Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study

Wang, Jialin; Okoli, Chizimuzo T.C.; He, Huijuan; Feng, Fen; Lǐ, Jùnwén; Zhuang, Linli; Lin, Min Pei

doi:10.1016/j.ijnurstu.2019.103472

Cited by 168 publications

(210 citation statements)

References 47 publications

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“…We found that higher burnout is associated with higher secondary traumatic stress and less compassion satisfaction, which is in line with previous studies [36]. Previous studies found that the overload work, inappropriate working processes and organizational structure are the drivers of more burnout and less compassion satisfaction [18,37]. The relative intervention is the approach to reduce burnout, secondary traumatic stress and increase compassion satisfaction, including mindfulness-based technique, emotions empowerment, improving the work environment, etc.…”

Section: Relationship Of Burnout Secondary Traumatic Stress and Compsupporting

confidence: 90%

Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

Zhou

2020

Preprint

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BackgroundAppropriate hand hygiene behavior is much crucial during COVID-19 pandemic, which is influenced by workload, mental health and professional quality of life. The increasing workload, worse mental health and negative professional quality of life are severe challenges for healthcare workers, whereas the evidence of mechanism between them and hand hygiene behavior are limited. This study aimed to understand and model how HCWs’ hand hygiene behaviors were influenced by workload, mental health and professional quality of life.MethodsA total of 1,734 healthcare workers were investigated, covering self-reported hand hygiene behavior, mental health, workload, professional quality of life and socio-demographic characteristics. Structural equation modelling was conducted to confirm interrelationships and parameters among the variables.Findings The final model had a good fit (CFI=0.980; TLI=0.941; RMSEA=0.055). Higher workload was linked to worse mental health (β = 0.165, p < 0.001) and higher burnout (β = 0.183, p < 0.001). Worse mental health was linked to higher burnout (β = 0.339, p < 0.001). The higher burnout was associated with worse self-reported hand hygiene behavior (β = -0.302, p < 0.001).ConclusionWorkload is positively associated with mental health and burnout; mental health is positively related to burnout; burnout is negatively associated with hand hygiene behavior. Thus, hand hygiene behavior can be promoted by the strategy to decrease the workload, burnout and enhance mental health.

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Section: Relationship Of Burnout Secondary Traumatic Stress and Compsupporting

confidence: 90%

Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

Zhou

2020

Preprint

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“…In this study, internal consistency ranged from acceptable to strong: burnout (α = 0.869; good), secondary traumatic Stress (α = 0.756; acceptable) and compassion satisfaction (α = 0.936; strong). And construct validity was shown to be strong in previous study [17]. The 30-item ProQOL scale consists of three subscales: compassion satisfaction (10 items), burnout (10 items) and secondary traumatic stress (10 items).…”

Section: Independent Variables Proqolmentioning

confidence: 84%

Prevalence and impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers in medical aid team during COVID-19 pandemic

Zhou

Lai

Wan

et al. 2020

Preprint

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Background Healthcare workers suffered mental burden, especially in the period of COVID-19. Professional quality of life quality is suitable to measure how healthcare workers feel in medical aid team. Current evidence of impact of professional quality of life on hand hygiene behavior or even IPC measures was limited, especially in emerging infectious disease period. This study aimed to assess the prevalence of burnout, secondary traumatic stress and compassion satisfaction and explore their impact on self-reported hand hygiene behavior among medical aid team in Wuhan, China, where strict management was conducted to prevent COVID-19 spread and guarantee healthcare workers’ health. Results A cross-sectional study was conducted using online questionnaire covering professional quality of life and self-reported hand hygiene behavior based on COVID-19 guideline. A total of 1,734 healthcare workers were surveyed. The prevalence of burnout, secondary trauma and compassion satisfaction were low and average levels (69.61 and 30.39%), low and average levels (33.33 and 66.21%), average and high levels (49.65 and 49.71%), respectively. Burnout was negatively associated with overall hand hygiene (Coef. =-0.088, p<0.001), low hand hygiene (Coef. =-0.109, p<0.001), medium hand hygiene (Coef. =-0.088, p<0.001) and high hand hygiene (Coef. =-0.065, p<0.001). Conclusions Healthcare workers with higher compassion satisfaction reported higher hand hygiene compared to the lower. Healthcare workers in medical aid team experience lower level burnout, and higher level of compassion satisfaction during COVID-19 pandemic compared to the general period. The lower burnout and higher compassion satisfaction are associated with higher self-reported hand hygiene behavior. Burnout and compassion satisfaction in healthcare workers should be emphasize and need interventions targeting. The management of healthcare workers in Wuhan, China may be constructive for the future medical aid team.

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“…This section discusses the results of using factors of the NOSS and indicators for confirmation. Burnout is regarded as a response to job stressors correlated with excessive direct contact with patients [3,31]. Hence, "work demands", "insufficient support from coworkers or caregivers", and "workplace violence and bullying" [6,12] may be reasonable factors for predicting personal burnout and client-related burnout.…”

Section: Discussionmentioning

confidence: 99%

“…Items under the "powerlessness" factor have been verified as being associated with client-related burnout. Due to higher frequency of suffering patients contact, nurses might experience greater compassion fatigue than other professionals [3]. Burnout can easily occur among those caring for dying people [39], and the associated feeling of powerless and the inability to deliver effective care to such people could cause moral dilemmas and burnout [40].…”

Section: Discussionmentioning

confidence: 99%

“…As highlighted by the International Labour Organization [1], occupational stress is an increasingly global phenomenon which affects workers in all workplaces and countries. Nurses are known to have high work demands, high occupational stress, high rates of burnout [2][3][4], low job satisfaction [5], to experience workplace bulling [6], and may have mental health problems [7]. Job stress and burnout result from the cumulative effects of stressors in nursing work, and may consequently influence patient outcomes [8][9][10] and nurses' intention to leave their jobs [11,12].…”

Section: Introductionmentioning

confidence: 99%

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Development of the Nurses’ Occupational Stressor Scale

Chen

Guo

Li³

et al. 2020

IJERPH

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Although nurses work in stressful environments, stressors in such environments have yet to be clearly assessed. This study aimed to develop a Nurses' Occupational Stressor Scale (NOSS) with high reliability and validity. Candidate questions for the NOSS were generated by expert consensus following focus group feedback, and were used to survey in 2013. A shorter version was then developed after examination for validity and reproducibility in 2014. The accuracy of the short version of the NOSS for predicting nurses' stress levels was evaluated based on receiver operating characteristic curves to compare existing instruments for measuring stress outcomes, namely personal burnout, client-related burnout, job dissatisfaction, and intention to leave. Examination for validity and reproducibility yielded a shorter version of NOSS with only 21 items was considered sufficient for measuring stressors in nurses' work environments. Nine subscales were included:(1) work demands, (2) work-family conflict, (3) insufficient support from coworkers or caregivers, (4) workplace violence and bullying, (5) organizational issues, (6) occupational hazards, (7) difficulty taking leave, (8) powerlessness, and (9) unmet basic physiological needs. The 21-item NOSS proved to have high concurrent and construct validity. The correlation coefficients of the subscales for test-retest reliability ranged from 0.71 to 0.83. The internal consistency (Cronbach's α) coefficients ranged from 0.35 to 0.77. The NOSS exhibited accurate prediction of personal burnout, client-related burnout, job dissatisfaction, and intention to leave.

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Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study

Cited by 168 publications

References 47 publications

Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

Prevalence and impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers in medical aid team during COVID-19 pandemic

Development of the Nurses’ Occupational Stressor Scale

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