Coping mechanism and professional quality of life in northeast Texas EMS personnel during the COVID-19 pandemic: An exploratory study

Professional Quality ◽

Perceived Organisational Support

Introduction The purpose of this study was to conduct an exploratory evaluation of employee professional quality of life and factors associated with it at an emergency medical service (EMS) agency in northeast Texas in the United States. Initially, we intended to evaluate typical day-to-day factors, however we ended up capturing these factors during the unique environment of the COVID-19 pandemic. Methods We conducted an exploratory cross-sectional survey at an EMS agency in northeast Texas in November 2020. Surveys were web-based and anonymous. They included the ProQOL 5, the Survey of Perceived Organizational Support, the Brief Resilience Survey, the RAND Social Support Survey Instrument, the Kessler-6, the Workplace Incivility Scale-Revised, the General Self-Efficacy Scale and the Brief Cope Scale. Results The survey had a response rate of 19% (38 participants). Findings suggest a positive relationship between utilising religion as a coping mechanism and higher compassion satisfaction. There was also a relationship associated between increased perceived organisational support leading to an increase in compassion satisfaction. The most significant predictors of burnout were two different coping mechanisms. Those who relied more heavily on behavioral disengagement and those who employed humour as a coping mechanism displayed average increased levels of burnout. Finally, those who experienced workplace incivility and those who relied on self-blame as a coping mechanism experienced on average higher levels of secondary traumatic stress. Conclusion This study adds to the limited literature examining coping mechanisms, stress and burnout in EMS personnel. It is also unique for examining how EMS personnel are coping with stress during a prolonged pandemic.

A study of the relationship between resilience, burnout and coping strategies in doctors

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2016-134683 ◽

2017 ◽

Vol 94 (1107) ◽

pp. 43-47 ◽

Cited By ~ 22

Author(s):

R Scott McCain ◽

Nicola McKinley ◽

Martin Dempster ◽

W Jeffrey Campbell ◽

Stephen J Kirk

Keyword(s):

Quality Of Life ◽

Traumatic Stress ◽

Compassion Satisfaction ◽

Coping Mechanisms ◽

Maladaptive Coping ◽

Targeted Interventions ◽

Purpose of the studyThe aim of this study was to measure resilience, coping and professional quality of life in doctors.Study designA cross-sectional study using an online questionnaire in a single National Health Service trust, including both primary and secondary care doctors.Results283 doctors were included. Mean resilience was 68.9, higher than population norms. 100 (37%) doctors had high burnout, 194 (72%) doctors had high secondary traumatic stress and 64 (24%) had low compassion satisfaction. Burnout was positively associated with low resilience, low compassion satisfaction, high secondary traumatic stress and more frequent use of maladaptive coping mechanisms, including self-blame, behavioural disengagement and substance use. Non-clinical issues in the workplace were the main factor perceived to cause low resilience in doctors.ConclusionsDespite high levels of resilience, doctors had high levels of burnout and secondary traumatic stress. Doctors suffering from burnout were more likely to use maladaptive coping mechanisms. As doctors already have high resilience, improving personal resilience further may not offer much benefit to professional quality of life. A national study of professional Quality of Life, Coping And REsilience, which we are proposing to undertake, will for the first time assess the UK and Ireland medical workforce in this regard and guide future targeted interventions to improve professional quality of life.

Compassion Satisfaction, Burnout, and Secondary Traumatic Stress Among Critical Care Nurses in Iran

Journal of Transcultural Nursing ◽

10.1177/1043659619838876 ◽

2019 ◽

Vol 31 (1) ◽

pp. 59-66 ◽

Cited By ~ 4

Author(s):

Sedigheh Salimi ◽

Vahid Pakpour ◽

Azad Rahmani ◽

Marian Wilson ◽

Hossein Feizollahzadeh

Keyword(s):

Quality Of Life ◽

Critical Care ◽

Compassion Fatigue ◽

Traumatic Stress ◽

Compassion Satisfaction ◽

Critical Care Nurses ◽

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.

Professional quality of life as potential mediators of the association between anxiety and depression among Chinese health-care clinicians

The International Journal of Psychiatry in Medicine ◽

10.1177/0091217420913395 ◽

2020 ◽

pp. 009121742091339

Author(s):

Guojun Xie ◽

Wendy Li ◽

Brett McDermott

Keyword(s):

Quality Of Life ◽

Traumatic Stress ◽

Indirect Effects ◽

Compassion Satisfaction ◽

Anxiety And Depression ◽

Tripartite Model ◽

Objective Building upon the tripartite model of anxiety and depression, the current study aims to examine mechanisms of comorbidity between anxiety and depression using the ProQOL (Professional Quality of Life; including the constructs of burnout, secondary traumatic stress, and compassion satisfaction) in a sample of Chinese health-care clinicians. Method A randomized cross-sectional survey was distributed to 1620 participants who were recruited from eight state-owned hospitals in a city in southern China between January and May 2017. A total of 1562 questionnaires were returned (a response rate of 96.4%). After the cases with more than 10% missing variables and multivariate outliers being removed, 1423 valid cases remained. Multiple mediator models were used for mediation analysis that was conducted using the PROCESS v3.1 macro for SPSS. Results The indirect effects of anxiety upon depression through burnout (a1 = . 601 (95% confidence interval (CI): .552, .650), p < .001; b1 = .137 (95% CI: .101, .174), p < .001) and compassion satisfaction (a3= −.297 (95% CI: −.352, −.241), p < .001; b3 = −.069 (95% CI: −.100, −.039), p < .001) were significant, while there was no evidence that anxiety influenced depression by changing secondary traumatic stress. The indirect effects of depression upon anxiety through secondary traumatic stress (a2 = . 535 (95% CI: .483, .588), p < .001); b2 = .154 (95% CI: .120, .188), p < .001) were both positive and significant, while there was no evidence that depression influenced anxiety by changing burnout and compassion satisfaction. Conclusions In the current sample, burnout and compassion satisfaction mediated the effect of anxiety upon depression and secondary traumatic stress mediated the effect of depression upon anxiety. The findings of the current study offer support to the tripartite model.

Professional quality of life and resilience in emergency department healthcare professionals during COVID-19 in Hong Kong: A cross-sectional study

Hong Kong Journal of Emergency Medicine ◽

10.1177/10249079211049128 ◽

2021 ◽

pp. 102490792110491

Author(s):

Cho Lee Wong ◽

Bun Young ◽

Berachah Sze Chung Lui ◽

Alice Wai Yi Leung ◽

Jerome Lok Tsun So

Keyword(s):

Quality Of Life ◽

Emergency Department ◽

Hong Kong ◽

Traumatic Stress ◽

Healthcare Professionals ◽

Compassion Satisfaction ◽

Background: The professional quality of life of healthcare professionals in emergency departments may be compromised during the COVID-19 pandemic. Objectives: This study aims to examine professional quality of life and resilience as well as their relationships among emergency department healthcare professionals in Hong Kong during the COVID-19 outbreak. Methods: This study employed a cross-sectional design. Healthcare professionals (doctors and nurses) working in emergency departments in Hong Kong were recruited via snowball sampling. The Professional Quality of Life Scale, version 5, and the 10-item Connor-Davidson Resilience Scale were used to assess their positive (compassion satisfaction) and negative (secondary traumatic stress and burnout) aspects of professional quality of life and self-reported resilience. Socio-demographics and work-related characteristics were also analysed. Results: A total of 106 participants provided valid responses. The results showed an overall moderate level of compassion satisfaction, secondary traumatic stress and burnout among emergency department healthcare professionals. The mean score of the 10-item Connor-Davidson Resilience Scale was 23.8. Backward linear regression analyses revealed self-reported resilience was the only significant predictor of compassion satisfaction (regression coefficient B = 0.875; p < 0.001), secondary traumatic stress (B = −0.294, p < 0.001) and burnout (B = −0.670; p < 0.001), explaining 70.6%, 18.5% and 59.8% of total variance, respectively. Conclusion: Emergency department healthcare professionals in Hong Kong experienced an overall moderate level of professional quality of life during the COVID-19 outbreak. Those with a higher level of self-reported resilience had better compassion satisfaction and lower levels of secondary traumatic stress and burnout. The results support the importance of developing interventions that foster resilience among this group of emergency department healthcare professionals to combat COVID-19.

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

Enfermería Global ◽

10.6018/eglobal.457511 ◽

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 ◽

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.

The role of nurses' professional values during the COVID-19 crisis

Nursing Ethics ◽

10.1177/09697330211034250 ◽

2021 ◽

pp. 096973302110342

Author(s):

David González-Pando ◽

Covadonga González-Nuevo ◽

Ana González-Menéndez ◽

Fernando Alonso-Pérez ◽

Marcelino Cuesta

Keyword(s):

Quality Of Life ◽

Perceived Stress ◽

Negative Correlation ◽

Compassion Satisfaction ◽

Professional Values ◽

Cross Sectional ◽

Background: The COVID-19 pandemic has produced high stress in nurses, affecting their professional quality of life. Different variables affect psychological stress response and professional quality of life. In this context, the role of professional values represents an interesting object of research. Objectives: To analyze the relationship between professional values, perceived stress, and professional quality of life among nurses during the COVID-19 crisis. Research design, participants, and research context: Descriptive cross-sectional study. Participants were 439 registered nurses from the public health system. Perceived stress, professional quality of life, and professional values were evaluated by using measuring instruments adapted and validated in the geographic context of research. Data were collected online in December 2020 during the second wave of the COVID-19 pandemic in Spain. Ethical considerations: This study was approved by the Ethics Committee on Clinical Research of the Principality of Asturias. Findings: Within professional values, ethics obtained higher scores showing the primacy of ethical values among nurses. Moderate correlations between ethics, mastery, expertise, and compassion satisfaction were found. Frontline nurses informed high perceived stress. The correlations between professional values and compassion satisfaction were higher in non-frontline nurses. A moderate negative correlation between perceived stress and compassion satisfaction was found in both groups, which implies that the higher the stress, the lower the satisfaction in the helping relationship. Conclusion: Professional values positively influence compassion satisfaction during the COVID-19 pandemic. Compassion satisfaction presents a negative correlation with fatigue compassion and burnout in frontline and non-frontline nurses. Given the functionality of values both to guide clinical practice professionally and ethically, and prevent dissatisfaction with one’s professional quality of life by reinforcing compassion satisfaction, it is necessary to reinforce them with an intensive and cross-sectional learning during the university training.

PROFESSIONAL QUALITY OF LIFE AND COPING IN A REFERENCE HOSPITAL FOR VICTIMS OF SEXUAL VIOLENCE

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2019-0153 ◽

2020 ◽

Vol 29 ◽

Author(s):

Thayane Martins Dornelles ◽

Andreia Barcellos Teixeira Macedo ◽

Sônia Beatriz Cocaro de Souza

Keyword(s):

Quality Of Life ◽

Coping Strategies ◽

Traumatic Stress ◽

Compassion Satisfaction ◽

Professional Quality ◽

Medium Level ◽

And Coping

ABSTRACT Objective: to verify the relationship between professional quality of life scores and coping strategies in the multidisciplinary health team that assists children and adolescents victims of sexual violence. Method: a cross-sectional study carried out in a public hospital of Porto Alegre, Brazil. Data collection took place from July to October 2018, using the Professional Quality of Life Scale and the Inventory of Coping Responses at Work. The analysis was performed using the Kruskal-Wallis test and Pearson's Correlation Coefficient. Regression was used for independent variables with p ≤ 0.05 in the bivariate analyses. Results: the professionals showed a medium level in the compassion satisfaction dimension (54.2%), medium level for secondary traumatic stress (50.8%), and medium level for Burnout (61%). Regarding the coping strategies, the decision-making strategy showed a weak correlation with the compassion satisfaction dimension (0.261), and the emotional extravasation strategy showed a moderate correlation with secondary traumatic stress (0.485) and Burnout (0.399). The female gender was associated with secondary traumatic stress (p=0.002). Conclusion: the identification of coping strategies such as decision-making can help the professionals to increase the levels of compassion satisfaction. In situations of suffering in daily work, management to avoid emotional extravasation should take place, preventing high levels of compassion fatigue. Such information is important to support public policies on occupational health, as well as programs to promote occupational health.

Transcendent Characteristics as Predictors of Counselor Professional Quality of Life

Journal of Mental Health Counseling ◽

10.17744/mehc.41.1.05 ◽

2019 ◽

Vol 41 (1) ◽

pp. 51-64 ◽

Cited By ~ 1

Author(s):

Brandon R. Browning ◽

Ryon C. McDermott ◽

Marjorie E. Scaffa

Keyword(s):

Quality Of Life ◽

Compassion Fatigue ◽

Compassion Satisfaction ◽

Meaningful Work ◽

Spiritual Experiences ◽

Counselor Burnout ◽

Professional Quality ◽

Daily Spiritual Experiences

Although counselors do meaningful work, they can also experience compassion fatigue as a result of counseling clients. Relatively few studies have focused on how counselors' positive characteristics might contribute to their professional quality of life. This study combined the transcendent constructs of gratitude, hope, and daily spiritual experiences as predictors of counselor burnout and compassion satisfaction. Counselors (N = 98) completed a survey assessing professional quality of life and constructs of gratitude, hope, and daily spiritual experiences. After controlling for demographic variables, simultaneous regression analysis revealed that gratitude and daily spiritual experiences were significant negative predictors for burnout. Older counselors were also less likely to have burnout, highlighting questions about what strengths are developed with age. Hope was the only significant predictor of compassion satisfaction. Results suggest that these predictors are differentially related to aspects of professional quality of life and may hold promise as potential protective factors.

The relationships of both transition shock, empathy, resilience and coping strategies with professional quality of life in newly graduated nurses

BMC Nursing ◽

10.1186/s12912-021-00589-0 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Xiaoyi Cao ◽

Jin Li ◽

Shu Gong

Keyword(s):

Quality Of Life ◽

Coping Strategies ◽

Compassion Satisfaction ◽

Adaptive Coping ◽

Professional Quality ◽

Newly Graduated Nurses ◽

Transition Shock ◽

And Coping

Abstract Background Data on professional quality of life in newly graduated nurses are scarce. This study aimed to describe the levels of professional quality of life, and to explore the relationships of transition shock, empathy, resilience and coping strategies with professional quality of life in newly graduated nurses. Methods This was a cross-sectional study, which used a two-stage sampling method to recruit 393 newly graduated nurses in Sichuan province of China. Multiple regression analysis was used to explore the effects of transition shock, empathy, resilience and coping strategies on professional quality of life. Data were collected using standardized scales. Results The prevalence of average levels of compassion satisfaction, burnout and secondary traumatic stress in newly graduated nurses were 80.2, 38.2 and 57.5%, respectively. Transition shock was a significant negative predictor, and empathy, resilience and adaptive coping were significant positive predictors for compassion satisfaction. Transition shock and passive coping were significant positive predictors, and empathy was a significant negative predictor for burnout and secondary traumatic stress. Resilience and adaptive coping contributed to burnout significantly and negatively. Conclusion Higher transition shock and lower empathy cause lower compassion satisfaction and higher compassion fatigue. More resilience and adaptive coping cause more compassion satisfaction and less burnout. More passive coping contributes to higher compassion fatigue. Strategies such as transition or preceptorship programmes, and empathy, resilience and coping training are effective methods to reduce transition shock, facilitate empathy, resilience and coping, and consequently, enhance professional quality of life in newly graduated nurses.

Correlates of Professional Quality of Life in Nurses

Annals of King Edward Medical University ◽

10.21649/akemu.v23i4.2222 ◽

2018 ◽

Vol 23 (4) ◽

pp. 463-467

Author(s):

Zehra Mohsin ◽

Sarah Shahed ◽

Talat Sohail

Keyword(s):

Quality Of Life ◽

Social Support ◽

Compassion Fatigue ◽

Perceived Social Support ◽

Compassion Satisfaction ◽

Demographic Variables ◽

Public Hospitals ◽

To look into the correlation between demographic variables, perceived social support and professional quality of lifeof nurses in public hospitals. A sample of 160 nurses of age (M=33.48, SD=9.18) was selected from public hospitals of Lahore. The nurses completed a demographic information form, MultidimensionalScale of Perceived Social Supportand Professional Quality of Life Scale. The data were analyzed using SPSS version 20. Two demographic variables, age and experience had significant positive correlation with compassion fatigue, r =.252, n=160, p <.01 and r =.256, n=160, p <.01 respectively. Other demographicvariables i.e. working hours and monthly income had no significant relationship with the subscales of Professional Quality of Life (compassion satisfaction, compassion fatigue and burnout). Perceived Social Support had a significant correlation with compassion satisfaction, r=.222, n=160, p<.01. It was concluded that the relationship between age, experience and compassion fatigue of nurses was significantly positive. The greater the age and experience of the nurses the more likely they are to have compassion fatigue. Perceived Social Support was related with compassion satisfaction which suggests that nurses’ perception of social support can increase their compassion satisfaction.