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Self-compassion and secondary traumatic stress in pediatric oncology/hematology nurses

J Pediatr Nurs. 2025 Nov 17;86:191-198. doi: 10.1016/j.pedn.2025.11.015. Online ahead of print.

ABSTRACT

BACKGROUND: Pediatric oncology/hematology nurses frequently witness the suffering and death of children, placing them at high risk for secondary traumatic stress. Self-compassion has emerged as a protective factor against psychological distress in healthcare professionals.

METHODS: This descriptive correlational study included 115 nurses in pediatric oncology/hematology units at six hospitals in three major cities. Data were collected using a Personal Information Form, the Self-Compassion Scale, and the Secondary Traumatic Stress Scale. Data were analyzed using descriptive and multiple inferential statistical methods.

RESULTS: Nurses reported moderate levels of secondary traumatic stress and self-compassion. A significant negative correlation was found between the total self-compassion scale and secondary traumatic stress scale scores (r = -0.46, indicating a moderate negative correlation, p < 0.01). Subscales of self-kindness, mindfulness, and common humanity were negatively associated with secondary traumatic stress. At the same time, self-judgment and isolation were positively correlated. Multiple regression analysis showed that self-compassion explained a significant portion of variance in secondary traumatic stress scores (R2 = 0.31, indicating that 31 % of the variance was explained, p < 0.001).

DISCUSSION: The findings suggest that higher self-compassion, particularly self-kindness and mindfulness, may buffer nurses against the adverse effects of secondary trauma. Conversely, self-critical attitudes may heighten vulnerability. These results highlight pediatric oncology nurses’ emotional burden and underscore the importance of psychological support.

CONCLUSION: Promoting self-compassion may help reduce secondary traumatic stress and improve well-being among pediatric oncology/hematology nurses. Interventions focused on self-compassion training could serve as a sustainable strategy to support nurses’ mental health and care quality.

PMID:41252766 | DOI:10.1016/j.pedn.2025.11.015

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