scholarly journals Compassion fatigue in critical care nurses. An integrative review of the literature

2019 ◽  
Vol 40 (11) ◽  
pp. 1087-1097 ◽  
Author(s):  
Jalal Alharbi ◽  
Debra Jackson ◽  
Kim Usher
2017 ◽  
Vol 28 (4) ◽  
pp. 351-358 ◽  
Author(s):  
Lesly Kelly ◽  
Michael Todd

Background:Burnout is a concern for critical care nurses in high-intensity environments. Studies have highlighted the importance of a healthy work environment in promoting optimal nurse and patient outcomes, but research examining the relationship between a healthy work environment and burnout is limited.Objective:To examine how healthy work environment components relate to compassion fatigue (eg, burnout, secondary trauma) and compassion satisfaction.Methods:Nurses (n = 105) in 3 intensive care units at an academic medical center completed a survey including the Professional Quality of Life and the American Association of Critical-Care Nurses’ Healthy Work Environment standards.Results:Regression models using each Healthy Work Environment component to predict each outcome, adjusting for background variables, showed that the 5 Healthy Work Environment components predicted burnout and that meaningful recognition and authentic leadership predicted compassion satisfaction.Conclusions:Findings on associations between healthy work environment standards and burnout suggest the potential importance of implementing the American Association of Critical-Care Nurses’ Healthy Work Environment standards as a mechanism for decreasing burnout.


2019 ◽  
Vol 31 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Sedigheh Salimi ◽  
Vahid Pakpour ◽  
Azad Rahmani ◽  
Marian Wilson ◽  
Hossein Feizollahzadeh

Introduction: This study investigated the relationship between compassion fatigue and compassion satisfaction among Iranian nurses working in critical care units. Method: A cross-sectional, descriptive survey using the Professional Quality of Life instrument was administered to 400 nurses working in the intensive care units of Iranian hospitals. Results: High risk levels of burnout and secondary traumatic stress existed among 42% and 96% of participants, respectively. Significant positive relationships were detected between burnout and secondary traumatic stress. An inverse relationship was detected between measures of compassion fatigue and compassion satisfaction. Discussion: To ensure culturally congruent care, it is important to evaluate professional quality of life within the context of specific cultures and societies. Iranian critical care nurses are at risk for burnout and secondary traumatic stress. Personal self-care and organizational wellness approaches that consider cultural norms should be designed to boost compassion satisfaction and reduce negative effects of stressful work environments.


2020 ◽  
pp. 019394592097302
Author(s):  
Denise Waterfield ◽  
Susan Barnason

The purpose of this integrative review was to evaluate the literature from January 2013 to April 2020 and to explore critical care nurses’ perspectives of and intent to use recommended Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption (PADIS) patient assessment tools in adult critical care units. A literature search was performed with a total of 47 studies included in the final analysis for this review. The studies’ data were organized and further reduced based on The Reasoned Action Approach behavioral theory to reflect the extent to which a nurse plans to use a PADIS assessment tool. Extracted themes were related to behavioral beliefs in patient-centered care and critical thinking; normative beliefs about communication and prioritization; and control beliefs concerning autonomy and confidence. Contextualizing the international phenomenon of variation in PADIS assessment tool use by critical care nurses provides a deeper understanding of its complexity for use in the clinical setting.


2020 ◽  
Vol 29 (15-16) ◽  
pp. 2762-2764 ◽  
Author(s):  
Jalal Alharbi ◽  
Debra Jackson ◽  
Kim Usher

2019 ◽  
Vol 9 (4) ◽  
pp. e01264 ◽  
Author(s):  
Marwa A. Al Barmawi ◽  
Maha Subih ◽  
Omar Salameh ◽  
Najah Sayyah Yousef Sayyah ◽  
Noordeen Shoqirat ◽  
...  

2015 ◽  
Vol 35 (4) ◽  
pp. 32-42 ◽  
Author(s):  
Tara L. Sacco ◽  
Susan M. Ciurzynski ◽  
Megan Elizabeth Harvey ◽  
Gail L. Ingersoll

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.


2021 ◽  
Author(s):  
Natasha Teixeira

Compassion fatigue is estimated to affect 40% percent of the 2.9 million registered nurses in the United States. There exists a critical need to explore how nurses understand compassion fatigue, how they identify it in self and others, and what strategies they enact to lessen the eventual threats to health. With the current COVID pandemic, along with the high intensity nature of the intensive care unit (ICU), critical care nurses are vulnerable to the symptoms and side effects of compassion fatigue. This quality improvement project evaluated the impact of an educational session on compassion fatigue and self-care in relation to critical care nurses’ perceived levels of compassion fatigue. Pre education session and post educational session Professional Quality of Life (ProQOL-5) survey measuring perceived levels of compassion satisfaction, burnout, and secondary traumatic stress, were administered to a sample of critical care nurses in a community hospital in Massachusetts. The educational session was conducted via a virtual audio-enabled PowerPoint presentation. Pre and post education scores were assessed between time points to determine if the education was successful at decreasing perceived level of compassion fatigue. Post ProQOL scores presented a 6.76% increase in level compassion satisfaction, 3.28% decrease in level of burnout, and an 8.66% decrease in level of secondary traumatic stress. This project illustrates the potential for targeted education with critical care nurses as a vulnerable group who experience higher levels of compassion fatigue as a group. Strategies to reduce the effects of compassion fatigue have the potential to improve mental and emotional health essential for continual safe patient care with more positive outcomes in the critical care area.


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