Hemşirelerin Merhamet Yorgunluğunun İş Performansı ve Örgütsel Vatandaşlık Davranışı Üzerine Etkisinde Birey-İş Uyumunun Aracı Rolü

Öz

Amaç: Bu araştırmanın amacı, hemşirelerde merhamet yorgunluğunun örgütsel vatandaşlık davranışı ve iş performansı üzerindeki yordayıcı etkilerini incelemek ve bu ilişkilerde birey-iş uyumunun aracılık rolünü test etmektir. Yöntem: Kesitsel araştırma niteliğinde olan bu çalışma bir devlet hastanesinde 200 hemşire ile gerçekleştirilmiştir. Veriler tanımlayıcı anket formu, Merhamet Yorgunluğu, İş Performansı ve Örgütsel Vatandaşlık Davranışı ve Birey-İş Uyumu ölçekleri kullanılarak elde edilmiştir. Toplanan veriler, SPSS ve AMOS yazılım paketleri kullanılarak analiz edilmiştir. Değişkenler arasındaki doğrudan ve dolaylı etkileri (aracılık rolünü) test etmek amacıyla PROCESS Makro (Model 4) analizi uygulanmış ve anlamlılık düzeyleri Bootstrap yöntemiyle (5000 yeniden örnekleme) değerlendirilmiştir. Bulgular: Araştırmada merhamet yorgunluğunun örgütsel vatandaşlık davranışı ve iş performansı üzerindeki etkisi incelenmiş ve bu ilişkilerin birey-iş uyumu aracılığıyla açıklanıp açıklanmadığı değerlendirilmiştir. Elde edilen bulgular, merhamet yorgunluğunun örgütsel vatandaşlık davranışını negatif yönde anlamlı şekilde etkilediğini göstermiştir (Beta = -0.21, p < 0.001). Ayrıca yapılan aracılık analizine göre, birey-iş uyumu bu ilişki üzerinde kısmi aracılık rolü oynamaktadır (dolaylı etki Beta = -0.02, GA [-0.05, -0.01]). Bununla birlikte, merhamet yorgunluğunun iş performansı üzerindeki doğrudan etkisi anlamlı bulunmamıştır (Beta = -0.06, p > 0.05). Ancak, birey-iş uyumunun, merhamet yorgunluğu ile iş performansı arasındaki ilişkide tam aracılık rolü oynadığı tespit edilmiştir (dolaylı etki Beta = -0.05, GA [-0.12, -0.01]). Sonuç: Birey-iş uyumu, hem hemşirelerin merhamet yorgunluğunun olumsuz etkilerini azaltmada hem de örgütsel vatandaşlık davranışı ve iş performansını desteklemede kritik bir rol oynamaktadır. Bu doğrultuda, sağlık yöneticilerinin hemşirelik yönetiminde birey-iş uyumunu destekleyici esnek ve adil çalışma modelleri geliştirmesi önerilmektedir.

Anahtar Kelimeler

• Merhamet
• Hemşire
• Hastane
• Performans
• Örgütsel vatandaşlık
• Birey-iş uyumu

Destekleyen Kurum

Bu araştırma için herhangi bir kamu kuruluşundan, özel veya kâr amacı gütmeyen sektörlerden hibe alınmamıştır.

Etik Beyan

Araştırmanın etik kurul onayı Bayburt Üniversitesi Etik Kurulu’nun 26.05.2023 tarihli, 9/208 sayılı kararı ile alınmış; başlık değişikliği ve “aracı rol” ifadesi 15.10.2025 tarihli, 13/471 sayılı kararı ile uygun bulunmuştur.

Teşekkür

Bu çalışmanın veri toplama sürecine katkı sağlayan devlet hastanesi yönetimine, il sağlık müdürlüğüne ve araştırmaya katılım gösteren hemşirelere teşekkür ederiz.

The Mediating Role of Person–Job Fit in the Effect of Nurses’ Compassion Fatigue on Job Performance and Organizational Citizenship Behavior

Öz

Aim: The aim of this study is to examine the predictive effects of compassion fatigue on organizational citizenship behavior and job performance among nurses, and to test the mediating role of person-job fit in these relationships. Method: This cross-sectional study was conducted with 200 nurses in a public hospital. Data were collected using a descriptive questionnaire along with the Compassion Fatigue, Job Performance, Organizational Citizenship Behavior and Person-Job Fit scales. The collected data were analyzed using SPSS and AMOS software packages. To test the direct and indirect effects (mediating role) between the variables, PROCESS Macro (Model 4) analysis was applied, and significance levels were evaluated using the bootstrap method (5000 resamples). Results: The study examined the effect of compassion fatigue on organizational citizenship behavior and job performance, and evaluated whether these relationships are explained through person-job fit. The findings showed that compassion fatigue significantly negatively affects organizational citizenship behavior (Beta = -0.21, p < 0.001). Additionally, according to the mediation analysis, person-job fit plays a partial mediating role in this relationship (indirect effect Beta = -0.02, CI [-0.05, -0.01]). Furthermore, the direct effect of compassion fatigue on job performance was found to be insignificant (Beta = -0.06, p > 0.05). However, it was determined that person-job fit fully mediates the relationship between compassion fatigue and job performance (indirect effect Beta = -0.05, CI [-0.12, -0.01]). Conclusion: Person-job fit plays a critical role both in mitigating the negative effects of compassion fatigue among nurses and in supporting their organizational citizenship behavior and job performance. In this regard, it is recommended that healthcare managers develop flexible and fair working models that support person-job fit in nursing management.

Anahtar Kelimeler

• Compassion
• Nurse
• Hospital
• Performance
• Organizational citizenship
• Person–job fit.

Destekleyen Kurum

This research was not funded by any public, private, or non-profit organizations.

Etik Beyan

The research received ethical approval from the Bayburt University Ethics Committee with decision number 9/208 dated 26.05.2023; the title change and the phrase "mediator role" were approved with decision number 13/471 dated 15.10.2025.

Teşekkür

We would like to thank the state hospital administration, the provincial health directorate, and the nurses who participated in the research for their contributions to the data collection process of this study.

Kaynakça

1. 1. Şeremet GG, Ekinci N. Sağlık Çalışanlarında Merhamet Yorgunluğu, Merhamet Memnuniyeti ve Merhamet Korkusu. Süleyman Demirel Üniversitesi Vizyoner Dergisi 2021;12(29):330-344. doi:10.21076/vizyoner.722874
2. 2. Afriyie D. Effective communication between nurses and patients: An evolutionary concept analysis. Br J Community Nurs 2020;25(9):438-445. doi:10.12968/bjcn.2020.25.9.438
3. 3. Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. J Clin Nurs 2020;29(15-16):2762-2764. doi:10.1111/jocn.15314
4. 4. Joinson C. Coping with compassion fatigue. Nursing (Brux) 1992;22(4):116,118-119,120.
5. 5. Gustafsson T, Hemberg J. Compassion fatigue as bruises in the soul: A qualitative study on nurses. Nurs Ethics 2021;29(1):157. doi:10.1177/09697330211003215
6. 6. Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: A concept analysis. Nurs Health Sci 2010;12(2):235-243. doi:10.1111/j.1442-2018.2010.00526.x
7. 7. Bolt EET, et al. Exploring nurses’ postturnover experiences in their new employment: A self-determination and job-fit perspective. BRQ Business Research Quarterly 2025;28(2):530-542.
8. 8. Maillet S, Read EA. Areas of work-life, psychological capital and emotional intelligence on compassion fatigue and compassion satisfaction among nurses: A cross-sectional study. Nurs Open 2024;11(2):1-14. doi:10.1002/nop2.2098

9. 9. Ari HO. Determining the Relationship Between Work Stress and Job Performance: A Cross-Sectional Study Among Healthcare Workers. J Nurs Manag 2025;2025(1). doi:10.1155/jonm/5051149
10. 10. Thapa M, Shrestha P. Extrinsic Motivation and Job Performance in Health Sector. Punyawati Journal 2025;1:1-14.
11. 11. Ganeti DD, et al. Compassion fatigue and associated factors among nurses working in Jimma Zone public hospitals, southwest Ethiopia: A facility based cross-sectional study. PLoS One 2025;20(1). doi:10.1371/journal.pone.0312400
12. 12. Chu LC. The Influence of Compassion Fatigue on Job Performance and Organizational Citizenship Behaviors: The Moderating Effect of Person-Job Fit. J Nurs Scholarsh 2021;53(4):500-510. doi:10.1111/JNU.12644
13. 13. Kabunga A, et al. Prevalence and contextual factors associated with compassion fatigue among nurses in northern Uganda. PLoS One 2021;16(9):e0257833.
14. 14. Maslach C. A Multidimensional Theory of. Theories of organizational stress. Published online 1998:68. doi: 10.1093/oso/9780198522799.003.0004
15. 15. Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry 2016;15(2):103-111. doi:10.1002/wps.20311
16. 16. Deriglazov D, Halamová J, Kernová L. Burnout, Compassion Fatigue, and Compassion Satisfaction Interventions via Mobile Applications: A Systematic Review and a Meta-Analysis. Worldviews Evid Based Nurs 2025;22(3). doi:10.1111/wvn.70033
17. 17. Chu LC. Mediating toxic emotions in the workplace--the impact of abusive supervision. J Nurs Manag 2014;22(8):953-963. doi:10.1111/jonm.12071
18. 18. Taşkin GB. A Research about the Relationship Between the Compassion Fatigue of the Healthcare Employees and Organizational Citizenship Behavior 2021;2021(March):64-87.
19. 19. Condrey KM. The Relationship between Compassion Fatigue and Organizational Culture. George Fox University. Published online 2015.
20. 20. Creative Research Systems. (t.y). Sample size calculator. Erişim adresi: https://www.surveysystem.com/sscalc.htm
21. 21. Adams RE, Boscarino JA, Figley CR. Compassion fatigue and psychological distress among social workers: a validation study. Am J Orthopsychiatry. 2006;76(1):103-108. doi:10.1037/0002-9432.76.1.103
22. 22. Dinç S, Ekinci M. Merhamet yorgunluğu kısa ölçeği’nin Türkçe’ye uyarlanması, geçerlilik ve güvenirliği. Psikiyatride Güncel Yaklaşımlar 2019;11:192-202.
23. 23. Podsakoff PM, et al. Transformational leader behaviors and their effects on followers’ trust in leader, satisfaction, and organizational citizenship behaviors. Leadersh Q 1990;1(2):107-142.
24. 24. Kirkman BL, Rosen B. Beyond self-management: Antecedents and consequences of team empowerment. Academy of Management Journal 1999;42(1):58-74. doi:10.2307/256874
25. 25. Sigler TH, Pearson CM. Creating an empowering culture: examining the relationship between organizational culture and perceptions of empowerment. Journal of Quality Management 2000;5(1):27-52. doi:10.1016/S1084-8568(00)00011-0
26. 26. Brkich M, Jeffs D, Carless SA. A global self-report measure of person-job fit. European Journal of Psychological Assessment 2002;18(1):43.
27. 27. Hayes AF. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. Guilford publications; 2022.
28. 28. Morgan GA, Leech NL, Gloeckner GW, Barrett KC. SPSS for Introductory Statistics: Use and Interpretation. Psychology Press; 2004.
29. 29. Aydogan S, Caliskan N. A Descriptive Study of Turkish Intensive Care Nurses’ Pressure Ulcer Prevention Knowledge, Attitudes, and Perceived Barriers to Care. Wound Manag Prev 2019;65(2):39-47.
30. 30. Aydin D, Akay B, Baydemir S. Hemşirelik Öğrencilerinde Tükenmişlik ve Etkileyen Faktörler. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2017;7(1):19-23.
31. 31. Kotan G, Özcan A. Hemşirelerde İş Stresi ile Mesleğe Bağlılık Düzeyleri Arasındaki İlişki. Abant Sağlık Bilimleri ve Teknolojileri Dergisi 2024;4(3):97-106.
32. 32. Oktay D, Ozturk C. Compassion fatigue in nurses and influencing factors. Perspect Psychiatr Care 2022;58(4):1691-1700. doi:10.1111/ppc.12977
33. 33. Xie W, et al. The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analysis. Int J Nurs Stud 2021;120:103973.
34. 34. Bhat ZH, Rainayee RA. Examining the Mediating Role of Person–Job Fit in the Relationship between Training and Performance: A Civil Servant Perspective. Global Business Review 2019;20(2):529-548. doi:10.1177/0972150917743377
35. 35. Nurtjahjono GE, et al. The effect of job characteristic, person-job fit, organizational commitment on employee performance (study of East Java BPJS employees). JPAS (Journal of Public Administration Studies) 2020;5(1):5-7.
36. 36. Taşkın GB, Şengül H. A Research About The Relationship Between The Compassion Fatigue Of The Healthcare Employees And Organizational Citizenship Behavior. Eurasian Academy Of Sciences Social Sciences Journal 2021;35(35):64-87.
37. 37. Cropanzano R, Rupp DE, Byrne ZS. The relationship of emotional exhaustion to work attitudes, job performance, and organizational citizenship behaviors. J Appl Psychol 2003;88(1):160-169. doi:10.1037/0021-9010.88.1.160
38. 38. Kaur N, Kang LS. Person-organisation fit, person-job fit and organisational citizenship behaviour: An examination of the mediating role of job satisfaction. IIMB Management Review 2021;33(4):347-359