The Mediating Role of Compassion Capacity in the Relationship Between Resilience and Spirituality and Spiritual Care among Nurses in Türkiye


Duru H. A., KOVANCI M. S., ÖCALAN S., Dakdevir K.

JOURNAL OF RELIGION & HEALTH, 2025 (AHCI, SSCI, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2025
  • Doi Number: 10.1007/s10943-025-02503-3
  • Journal Name: JOURNAL OF RELIGION & HEALTH
  • Journal Indexes: Arts and Humanities Citation Index (AHCI), Social Sciences Citation Index (SSCI), Scopus, IBZ Online, ATLA Religion Database, CINAHL, Index Islamicus, Psycinfo
  • Hacettepe University Affiliated: Yes

Abstract

Factors affecting spirituality and the risk of inadequate spiritual care should be investigated and included in psychiatric nursing interventions. This study aimed to examine the mediating role of compassion capacity in the relationship between resilience and spirituality and spiritual care in nurses. This study was conducted in a methodological phase, followed by a predictive correlational phase. Data were collected from 310 nurses at a city hospital in Ankara, December 2024-January 2025, using the Sociodemographic Information Form, Capacity for Compassion Scale, Connor-Davidson Resilience Scale Short Form, and Spirituality and Spiritual Care Scale. Analyses were conducted using Pearson correlation, Model-4 mediation analysis, and structural equation modeling. Reporting followed the STROBE guidelines. The findings of this study demonstrate that the Compassion Capacity Scale is a valid and reliable instrument for measuring compassion capacity in nurses (Cronbach's alpha = 0.855). Mediation analysis showed that resilience had a significant indirect effect on spirituality and spiritual care through the capacity for compassion (indirect effect = 0.256, 95% CI 0.192-0.371, p < 0.01). Compassion capacity fully mediates the relationship between psychological resilience and spirituality and spiritual care. In addition, the variance explained was calculated as 95% and the Sobel test results (Z = 5.273, p < 0.001). These results highlight that enhancing nurses' resilience and compassion capacity may contribute to strengthening their spirituality and improving the provision of spiritual care. Incorporating interventions that foster compassion and resilience into nursing practice and education could therefore play a key role in supporting holistic and person-centered care.