AccScience Publishing / JCBP / Online First / DOI: 10.36922/JCBP026060009
REVIEW ARTICLE

Factors associated with compassion fatigue in primary healthcare nurses: A rapid review

Carla Rocha1* Ana Gonçalves2 Ana Bento3 Laura Leitão4 Carla Rodrigues4 João Tomás5,6,7 Nelson Guerra5,7 Luís Sousa5,7,8*
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1 Department of Surgery, Hospital Garcia de Orta, Unidade Local de Saúde Almada/Seixal, Almada, Setúbal, Portugal
2 Unidade de Cuidados na Comunidade Cruzeiro, Unidade Local de Saúde Amadora-Sintra, Mem Martins, Lisbon, Portugal
3 Department of Surgery, Hospital São Francisco Xavier, Unidade Local de Saúde Lisboa Ocidental, Lisboa, Portugal
4 Department of Surgery, Hospital Lusíadas Lisboa, Lisboa, Portugal
5 Nursing Department, School of Health, Atlântica University, Barcarena, Lisbon, Portugal
6 The Life Quality Research Center, Santarém Polytechnic University, Santarém, Santarém, Portugal
7 RISE-Health Research Network, Porto, Porto, Portugal
8 Comprehensive Health Research Centre, University of Évora, Évora, Évora, Portugal
Received: 4 February 2026 | Revised: 24 March 2026 | Accepted: 10 April 2026 | Published online: 15 May 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Compassion fatigue often results from continuous exposure to people’s suffering. Identifying the associated factors among nurses who provide care in proximity to the population can support team leadership in recognizing this phenomenon and promoting preventive strategies. This review aims to identify, based on recent evidence, the factors associated with compassion fatigue in nurses working in primary health care. A rapid review of the literature was conducted using the EBSCOhost Research Databases, including CINAHL Complete, MEDLINE Complete, Nursing & Allied Health Collection: Comprehensive, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Library, Information Science & Technology Abstracts, MedicLatina, and Cochrane Clinical. Information from the included studies was extracted into an Excel sheet, and the identified evidence was summarized using a descriptive method. Studies involving adolescent and child populations, conducted in the context of COVID-19, conducted in hospital, emergency, or inpatient settings, and exclusively focused on scale validation were excluded. This rapid review includes 13 studies and identifies physical and emotional exhaustion, as well as frustration at work, as factors associated with compassion fatigue, often resulting from empathy developed toward individuals in distress. Nurses reported symptoms, such as nervousness, anxiety, suffering, and crying episodes, frequently lead to absenteeism and highlight psychosomatic implications, particularly the interaction between emotional stress and physical manifestations. The main conclusion is that leaders and managers of nursing teams should be aware of the factors associated with compassion fatigue so they can act promptly. When these factors are present, they should implement interventions to prevent and control them, thereby contributing to nurses’ well-being and to the quality and safety of care.

Keywords
Nurses
Compassion fatigue
Primary health care
Funding
None.
Conflict of interest
The authors declare they have no competing interests.
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Journal of Clinical and Basic Psychosomatics, Electronic ISSN: 2972-4414 Print ISSN: 3060-8562, Published by AccScience Publishing