Recibido: 5 de octubre de 2016 / Aceptado: 15 de abril de 2017 Resumen. Objetivo: Conocer la evidencia sobre los factores relacionados con la fatiga por compasión entre profesionales sanitarios de oncología y cuidados paliativos. Metodología: Revisión sistemática. Estrategia de búsqueda en bases de datos: Pubmed, Cuiden, Cinahl y Psycinfo. Resultados: La fatiga por compasión ha sido relacionada con el Síndrome de burnout y correlacionada negativamente con la satisfacción por compasión. El nivel de fatiga por compasión varía entre profesionales siendo mayor en enfermeros y médicos. Factores como el autocuidado, las condiciones laborales y la salud del trabajador repercuten en su desarrollo. Las estrategias de prevención se focalizan en el empoderamiento del profesional sanitario, formación y la oferta de periodos de retiro. Conclusiones: Es necesario fomentar la concienciación en el personal sanitario sobre los problemas psicológicos que pueden experimentarse como consecuencia de la atención a personas en situación paliativa, así como fomentar su prevención y abordaje a través de la implantación de diferentes intervenciones. Palabras clave: Fatiga por compasión; cuidados paliativos; oncología; profesionales sanitarios.[en] Compassion fatigue among health professionals in palliative care and oncology services Abstract. Aim: To know the evidence about the factors related to compassion fatigue among health professionals in Oncology and Palliative care. Methodology: Systematic review. Strategy of search in databases: Pubmed, Cuiden, Cinahl and Psycinfo. 87 documents were founded, 77 excluded because of inclusion criteria and one for low methodological quality. Finally, 6 descriptive studies, 2 qualitative and 1 quasi-experimental studies were included. Results: Compassion fatigue has been associated with burnout syndrome and negatively correlated with compassion satisfaction. Compassion fatigue levels varies between professionals, being higher in nurses and doctors. Factors such as selfcare, working conditions, and worker's health affect their development. Prevention strategies focus on the empowerment of health professionals, training and periods of withdrawal. Conclusions: It is necessary to raise awareness among health workers about the psychological problems that may be experienced as a result of caring for people in palliative situation and to promote prevention though different interventions.

The Agulhas Plain is a remarkable recreational site which combines the attraction of a pristine marine environment with exceptional plant biodiversity, rural tranquility and the novelty of being at the southernmost tip of Africa. The resource is a public good to which the market cannot assign a full value. This paper presents an estimated recreational value based on individual travel cost models and a sample of 370 visitors surveyed in 2010. Trip demands were estimated with zero truncated negative binomial models to account for over-dispersion. The study established a recreational value of R2.167 billion in 2010 prices for the site as a whole. By partitioning the sample into visitors who indicated having been attracted or not to the area by its nature and biodiversity, a net biodiversity value of R2 866 per trip was calculated. Allocated between marine and terrestrial resources based on the proportion of activities related to each type of resource, the value of plant biodiversity was estimated to be R2 268 per hectare in 2010to 2010 prices.