Burnout Or Compassion Fatigue

For my final reflection paper, I would like to discuss vicarious trauma and its implications. This topic has stuck with me ever since we learned about it earlier in the semester. It is something that I fear will impact me during my work as a counselor. While I do not intend to deal exclusively with trauma patients, I cannot control who walks through my doors so it is in my best interest to understand ways to protect against vicarious trauma. My initial reaction to this topic was, “oh that does not bother me” or “I won’t have a problem with that,’ but as trauma seeped into my personal life it became apparent hat it does in fact bother me. Dealing with my cousins’ trauma this semester and trying my best to be helpful and supportive has proven to be more difficult then original thought.

Social Work is a helping profession that strives to help the community on micro, mezzo, and macro levels. It is an investment of self to offer services and help to those in need. Areas of service can include, but are not limited to, traumatic situations, family situations, and child protection. As in most social service professions, the field of social work can often times take a toll on the emotional and physical stability of a social worker. One side effect from working in a helping profession is compassion fatigue. As a result, the National Association of Social Workers stresses the importance of self-care and its vitality in ensuring the social worker does not get burnt out by the profession.

One of the major emotional disorders that occurs in health care providers who experience compassion fatigue is depression. Depression will lead to the individual experiencing increasing feelings of sadness and helplessness. Individuals may experience a loss of interest in previous hobbies, fear, guilt, and anxiety. The person may be describe as an emotional roller coaster who is sad, angry, and overly sensitive from one minute to the next. Often times the person is emotionally numb and depleted.

The concept of this EBP change project is compassion fatigue as it relates to nurses working in an emergency department (ED) dealing with secondary trauma causing symptoms of compassion fatigue (CF). Compassion is defined as the empathetic awareness of another’s distress, united with a desire to alleviate it (Merriam-Webster’s online dictionary, n.d.). Fatigue is the physical or mental depletion that can be the result of strain, overwork, or disease (The Free Medical Dictionary,

Burnout is defined as an internal psychological experience that involves feelings, attitudes, motives and expectations. Burnout means the energy of an individual has been consumed by helping others. Energy crisis occurs when the psychic demand exceeds the supply. Burnout is often experienced with a state of physical, mental and emotional exhaustion caused by a long-term involvement within an emotionally demanding situation. Burnout is often accompanied by physical depletion, feelings of helplessness, disillusionment, negative self-concept and negative attitudes toward employment, people and life in itself. Burnout represents a breaking point where it’s hard for an individual to cope with the environment surrounding them. Compassion fatigue is often caused by a work related stress and it is also an increase of loss in compassion over a period of time. Compassion fatigue can share similar

The term “Psychological trauma” refers to damage wrought from a traumatic event, which that damages one’s ability to cope with stressors. “Trauma” is commonly defined as an exposure to a situation in which a person is confronted with an event that involves actual or threatened death or serious injury, or a threat to self or others’ physical well-being (American Psychiatric Association, 2000). Specific types of client trauma frequently encountered by which therapists and other mental health workers frequently encounter in a clinical setting include sexual abuse, physical , or sexual assault, natural disasters such as earthquakes or tsunamis, domestic violence, and school or/and work related violence (James & Gilliland, 2001). Traumatic

Compassion fatigue is widely known in the health care profession. Nurses working overtime and long working days to provide care for the patient and the patient’s families are a continuous stress on a nurse’s emotional and physical well-being especially if the nurse is providing the patient with end of life care as this contributes to both physical and mental work. Vital

The warning signs for compassion fatigue may include; decreased interest or concern, heightened arousal, startling easily, isolating, depression, anger, manifestation of physical illnesses, increased irritability, substance and alcohol abuse, overeating, sexual dysfunction, sleep disturbances, and decreased ability to balance empathy and objectivity (Pfifferling & Gilley, 2000). Those suffering from compassion fatigue have described the feeling of being out of control, and the more work or care the provider does for others, the less compassionate they feel until they feel hopeless, helpless, as though they have nothing else to give. Some providers may be more easily susceptible to compassion fatigue after experiencing personal trauma. While the effects of compassion fatigue can cause confusion, anxiety and heartache, one important key to recovery is to identify the symptoms, so the healthcare worker can work towards self-restoration and recovery.

Longitudinal data was collected to determine the efficacy of resilience program at three and six month intervals (Potter et al., 2013). The longitudinal data in the study reported statistically significant results of decreased overall compassion fatigue through implementation of a compassion fatigue intervention program (Potter et al., 2013). A pilot study of a compassion fatigue resiliency program with thirteen oncology nurses showed promising results. “The program interventions were

traumatic reaction that occurs due to witnessing the suffering of others (Hinderer et al., 2014).

When choosing to pursue a career in the health care field, most enter the workplace with the desire to help and provide care for patients who are critically ill (Lombardo & Eyre, 2011). Far too often, these health professionals who were once sympathetic and caring become victims of compassion fatigue (Lombardo & Eyre, 2011). As a working health professional it is ones duty to compassionately care for the sick, wounded and traumatized patients, which involves being exposed daily to the patient’s pain, suffering and trauma (Coetzee & Klopper, 2010). Experiencing this type of trauma first hand is an un-recognized side effect of being a health care professional (Briscoe, 2014). It is easy to get wrapped up in patients, their

Compassion fatigue is a huge reality and according to Potter et al. (2013), long-term effects of compassion fatigue have negative impact on the health, well-being and performance of nurses involved. Jean Watson’s theory of caring said, true healing cannot be realized without caring therefore, compassion fatigue is a problem that does not only affect nurses, but goes a notch higher by also affecting the quality of care offered by compassion fatigue victims. Boyle (2011) observed that there is need for nurses to be compassionate and caring especially when providing care to patients, families or relatives. Slatten et al. (2011) noted that compassion fatigue is an occupational hazard among nurses involved (that is, professionals involved in helping others). Compassion fatigue is therefore, a significant problem affecting professional practice in nursing because Rosa (2014) stated that, being a successful caregiver requires a nurse to be in a position to find the meaning in what they do, remain committed and immersed in order to gain a sense of purpose. However, compassion fatigue stands as a barrier to realization of sense of purpose among

Potter, P., Deshields, T., Berger, J.A., Clarke, M., Olsen, S., & Chen, L. (2013). Evaluation of a compassion fatigue resiliency program for oncology nurses. Oncology Nursing Forum 40(2), 180-187.

Compassion fatigue, sometimes called secondary trauma, is when an individual is around a person’s/people’s trauma so that that they themselves begins to be impacted emotionally, mentally, spiritually, and/or relationally. A person can also experience a form of compassion fatigue, known as vicarious trauma, when a traumatic event doesn’t happen to them directly but they do witness the event. Individuals like caregivers, doctors, counselors, social workers, chaplains, etc. are very susceptible to compassion fatigue because in their line of work caring for individuals who have been traumatized is come place.

summary, a fair amount of research has been conducted on burnout and compassion fatigue. it is important to understand the individual factors that lead to the development of burnout and compassion fatigue. Another purpose is to understand whether or not the experience of STS is limited only to those who have direct contact with individuals who are experiencing trauma symptoms. Additionally, most literature that discusses coping with compassion fatigue focuses on self-care techniques rather than on an effective style of cognitive appraisal. Common assumptions are that effective coping styles for healthcare workers will generalize to the mental health field. The present study also aims to identify a coping profile indicating whether or not a