Palliative Care Professionals’ Inner Life: Exploring the Mediating Role of Self-Compassion in the Prediction of Compassion Satisfaction, Compassion Fatigue, Burnout and Wellbeing

Galiana, Laura; Sansó, Noemí; Muñoz-Martínez, Inmaculada; Vidal-Blanco, Gabriel; Oliver, Amparo; Larkin, Philip

doi:10.1016/j.jpainsymman.2021.07.004

Cited by 28 publications

(55 citation statements)

References 85 publications

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“…The academic literature from the past few decades has revealed that health professionals are especially vulnerable to burnout because their work context is characterized by high-risk decisions, dealing with the public, and expectations of compassion and sensitivity [ 12 ]. However, more and more academics and clinicians have pointed out that burnout alone is insufficient to explain the emotional problems presented by practitioners in general healthcare contexts [ 13 , 14 ] or in the field of palliative care, in particular [ 15 , 16 ]. In this sense, a large body of recent evidence now suggests that many healthcare professionals are suffering from compassion fatigue [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic

et al. 2022

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This literature review aimed to determine the level of burnout, compassion fatigue, and compassion satisfaction, as well as their associated risks and protective factors, in healthcare professionals during the first year of the COVID-19 pandemic. We reviewed 2858 records obtained from the CINAHL, Cochrane Library, Embase, PsycINFO, PubMed, and Web of Science databases, and finally included 76 in this review. The main results we found showed an increase in the rate of burnout, dimensions of emotional exhaustion, depersonalization, and compassion fatigue; a reduction in personal accomplishment; and levels of compassion satisfaction similar to those before the pandemic. The main risk factors associated with burnout were anxiety, depression, and insomnia, along with some sociodemographic variables such as being a woman or a nurse or working directly with COVID-19 patients. Comparable results were found for compassion fatigue, but information regarding compassion satisfaction was lacking. The main protective factors were resilience and social support.

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Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic

et al. 2022

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“…Additionally, self-compassionate professionals, through this better professional quality of life, would also benefit from higher levels of well-being. Promoting self-compassion will lead to more compassionate care but also to healthier, happier professionals [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Psychometric Properties of the Self-Compassion Scale—Short Form: Study of Its Role as a Protector of Spanish Nurses Professional Quality of Life and Well-Being during the COVID-19 Pandemic

et al. 2022

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Self-compassion is a multifaceted construct that represents compassion turned inward and involves approaching one’s failure and inadequacy with kindness. To measure these self-compassionate behaviors, the Self-Compassion Scale—Short Form (SCS-SF) is one of the most widely used and has been recurrently employed in the healthcare arena. Specifically, self-compassion has been pointed out as essential for providing compassionate care and maintaining healthcare workers balance. Aim: The aim of this study is twofold: (1) to provide evidence of the psychometric properties of the SCS-SF in a sample of Spanish nurses and (2) to study of its role as a protector of Spanish nurses professional quality of life and well-being during the COVID-19 pandemic. Methods: A sample of 115 Spanish nurses was studied. Mean age was 43.79 years old (SD = 10.99); 84.3% were women. The factorial structure of the SCS-SF was studied with competitive confirmatory factor analysis (CFA). Finally, a full structural equation model was tested, in which positive and negative self-compassion predicted professional quality of life, and professional quality of life, in turn, predicted well-being. Results: Three a priori structures were compared: one-factor, two-factor, and six-factor model. The two-factor solution, positive and negative self-compassion, was retained as the best structure to represent the data. Regarding the predictive model, the two poles of self-compassion predicted professional quality of life prediction, and professional quality of life positively predicted well-being, showing a strong relationship. Conclusion: Self-compassion can be an important resource for nurses’ balance, promoting adequate professional quality of life and their well-being.

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“…As reported in a cross-sectional online survey of PC Spanish professionals, the cultivation of inner life for better professional quality of life and compassionate care, and its repercussion on professionals’ wellbeing, take place across sex, age, and controlling for important work variables, such as work overload or workload control. When compared to these traditional organizational variables, self-compassion and coping with death have stronger effects on professional quality of life, which emphasizes the importance of properly cultivating an inner life in HCPs to provide compassionate care ( Galiana et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

“…Coping with death and awareness are important predictors of quality of life, being positively related to Compassion Satisfaction ( Galiana et al, 2021 ; Garcia et al, 2021 ). In the increasingly needed field of self-awareness, a more participatory format, like the action-research design, may be an effective way of improving programs to have a real impact on professionals’ practice in accordance with available resources and local context’s needs.…”

Section: Discussionmentioning

confidence: 99%

Self-Care as a Method to Cope With Suffering and Death: A Participatory Action-Research Aimed at Quality Improvement

et al. 2022

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IntroductionPalliative care is an emotionally and spiritually high-demanding setting of care. The literature reports on the main issues in order to implement self-care, but there are no models for the organization of the training course. We described the structure of training on self-care and its effects for a Hospital Palliative Care Unit.MethodWe used action-research training experience based mostly on qualitative data. Thematic analysis of data on open-ended questions, researcher’s field notes, oral and written feedback from the trainer and the participants on training outcomes and satisfaction questionnaires were used.ResultsFour major themes emerged: (1) “Professional role and personal feelings”; (2) “Inside and outside the team”; (3) “Do I listen to my emotions in the care relationship?”; (4) “Death: theirs vs. mine.” According to participants’ point of view and researchers’ observations, the training course resulted in ameliorative adjustments of the program; improved skills in self-awareness of own’s emotions and sharing of perceived emotional burden; practicing “compassionate presence” with patients; shared language to address previously uncharted aspects of coping; allowing for continuity of the skills learned; translation of the language learned into daily clinical practices through specific facilitation; a structured staff’s support system for emotional experiences.DiscussionSelf-care is an important enabler for the care of others. The core of our intervention was to encourage a meta-perspective in which the trainees developed greater perspicacity pertaining to their professional role in the working alliance and also recognizing the contribution of their personal emotions to impasse experienced with patients.

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Palliative Care Professionals’ Inner Life: Exploring the Mediating Role of Self-Compassion in the Prediction of Compassion Satisfaction, Compassion Fatigue, Burnout and Wellbeing

Cited by 28 publications

References 85 publications

The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic

The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic

Psychometric Properties of the Self-Compassion Scale—Short Form: Study of Its Role as a Protector of Spanish Nurses Professional Quality of Life and Well-Being during the COVID-19 Pandemic

Self-Care as a Method to Cope With Suffering and Death: A Participatory Action-Research Aimed at Quality Improvement

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