Key: compassion fatigue; nurse; self-care ; resilience Nursing is recognized as an occupation that is under stress on both professional and personal levels. In recent years, increasing amount of nursing disputes cause the shortage of nurses currently threatens health care globally. One of the reasons of this shortage is that nurses experience high levels of stress and work load in acute care settings. The purpose of this assignment is to review ‘compassion fatigue’ in nursing and discuss the solutions of increasing resilience by nurses’ self-care. Compassion fatigue is a cumulative process that is affected by interaction with patients and the nurses. Compassion Fatigue was first described by (Joinson, 1992) in a study of burnout in nurses who worked in an emergency department. He recognized that the compassion fatigue include the characters such as chronic fatigue, irritability, dread going to work, aggravation of physical ailments, and a lack of joy in life. (Figley, 2002) later defined compassion fatigue as a state of tension and preoccupation with the individual or cumulative traumas of clients. Compassion fatigue results from paying intensive effort and giving compassion over a prolonged period to those who are suffering, often without experiencing the positive outcomes of seeing patients improve (McHolm, 2006). The compassion fatigue have various negative impacts on mental health of nurses. First, it may reduce the humanity independence of nurses. Everyone deserve a
Nurses play many roles in today’s society; they have to balance family, life, and their job. Nursing is a very demanding profession; you are caring for the sick with limited resources causing nurses to create unrealistic expectations (Bush, 2009). Nurses create a tireless arrangement and emotional connections with patients, shouldering a huge supporting role. Supporting this role causes nurses to feel emotional exhaustion and the weight of care for patients can become overwhelming. Signs of emotional exhaustion can cause nurse to become hostile, isolated, start crying for no reason, and getting upset (Bush, 2009).
Health providers suffer from an emotional problem called compassion fatigue. Often times compassion fatigue occurs do to the situations encountered by health care professionals and the pain they feel for the patients they care for. One of the essential components of health care is providing care is compassion
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
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
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
According to Coetzee and Hester (2010) compassion fatigue was adopted as a synonym for secondary traumatic stress disorder. The aim of their 2010 concept analysis of the topic was to further define compassion fatigue as it applies to the nursing practice. They describe the process of compassion fatigue from just simply discomfort to compassion stress and finally fatigue. (p.1) Their analysis describes how damaging compassion fatigue can be on a nurse’s ability to provide compassionate care. The information is vital to the field of nursing and the outcomes of our patients. Specifically, it plays an important role in my personal practice. It’s a nurse responsibility to provide compassion care for the ill. In the process nurses are exposed daily to their patient’s pain trauma, and their struggles. This and other factors such as unsafe work conditions can take a toll on nurses and their functionality.
Compassion represents an “acknowledgement of another’s suffering and is accompanied by the expression of a desire to ease or end that suffering.” (Van der Cingal, 2009, p. 124) This is a fundamental characteristic usually found in health care workers and nurses especially. In one twelve hour shift, a nurse’s job can change from taking vitals and administering medications to performing life saving measures
As health professionals one of the qualities that we possess is to be empathetic and put ourselves in the place of our patients. In a situation like the one described in the study if the professional is not emotionally prepared to handle this situation where families lose everything, there are homeless and wounded children, we can fall in compassion fatigue. We will stop being empathetic to be a part of the situation and thus lose the perspective of the situation. This condition can occur more frequently in firefighters, police officers, emergency medical technicians and rescuers are those who arrive first to the disaster area. This research aimed to analyze how exposed is the nurse to present the compassion fatigue , the use of both methods
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
Compassion fatigue and burnout is a burgeoning area of interest primarily due to its adverse effects on a nurses’ health, productivity, and patient care. Despite the literature on nursing burnout and compassion fatigue, the lived experiences of nurses have virtually been ignored. According to Thomas & Wilson (2004), compassion fatigue is the stress, strain, and weariness of caring for others who are suffering from a medical illness or psychological problem” (p. 82). In contrast, burnout is a accumulation of stress due to the repetitive demands of daily life, a state of physical, emotional, and mental exhaustion caused by a depletion of the ability to cope with one’s environment, particularty the work environment (Maslach, 1982). Burnout more often point to environment stressors, whereas definitions of compassion fatigue address the relational nature of the condition.Increasing and unresolved stress leads to compassion fatigue, it is the accumulation of fatigue that leads to a state of exhaustion and
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;
Nursing compassion fatigue among pediatric nurses has become a concerning issue in health care delivery that must be addressed. When nurses experience this condition, they place their patients at an immediate risk. For example, medical errors, poor patient outcomes, and low patient satisfaction may occur (Kutney-Lee et al., 2009; Vahey, Aiken, Sloane, Clarke, & Vargas, 2004). Medical errors are unacceptable, especially during life or death scenarios with patients. One mistake can cause several other health issues or even death. Anxiety, depression, and post-traumatic stress disorder (PSTD) are linked to burnout (Czaja, Moss, & Mealer, 2012; Figley, 1995). This detrimentally affects nurses’ abilities to provide optimal care for their young
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