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Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2026年8月
Journal
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535-538 （本文编辑：姜 鑫）

Mechanisms underlying the effects of effort⁃reward imbalance on

professional quality of life among nursing staff

1，2
1
1
1
Xu Juan ，Zhu Biao ，Wang Ao ，Li Chenxu ，Xue Yunzhen 1
1. College of Humanities and Social Sciences，Shanxi Medical University，Taiyuan 030001；
2. Medical Affairs Department，Gaoping People’s Hospital，Jincheng 048400，China
Abstract：Nursing staff are exposed to long⁃term high workloads，and effort⁃reward imbalance（ERI）may
affect their professional experience and psychological well ⁃ being. However，the mechanisms underlying its
effects on ERI，including compassion satisfaction and compassion fatigue，remain unclear. Therefore，this study
used a convenience sampling method to recruit 916 clinical nurses from three general hospitals in Shanxi
Province，China. Unconditional quantile regression revealed that ERI was significantly associated with compassion
satisfaction only at the P33- P48、P4- P7 and P59- P62，whereas its association with compassion fatigue was
significant across the P5-P58 and P76-P97 quantiles，indicating distributional heterogeneity. Multiple mediation
analysis demonstrated that ERI exerted indirect effects on compassion satisfaction and compassion fatigue
through rumination and psychological resilience. These findings suggest that greater attention should be paid to
ERI levels among nursing staff，and differentiated interventions should be implemented for different risk groups
to improve their professional experience and psychological well⁃being.
Key words：effort⁃reward imbalance；professional quality of life；rumination；psychological resilience