4.5. Limitations
In this study, there is the possibility of social desirability bias due to the self-reported nature of the data collected through validated instruments. Respondents may answer questions in a favorable way, such as overreporting a positive outcome such as compassion satisfaction and underreporting a negative outcome such as burnout. Moreover, this healthcare system recently switched its electronic health record (EHR) platform during the study period. The launch of this platform was a considerable undertaking for nurse leaders and potentially affected participants’ experience in the program and their responses to the self-report instruments. The study sample was employed at the same faith-based healthcare system as previous studies on this psychoeducational group program. To ensure the generalizability of results across healthcare systems, future studies will be conducted in other settings.