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Aim: This study aimed to investigate the relationships among factors affecting compassion fatigue/secondary traumatic stress, burnout, and compassion satisfaction in Japanese nurses, focusing on self‐compassion, fears of compassion, and attachment styles. Methods: This cross‐sectional observational study enrolled 400 clinical nurses (aged ≥20 years) in Japan, registered with an online survey company, from June 6 to June 26, 2021. The subjects completed a web‐based questionnaire that assessed compassion fatigue/secondary traumatic stress, burnout, compassion satisfaction, self‐compassion, fears of compassion for self, anxiety, and avoidance. Additionally, descriptive statistics, correlation analysis, multiple regression analysis and path analysis were performed to examine the relationships among the influencing factors. Results: Compassion fatigue/secondary traumatic stress was influenced by anxiety and fears of compassion for self (R2 =.31). Burnout was affected by compassion fatigue/secondary traumatic stress, compassion satisfaction, self‐compassion, anxiety, and avoidance (R2 =.63). Compassion satisfaction was impacted by self‐compassion, anxiety, and fears of compassion for self (R2 =.31). Additionally, self‐compassion (R2 =.28) and fears of compassion for self (R2 =.55) were influenced by anxiety and avoidance. Conclusions: Compassion fatigue/secondary traumatic stress leads to burnout, whereas compassion satisfaction moderates burnout. Furthermore, there were associations among the factors leading to compassion fatigue/secondary traumatic stress and burnout and compassion satisfaction. Therefore, an approach that enhances self‐compassion and promotes the development of a stable attachment style could mitigate compassion fatigue/secondary traumatic stress and fears of compassion for self while moderately maintaining and improving compassion satisfaction. [ABSTRACT FROM AUTHOR]

People with high self-criticism tend to suffer from poor mental health whereas those with high self-reassurance tend to have good mental health. Poor mental health is a great cause for concern in Japan. Many people in Japan live with mental health issues, and the suicide rate is high. In particular, the mental health of caring professionals in Japan is devastated. However, there is no established measure to assess the levels of self-criticism and self-reassurance in the Japanese language. The Forms of Self-Criticising/Attacking & Self-Reassuring Scale (FSCRS) has been actively used in mental health research. Accordingly, this study aimed to develop the Japanese version of FSCRS (J-FSCRS). 300 nurses and 120 psychologists in Japan responded to an online survey containing J-FSCRS and Depression Anxiety Stress Scales-21. Confirmatory factor analyses and a Pearson's correlation analysis were conducted. J-FSCRS is proven to be reliable to assess self-criticism and self-reassurance in the Japanese language. [ABSTRACT FROM AUTHOR]