sense of achievement. More measures should be taken to improve the level of social support, thereby promoting the continuous improvement of nursing quality. Due to the uneven level of social and economic development in different parts of China, the extensibility of the research needs to be confirmed by more studies, but it still has important reference significance for Northeast Sichuan, which represents areas with similar social and economic levels.

The Influence of Workload, Work Stress, and Work Motivation towards Five Moment Hand Hygiene Obedience for the Nurse in Muhammadiyah University Hospital Malang

Hand hygiene is crucial and should be practiced consistently. Nurses who work in hospitals must do five moments of hand washing. Washing hands will prevent the transmission of diseases and microorganisms. Nurses often experience workload and work stress, especially in inpatient rooms. Lack of nursing staff and fatigue are the main factors that trigger this. With nurses' workload and work stress in hospitals, there needs to be work motivation for nurses to live healthily by complying with the five moments of hand washing in hospitals. This study aims to determine the effect of workload, work stress, and work motivation on compliance with the five moments of hand hygiene. The design of this study used cross-sectional research with a group with only one measurement time. The population of this study consisted of nurses in the inpatient room at the University of Muhammadiyah Malang Hospital. The sample used total sampling, namely all 74 nurses who were already employees in the inpatient room of the University of Muhammadiyah Malang Hospital. The percentage result of the influence of workload (X1), work stress (X2), and work motivation (X3) on compliance with five-moment hand hygiene (Y) is 57.1% (Adj R square). In comparison, the remaining 42.9% is influenced by other independent variables that were not studied.

End of Life Care, It’s a Journey

Abstract Background The Hospice Friendly Hospital (HFH) approach was adopted by an urban academic hospital in 2010 which involved the roll out of the Final Journeys Workshops. in 2019 a review of nursing and healthcare attendant’s (HCA) education and training within geriatric department, alongside patient feedback, identified the need for greater focus to be made on End-of-Life Care. In 2022, it was then decided by the department’s Assistant Director of Nursing that the Final Journeys Workshops was a mandatory requirement for the nursing and HCA staff working in the geriatric inpatient areas. Methods Results Workshops are ongoing with nine having been completed so far. As of April 2024, 34 HCA’s and 70 nurses have now completed the workshop within the directorate. Oral feedback received from the 2023’s attendees highlighted the need for a more interprofessional approach so it was decided that the workshop would be offered to all staff who are working in older person’s services from 2024. Since then, 8 members of staff outside nursing and HCA roles attended the workshop. This had a positive impact on the learning experience but also solidifies that much needed multi-disciplinary approach to EOLC. Conclusion At the end of each session, attendees were asked to complete an evaluation. Post reviewing these evaluations the following themes emerged: By having our geriatric directorate facilitators, we can create more awareness surrounding the culture and practices of EOLC for the older person thus improve the quality of EOLC within the directorate in line with HFH approach.

The impact of the nursing work environment on compassion fatigue: The mediating role of general self-efficacy.

To explore the interplay between the perceived nursing work environment, general self-efficacy, and compassion fatigue among registered nurses in Chinese hospitals. Compassion fatigue emerges as a significant occupational stress response globally, with the nursing work environment being a pivotal influencer. There is a knowledge gap in understanding how the nursing work environment and general self-efficacy interrelate to affect compassion fatigue, particularly among Chinese nurses. Employing a cross-sectional, descriptive design, this study utilized validated questionnaires to gather data from 7085 nurses across public and private hospitals in China. The analysis focused on assessing the interrelations among the perceived nursing work environment, general self-efficacy, and different dimensions of compassion fatigue. More than half (65.67%) of the participants experienced moderate or high burnout levels, with 76.43% experiencing secondary traumatic stress. The lowest rating in the nursing work environment was for nurse/physician collaboration (10±2.07), while general self-efficacy scored higher (27.54±6.26). A positive relationship existed between the work environment and both general self-efficacy and compassion satisfaction, with a negative correlation to burnout and traumatic stress. General self-efficacy was a partial mediator in the link between work environment and compassion fatigue, suggesting that improving the work environment can decrease compassion fatigue by boosting nurses' self-efficacy. This study underscores the profound impact of the nursing work environment on compassion fatigue, mediated by general self-efficacy. It highlights the necessity of fostering a supportive work environment to enhance nurses' self-efficacy and overall well-being. Healthcare managers and institutions must create supportive work environments to reduce compassion fatigue among nurses. This includes professional development programs to enhance self-efficacy and job satisfaction. Policies should address high workloads and inadequate support. Nurse leaders should foster environments that promote psychological well-being, improving outcomes for both nurses and patients. Regular assessments and adjustments of work conditions are essential to maintain a healthy work environment.