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Relationship Between Sleep-Related Worry, Compassion Fatigue, and Retention Intention Among Nurses: A Multicenter

Feng Peng¹, Xiaoying Zeng², Jue Wu³

¹Department of Operating Room, The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China, scu.edu.cn.

Journal of Nursing Management

|June 27, 2026

Summary

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Current Trends in Nursing I

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This summary is machine-generated.

Nurses experiencing sleep-related worry and compassion fatigue show lower retention intention. Addressing these issues may improve nurse retention and reduce burnout.

Area of Science:

Nursing Research
Healthcare Management
Occupational Psychology

Background:

High turnover rates and burnout are significant challenges in the nursing profession.
Sleep-related worry and compassion fatigue are recognized stressors impacting healthcare workers.

Purpose of the Study:

To investigate the prevalence of sleep-related worry, compassion fatigue, and retention intention among Chinese hospital nurses.
To explore the interrelationships between these factors and their impact on nurse retention.

Main Methods:

A cross-sectional survey was conducted with 1831 nurses from eight tertiary general hospitals in China.
Data were collected using validated questionnaires assessing sleep-related worry, compassion fatigue, and intention to remain employed.
Statistical analyses were performed to examine correlations and mediation effects.

Keywords:

compassion fatigue nurse retention intention sleep-related worry

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Main Results:

Nurses reported mean scores of 30.40 for sleep-related worry, 48.03 for compassion fatigue, and 22.79 for retention intention.
Significant negative correlations were found between retention intention and both compassion fatigue and sleep-related worry.
Compassion fatigue partially mediated the relationship between sleep-related worry and retention intention, explaining 65.15% of the effect.

Conclusions:

Sleep-related worry and compassion fatigue are significantly associated with lower retention intention among nurses.
Interventions aimed at improving sleep quality and reducing worry, alongside enhanced organizational support, may mitigate compassion fatigue and improve nurse retention.
Addressing these factors is crucial for retaining nursing talent and preventing workforce attrition.