A Study of the Relationship Between Compassion Fatigue, Somatization, and Silencing Response Among Hospital Nurses: Focusing on the Mediating Effects of Silencing Response

Saturday, 26 July 2014

Sunhwa Kim, RN
Vascular Unit, Department of nurses, Hanyang University Medical Center, Seoul, South Korea


The purpose of this study was to identify compassion fatigue(CF), somatization, and silencing response(SR) among nurses and understand intermediate effects between variables.


The sample of 240 nurses who were working in medical, surgical wards and emergency room had shift-work in 3 hospitals with over 700 beds. A structured questionnaire was used and included CF, Somatization and SR scale. The data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficients and stepwise multiple regression.


There were statistically significant differences in CF, somatization and SR depending on perceived personal health condition, experience of turnover, co-worker support. There were significant correlations among those study variables. The result also indicated that burnout (ß= .810, p<.001) which is a part of secondary traumatic stress and somatization (ß= .786, p<.001) have the role of partial mediator in the relationship between secondary traumatic stress and silencing response


The result of study that intermediary role by burnout and somatization in silencing response of nurses is important for effective human resource management in hospital nursing. Effective human resource management which includes mentoring and social support system can enhance the professional quality of life of nurses, which will eventually contribute quality of care as a care provider and counselor.