Effect of Meaningful Recognition on Critical Care Nurses’ Compassion Fatigue

2017 ◽  
Vol 26 (6) ◽  
pp. 438-444 ◽  
Author(s):  
Lesly A. Kelly ◽  
Cindy Lefton

Background As caregivers in high-pressure environments, critical care nurses are at risk for burnout and secondary trauma—components of compassion fatigue. Recent findings have increased understanding of the phenomena, specifically that satisfaction and meaningful recognition may play a role in reducing burnout and raising compassion satisfaction; however, no large multisite studies of compassion fatigue have been conducted. Objectives To examine the effect of meaningful recognition and other predictors on compassion fatigue in a multicenter national sample of critical care nurses. Methods A quantitative, descriptive online survey was completed by 726 intensive care unit nurses in 14 hospitals with an established meaningful recognition program and 410 nurses in 10 hospitals without such a program. Site coordinators at each hospital coordinated distribution of the survey to nurses to assess multiple predictors against outcomes, measured by the Professional Quality of Life Scale. Cross-validation and linear regression modeling were conducted to determine significant predictors of burnout, secondary traumatic stress, and compassion satisfaction. Results Similar levels of burnout, secondary traumatic stress, compassion satisfaction, overall satisfaction, and intent to leave were reported by nurses in hospitals with and without meaningful recognition programs. Meaningful recognition was a significant predictor of decreased burnout and increased compassion satisfaction. Additionally, job satisfaction and job enjoyment were highly predictive of decreased burnout, decreased secondary traumatic stress, and increased compassion satisfaction. Conclusions In addition to acknowledging and valuing nurses’ contributions to care, meaningful recognition could reduce burnout and boost compassion satisfaction.

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.


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.


Author(s):  
Roel Van Overmeire ◽  
Rose-Lima Van Keer ◽  
Marie Cocquyt ◽  
Johan Bilsen

Abstract Background Compassion fatigue has not been studied among funeral directors. Yet, funeral directors have been exposed to the same risks for compassion fatigue as other caregivers during the coronavirus disease 2019 (COVID-19) pandemic. Methods An online survey was spread two times to 287 employees of funeral home DELA, in Belgium. Once during the height of the first wave of COVID-19 in Belgium, and a second time at the end of the first wave. The professional quality of life-scale 5 (PROQOL-5) was used to measure compassion fatigue, which includes burnout, compassion satisfaction and secondary trauma. Non-parametric tests were performed. Results In total, 104 participants answered the first survey, and 107 the second. Burnout increases from survey 1 to survey 2 (P < 0.001), while compassion satisfaction (P = 0.011) and secondary trauma decrease (P < 0.001). In survey 1, only age (P = 0.007) and gender (P = 0.040) were found to be significantly associated with secondary trauma. In survey 2, having more work experience is associated with having a higher burnout (P = 0.008) and secondary trauma (P = 0.001) score. Neither for burnout (P < 0.001), nor for secondary trauma (P < 0.001) are there any respondents in the highest category. Conclusions Although overall funeral directors do not have acute problems with compassion fatigue, burnout scores increase significantly after the first wave.


Author(s):  
Adam M Jones ◽  
John S Clark ◽  
Rima A Mohammad

Abstract Purpose To describe the prevalence of burnout and secondary traumatic stress (STS) in health-system pharmacists during the coronavirus disease 2019 (COVID-19) pandemic. Methods. A cross-sectional, professional pharmacy organization listserver–based online survey of a target group of health-system pharmacists across the United States was conducted. The survey was sent out through professional organization listservers and was anonymous and voluntary. The survey questionnaire included items regarding demographics and employment characteristics, COVID-19–related questions, a survey of respondents’ perceptions of the prevalence and severity of burnout, and the Professional Quality of Life Scale (ProQOL). The ProQOL assessed respondents for compassion satisfaction (subcategorized as burnout and STS) and compassion fatigue. Descriptive statistics was used to assess the prevalence of burnout and STS. Results Four hundred eighty-four health-system pharmacists completed the survey. Based on respondents’ self-ratings of burnout, 47% were identified as having current burnout and 81% as having a history of burnout. Based on ProQOL scoring, 65.3% of respondents were identified as having a moderate or high likelihood of burnout, which was a prevalence higher than that indicated by respondents’ self-ratings. Additionally, 51.4% of respondents were identified as having a moderate or high probability of STS and 99.4% as having a moderate or high probability of compassion satisfaction. Conclusion The survey found that over half of health-system pharmacists were affected with burnout, half with STS, and three-fourths with compassion satisfaction during the COVID-19 pandemic. Unfortunately, the development of burnout and STS in these health-system pharmacists may lead to several work-related consequences (eg, increase risk of medical errors, depression); therefore, addressing burnout and STS is crucial. Further studies of the consequences of burnout and STS during the COVID-19 pandemic are needed.


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):  
Zahra Mamdani ◽  
Sophie McKenzie ◽  
Emma Ackermann ◽  
Rayne Voyer ◽  
Fred Cameron ◽  
...  

Abstract Background The drug toxicity crisis has had dramatic impacts upon communities of people who use substances. Peer workers, individuals with lived/living experience of substance use who work in overdose response settings, are particularly susceptible to negative impacts on wellbeing caused by this crisis. Coupled with the devastating effects of the COVID-19 pandemic including reduced capacity and hours of overdose prevention services and physical distancing regulations, the burden placed upon peers is large. However, these mental health impacts have yet to be studied and measured. Methods The Professional Quality of Life Scale survey (Version 5) was taken by 47 peer workers between September 2020 and March 2021 to assess compassion satisfaction and compassion fatigue. It was administered as a part of a larger survey administered by peer research assistants - to evaluate the effectiveness of interventions identified and implemented through a peer-led project. Some questions from the tool were also asked prior to implementation of the intervention (September 2020). Participants were recruited by their organizational managers and paid a $25 honorarium. Results Our study uncovered a HIGH mean score for compassion satisfaction, a LOW mean score for burnout, and a MEDIUM mean score for secondary traumatic stress among peers working in overdose response settings in British Columbia. We also found changes before and after implementation of the intervention. After implementation, peer workers felt more satisfied from their work, more connected to others, less worn out and were less affected by the traumatic stress of those they help. Conclusion Although peers derive significant pleasure and fulfillment from their jobs, i.e., compassion satisfaction, they also face considerable feelings of overwhelmingness, i.e. burnout, and stress due to continuous exposure to the trauma of the people they support, i.e. secondary traumatic stress. These results lay the groundwork for further research on the intersectional factors contributing to negative mental health impacts upon peer workers and highlight potential strategies that bolster the fulfillment they derive from their jobs.


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 8 (3) ◽  
pp. 264-279 ◽  
Author(s):  
Isobel Sheard ◽  
Melissa Ellen Burnett ◽  
Helen St Clair-Thompson

Purpose Police personnel report relatively high rates of mental health difficulties, and are at an increased risk of experiencing stress, burnout, secondary traumatic stress and anxiety as a result of the nature of their work and may also experience low compassion satisfaction. However, it is likely that the prevalence of psychological distress varies across roles. The purpose of this paper is to explore psychological distress, in a large sample of police personnel, examining differences between individuals in a number of police roles. Design/methodology/approach A questionnaire assessing experience of mental health problems, perceived stress, compassion fatigue (burnout and secondary traumatic stress), compassion satisfaction and anxiety was administered to 602 police personnel, who were classified into one of ten roles (24/7 officers, communications, firearms, crime, resolution without deployment, neighbourhood, custody, safeguarding, operations and other roles). Differences based on role and the requirement for shift work were then examined. Findings 24/7 officers had higher compassion fatigue and lower compassion satisfaction than individuals in a number of other roles. Firearms officers had lower levels of perceived stress and anxiety. Resolution without deployment officers reported higher secondary traumatic stress and compassion fatigue. The findings also revealed that respondents who partake in shift work showed higher levels of perceived stress. Originality/value This is the first study to the authors’ knowledge to investigate experience of mental health problems and reports of psychological distress in different roles within a UK police force. The findings have important implications, for example, in terms of identifying groups who may be particularly at risk from psychological distress.


2020 ◽  
Vol 17 ◽  
Author(s):  
Javad Dehghannezhad ◽  
Vahid Zamanzadeh ◽  
Neda Gilani ◽  
Azad Rahmani ◽  
Abbas Dadashzadeh

IntroductionEmergency medical technicians who provide emergency care for patients in a critical condition often experience compassion satisfaction through assisting these patients. However, helping ill and injured patients can also lead to compassion fatigue. Identifying the link between compassion satisfaction and compassion fatigue is important to enhance patient care.MethodsThis is a descriptive correlation study. A total of 248 pre-hospital emergency personnel from pre-hospital emergency centres in East Azarbaijan, Iran, were selected by cluster sampling. Professional quality of life tools, including compassion satisfaction and compassion fatigue (occupational burnout, secondary traumatic stress) were employed. Data was modeled on Stata Statistical Software: Release 14, and the correlation between factors was investigated through Pearson and Canonical correlation analyses.ResultsThe average scores of compassion satisfaction and compassion fatigue were moderate. Reverse relationship and mean negative correlation (r=-0.40) were obtained between the two areas. In the ‘compassion fatigue’ category, the secondary traumatic stress sub-scale had a higher focal load (0.96) in comparison to burnout (0.32). Education, workplace and workload were significantly correlated with compassion fatigue, as were marital status and workplace with compassion satisfaction.ConclusionThe model indicated that compassion satisfaction correlates inversely with compassion fatigue. Workplace, workload reduction, marital status and educational promotion reduce compassion fatigue therefore to enhance pre-hospital care these factors should be taken into consideration.


2018 ◽  
pp. 95-107 ◽  
Author(s):  
Mikaela Dehlin ◽  
Lars-Gunnar Lundh

The pleasure derived from helping others is referred to as compassion satisfaction (CS). When a psychologist feels a too heavy demand to be compassionate and effective in helping, however, this may result in compassion fatigue (CF). CF may take the form of burnout or secondary traumatic stress (STS). The present paper focuses on two factors that may possibly protect against the development of CF, and facilitate the development of CS: (1) access to supervision and (2) a reflective stance. An online survey was distributed to two closed Swedish Facebook groups of psychologists, and complete data were obtained from 374 psychologists (320 women and 63 men). Both variable-oriented and person-oriented analyses were carried out. Correlational analysis showed that both supervision and reflection was associated with more CS, whereas only supervision but not reflection was significantly associated with less CF. Cluster analysis gave a more nuanced picture, suggesting a non-linear and multi-faceted association between reflection and CF. Some clusters of psychologists showed the expected association between level of reflection and level of CF. This was balanced, however, by other clusters that showed an association in the opposite direction, indicating high levels of reflection in clinicians with high levels of CF, and low levels in clinicians with low levels of CF. The results are discussed in terms of these differences in associative patterns possibly being due to different patient populations being involved. Among the limitations of the present study are its cross-sectional design, absence of data on patient characteristics, and a crude measure of supervision and reflection. Keywords: Compassion fatigue, compassion satisfaction, supervision, reflective stance


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