Mediating effects of emotion regulation between socio-cognitive mindfulness and empathy in nurses: a cross-sectional study

Background Acknowledging the under-examined research of socio-cognitive mindfulness and Gross's emotion regulation strategies in nursing, this study investigated the relationships between socio-cognitive mindfulness, emotion regulation (i.e., reappraisal and suppression), and empathy among nurses. It also explored the mediating effects of emotion regulation. Methods A cross-sectional quantitative study was conducted in a sample of 245 nurses from two university hospitals in South Korea. Convenience sampling was used to collect data between August 3 and September 29, 2020. Participants completed the questionnaire measuring their socio-cognitive mindfulness, emotion regulation, and empathy. Structural equation modeling and path analysis were conducted for data analysis. Results Socio-cognitive mindfulness positively influenced emotion regulation of reappraisal (beta = 0.404, p < 0.01) and empathy (beta = 0.402, p < 0.01), but negatively influenced emotion regulation of suppression (beta = -0.149, p < 0.05). Reappraisal positively influenced empathy (beta = 0.341, p < 0.01), whereas suppression negatively influenced empathy (beta = -0.127, p < 0.05). Importantly, emotion regulation of reappraisal mediated the association between socio-cognitive mindfulness and empathy (a X b = 0.107, p < 0.01). Conclusion The findings indicate that socio-cognitive mindfulness is effective in improving empathy among nurses by enhancing reappraisal. This study can provide a foundation for developing socio-cognitive mindfulness or emotion regulation programs to improve empathy among nurses, which would ultimately lead to better nursing performance by increasing patient satisfaction.