Background Palliative care can be demanding and stressful for providers. There is increasing recognition in the literature of the impact of caregiving in palliative care settings, including compassion fatigue and compassion satisfaction. However, to date this literature has not been systematically reviewed. The purpose of this scoping review was to map the literature on compassion fatigue and compassion satisfaction among palliative care health providers caring for adult patients. Methods Scoping review method guided by Joanna Briggs Institute guidelines was conducted using four electronic databases to identify the relevant studies published with no time limit. Following the title and abstract review, two reviewers independently screened full-text articles, and extracted study data. A narrative approach to synthesizing the literature was used. Results Twenty studies were included in the review. Five themes emerged from synthesis: conceptualisation of compassion fatigue and compassion satisfaction; measurement of compassion fatigue and compassion satisfaction; consequences of compassion fatigue or compassion satisfaction and providing care for patients with life-threatening conditions; predictors or associated factors of compassion fatigue and compassion satisfaction among palliative care health providers; and strategies or interventions to support palliative care health providers and reduce compassion fatigue. Conclusions Limited studies examined the effectiveness of specific interventions to improve compassion satisfaction and reduce compassion fatigue among palliative care health providers. Further investigation of the impacts of compassion fatigue and compassion satisfaction on palliative care health providers and their work is also needed.
Objective The study aims at assessing the triage knowledge and practices and their associated factors among emergency department nurses employed in King Fahad Medical City (KFMC), Saudi Arabia. Method The study employed a cross-sectional, descriptive, and correlational design. Data collection was carried out from February 11, 2021, until April 27, 2021. The study included all emergency department nurses who were working in the KFMC during the data collection period and excluded those who were on leave at the time of data collection. A self-reported questionnaire with adequate validity and reliability was used. Statistical analysis was performed using the IBM SPSS Version 25 employing descriptive statistics, independent t-test, one-way ANOVA, and Pearson correlation test. Results A total of 147 emergency department nurses completed the study. Participants demonstrated generally high levels of triage knowledge and triage practice. However, knowledge deficit and incorrect practice related to some aspects were noted. There were no significant differences in triage knowledge and practice according to participants’ demographics including gender, job title, qualification, emergency nursing training, and previous training in triage ( P > 0.05). Most participants ( n = 141, 95.9%) had access to their triage systems and the majority ( n = 79, 53.7%) utilize triage systems on a daily basis. Half said that only professional nurses performed the triage role ( n = 69, 46.9%). There was a significant positive relationship between triage knowledge and practice (r = 0.486, P < 0.01). Conclusion The respondents had a high level of triage knowledge and practice. However, they have some areas of knowledge deficit and some deficiencies in the conversion of their knowledge into practice. The study recommends the development of further training and education in emergency nursing to address knowledge deficits and incorrect triage practices.
Background: Nurses who provide palliative care for patients suffering from life threatening conditions often report high levels of psychological distress and poor QOL. Aim: The purpose of this paper was to provide relevant literature regarding the psychological well-being and QOL among palliative care nurses and to suggest specific recommendations to improve psychological health and QOL among nurses provide palliative care. Methods: Literature review of articles related to psychological well-being and QOL among palliative care nurses was searched using CINAHL and PubMed electronic databases using the Keywords "psychological well-being", " anxiety" ,"stress", "depression", "quality of life", "nurse", "palliative care", and a combination thereof. Results: The current paper highlighted various problems associated with the psychological health and QOL among nurses providing palliative care. Additionally, specific recommendations were provided to improve psychological health and QOL among nurses providing palliative care. Conclusion: All nurses who provide palliative care for patients suffering from life-threatening conditions should be well trained and prepared to provide quality care for patients and to cope effectively with the stressors they might face.
Background Inappropriately selected models of nursing care delivery and emotional exhaustion of nurses at work not only affect the nurses’ health, but also the health of their patients. Purpose To examine the relationship between nursing care delivery models, nurses’ emotional exhaustion, and quality of nursing care. Methods A cross-sectional survey that used a convenience sampling technique was employed. A total of 160 participants completed the study. Participants provided information about nursing care delivery models, nurses, emotional exhaustion, and quality of nursing care. Results Participants had a moderate level of emotional exhaustion. No statistically significant difference in the scores of quality of nursing care and emotional exhaustion were found according to the type of care delivery model ( P > .05). Emotional exhaustion was significantly and negatively correlated with the (nursing staff characteristics) subscale of quality of nursing care ( r = −.183, P = .021). There was a significant difference in emotional exhaustion in regard to shift duty, marital status, education level, years of experience, salary, and working area). Only marital status significantly predicted emotional exhaustion ( t = 2.57, B = −8.98, P = .011). Conclusions Quality of nursing care was associated with nurses’ emotional exhaustion rather than models of nursing care delivery. As nurses’ emotional exhaustion could negatively affect the quality of nursing care, addressing the emotional exhaustion of nurses is important to improve patient outcomes.
Introduction Depression, anxiety, and stress are highly prevalent among adolescents. The role of impaired family and school environments in adolescents’ depression, anxiety, and stress in Jordan has yet to be established. Objective The purpose of this study was to explore the association of family and school environments with the depression, anxiety, and stress of adolescents in Jordan. Methods A cross-sectional correlational survey was used. A sample of 220 adolescents aged 12–18 years completed the study. Data were collected about family and school environments and adolescents’ depression, anxiety, and stress. Results School climate had a strong significant relationship with both general family functioning ( r = .53, p < 0.01) and family process ( r = .58, p < 0.01). General family functioning and school climate were uniquely associated with stress, anxiety, and depression ( Β = −.280 or higher), p < 0.05, controlling for demographics. Conclusion The general family functioning and overall school climate were shown to play important role in adolescents’ depression, anxiety, and stress. School nurses and psychiatric nurses may want to respond to the needs of adolescents with depression, anxiety, and stress through campaigns, lectures, and conferences and encourage them to access professional psychological counseling.
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