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Nurses employed in skilled nursing facilities (SNFs) are at risk for developing compassion fatigue. Compassion fatigue negatively impacts patient outcomes and is associated with decreased quality of care. Some nurses leave the profession due to compassion fatigue. There are no published studies in the United States focused on compassion fatigue among SNF nurses. The purpose of this interpretive phenomenological study was to identify the shared meanings of compassion fatigue among RNs caring for residents in SNFs. Shared meanings among participants were identified as: (1) I feel conflicted, which causes my compassion fatigue; (2) I feel physical and emotional manifestations of compassion fatigue; (3) Compassion fatigue is infused in every aspect of my life; and (4) We are trying to cope with compassion fatigue. Of paramount importance was the desire to make a difference in the lives of residents. Three participants sought employment outside the SNF setting due to compassion fatigue. Further research and education are needed to improve knowledge, policy, and practice. [ Research in Gerontological Nursing, 13 (6), 320–328.]

Stress in nurses is multifocal, pervasive, and persistent. They practice in a contemporary heath care environment characterized by rapid change, the ongoing integration of novel technologies, and interpersonal challenges. Relationships with patients and families pose unique dilemmas related to witnessing anguish and trauma over time. Interventions are needed to counter the affective demands of nurse caregiving. To this end, national initiatives have been proposed to outline general work setting enhancements promoting well-being. Stressor-specific interventions have also been identified. The goal of this article is to provide an overview of the macro (organizational) recommendations for change and a micro (practice setting) blueprint of potential interventions to promote nurse well-being.

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