SACM - Jordan
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9658
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Item Restricted THE MEDIATING EFFECT OF MORAL RESILIENCE AND PROFESSIONAL IDENTITY ON THE RELATIONSHIP BETWEEN MORAL DISTRESS AND COMPASSION FATIGUE AMONG NURSES IN SAUDI ARABIA(Saudi Digital Library, 2025) Alruwashid,Faleh; Oweidat, IslamBackground: Nurses frequently encounter ethically challenging situations that place them at risk for moral distress and compassion fatigue, especially in high-stress healthcare environments such as Saudi Arabia’s hospital system. These experiences can undermine psychological well-being and professional performance. Moral resilience and professional identity may serve as protective factors but are underexplored as mediators in this context. Aim: To examine the mediating roles of moral resilience and professional identity in the relationship between moral distress and compassion fatigue among Saudi nurses. Methods: A cross-sectional descriptive correlational design was employed with a sample of 370 nurses recruited from various Saudi governmental hospitals. Participants completed four validated scales: the Moral Distress Scale-Revised (MDS-R), Professional Quality of Life Scale (ProQOL-5), Rushton Moral Resilience Scale (RMRS), and the Nurses' Professional Identity Scale. Descriptive statistics, Pearson correlation, simple and multiple regression analyses were conducted to explore associations and mediating effects. Results: Participants reported high moral distress (M = 85.90, SD = 13.90) and compassion fatigue (M = 44.85, SD = 6.40), alongside moderate-to-high moral resilience (M = 56.20, SD = 5.85) and professional identity (M = 69.45, SD = 7.30). Moral distress strongly predicted compassion fatigue (β = 0.667, p < .001, R² = 0.446). Moral resilience (β = –0.354, p < .001) and professional identity (β = –0.201, p < .001) significantly predicted compassion fatigue but mediated the relationship only partially. Conclusion: Moral distress significantly drives compassion fatigue. While moral resilience and professional identity offer partial protection, additional institutional and psychological factors must be addressed to effectively mitigate nurse burnout. Keywords: Moral distress, Compassion fatigue, Moral resilience, Professional identity, Saudi nurses10 0