Table 4.

Bias‑corrected bootstrap test for all indirect pathways

Pathway	Estimate	Standard errors	Bootstrap confidence	P
Moral distress → Moral resilience → Compassion fatigue	0.081	0.021	0.042–0.124	0.001
Moral distress → Professional identity → Compassion fatigue	0.05	0.015	0.021–0.081	0.001
Moral distress → Moral resilience → Professional identity → Compassion fatigue	0.032	0.008	0.019–0.049	0.001
Total indirect effects	0.162	0.024	0.116–0.211	0.001
Total direct effects	0.286	0.041	0.205–0.369	0.001
Total effects	0.448	0.043	0.366–0.534	0.001