When one thinks about nursing, caring, empathy, and compassion come to mind. There exists a link, an unbreakable union, for nurses that "compassion fatigue is the cost of caring for others in pain" (Boyle, 2015, p. 49). Compassion fatigue (CF) and its impact on nurses are predominating problems in various Emergency Departments (ED). Nurses perform a number of procedures throughout the day; however, the essential item that they deliver the utmost is themselves (Harris & Quinn-Griffin, 2015). Nurses provide care, succor, kindness, and tenderness to patients, families, other nurses; support to doctors and advanced practitioners, and convey directions to medical technicians, nursing assistants, and other staff every day. Eventually, the nurse can have their internal well of compassion come up empty, leaving them with CF. Simply stated, CF is the inability for nurses to nurture patients due to secondary traumatic stress disorder (Hinderer et al., 2014). This study explores what is compassion fatigue and ways to alleviate it and prevent it from taking away the love of nursing.
Overview of Problem of Interest
CF can cause the nurse to be ineffective at the job, depressed, and detached. One study shows that CF occurs in up to 46% of nurses who expressed flashbacks, and intrusive thoughts, 55% of nurses were easily annoyed, and 52% regularly reported avoiding their patients and emotional numbness (Dominguez-Gomez & Rutledge, 2009). Elevated CF among ED nurses will produce a
Those of us who graduated from nursing school and started their first job were full of dreams, aspirations, and had every intention of making a difference. Now fast forward five years; these same nurses have been on their feet for 16 hours and have not had time to eat or use the bathroom since leaving their homes this morning. The call lights will not stop going off long enough for them to give report to the oncoming nurses and once again they are late for their children’s dance recitals or soccer games. They can forget about trying to squeeze a yoga class in this week. I understand what it is like to rush to your car feeling as if some important task was forgotten; was Mr. Smith’s tube feed restarted, did room 8 receive their pain medication? Nurses all over the world are experiencing “burnout”. To avoid burnout, nurses must properly care for themselves by separating work from personal life, knowing when to say no, and making time for enjoyable activities to manage stress, because we cannot provide quality patient care if we are neglecting ourselves.
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,
Self-Care. Self-care is a crucial part of holistic nursing. As holistic nurses in practice, we should protect our personal health and safety in order to have the sustenance to be able to effectively and therapeutically care for others. Coping mechanisms are an immense help when it comes to preventing burnouts. A study published in the Journal of Pediatric Nursing (2015) examined 38 Pediatric ICU nurses who participated in a 5-minute mindfulness meditation before each work-shift for one month to investigate change in nursing stress, burnout, self-compassion, mindfulness, and job satisfaction. This exploration found that brief interventions that support on-the-job self-care and stress-reduction might prove useful in critical care hospital settings. Death and dying is something that is experienced throughout the human experience, yet in a beautiful twist everyone’s experiences with the process are different. On a stroke unit death sweeps the census on a regular basis. As a leader on my unit I have to be in tune with the nurses I am working with as well as the families who maybe struggling with the decision to change a code status to DNR, to cease escalation of care, or maybe to participate in organ donation, to ensure that my nurses remain professional and empathetic and the families are accommodated appropriately. It is important for
Working in the helping field has its many joys and privileges. Seeing a child, whose self esteem is at the bottom, light up when he/she accomplishes a new task, see the growth an alcohol and drug addict has made in treatment, or to see the family, that when they entered the door of your office, was on the verge of separation, but now are communicating and working out their own needs with little assistance from you, their therapist, is some of the most rewarding moments one can experience. However, to believe that life is all about these positive moments and that the battles you join in with others to overcome will not have an impact on you
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 incidence of compassion fatigue is increasing due to the heavy responsibilities placed on nurses and other providers, physically, mentally, and spiritually. Compassion can be a limited resource, our system is rooted in cognitive networks that tire and need refueling (Carey, 2011). Healthcare workers spend more time charting than
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
Patient care may be at risk if a nurse is experiencing compassion fatigue. Nurses can start to exhibit distancing or desensitizing behaviors in order to cope with their stressors; thus leading to a decreased satisfaction in patient care and an ineffective therapeutic relationship. The failure of the nurse to identify their stress, can
Running head: COMPASSION FATIGUE Physicians are not immune to CF either, in a study published in the Journal of the American Medical association, CF, defined as the emotional affects
Similar to physical exhaustion, emotional exhaustion results from depletion of emotional resources and failure to restore one’s own emotional equilibrium. (Moore, 2009, p. 1) In today’s busy society the demands of life, job and family can be excessive and overwhelming. Combine these demands with the additional stressors of caring for another person or persons, increased demands of productivity with decreased personnel and the unrealistic expectations of one’s self or others and place all of this burden on one person, this would adequately describe the 21st century nurse. Nurses are continually engaged in emotional relationships with patients and their families which call upon the nurse to be in a constant supporting role. One reaches emotional exhaustion when this burden becomes too heavy to carry
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
Nurses have been taken care of wounded soldiers, victims of disasters and patients in hospitals, clinic and schools since the late 1800’s. Recently there has been concerns raised about nurses’ being burn-out emotionally and physically. According to Varcarolis (2013), nurses should be alert to compassion fatigue, which is the emotional effect that nurses may experience by being indirectly traumatized when trying to help people/clients experiencing traumatic stress. This is crucial that nurses and other caregivers take good care of themselves and develop an effective coping skills to deal with all the stress and other symptoms that accompany the job. Charity begins at home, therefore to ensure quality care for all our patients, nurses need
Figley CR. Compassion fatigue: Toward a new understanding of the costs of caring. In: Stamm BH, ed. Secondary Traumatic Stress: Self Care Issues for Clinicians, Researchers, and Educators. Lutherville, MD: Sidran Press;
Compassion is a crucial aspect of nursing; it involves seeing the patients as more than just a medical problem. Patients look to nurses as a source of comfort to help them deal with their emotions and understand their medical problems. In Norway, a study was conducted to find the role of compassion in nursing and
Nurses, especially in intensive care units (ICUs), are exposed to high levels of stress (Acker, 1993). The inability to counter negative influences leads to long-term psychological and somatic problems and this is one of the major causes of ICU staff turnover (Stechmiller, 2002; Steinbrook, 2002). Burn-out syndrome, symptoms of posttraumatic stress disorder (PTSD), anxiety and depression and their combinations have been described in this population (Kerasiotis and Motta, 2004; Mealer et al., 2007, 2009; Poncet et al., 2007). Recent attention has been focused on several exposition factors (work-related critical incidents) and their influence on the incidence of psychological symptoms (Caine and Ter-Bagdasarian, 2003; Kleber and Van der Velden). Studies on the topic have been