scholarly journals Burnout, Compassion Satisfaction, and Personality Among Nursing Assistants: Who is at Risk?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 853-853
Author(s):  
Mallory Richert
Keyword(s):  
Quality Of Life ◽  
Compassion Satisfaction ◽  
The United States ◽  
Nursing Assistants ◽  
Term Care ◽  
Resident Care ◽  
Increased Risk ◽  
Quality Of Life Scale ◽  
Care Outcomes

Abstract Nursing assistants often experience high rates of turnover and burnout, which may lead to poor resident care outcomes and quality of life, as well as continued staff shortages and increased workload for nursing assistants. This study examined personality correlates of burnout and compassion satisfaction among 100 nursing assistants employed as nursing assistants in long-term care (LTC) and hospitals throughout the United States. Participants completed the Professional Quality of Life Scale 5 (ProQOL 5) and the Big Five Inventory – 2 Short (BFI-2-S). There was a significant positive correlation between compassion satisfaction and agreeableness, and extraversion, and between burnout and neuroticism. Additionally, there were significant negative correlations between compassion satisfaction and neuroticism, and between burnout and agreeableness, and extraversion. These results indicate which nursing assistants may be more likely to experience burnout and may be at an increased risk of turnover. Specific interventions may be developed for such individuals to increase compassion satisfaction, reduce burnout, and reduce staff turnover. Furthermore, information regarding personality types of individuals at greater or lesser risk for burnout may be helpful for LTC administrators in the recruitment and hiring of nursing assistants, and thus may reduce rates of turnover. Resident care outcomes may also improve as nursing assistant hiring efforts are focused more on individuals who are less likely to experience burnout. Future researchers might investigate potential risk and protective factors for burnout and compassion satisfaction in nursing assistants.

scholarly journals Prevalence, Features and Workplace Factors Associated With Burnout Amongst Intensivists in Australia and New Zealand

2020 ◽  
Author(s):  
Shona Mair ◽  
Shona Mair ◽  
Liz Crowe ◽  
Liz Crowe ◽  
Mark Nicholls ◽  
...  
Keyword(s):  
Quality Of Life ◽  
New Zealand ◽  
Compassion Satisfaction ◽  
Interpersonal Interactions ◽  
Professional Quality Of Life ◽  
Workplace Stressors ◽  
Professional Quality ◽  
Increased Risk ◽  
Quality Of Life Scale

Abstract BackgroundBurnout has been reported to be common amongst intensive care physicians and can be associated with staff absenteeism, drug and alcohol abuse, and suboptimal patient care. We aimed to investigate the prevalence and features of self-reported burnout amongst intensivists working in Australia and New Zealand (ANZ); and to evaluate workplace stressors associated with increased risk of self-reported burnout.MethodsElectronic survey amongst registered intensivists in Australia and New Zealand. Burnout and professional quality of life were measured using the Professional Quality of Life Scale 5 (ProQOL-5). Socio-organisational factors were defined a-priori and assessed using a five-point Likert scale. Thematic analysis was conducted on an open-ended question on workplace stressors. Associations between the ProQOL burnout subscale and demographic characteristics were investigated using analysis of variance or Kruskal-Wallis. Results261 of 921 estimated intensivists responded (response rate: 28.3%). Overall, few participants (0.8%) demonstrated high scores (>75th centile) for burnout, and 70.9% of participants scored in the average range for burnout. Of note, 98.1% of participants scored in the average to high range for compassion satisfaction. No association was found between gender, age, or years of practice with the level of burnout or compassion satisfaction. Seven themes emerged regarding intensivists’ most stressful aspects of work: (1) interpersonal interactions and workplace relationships (25.5%); (2) workload and its impact (24.9%); (3) resources and capacity (16.3%); (4) health systems leadership and bureaucracy (16.1%); (5) end-of-life issues and moral distress (8.4%); (6) clinical management (4.9%); and (7) job security and future uncertainty (1.3%). ConclusionFewer ANZ intensivists experienced burnout than has previously been reported. Many self-reported work stressors do not relate to clinical work, but instead potentially modifiable factors related to interpersonal interactions with other colleagues and, more importantly, hospital administrators.

Biopsychosocial Patterning of Multimorbidity and Its Consequences

2018 ◽  
pp. 220-236
Author(s):  
Elliot Friedman ◽  
Beth LeBreton ◽  
Lindsay Fuzzell ◽  
Elizabeth Wehrpsann
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Functional Outcomes ◽  
The United States ◽  
Chronic Medical Conditions ◽  
Quality Of Life Research ◽  
Increased Risk ◽  
Over Time

By many estimates the majority of adults over age 65 have two or more chronic medical conditions (multimorbidity) and are consequently at increased risk of adverse functional outcomes. Nonetheless, many older adults with multimorbidity are able to maintain high levels of function and retain good quality of life. Research presented here is designed to understand the influences that help ensure better functional outcomes in these older adults. This chapter presents findings that draw on data from the Midlife in the United States study. The independent and interactive contributions of diverse factors to multimorbidity and changes in multimorbidity over time are reviewed. The degree that multimorbidity increases risk of cognitive impairment and disability is examined. The role of inflammation as a mediator is considered. Multimorbidity is increasingly the norm for older adults, so better understanding of factors contributing to variability in multimorbidity-related outcomes can lead to improved quality of life.

scholarly journals Satisfação, fadiga por compaixão e fatores associados em enfermeiros da atenção básica

2021 ◽  
Vol 20 (4) ◽  
pp. 291-323
Author(s):  
Natalia Violim Fabri ◽  
Julia Trevisans Martins ◽  
Maria Jose Quina Galdino ◽  
Renata Perfeito Ribeiro ◽  
Aline Aparecida Oliveira Moreira ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Associated Factors ◽  
Compassion Satisfaction ◽  
Lower Probability ◽  
Professional Quality Of Life ◽  
Basic Health ◽  
Professional Quality ◽  
Quality Of Life Scale ◽  
Life Scale

Objetivo: Verificar la satisfacción y la fatiga debido a la compasión y sus factores asociados en las enfermeras de la Unidad Básica de Salud.Método: Se trata de una investigación descriptiva y transversal desarrollada con 101 enfermeras de 40 Unidades Básicas de Salud en un municipio de Paraná. Los datos se recopilaron entre noviembre de 2019 y febrero de 2020 a través de un cuestionario de caracterización sociodemográfica, hábitos profesionales y de vida y la Professional Quality of Life Scale que evalúa la Satisfacción y fatiga por compasión. Los factores asociados fueron obtenidos por modelos de regresión logística.Resultados: Tener una buena relación interpersonal disminuyó las posibilidades de baja satisfacción por compasión (p=0,025) y burnout (p=0,049). Ser reconocido en el trabajo tenía una probabilidad significativamente menor de baja satisfacción por compasión (p=0,040).Conclusión: Buenas relaciones interpersonales se asociaron con la satisfacción de la compasión y el burnout. Sentirse reconocido por el trabajo realizado también se asoció con la satisfacción por la compasión. La mayoría de las enfermeras, incluso con altos niveles de satisfacción debido a la compasión, se siente cansada, lo que lleva a reforzar la necesidad de una mayor atención al trabajo desarrollado por las enfermeras en la Unidad Básica de Salud por los gerentes. Objective: Verifying satisfaction and fatigue due to compassion and its associated factors in nurses of the Basic Health Unit.Method: A descriptive and cross-sectional research developed with 101 nurses from 40 Basic Health Units in a municipality of Parana. Data were collected between November 2019 and February 2020 through a questionnaire of sociodemographic characterization, occupational and life habits and the Professional Quality of Life Scale that assesses Satisfaction and Fatigue by Compassion. The associated factors were obtained by logistic regression models.Results: Having a good interpersonal relationship decreased the chances of low satisfaction by compassion (p=0.025) and burnout (p=0.049). Being recognized at work had a significantly lower probability of low compassion satisfaction (p=0.040).Conclusion: Good interpersonal relationships were associated with compassion satisfaction and burnout. Feeling recognized for the work done was also associated with satisfaction for compassion. Most nurses, even with high levels of satisfaction due to compassion, feel tired, which leads to reinforce the need for greater attention to the work developed by nurses in the Basic Health Unit by managers. Objetivo: Verificar a satisfação e a fadiga por compaixão e seus fatores associados em enfermeiros de Unidade Básica de Saúde. Método: Pesquisa descritiva e transversal desenvolvida com 101 enfermeiros de 40 Unidades Básicas de Saúde de um município paranaense. Os dados foram coletados entre novembro de 2019 a fevereiro de 2020 por meio de um questionário de caracterização sociodemográfica, ocupacional e hábitos de vida e a Professional Quality of Life Scale que avalia a Satisfação e a Fadiga por Compaixão. Os fatores associados foram obtidos por modelos de regressão logística. Resultados: Possuir bom relacionamento interpessoal diminuiu as chances de baixa satisfação por compaixão (p=0,025) e burnout (p=0,049). Ser reconhecido no trabalho teve probabilidade significativamente menor de baixa satisfação por compaixão (p=0,040). Conclusão: O bom relacionamento interpessoal teve associação com a satisfação por compaixão e o burnout. Sentir-se reconhecido pelo trabalho realizado também esteve associado com a satisfação por compaixão. A maioria dos enfermeiros mesmo com altos níveis de satisfação por compaixão, sentem-se cansados, o que leva a reforçar a necessidade de maior atenção ao trabalho desenvolvido pelos enfermeiros de Unidade Básica de Saúde pelos gestores.

Disparities among GU cancer patients referred to palliative care.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 114-114
Author(s):  
Saad Omar Atiq ◽  
James Helzberg ◽  
Nathan Hirshman ◽  
Zainab Atiq ◽  
Daniel J. George ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Palliative Care ◽  
Cancer Patients ◽  
The United States ◽  
Quality Data ◽  
Black Patients ◽  
Quality Of Life Scale

114 Background: The role of palliative care in genitourinary (GU) malignancies has been understudied. Despite representing nearly 25% of new cancer diagnoses, with over 350,000 new cases diagnosed each year, few GU patients have been included in palliative care trials under the theory that symptoms are less severe for GU patients than other solid tumors. Early involvement of palliative care services improves the patient care experience, decreases healthcare utilization, is associated with survival benefit, and results in improved quality of life and mood. To further elucidate the role of palliative care in oncology, we must study its utility in subsets of malignancy like GU cancers, as needs for patients may differ by malignancy type. Methods: A retrospective cross-sectional analysis of initial outpatient palliative care visits was performed using data from the Quality Data Collection Tool for Palliative Care (QDACT-PC) database from 2014-2020. QDACT-PC is a web-based, point-of-care registry used by physicians across the United States to track quality metrics associated with patient consultations. Data was collected and analyzed from patients' initial visits including pain scale, dyspnea scale, feeling of well-being (Quality of Life scale), fatigue scale, constipation scale, palliative performance status (PPS), and preference for resuscitation status. Scales for these variables were 0-10, with the exception of a scale of 0-100% for PPS. Patients less than 18 and greater than 90 years old were excluded. Chi-squared and Student’s t-tests were used to compare categorical and continuous variables, respectively. Results: 824 GU oncology patients (358 prostate cancer patients, 251 bladder cancer patients, 215 renal cancer patients) were compared against all patients with non-GU cancers (7807 patients). Notably, non-GU patients reported higher rates of fatigue (4.50 vs. 4.13, p = 0.0013) and dyspnea (1.63 vs. 1.11, p < 0.0001) than GU patients. GU malignancies had non-significant higher reported pain (3.73 vs. 3.60, p = 0.3109) and constipation (1.96 vs. 1.83, p = 0.2319) and lower PPS (4.95 vs. 4.96, p = 0.8555) and QOL (4.55 vs. 4.73, p = 0.0962). Preference for resuscitation at the time of referral was similar between the two groups (p = 0.6339). Only 16.5% of prostate cancer patients referred to palliative care in this database were black, while black patients are often estimated to represent 30% of new prostate cancer diagnoses each year. Conclusions: GU patients represent 9.54% of cancer patients seen by palliative care while the incidence is nearly 25%. Traditionally, GU patients were underrepresented in palliative care trials under the notion of less severe symptoms; however, this study demonstrates that GU patients have as severe symptoms as non-GU patients, highlighting a disparity in referral to palliative care. Furthermore, the lack of representation of black patients suggests potential inequity and warrants further investigation.

scholarly journals Valuing informal carers’ quality of life using best-worst scaling—Finnish preference weights for the Adult Social Care Outcomes Toolkit for carers (ASCOT-Carer)

2021 ◽  
Author(s):  
Lien Nguyen ◽  
Hanna Jokimäki ◽  
Ismo Linnosmaa ◽  
Eirini-Christina Saloniki ◽  
Laurie Batchelder ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Learning Effect ◽  
Social Care ◽  
Term Care ◽  
Second Best ◽  
Best Worst Scaling ◽  
Care Outcomes ◽  
Mnl Model ◽  
Preference Weights

AbstractThis study developed Finnish preference weights for the seven-attribute Adult Social Care Outcomes Toolkit for carers (ASCOT-Carer) and investigated survey fatigue and learning in best-worst scaling (BWS) experiments. An online survey that included a BWS experiment using the ASCOT-Carer was completed by a sample from the general population in Finland. A block of eight BWS profiles describing different states from the ASCOT-Carer were randomly assigned to each respondent, who consecutively made four choices (best, worst, second best and second worst) per profile. The analysis panel data had 32,160 choices made by 1005 respondents. A scale multinomial logit (S-MNL) model was used to estimate preference weights for 28 ASCOT-Carer attribute levels. Fatigue and learning effects were examined as scale heterogeneity. Several specifications of the generalised MNL model were employed to ensure the stability of the preference estimates. The most and least-valued states were the top and bottom levels of the control over daily life attribute. The preference weights were not on a cardinal scale. We observed the position effect of the attributes on preferences associated with the best or second-best choices. A learning effect was found. The established preference weights can be used in evaluations of the effects of long-term care services and interventions on the quality of life of service users and caregivers. The learning effect implies a need to develop study designs that ensure equal consideration to all profiles (choice tasks) in a sequential choice experiment.

scholarly journals Compassion Satisfaction and Compassion Fatigue Among Critical Care Nurses

2015 ◽  
Vol 35 (4) ◽  
pp. 32-42 ◽  
Author(s):  
Tara L. Sacco ◽  
Susan M. Ciurzynski ◽  
Megan Elizabeth Harvey ◽  
Gail L. Ingersoll
Keyword(s):  
Quality Of Life ◽  
Critical Care ◽  
Work Environment ◽  
Compassion Fatigue ◽  
Compassion Satisfaction ◽  
Critical Care Nurses ◽  
Professional Quality Of Life ◽  
Professional Quality ◽  
Quality Of Life Scale

BACKGROUNDAlthough critical care nurses gain satisfaction from providing compassionate care to patients and patients’ families, the nurses are also at risk for fatigue. The balance between satisfaction and fatigue is considered professional quality of life.OBJECTIVESTo establish the prevalence of compassion satisfaction and compassion fatigue in adult, pediatric, and neonatal critical care nurses and to describe potential contributing demographic, unit, and organizational characteristics.METHODSIn a cross-sectional design, nurses were surveyed by using a demographic questionnaire and the Professional Quality of Life Scale to measure levels of compassion fatigue and compassion satisfaction.RESULTSNurses (n = 221) reported significant differences in compassion satisfaction and compassion fatigue on the basis of sex, age, educational level, unit, acuity, change in nursing management, and major systems change.CONCLUSIONSUnderstanding the elements of professional quality of life can have a positive effect on work environment. The relationship between professional quality of life and the standards for a healthy work environment requires further investigation. Once this relationship is fully understood, interventions to improve this balance can be developed and tested.

scholarly journals PROFESSIONAL QUALITY OF LIFE, LONELINESS, AND EMPATHY IN PROFESSIONAL CAREGIVERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S634-S635
Author(s):  
Janelle Beadle ◽  
Julie Blaskewicz Boron ◽  
Julie Masters
Keyword(s):  
Quality Of Life ◽  
Home Care ◽  
Compassion Fatigue ◽  
Compassion Satisfaction ◽  
Cognitive Empathy ◽  
Reactivity Index ◽  
Professional Quality Of Life ◽  
Professional Quality ◽  
Quality Of Life Scale

Abstract Retaining professional caregivers is an ongoing challenge for home care agencies. Thus, understanding emotional factors associated with caregiver burnout is critical. While professional caregivers are at risk for burnout and loneliness, less is known about how these factors relate to empathy and professional quality of life. Professional caregivers (n=31) currently employed at two U.S. non-skilled home care agencies participated by completing several questionnaires. Surveys included: UCLA Loneliness Scale (loneliness), Interpersonal Reactivity Index (empathy), and the Professional Quality of Life Scale (compassion satisfaction, compassion fatigue, and burnout). Participants were adults (M=56.8, SD=11.5, Range=24-75 years; 90.3% female) who had obtained an Associates degree (education years: M=14.2, SD=1.7). Overall, participants reported average to high levels of loneliness (M=37.5, SD=9.8), and emotional (M=23.2, SD=3.7) and cognitive (M=20.3, SD=4.6) empathy. Caregivers generally reported positive feelings about their work (compassion satisfaction: M=42.8, SD=5.0) and low levels of burnout (M=17.1, SD=4.2). In contrast, they reported relatively high levels of compassion fatigue (M=17.7, SD=4.0). Burnout was positively associated with compassion fatigue (r=.7, p&lt;.001), and loneliness (r=.5, p=.004), whereas a negative association was found between burnout and cognitive empathy (r=-.5, p=.008). Using a linear regression, the associations between compassion fatigue, loneliness, and cognitive empathy were examined in relation to burnout. This model was statistically significant (r2=.72; F change (3,21)=17.8, p&lt;.001), but only compassion fatigue (p=.002) and cognitive empathy (p=.002) were significant predictors of burnout. This study highlights the importance of the contributing role of socioemotional factors to burnout experienced in a professional caregiving setting.

scholarly journals Burnout, Compassion Satisfaction, and Intent to Quit Among Long-Term Care Nursing Assistants in the Time of COVID-19

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 720-720
Author(s):  
Mallory Richert
Keyword(s):  
Job Satisfaction ◽  
Long Term Care ◽  
Compassion Satisfaction ◽  
The United States ◽  
Nursing Assistants ◽  
Self Report ◽  
Intent To Quit ◽  
Term Care ◽  
Report Measure

Abstract The COVID-19 pandemic has greatly exacerbated the stress and burden of those employed in long-term care (LTC) facilities due to staff shortages, increased risks on the job, and ever-changing COVID-19 protocol requirements. This study examines potential differences in pre-COVID-19 and current COVID-19 LTC facility employed nursing assistants on burnout, compassion satisfaction, job satisfaction, and intent to quit. The sample included 81 nursing assistants employed in LTC facilities across the United States, with data collected prior to (n= 42) and during COVID-19 related shutdowns (n= 39). Participants completed the Professional Quality of Life Scale 5 (ProQOL 5), a single-item self-report measure of job satisfaction, and a two-item self-report measure of intent to quit their current employment. Nursing assistants during COVID-19 reported a higher level of burnout and lower level of compassion satisfaction than nursing assistants Pre-COVID-19. However, there were no differences in job satisfaction or intent to quit. The results suggest there may be additional factors that influence an individual’s decision to remain employed above and beyond the impacts of burnout and compassion satisfaction that may be unique to the caring professions. Future research might investigate factors that influence an individual’s decision to remain employed as a nursing assistant during periods of increased stress and burnout. Additionally, the impact of COVID-19 related stress added to the already high levels of stress and burnout on nursing assistants calls for further attention and research devoted to psychological support of LTC staff during crisis and normal times.

Biomechanical Responses of Swine Esophagus Tissue to Irreversible Electroporation

2018 ◽  
Author(s):  
Lars M. Mattison ◽  
Chloe Johnson ◽  
Paul A. Iaizzo
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Irreversible Electroporation ◽  
The United States ◽  
Common Disease ◽  
Fatal Disease ◽  
Increased Risk ◽  
Biomechanical Responses ◽  
Ventricular Filling

Atrial Fibrillation (AF) is a common disease that may occur in the heart, especially as we age. AF is due to non-normal myocardial ectopic foci that then causes an uncoordinated atrium contraction. This effectively reduces the atrial kick to the ventricles, which can account for up to 20% of ventricular filling. While not an immediately fatal disease, it can cause reduced quality of life for patients and also puts them at increased risk for stroke. AF as a disease, is expected to affect over 50 million people in the United States alone by 2050 [1].

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