Compassion Satisfaction, Burnout, and Secondary Traumatic Stress Among Nursing Staff at an Academic Medical Center: A Cross-Sectional Analysis

Background: Although several studies have recently described compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) in nurses, few to date have examined these issues across nursing specialties. Such examination is needed to inform future nursing-subspecialty tailored interventions. Aims: To examine (1) differences in CS, BO, and STS across nursing specialties and (2) differences associated with demographic, work-related, and behavioral factors among nurses. Method: A secondary analysis of survey responses from nurses ( N = 350) at an academic medical center. Demographic, behavioral, work-related, and professional quality of life variables were analyzed using hierarchical regression analyses. Results: CS, BO, and STS scores significantly varied across specialties with emergency nurses experiencing significantly elevated rates of BO and STS, and lowest rates of CS; scores were also differentially associated with demographic, work-related, behavioral, and workplace violence variables. Conclusions: Key differences in CS, BO, and STS by nursing specialty suggests the importance of tailoring BO and STS mitigative interventions. BO and STS risk factors should be assessed in nurses (e.g., behavioral health problems and poor sleep quality) and specialty-specific interventions (e.g., reducing workplace violence exposure in emergency settings) may be considered to improve CS while reducing BO and STS among nurses.

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Burnout and Compassion Satisfaction: Survey Findings of Healthcare Employee Wellness During COVID-19 Pandemic using ProQOL

Kansas Journal of Medicine ◽

10.17161/kjm.vol1415171 ◽

2021 ◽

Vol 14 ◽

pp. 121-127

Author(s):

Meagan Dwyer ◽

Marcus Alt ◽

Joanna Brooks ◽

Hannah Katz ◽

Albert Poje

Keyword(s):

Compassion Fatigue ◽

Online Survey ◽

Medical Center ◽

Academic Medical Center ◽

Compassion Satisfaction ◽

Healthcare Systems ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Work Related ◽

Healthcare Employees

Introduction. Healthcare systems are being bombarded during the COVID-19 pandemic. Understanding burnout, compassion fatigue, and potential protective factors, such as compassion satisfaction, will be important in supporting the vital healthcare workforce. The goal of the current study was to understand the key factors of burnout, compassion fatigue, and compassion satisfaction among healthcare employees during the pandemic within the U.S. in April 2020. Methods. The authors conducted a single-center, cross-sectional online survey using the Professional Quality of Life (ProQOL) Questionnaire and three open-ended questions around stress and responses to stress during COVID-19 at a large Midwestern academic medical center with nearly 16,000 employees. Results. Healthcare employees (613) representing over 25 professions or roles and 30 different departments within the health system were surveyed. Participants reported low levels of compassion fatigue and burnout, but moderate levels of compassion satisfaction. Compassion satisfaction was notably higher than prior literature. Key areas of stress outside of work included family, finances and housing, childcare and homeschooling, and personal health. Conclusions. This was a cross-sectional survey, limiting causal analyses. Also, based on the qualitative responses, the ProQOL was somewhat insufficient in assessing the breadth of stressors, particularly outside of work, that healthcare employees faced due to the pandemic. Although compassion satisfaction was elevated during the initial phases of the pandemic, providing some possible protection against burnout, this may change as COVID-19 continues to surge. Healthcare systems are encouraged to assess and address the broad range of work and non-work-related stressors to best serve their vital workforce.

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Workplace Violence and Its Effects on Burnout and Secondary Traumatic Stress among Mental Healthcare Nurses in Japan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17082747 ◽

2020 ◽

Vol 17 (8) ◽

pp. 2747 ◽

Cited By ~ 2

Author(s):

Yudai Kobayashi ◽

Misari Oe ◽

Tetsuya Ishida ◽

Michiko Matsuoka ◽

Hiromi Chiba ◽

...

Keyword(s):

Traumatic Stress ◽

Workplace Violence ◽

Secondary Traumatic Stress ◽

Multivariate Logistic Regression Analysis ◽

Mental Healthcare ◽

Psychological Consequences ◽

Cross Sectional ◽

Psychological Burden ◽

Work Related ◽

Healthcare Settings

Workplace violence (WPV) in healthcare settings has drawn attention for over 20 years, yet few studies have investigated the association between WPV and psychological consequences. Here, we used a cross-sectional design to investigate (1) the 12-month prevalence of workplace violence (WPV), (2) the characteristics of WPV, and (3) the relationship between WPV and burnout/secondary traumatic stress among 599 mental healthcare nurses (including assistant nurses) from eight hospitals. Over 40% of the respondents had experienced WPV within the past 12 months. A multivariate logistic regression analysis indicated that occupation and burnout were each significantly related to WPV. Secondary traumatic stress was not related to WPV. Our results suggest that WPV may be a long-lasting and/or cumulative stressor rather than a brief, extreme horror experience and may reflect specific characteristics of psychological effects in psychiatric wards. A longitudinal study measuring the severity and frequency of WPV, work- and non-work-related stressors, risk factors, and protective factors is needed, as is the development of a program that helps reduce the psychological burden of mental healthcare nurses due to WPV.

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A Study on Knowledge Towards Brain Death among Residents in Indonesia

Folia Medica Indonesiana ◽

10.20473/fmi.v56i2.21235 ◽

2020 ◽

Vol 56 (2) ◽

pp. 140

Author(s):

Asra Al Fauzi ◽

Christrijogo Sumartono Waloejo ◽

Abdulloh Machin ◽

Muhammad Ja'far Shodiq

Keyword(s):

Brain Death ◽

Medical Center ◽

Academic Medical Center ◽

Cross Sectional Study ◽

Research Subjects ◽

Cross Sectional ◽

Academic Medical ◽

Center Hospital ◽

Level 3 ◽

Level 2

This research was conducted to evaluate the knowledge and diagnosis of brain death among resident in Indonesia. This study used an observational analytic study with a cross-sectional study design using a questionnaire. The research subjects consisted of 132 level 2 (after 2 years of residency) and level 3 (after 4 years of residency) residents, the total sampling for which was taken from the departments of Neurosurgery, Anesthesiology, and Neurology at Dr. Soetomo Academic Medical Center Hospital, Surabaya, Indonesia. Data were taken from November 2018 to January 2019. A total of 132 residents of Neurosurgery, Neurology, and Anesthesiology participated in this study. From the series of studies, residents’ knowledge of the concept of brain death was in the sufficient category (41.7%), residents’ knowledge of the technical diagnosis of brain death was in the good category (40.2%), residents’ knowledge of brain death examination was in the less category (43.2%), and finally, it was found that the resident's knowledge of brain death was in a good category (35.6%). There were also significant differences in knowledge of brain death between Neurosurgery, Neurology, and Anesthesiologist Resident (P <0.001) and knowledge of brain death between level 2 and level 3 residents (P=0.032). In general, the Indonesian resident doctors’ knowledge of brain death is adequate, but knowledge of the clinical examination of brain death is still lacking. Further research must be carried out to promote knowledge of brain death in residents as well as professional doctors/specialists, so that the number of organ transplants, especially in Indonesia, will increase.

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Stress Coping Strategies, Burnout, Secondary Traumatic Stress, and Compassion Satisfaction Amongst Israeli Dentists: A Cross-sectional Study

International Dental Journal ◽

10.1016/j.identj.2021.09.006 ◽

2021 ◽

Author(s):

Joseph Meyerson ◽

Marc Gelkopf ◽

Ilana Eli ◽

Nir Uziel

Keyword(s):

Coping Strategies ◽

Traumatic Stress ◽

Secondary Traumatic Stress ◽

Compassion Satisfaction ◽

Cross Sectional Study ◽

Stress Coping ◽

Sectional Study ◽

Cross Sectional ◽

Stress Coping Strategies

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Millennials Seeking Healthcare: Examining the Degree to Which Patients Utilize Online Resources (Preprint)

10.2196/preprints.32451 ◽

2021 ◽

Author(s):

Landon Arensberg ◽

Jessica Kalender-Rich ◽

Jaehoon Lee ◽

Cheryl Gibson

Keyword(s):

Medical Care ◽

Baby Boomers ◽

Medical Center ◽

Academic Medical Center ◽

Age Groups ◽

Online Reviews ◽

Online Resources ◽

Cross Sectional ◽

Academic Medical ◽

Us Census

BACKGROUND According to the 2020 US Census, a Silver Tsunami is looming with more than 75.4 million persons aged 57-75 (known as “Baby Boomers”) expected to need more costly medical care. Future estimates, however, indicate a much larger wave of individuals is imminent, given the 83.1 million Millennials approaching adulthood who will be seeking medical care. Because Millennials differ from Baby Boomers in several ways, it is important to understand how this population finds their physician to gain insight into what might influence this decision. OBJECTIVE To determine the extent and influence online resources and reviews have on the younger generation as compared to elder generations. METHODS Between the months of May and July 2020 a cross-sectional paper-based survey was conducted at primary care and geriatric clinics located within a large urban academic medical center in the Midwest. RESULTS A sample of 284 patients completed the survey (44.35 ± 17.54 yrs old [range=18-90], 60.6% female, 57.4% white). Of Millennials (respondents aged 22-38 yrs), 67.2% read online reviews before choosing a physician. Millennials were significantly more likely to read online reviews before choosing a physician (P=0.004) and utilize online resources to search for a new physician (P<.001) than older patients. The majority of millennials were likely to be influenced by both negative reviews (59%) and positive reviews (71.3%). Female patients were more likely to read online reviews and use online resources compared to men, but the differences were not significant. CONCLUSIONS Overall, Millennials are much more likely to research online reviews before choosing a physician. Other generations also use online resources to an extent but tend to use personal referrals. Across all age groups, negative online reviews were less influential in decision-making compared to positive ones. Therefore, a presence on review websites and search engines seems to only benefit one’s medical practice to capture the new wave of patients.

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The role of workplace social capital, compassion satisfaction and secondary traumatic stress in affective organisational commitment of a sample of Iranian nurses

Journal of Research in Nursing ◽

10.1177/1744987118762974 ◽

2018 ◽

Vol 23 (5) ◽

pp. 446-456 ◽

Cited By ~ 3

Author(s):

Seyyed Abolfazl Vagharseyyedin ◽

Bahare Zarei ◽

Mahdi Hosseini

Keyword(s):

Social Capital ◽

Traumatic Stress ◽

Secondary Traumatic Stress ◽

Early Recognition ◽

Compassion Satisfaction ◽

Organisational Commitment ◽

Cross Sectional ◽

The One ◽

Workplace Social Capital

Background Affective organisational commitment (AOC) refers to employees’ emotional attachment to the organisation and identification with it. It is vital that nurses explore contributors to their AOC because they stand as the largest group of employees in healthcare organisations. Aim This cross-sectional, analytical study explored the role of workplace social capital (WSC), compassion satisfaction (CS), and secondary traumatic stress (STS) in AOC in a sample of Iranian nurses. Method The study sample consisted of 250 nurses working in eight hospitals affiliated with Birjand University of Medical Sciences, eastern Iran. Participants’ WSC was measured using the Social Capital at Work Scale developed by Kouvonen et al. (2006). CS and STS were measured using CS and STS dimensions of the Professional Quality of Life measure (Version 5) developed by Stamm (2010). Results Significant positive associations were found between WSC and AOC ( p < 0.001), between the cognitive dimension of WSC and AOC ( p < 0.001), between the structural dimension of WSC and AOC ( p < 0.001), and between CS and AOC ( p < 0.001). The correlation between STS and AOC ( p < 0.001) was negatively significant. Conclusion Effort to promote WSC and CS on the one hand and prevention and early recognition of STS on the other hand can enhance nurses’ AOC.

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

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2019.103472 ◽

2020 ◽

Vol 102 ◽

pp. 103472 ◽

Cited By ~ 15

Author(s):

Jialin Wang ◽

Chizimuzo T.C. Okoli ◽

Huijuan He ◽

Fen Feng ◽

Junwen Li ◽

...

Keyword(s):

Traumatic Stress ◽

Secondary Traumatic Stress ◽

Compassion Satisfaction ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Tertiary Hospitals

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Opioid use in the acute setting: A survey of providers at an academic medical center

Journal of Opioid Management ◽

10.5055/jom.2018.0450 ◽

2018 ◽

Vol 14 (3) ◽

pp. 203-210 ◽

Cited By ~ 1

Author(s):

Douglas R. Oyler, PharmD ◽

Kristy S. Deep, MD ◽

Phillip K. Chang, MD

Keyword(s):

Medical Center ◽

Academic Medical Center ◽

Healthcare Providers ◽

High Risk Patient ◽

Opioid Analgesics ◽

Opioid Use ◽

Cross Sectional ◽

Academic Medical ◽

Clinical Scenarios ◽

Nonopioid Analgesics

Objective: To examine attitudes, beliefs, and influencing factors of inpatient healthcare providers regarding prescription of opioid analgesics.Design: Electronic cross-sectional survey.Setting: Academic medical center.Participants: Physicians, advanced practice providers, and pharmacists from a single academic medical center in the southeast United States.Main Outcome Measures: Respondents completed survey items addressing: (1) their practice demographics, (2) their opinions regarding overall use, safety, and efficacy of opioids compared to other analgesics, (3) specific clinical scenarios, (4) main pressures to prescribe opioids, and (5) confidence/comfort prescribing opioids or nonopioids in select situations.Results: The majority of the sample (n = 363) were physicians (60.4 percent), with 69.4 percent of physicians being attendings. Most respondents believed that opioids were overused at our institution (61.7 percent); nearly half thought opioids had similar efficacy to other analgesics (44.1 percent), and almost all believed opioids were more dangerous than other analgesics (88.1 percent). Many respondents indicated that they would modify a chronic regimen for a high-risk patient, and use of nonopioids in specific scenarios was high. However, this use was often in combination with opioids. Respondents identified patients (64 percent) and staff (43.1 percent) as the most significant sources of pressure to prescribe opioids during an admission; the most common sources of pressure to prescribe opioidson discharge were to facilitate discharge (44.8 percent) and to reduce follow-up requests, calls, or visits (36.3 percent). Resident physicians appear to experience more pressure to prescribe opioids than other providers. Managing pain in patients with substance use disorders and effectively using nonopioid analgesics were the most common educational needs identified by respondents.Conclusion: Most individuals believe opioid analgesics are overused in our specific setting, commonly to satisfy patient requests. In general, providers feel uncomfortable prescribing nonopioid analgesics to patients.

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Secondary traumatic stress in Norwegian SUD-therapists: Symptoms and related factors

Nordic Studies on Alcohol and Drugs ◽

10.1177/1455072519847014 ◽

2019 ◽

Vol 36 (6) ◽

pp. 522-531 ◽

Cited By ~ 1

Author(s):

Ayna B Johansen ◽

Eva Kristiansen ◽

Ingerid Bjelland ◽

Shedeh Tavakoli

Keyword(s):

Substance Abuse ◽

Traumatic Stress ◽

Secondary Traumatic Stress ◽

Secondary Trauma ◽

Trauma Symptoms ◽

Related Factors ◽

Cross Sectional ◽

Work Related ◽

Leader Support ◽

Cross Sectional Design

This study examined the prevalence of secondary traumatic stress (STS) among substance-abuse therapists in relation to burnout, work-related stressors, as well as peer and leader support. Methods: A quantitative cross-sectional design examining 383 Norwegian substance-abuse therapists. Electronic surveys were distributed to practitioners in Norway via email and social media. Results: A total 22% of the respondents reported experience of secondary trauma, with the most frequently reported symptoms being flashbacks (13%) and intrusive thoughts (13%). More than 72% of therapists had also been exposed to patient direct threats. Female therapists estimated the level of trauma among their patients as higher than did male therapists. Male therapists (32%) were more likely to report secondary trauma than females (19%). Conclusions: The findings indicate a high prevalence of trauma symptoms in substance-abuse therapists, and suggest increased focus on the role of patient direct threats when treating patients with substance-abuse disorder. The study also highlights the need for research that examines variables that interact with gender in predicting STS in therapists treating substance abuse, as well as trauma.

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