Factors That Influence the Development of Compassion Fatigue, Burnout, and Compassion Satisfaction in Emergency Department Nurses

Hunsaker, Stacie; Chen, Hsiu‐Chin; Maughan, Dale; Heaston, Sondra

doi:10.1111/jnu.12122

Cited by 472 publications

(497 citation statements)

References 22 publications

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“…Consistent with earlier studies [86][87][88][89][90], this study's results indicate higher levels of CF in younger nurses with fewer years nursing experience. Nurses very new to the acute care setting had developed high levels of CF, in all likelihood due to their inexperience and the challenges brought by a busy ward environment [91].…”

Section: Discussion Of Results In Relation To Compassion Fatiguesupporting

confidence: 82%

An investigation into compassion fatigue and self-compassion in acute medical care hospital nurses: a mixed methods study

Upton

2018

J of Compassionate Health Care

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Background: In the acute medical care hospital setting, nursing the sick and dying is both physically and emotionally demanding, making acute medical care hospital nurses more vulnerable to Compassion Fatigue (CF) or Secondary Traumatic Stress (STS). If not addressed in its earliest stages, CF can adversely change the caregiver's ability to provide compassionate care. It has been shown that Self-Compassion (SC) can be beneficial for the caregiver, with corresponding benefits for the individual needing care. However, the relationship of this attribute to CF in the acute medical care hospital nursing setting has not been intensively studied. This study explores the environmental and psychosocial factors affecting the prevalence and levels of CF in acute medical care hospital nursing staff and whether SC can be used as a coping strategy that enables nurses to mitigate the prevalence and levels of CF. Methods: Using a mixed-methods study design, acute medical care hospital nurses were surveyed using a demographic/ work-related questionnaire, the Secondary Traumatic Stress Scale (used to measure CF), the Self-Compassion Scale, questions requiring a narrative written response and semi-structured informal interviews. One-way ANOVA was conducted to explore the impact of work-related and demographic characteristics on levels of SC and CF. Pearson correlation co-efficient (r value) was used to explore the relationship between CF and SC and lastly, multiple regression was used to discover whether a predictive relationship existed between SC and CF. The interviews were recorded, transcribed verbatim and subjected to thematic analysis.

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Section: Discussion Of Results In Relation To Compassion Fatiguesupporting

confidence: 82%

An investigation into compassion fatigue and self-compassion in acute medical care hospital nurses: a mixed methods study

Upton

2018

J of Compassionate Health Care

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“…Furthermore, high level of burnout was identified among nurses working in emergency department. 5,[26][27][28] High level of burnout was identified among nurses working in ICU and Emergency Department in this study due to the fact that these nurses work in a stressful working environment as it was proven by various studies that ICU is a stressful work place and Emergency Department as well. 3,5,29,30 In this study, only nurses working in ICU and emergency department were targeted which made the sample to be small.…”

Section: Level Of Burnout Among Icu and Emergency Department Nursesmentioning

confidence: 99%

Burnout among nurses working in critical care settings: a case of a selected tertiary hospital in Rwanda

et al. 2017

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INTRODUCTIONBurnout is characterized by loss of emotional strength, not valuing human beings living together with or offering service and decreased in job performance and success due to lack of interest related to occupational stressors.1Burnout was recognized as work related danger among human oriented professionals including health care professionals since they are required to work many hours to help humans and face a challenge of high demand and low resources.1 Burnout is due to prolonged work related stress that is not managed. In a work environment this leads to high worker turnover, absenteeism, compromise of interpersonal relationships, reduced productivity and low personal achievement. 2High level of burnout was identified among nurses working in ICU (Intensive Care Unit) and Emergency Department. A systematic review on burnout among ICU health professionals found the prevalence to range from 6% to 47%. 3 Moreover, this systematic review found the following risk factors: age, gender, work experience, ABSTRACT Background: Intensive Care Unit (ICU) and Emergency Department are more stressful areas therefore nurses in those areas are prone to high level of burnout than others. In Rwanda, studies on burnout among nurses are limited and there is no research targeting specifically nurses working in ICU and Emergency Department. Therefore, this study aimed to determine the level of burnout among nurses working in ICU and Emergency Department in a selected referral hospital of Kigali. Methods: A quantitative approach was adopted. The descriptive cross-sectional design was used. Sixty nurses were involved in the study and they were selected using a total population sampling strategy. A self-administered questionnaire and Maslach Burnout Inventory Human Service Survey were used to collect data. Data were analysed using SPSS version 21.0. Results: The study found high level of burnout among 61.7% of the participants under study. High workload and intention to leave were associated with burnout (P<0.05). Burnout was measured by high Emotional Exhaustion (EE) 29 (48.3%), high Depersonalization (DP) 15 (25%) and low Personal Accomplishment (PA) 30 (50%). Conclusions: The high level of burnout identified among ICU and emergency department nurses is mainly associated with high workload and intention to leave the work within the next 12 months.

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“…As a result, employers and managers in the healthcare, emergency and community services sectors have very little conclusive evidence as to the best way to prevent CF, and physical and mental health outcomes, when its known risk factors-exposure to traumatised patients and clients-are inherent in the type of work that the employees supervise and undertake. occupational group such as nurses [21,22], therapists [23,24], community service workers, and healthcare professionals in hospital emergency departments or intensive care units [25]. While these studies have gone some way to illuminate how CF can be addressed, their findings cannot be generalised to working populations beyond the healthcare sector.…”

Section: Introductionmentioning

confidence: 97%

Compassion Fatigue Among Healthcare, Emergency And Community Service Workers: A Systematic Review

Cocker¹,

Joss²

2017

PsycEXTRA Dataset

132

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Abstract:Compassion fatigue (CF) is stress resulting from exposure to a traumatized individual. CF has been described as the convergence of secondary traumatic stress (STS) and cumulative burnout (BO), a state of physical and mental exhaustion caused by a depleted ability to cope with one's everyday environment. Professionals regularly exposed to the traumatic experiences of the people they service, such as healthcare, emergency and community service workers, are particularly susceptible to developing CF. This can impact standards of patient care, relationships with colleagues, or lead to more serious mental health conditions such as posttraumatic stress disorder (PTSD), anxiety or depression. A systematic review of the effectiveness of interventions to reduce CF in healthcare, emergency and community service workers was conducted. Thirteen relevant studies were identified, the majority of which were conducted on nurses (n = 10). Three included studies focused on community service workers (social workers, disability sector workers), while no studies targeting emergency service workers were identified. Seven studies reported a significant difference post-intervention in BO (n = 4) or STS (n = 3). This review revealed that evidence of the effectiveness of CF interventions in at-risk health and social care professions is relatively recent. Therefore, we recommend more research to determine how best to protect vulnerable workers at work to prevent not only CF, but also the health and economic consequences related to the ensuing, and more disabling, physical and mental health outcomes.

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Factors That Influence the Development of Compassion Fatigue, Burnout, and Compassion Satisfaction in Emergency Department Nurses

Abstract: Improving recognition and awareness of compassion satisfaction, compassion fatigue, and burnout among emergency department nurses may prevent emotional exhaustion and help identify interventions that will help nurses remain empathetic and compassionate professionals.

Cited by 472 publications

References 22 publications

An investigation into compassion fatigue and self-compassion in acute medical care hospital nurses: a mixed methods study

An investigation into compassion fatigue and self-compassion in acute medical care hospital nurses: a mixed methods study

Burnout among nurses working in critical care settings: a case of a selected tertiary hospital in Rwanda

Compassion Fatigue Among Healthcare, Emergency And Community Service Workers: A Systematic Review

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