{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T18:03:43Z","timestamp":1789409023686,"version":"build-2803163510"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Compassion fatigue is a major occupational health concern among nurses and may be influenced by the availability of personal and organizational resources. Guided by the salutogenic model, this study aimed to identify latent profiles of nurses based on sense of coherence, perceived organizational support, and mindfulness, and to examine differences in compassion fatigue across these profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 516 nurses were included in this study. Latent profile analysis was conducted using sense of coherence, perceived organizational support, and mindfulness as continuous profile indicators. Model selection was based on fit indices, entropy, profile size, parsimony, and theoretical interpretability. The Bolck\u2013Croon\u2013Hagenaars (BCH) method was used to compare compassion fatigue across the identified profiles while accounting for classification uncertainty. A manual BCH secondary model was further used to examine factors associated with compassion fatigue within each profile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A two-profile solution was retained. The low-resource profile comprised 241 nurses (46.71%) and was characterised by below-average levels of sense of coherence, perceived organisational support, and mindfulness, whereas the high-resource profile comprised 275 nurses (53.29%) and showed above-average levels across all three indicators. Compassion fatigue was significantly higher in the low-resource profile than in the high-resource profile (estimated mean \u00b1 SE; 62.83\u202f\u00b1\u202f1.70 vs. 30.68\u202f\u00b1\u202f1.37;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). In the profile-specific secondary analysis, working more than four night shifts per month was associated with higher compassion fatigue within the low-resource profile (B\u202f=\u202f8.466, SE\u202f=\u202f3.935,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.031), whereas no demographic or work-related factors were significantly associated with compassion fatigue within the high-resource profile.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurses exhibited two distinct salutogenic resource profiles that were associated with markedly different levels of compassion fatigue. These findings highlight the potential value of considering combined patterns of personal and organisational resources when identifying nurses with different levels of vulnerability to compassion fatigue. Prospective studies are needed to evaluate whether resource-support strategies tailored to these profiles can reduce compassion fatigue.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1906172","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T17:10:23Z","timestamp":1789405823000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Salutogenic resource profiles and compassion fatigue among nurses: a latent profile analysis"],"prefix":"10.3389","volume":"14","author":[{"given":"Shuangshuang","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meirong","family":"He","sequence":"additional","affiliation":[{"name":"Department of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weizeng","family":"Lou","sequence":"additional","affiliation":[{"name":"Department of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1111\/j.1442-2018.2010.00526.x","article-title":"Compassion fatigue within nursing practice: a concept analysis","volume":"12","author":"Coetzee","year":"2010","journal-title":"Nurs Health Sci"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"103973","DOI":"10.1016\/j.ijnurstu.2021.103973","article-title":"The prevalence of compassion satisfaction and compassion fatigue among nurses: a systematic review and meta-analysis","volume":"120","author":"Xie","year":"2021","journal-title":"Int J Nurs Stud"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1016\/0277-9536(93)90033-Z","article-title":"The structure and properties of the sense of coherence scale","volume":"36","author":"Antonovsky","year":"1993","journal-title":"Soc Sci Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1861","DOI":"10.3390\/ijerph17061861","article-title":"Sense of coherence in nurses: a systematic review","volume":"17","author":"Masanotti","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1037\/0021-9010.71.3.500","article-title":"Perceived organizational support","volume":"71","author":"Eisenberger","year":"1986","journal-title":"J Appl Psychol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1186\/s12912-024-02473-z","article-title":"The effect of perceived organizational support and ego-resilience on the relationship between occupational stressors and compassion fatigue in COVID-19 frontline nurses: a cross-sectional study in Sichuan, China","volume":"23","author":"Liu","year":"2024","journal-title":"BMC Nurs"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1037\/0022-3514.84.4.822","article-title":"The benefits of being present: mindfulness and its role in psychological well-being","volume":"84","author":"Brown","year":"2003","journal-title":"J Pers Soc Psychol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1016\/j.ijnurstu.2016.10.002","article-title":"Effectiveness of a mindfulness-based intervention on oncology nurses\u2019 burnout and compassion fatigue symptoms: a non-randomized study","volume":"64","author":"Duarte","year":"2016","journal-title":"Int J Nurs Stud"},{"key":"ref9","volume-title":"Latent class and Latent transition Analysis: with Applications in the social Behavioral, and Health Sciences","author":"Collins","year":"2010"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e63","DOI":"10.1097\/CCM.0000000000004710","article-title":"Practitioner's guide to latent class analysis: methodological considerations and common pitfalls","volume":"49","author":"Sinha","year":"2021","journal-title":"Crit Care Med"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"299","DOI":"10.3321\/j.issn:1000-6729.2006.05.007","article-title":"Reliability and validity of sense of coherence \u221213 (SOC-13)","volume":"5","author":"Bao","year":"2006","journal-title":"Chin Ment Health J"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1037\/0002-9432.76.1.103","article-title":"Compassion fatigue and psychological distress among social workers: a validation study","volume":"76","author":"Adams","year":"2006","journal-title":"Am J Orthopsychiatry"},{"key":"ref13","first-page":"59","article-title":"The mechanism of compassion fatigue among medical staffs: the mediated moderation model","volume":"7","author":"Sun","year":"2014","journal-title":"Psychol Res"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1341","DOI":"10.3969\/j.issn.1009-6493.2009.15.013","article-title":"A study on relationship between organizational support emotion and organizational commitment of nurses","volume":"23","author":"Zuo","year":"2009","journal-title":"Chin Nurs Res"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"148","DOI":"10.16128\/j.cnki.1005-3611.2012.02.024","article-title":"Revision of mindful attention awareness scale (MAAS)","volume":"20","author":"Chen","year":"2012","journal-title":"Chin J Clin Psychol"},{"key":"ref16","author":"Asparouhov","year":"2021"},{"key":"ref17","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-04600-6","volume-title":"The Handbook of Salutogenesis","author":"Mittelmark","year":"2017"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/978-3-030-79515-3_12","article-title":"Generalized Resistance Resources in the Salutogenic Model of Health","volume-title":"The handbook of salutogenesis","author":"Idan","year":"2022"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"889","DOI":"10.1186\/s12912-024-02568-7","article-title":"The mediating role of compassion fatigue between perceived organization support and caring behavior among outpatient nurses in China: a cross-sectional study","volume":"23","author":"Liu","year":"2024","journal-title":"BMC Nurs"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1186\/s12912-025-02728-3","article-title":"Influence of psychological resilience on compassion fatigue in nurses in the operating room: a cross-sectional study in China","volume":"24","author":"Fu","year":"2025","journal-title":"BMC Nurs"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"e70085","DOI":"10.1111\/inr.70085","article-title":"How shift schedules shape nurses\u2019 sleep and compassion: a comparative study","volume":"72","author":"Al-Hammouri","year":"2025","journal-title":"Int Nurs Rev"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1007\/s11121-011-0201-1","article-title":"Latent class analysis: an alternative perspective on subgroup analysis in prevention and treatment","volume":"14","author":"Lanza","year":"2013","journal-title":"Prev Sci"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1097\/NNR.0000000000000597","article-title":"Latent profile\/class analysis identifying differentiated intervention effects","volume":"71","author":"Yang","year":"2022","journal-title":"Nurs Res"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"e70042","DOI":"10.1111\/nhs.70042","article-title":"Interventions for compassion fatigue, burnout, and secondary traumatic stress in nurses: a systematic review and network Meta-analysis","volume":"27","author":"Zhang","year":"2025","journal-title":"Nurs Health Sci"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"e70023","DOI":"10.1111\/inr.70023","article-title":"Interventions to reduce compassion fatigue in nursing: a systematic review and Meta-analysis of controlled studies","volume":"72","author":"Manzanedo-Moreno","year":"2025","journal-title":"Int Nurs Rev"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1186\/s12889-017-4153-7","article-title":"A systematic review including meta-analysis of work environment and burnout symptoms","volume":"17","author":"Aronsson","year":"2017","journal-title":"BMC Public Health"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1906172\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T17:10:27Z","timestamp":1789405827000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1906172\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,14]]},"references-count":26,"alternative-id":["10.3389\/fpubh.2026.1906172"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1906172","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,14]]},"article-number":"1906172"}}