Compassion fatigue in mental health nurses: A systematic review

Marshman, Cameron; Hansen, Alison

doi:10.1111/jpm.12812

Cited by 28 publications

(14 citation statements)

References 88 publications

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“…Workplace challenges can precipitate negative changes to MHNs' physical and psychological health (depression, anger and post‐traumatic stress disorder; Hsieh et al, 2018; Kelly et al, 2016; Lee et al, 2015). Stress can also compromise MHNs' capacity to practice, as stress is associated with burnout, compassion fatigue and higher turnover intention (Kagwe et al, 2019; Konstantinou et al, 2018; Marshman et al, 2022). Strategies that might help MHNs manage workplace stress therefore have important implications to their well‐being and practice, and to create a sustainable mental health nursing workforce.…”

Section: Introductionmentioning

confidence: 99%

Resilience and mental health nursing: An integrative review of updated evidence

Bui

McInnes

Ennis

et al. 2023

Int J Mental Health Nurs

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Mental health nursing work is challenging, and workplace stress can have negative impacts on nurses' well‐being and practice. Resilience is a dynamic process of positive adaptation and recovery from adversity. The aims of this integrative review were to examine and update understandings and perspectives on resilience in mental health nursing research, and to explore and synthesize the state of empirical knowledge on mental health nurse resilience. This is an update of evidence from a previous review published in 2019. Using integrative review methodology, 15 articles were identified from a systematic search (July 2018–June 2022). Data were extracted, analysed with constant comparison method, synthesized narratively and then compared with the findings from the original review. As an update of evidence, mental health nurse resilience was moderate to high across studies, was positively associated with psychological well‐being, post‐traumatic growth, compassion satisfaction and negatively associated with burnout, mental distress and emotional labour. Lack of support and resources from organizations could negatively impact nurses' ability to maintain resilience and manage workplace challenges through internal self‐regulatory processes. A resilience programme improved mental health nurses' awareness of personal resilience levels, self‐confidence, capacity to develop coping skills and professional relationships. Some studies continue to lack contemporary conceptualizations of resilience, and methodological quality varied from high to low. Further qualitative and interventional research is needed to investigate the role of resilience in mental health nursing practice, personal well‐being, workforce sustainability and the ongoing impacts of the COVID‐19 pandemic.

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Section: Introductionmentioning

confidence: 99%

Resilience and mental health nursing: An integrative review of updated evidence

Bui

McInnes

Ennis

et al. 2023

Int J Mental Health Nurs

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“…Among reasons, staff may lessen patient involvement with risk management to mitigate fears about blame if there is an adverse risk event (Felton et al., 2018). Not only may staff encounter managerial scrutiny in such circumstances, but also scrutiny of the self around abilities to care, noted with compassion fatigue (Marshman et al., 2022). Clinical supervision may have value, an approach that assists with reflecting on opportunities to provide care.…”

Section: Discussionmentioning

confidence: 99%

Ontological insecurity of inattentiveness: Conceptualizing how risk management practices impact on patient recovery when admitted to an acute psychiatric hospital

Deering,

Wagstaff,

Williams

et al. 2023

Int J Mental Health Nurs

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Risk management which assesses and mitigates risks such as suicide and violence is under scrutiny, particularly within psychiatric inpatient settings. Restrictive practices, which result from risk assessment, such as observations, physical restraint and ward seclusion can impact negatively on patient recovery, hindering abilities to develop a meaningful life that emphasizes purpose, hope and autonomy, despite experiencing mental distress. Yet, less is known about the impact from the patient's perspective when first admitted to hospital, a period which among other reasons may come with increasing risk management practices owing to the clinical uncertainties about patient risks. In this grounded theory study, we explore the impact on recovery, interviewing 15 adult participants with patient experiences of being in an acute hospital. The main theme of the study, termed a core category with a grounded theory, was identified as “ontological insecurity of inattentiveness”. This highlighted a staff inattentiveness with involving patients with risk management and explaining the purposes of the practice, which raised insecurities about what was happening to the patients when admitted to hospital. Four subcategories support the core category; discounting the patients' experiences to gain a meaningful grasp of risk management, ambiguity about risk management rules, particularly the reasons around their use, forebodingness to the hospital environment and, management from afar, with patients feeling scrutinized from observations without a voice to offer different views. It is hoped these findings will add to the field of patient involvement in psychiatric inpatient settings, proposing attempts to raise understanding and inclusivity of risk management, starting when first admitted to hospital.

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“…Furthermore, in addition to the individual consequences that compassion fatigue has on health professionals, especially nurses, there are other consequences at the organizational level. Due to the retention rate of nurses in organizations, there are immeasurable costs incurred, and healthcare organizations cannot downplay this situation in a global environment with critical nursing shortages [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Bibliometric Analysis of the Scientific Production on Compassion Fatigue

Sousa

Ferreira

Silva

et al. 2022

JPM

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Background: Compassion fatigue is a common phenomenon among healthcare professionals and includes several concepts that share a direct relationship with quality of life, with consequences on both physical and emotional well-being but also at the economic and organizational levels. Objectives: To analyze the profile of scientific publications on compassion fatigue, dissecting trends, and highlighting research opportunities. Method: Bibliometric analysis based on Donthu’s guidelines, data collection from Web of Science (Clarivate Analytics), and analytic techniques (performance analysis and science mapping) with VOSviewer® and CiteSpace®. Results: We obtained 1364 articles and found that the concept emerged in 1995 and is frequently associated with areas of general health. Through analysis, we identified the following research frontiers: “vicarious traumatization”, “working”, “survivor”, “mental health”, and “impact”. Conclusion: There has been a growing interest in this subject among researchers, with an increase in scientific production related to areas of health such as nursing, providing a solid starting point for further investigation. Registration number from the Open Science Framework: osf.io/b3du8.

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Compassion fatigue in mental health nurses: A systematic review

Cited by 28 publications

References 88 publications

Resilience and mental health nursing: An integrative review of updated evidence

Resilience and mental health nursing: An integrative review of updated evidence

Ontological insecurity of inattentiveness: Conceptualizing how risk management practices impact on patient recovery when admitted to an acute psychiatric hospital

Bibliometric Analysis of the Scientific Production on Compassion Fatigue

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