Compassion fatigue, burnout, compassion satisfaction and depression among emergency department physicians and nurses: a cross-sectional study

Ma, Huan; Huang, Shuang Quan; We, Bo

doi:10.1136/bmjopen-2021-055941

Cited by 34 publications

(24 citation statements)

References 43 publications

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“…Instead of giving the possible satisfaction, fulfilment, and validation of one’s identity, working in the healthcare sector becomes a joyless burden in need of minimization, avoidance, and escape. This could explain why burnout was significantly associated with depression in nurses [ 15 ].…”

Section: Resultsmentioning

confidence: 99%

“…This article discussed the existing evidence to support a paradigm change in the prevention and management of burnout in healthcare contexts and provided incentives for future research promoting the well-being of nurses. As was mentioned by the authors, once the levels of burnout are known, it is vital to move towards interventions that mitigate it [ 8 , 15 , 17 , 18 , 39 ]. Institutions and stakeholders should consider this reality to develop appropriate psychological interventions and strategies to prevent, alleviate, or treat burnout among nurses.…”

Section: Discussionmentioning

confidence: 99%

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Burnout and Nursing Care: A Concept Paper

et al. 2022

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Burnout comprises a series of undetermined physical and psychosocial symptoms caused by an excessive energy requirement at work—it is a crisis in relationships with work itself and not necessarily a concern with underlying clinical disorders related to workers. Professions involving human interactions commonly involve emotional engagement, especially when the cared-for person needs assistance and support, as is the primary concern in the nursing profession. To some extent, the acknowledgment of the phenomena of burnout and how it affects people is sometimes addressed from a biomedical perspective. This concept paper aims to describe the burnout concept and reflect on the impact on nurses. Our intention with this reflection, considering the burnout impact on nurses, is to support a paradigm change in the prevention and management of burnout in healthcare contexts, promoting and fostering the well-being of nurses.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Burnout and Nursing Care: A Concept Paper

et al. 2022

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“…Indeed, CF can have severe repercussions for both HCWs and patient. It not only leads to decreased mental and physical health, but also to deterioration in the safety and quality of care delivered by professionals involved in the care of Covid-19 patients [ 11 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, CF being widely described as a syndrome closely related to traumatic situations, if left unmanaged, it can have unfortunate repercussions on HCWs, resulting in two components: burnout (BO) and secondary traumatic stress (STS) [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Compassion fatigue among frontline healthcare workers during the covid-19 pandemic in Tunisia

Omri

Ezzi²,

Ammar³

et al. 2022

PLoS ONE

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Background Healthcare workers (HCWs) are highly vulnerable to compassion fatigue (CF), which not only leads to decreased mental and physical health, but also to deterioration in the safety of care delivered. Our study aims to measure compassion satisfaction (CS), CF levels and their predictors among Tunisian HCWs. Methods We conducted a cross-sectional study among HCWs caring for confirmed and suspected Covid-19 patients, staff at two university hospitals in Sousse, Tunisia during the 4thwave of coronavirus through a self-administrated Questionnaire, using the French version of the Professional Quality of Life scale ProQol, version 5. Results A total of 274 professionals were recruited with a mean age of 32.87±8.35 years. HCWs tend to have an overall moderate levels of compassion satisfaction, secondary traumatic stress and burnout with mean scores 35.09±7.08, 29.72±7.62, 28.54±5.44 respectively. Self-reported resilience (β = 0.14, p = 10−3), work engagement (β = 0.39, p = 10−3) and burnout (β = -0.32, p = 10−3) were the predictors of compassion satisfaction in the linear regression analysis (adjusted r2 = 0.45). Similarly, limited work experience, compassion satisfaction and secondary traumatic sub-scores were the determinants of burnout (β = -0.1, p = 0.04; β = -0.54, p = 10−3; β = 0.35, p = 10−3 respectively); (adjusted r2 = 0.48). Regarding STS, female professionals (β = 0.20, p = 10−3), being married (β = 0.19, p = 10−3), the fear of transmitting the infection (β = 0.11, p = 0.03) and burnout (β = 0.39, p = 10−3) were the predictors for the occurrence of secondary traumatic stress (adjusted r2 = 0.48). Conclusion More resilience promoting interventions and more coping skills programs must be implemented to fulfill HCWs’ psychological well-being needs.

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“…18,19 Recent studies have shown that compassion fatigue is common in healthcare workers during the COVID-19 pandemic, because of their frequent contacts with distressed patients who are in need of care and the unpleasant patient situations. 20 However, it remains unclear whether compassion fatigue plays any role in the association of perceived stress with depression symptoms in vaccinated healthcare workers during the COV-ID-19 pandemic, given that compassion fatigue is associated with depression 21 while improvements in compassion fatigue may help to ameliorate depression symptoms in healthcare professionals. 22 Unlike compassion fatigue, resilience reflects the capacity of an individual in coping with adversity, traumatic, and stressful events.…”

Section: Association Of Perceived Stress With Depression Among Vaccin...mentioning

confidence: 99%

Association of Perceived Stress With Depression Among Vaccinated Healthcare Workers During the SARS-CoV-2 Variant Outbreak: The Mediating Role of Compassion Fatigue

Cai¹,

Li²,

Feng³

et al. 2023

Psychiatry Investig

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Objective Depression was common during coronavirus disease-2019 (COVID-19) pandemic, while the association of perceived stress with depression among vaccinated healthcare workers has not been investigated. This study aimed to address this issue.Methods We included a total of 898 fully vaccinated healthcare workers during the outbreak of severe acute respiratory syndrome coronavirus 2 Delta variant in Nanjing, 2021. Depression was ascertained by Patient Health Questionnaire-9, with a cut-off score of ≥5 indicative of mild-to-severe depression. Perceived stress, resilience, and compassion fatigue were assessed by Perceived Stress Scale-10, Resilience Scale-25, and Professional Quality of Life Scale version-5, respectively. Logistic regression analyses were used to estimate the odds ratio (OR) and 95% confidence interval (CI), along with subgroup and mediation analyses.Results The prevalence of mild-to-severe depression was 41.1% in vaccinated healthcare workers. The odd of mild-to-severe depression was increased with higher perceived stress. Compared with vaccinated healthcare workers with the lowest tertile of perceived stress, those with the highest tertile had increased odds of mild-to-severe depression by 120% (OR 2.20, 95% CI 1.46 to 3.31) after multivariable-adjustment. However, perceived stress was not associated with mild-to-severe depression in vaccinated healthcare workers with strong resilience, but was in those with weak resilience (p<sub>interaction</sub>=0.004). Further analysis showed that compassion fatigue mediated the relationship between perceived stress and mild-to-severe depression, with a mediating effect of 49.7%.Conclusion Perceived stress was related to an increased odd of mild-to-severe depression in vaccinated healthcare workers during COVID-19 pandemic, and this relationship might be explained by compassion fatigue.

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Compassion fatigue, burnout, compassion satisfaction and depression among emergency department physicians and nurses: a cross-sectional study

Cited by 34 publications

References 43 publications

Burnout and Nursing Care: A Concept Paper

Burnout and Nursing Care: A Concept Paper

Compassion fatigue among frontline healthcare workers during the covid-19 pandemic in Tunisia

Association of Perceived Stress With Depression Among Vaccinated Healthcare Workers During the SARS-CoV-2 Variant Outbreak: The Mediating Role of Compassion Fatigue

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