Compassion Fatigue: Traumatic Stress Disorders

Compassion fatigue is the emotional residue from the exposure of hearing trauma stories over and over until your heart and head is full until the caller/client’s trauma becomes your experience too. You cannot hear story after story and remain unaffected. As your callers/clients experience a daily repetition of trauma, so will you .Being a witness to pain, loss, fear, terror or injustice that the caller/client is living through and has to endure will eventually effect all of us.

The person suffering from compassion fatigue will begin to question their meaning of life and their decision to work in health care. Often times the person will also question and challenge their religious and cultural beliefs. Sometimes the person will lose his or her faith or become skeptical. Becoming angry and bitter with God and blaming him may also occur.

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 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,

Compassion is that feeling that motivates a person to help another human in need. Whether that need is an emotional, physical, or spiritual need. When caring for another human being, as nurses, we cannot help but feel that urge to help the person in front of us. We want to find the details that can

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.

. This exploratory study used a cross sectional survey method (Hopper, Craig, Janvir, Wetsel, Reimels, Anderson, Greenvilee & Clemson, 2010, p. 422). Compassion satisfaction and fatigue subscales were measured using the Professional Quality of Life, using ProQOL R-IV instrument (Hopper, et al. 2010, p. 423). Despite study limitations which were small sample size, authors concluded that recognising the signs and symptoms, and identifying best practice interventions and raising awareness, will lead to the development of ongoing support programs for hospital nurses (Hopper, et al., 2010, p. 427).

The purpose of conducting a concept analysis is to divide the components of a concept into separate individual parts for evaluation and clarification. Analysis of the internal structure, defining aspects, characteristics and interrelationships to the other components can be achieved by conducting a concept analysis. The basic purpose is a process to discover the similarities and differences between concepts (Walker & Avant, 2005). The intent of the concept analysis on the subject of compassion fatigue is to evaluate compassion fatigue in nursing and to determine the current conceptual use in efforts to clarify the relevance to nurses. The aim is to identify how the concept is currently utilized and how it could potentially be utilized in the future.

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

Health caregivers are the group of people mostly at risk of developing compassion fatigue. Most of the times, compassion fatigue may be as a result of the situations the care providers encountered and the pain they feel for their patients. One of the vital element of healthcare is providing a compassionate care. Compassion is defined as being aware of other people suffering, and desire to help to them reduce the suffering (Ruysschaert, 2009). Compassion fatigue is seen as a form of burnout that affect the health care provider which manifest itself as physical, emotional, and spiritual exhaustion (Lynch & Lobo, 2012). The four major factors that can lead to compassion fatigue are, giving others too much caring and not enough care to self, unresolved past trauma, inability to control stress at work, and lack of satisfaction in the work (Ruysschaert, 2009). Compassion fatigue occurs when the caregivers are milked of their sense of wellbeing, comfort, their purpose in life, strength and all the good qualities they have. It is important for those that caring for others to also pay attention to their own needs. Taking care of your own needs means that you will be healthy and therefore be more able to care for others. The caregiver needs to be able to recognize and discuss compassion in order to avoid it.

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

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