Adverse psychosocial consequences: Compassion fatigue, burnout and vicarious traumatization: Are nurses who provide palliative and hematological cancer care vulnerable?

Sabo, Brenda

doi:10.4103/0973-1075.41929

Cited by 52 publications

(66 citation statements)

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“…All of these predispose nurses to CF. Sabo's (2008) study presented similar results that factors such as organizational culture, socio-political factors, and lack of social support correlate with an increased risk of CF. Consequently, organizations and nurse managers should design and implement policies and procedures to support the nurses and to balance their values between treatment and care provision.…”

Section: Discussionsupporting

confidence: 71%

“…Professional-organizational stressors include personnel shortage, budget deficit, long working hours, intensive workload, lack of support (Boyle, 2015), management stress (Drury et al, 2014), constrained workplace, heavy workload, excessive noises or silence, high technology, invasive and violent alternative treatments, lack of rank promotion and positions, or secondary opportunities (Ariapooran, 2013). Emotional stressors included repeated exposure to patients' and families pain, suffering, and distress; futile efforts to relieve painful deaths, ethical distress as a result of paradigmatic conflicts between treatment and care, and conflicts with physicians, colleagues, and supervisors (Ariapooran, 2013;Sabo, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…In clinical practice, the first author has observed CF symptoms among clinical nurses and managers, including nurses' ignorance towards it due to their unawareness of the phenomenon and the effects of social, political, economic, and cultural factors on CF (Craigie et al, 2016;Sabo, 2008). From these observations and the fact that there are few studies on this topic conducted in Iran, an investigation of this issue in the sociocultural context of Iran is mandatory.…”

mentioning

confidence: 99%

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Concept development of "compassion fatigue" in clinical nurses: Application of Schwartz-Barcott and Kim's hybrid model

Sabery¹,

Hosseini²,

Tafreshi³

et al. 2017

Asian/Pacific Island Nursing Journal

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Compassion fatigue is not a new concept in nursing; yet, it is not well known and there is no fixed clear definition of the term. The ambiguity surrounding how to define compassion fatigue has challenged its measurement and evaluation. Thus, any attempt to determine attributes of this underdeveloped concept and studying it in a new socio-cultural context requires concept development. The purpose of this study is to clarify the concept of compassion fatigue through concept development and to produce a vivid and tentative definition of this concept in clinical practice.Concept development was conducted using a three-step hybrid concept analysis including theoretical, fieldwork, and final analysis phases according to Schwartz-Barcott and Kim's method. We reviewed and analyzed 48 articles that met the inclusion criteria. Following, the first author conducted 13 interviews with clinical nurses followed by an inductive content analysis. Finally, a comprehensive definition of compassion fatigue in nurses was attained.Compassion fatigue in nurses can be explained as a cumulative and progressive process of absorption of the patient's pain and suffering formed from the sympathetic and caring interactions with the patients and their families. The physical, emotional, intellectual, spiritual, social, and organizational consequences of compassion fatigue are so extensive that they threaten the existential integrity of the nurse. Context-based variables (culture, family, and community) such as personality features like devotion behaviors and commitment towards the patient, exposure to multiple stressors, organizational challenges, and lack of self-care are factors associated with an increased risk of compassion fatigue. Concept development of compassion fatigue is the first step in the protection of nurses against the destructive consequences of compassion fatigue and to improve quality of care.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Concept development of "compassion fatigue" in clinical nurses: Application of Schwartz-Barcott and Kim's hybrid model

Sabery¹,

Hosseini²,

Tafreshi³

et al. 2017

Asian/Pacific Island Nursing Journal

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“…A személyzet stressz-és kiégettségi szintje az onkológiai és a hospice ellátásban egyes kutatások szerint kisebbnek tûnik, mint más területeken dolgozók esetében. Más tanulmányok viszont hangsúlyozzák az öngyilkossági késztetéseket, az alkohol-és droghasználat, a szorongás és a depresszió növekedését a haldoklókkal foglalkozó személy-zet körében (Hegedûs és mtsai, 2004;Keidel, 2002;Sabo, 2008;Szabó, Szabó, & Hegedûs, 2008;Vachon, 1995). Parkes (1985) és Ferro (1998) felmé-rése szerint a nôvérek munkájuk egyik legjelentôsebb stresszforrásának a haldoklók gondozását tartják.…”

Section: Bevezetésunclassified

The relationship between emotion work and burnout. A comparative study in various groups of health care workers

Kovács¹,

Kovács²,

Hegedüs³

2012

Mentálhigiéné és Pszichoszomatika

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Elméleti háttér: Súlyos betegeket kísérve az egészségügyi szakemberek komoly érzelmi megterhelésnek vannak kitéve. A betegekkel a bizalmi kapcsolatot a személyközi kommunikáción keresztül építik ki a dolgozók, amelynek része a saját és a mások érzelmeinek menedzselése, az érzelmi munka is. Célkitûzés: Különbözô egészségügyi területeken dolgozók (N = 199) körében feltérképezni a kiégés, az érzelmi munka, a megküzdés és a társas támogatás mértékét, valamint három foglalkozási csoportban (onkológiai, pszichiátriai-pszichoterápiás és egyéb területek) megvizsgálni a változók közti különbséget és feltárni, hogy az érzelmi munka milyen mértékben magyarázhatja a kiégés mértékét. Módszer: Feltáró, keresztmetszeti, önkitöltô-kérdôíves vizsgálatunkban 48 onkológiai, 62 pszichiátriai-pszicho terápiás és 89 egyéb területen dolgozó egészségügyi dolgozó vett részt. A kiégés mé-résére a Maslach Kiégés Leltár egészségügyi dolgozókra kidolgozott változatát (MBI-HSS), az érzelmi munka mérésére a Frankfurti Érzelmi Munka Skálát, a megküzdés mérésére a rövidített Konfliktusmegoldó Kérdôívet, a társas támogatás feltérképezésére pedig a Caldwell-féle Társas Támogatás Skálát használtuk. Eredmények: A kiégést vizsgálva nem találtunk különbséget a különbözô területeken dolgozók között, ugyanakkor lényeges különbsége-ket találtunk az érzelmi munka, a megküzdés és a társas támogatás tekintetében. Az érzel-mi disszonancia -az érzelemszabályozás zavara -jelentôs stressztényezô, gyakrabban fordult elô az onkológiai területen dolgozók csoportjában: úgy érezték, hogy munkájuk során ritkábban szükséges a negatív érzéseiket kifejezni, ugyanakkor gyakrabban kell rá-hangolódniuk a betegekre, gyakrabban kell megértést, együttérzést kifejezniük. Következ-tetések: Az érzelmi munkakövetelmények kommunikálására érdemes nagyobb hangsúlyt fektetni, különösen az onkológia területén dolgozók esetében. Az egészségügyi dolgozók megküzdési készségeinek fejlesztésekor a negatív érzelmek keltette feszültségeken is kell dolgozni -adaptív érzelemközpontú stratégiákkal.

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“…특히 호스피스간호사들은 임종 환자 간 호에 대한 지식이 거의 없는 점 때문에 더욱 힘들어 하고 있는 것으로 나타났으며 [7], 이들의 소진정도는 응급실이나 중환자 실 간호사에 버금갈 정도로 높은 것으로 보고된 바도 있다 [8]. [10,11], 스트레스 또는 소진 [5,6,[12][13][14], 경험 [7,15,16], 직무 분석 및 교육과정 개발 [1,17] …”

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Role Adaptation Process of Hospice Nurses

곽¹,

이²

2018

J Korean Acad Nurs Adm

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Purpose: This study was performed to identify the role adaptation process of hospice nurses and suggest a model for the process. Methods: Grounded theory methodology was used. Twenty nurses participated in individual in-depth interviews. Data were collected until saturated. Questions for the interviews were about phenomenon, conditions, action/interaction strategies, and consequences in the process. Data were analyzed by applying open, axial and selective coding proposed by Strauss and Corbin. Results: Core category of the role adaptation process was 'building up real capabilities'. Phenomenon of the role adaptation was oppressive feelings when caring for dying patients. Contextual conditions were lack of knowledge, experience and belief about hospice and hospice care being regarded as penance. Intervening conditions were expansion of horizons in understanding life and expansion of social comprehension about hospice. Action/interaction strategies included 'reflecting on oneself as a hospice nurse', 'using oneself with feelings of a calling' and 'striving for self-management'. Consequence of the process was being a caring expert for peaceful death. Conclusion: The role adaptation process of hospice nurses for the participants was the process of building up real capabilities leading them to become caring experts for peaceful death through overcoming oppressive feeling when caring for dying patients.

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Adverse psychosocial consequences: Compassion fatigue, burnout and vicarious traumatization: Are nurses who provide palliative and hematological cancer care vulnerable?

Cited by 52 publications

References 0 publications

Concept development of "compassion fatigue" in clinical nurses: Application of Schwartz-Barcott and Kim's hybrid model

Concept development of "compassion fatigue" in clinical nurses: Application of Schwartz-Barcott and Kim's hybrid model

The relationship between emotion work and burnout. A comparative study in various groups of health care workers

Role Adaptation Process of Hospice Nurses

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