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Peer-reviewedCC BY 4.0Scientific Reports

The association between resilience and compassionate care in nursing: insights from structural equation modeling

Abstract

This study aimed to investigate the association between nurses’ resilience and their capacity to provide compassionate care in the healthcare context. This cross-sectional study recruited 478 nurses via convenience sampling from 16 public hospitals in northern Iran. Participants completed the Compassionate Care Questionnaire (CCQ) and the Connor-Davidson Resilience Scale (CD-RISC), with data analyzed using structural equation modeling (SEM). All analyses accounted for the clustering of nurses within hospitals. Confirmatory factor analysis supported the compassionate care (χ² = 692.12, df = 344, CFI = 0.941, TLI = 0.935, RMSEA = 0.046, SRMR = 0.042) and resilience measurement models (χ² = 670.17, df = 265, CFI = 0.924, TLI = 0.914, RMSEA = 0.057, SRMR = 0.043). The path coefficient linking resilience to compassionate care was significant and moderate in magnitude (β = 0.52, 95% CI [0.43, 0.62]). The structural model showed acceptable fit (χ² = 2941.32, df = 1723, CFI = 0.906, TLI = 0.901, RMSEA = 0.039, 90% CI [0.036, 0.041], SRMR = 0.050). These findings suggest that resilience is positively associated with compassionate care among nurses. Longitudinal and intervention studies are needed to clarify directionality and determine whether resilience-focused interventions can enhance compassionate care.

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BibTeX
@article{mousazadeh2026association,
  title = {{The association between resilience and compassionate care in nursing: insights from structural equation modeling}},
  author = {Noushin Mousazadeh and Samaneh Bagherian and Faezeh Babaieasl and Maysam Rezapour},
  journal = {Scientific Reports},
  year = {2026},
  month = oct,
  doi = {10.1038/s41598-026-74623-z},
  url = {https://www.nature.com/articles/s41598-026-74623-z},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - The association between resilience and compassionate care in nursing: insights from structural equation modeling
AU  - Noushin Mousazadeh
AU  - Samaneh Bagherian
AU  - Faezeh Babaieasl
AU  - Maysam Rezapour
PY  - 2026
DA  - 2026/10/06
JO  - Scientific Reports
DO  - 10.1038/s41598-026-74623-z
UR  - https://www.nature.com/articles/s41598-026-74623-z
AB  - This study aimed to investigate the association between nurses’ resilience and their capacity to provide compassionate care in the healthcare context. This cross-sectional study recruited 478 nurses via convenience sampling from 16 public hospitals in northern Iran. Participants completed the Compassionate Care Questionnaire (CCQ) and the Connor-Davidson Resilience Scale (CD-RISC), with data analyzed using structural equation modeling (SEM). All analyses accounted for the clustering of nurses within hospitals. Confirmatory factor analysis supported the compassionate care (χ² = 692.12, df = 344, CFI = 0.941, TLI = 0.935, RMSEA = 0.046, SRMR = 0.042) and resilience measurement models (χ² = 670.17, df = 265, CFI = 0.924, TLI = 0.914, RMSEA = 0.057, SRMR = 0.043). The path coefficient linking resilience to compassionate care was significant and moderate in magnitude (β = 0.52, 95% CI [0.43, 0.62]). The structural model showed acceptable fit (χ² = 2941.32, df = 1723, CFI = 0.906, TLI = 0.901, RMSEA = 0.039, 90% CI [0.036, 0.041], SRMR = 0.050). These findings suggest that resilience is positively associated with compassionate care among nurses. Longitudinal and intervention studies are needed to clarify directionality and determine whether resilience-focused interventions can enhance compassionate care.
SN  - 2045-2322
ER  -