Compassion Fatigue and Burnout in Nurses Who Work With Children With Chronic Conditions and Their Families

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.

Staff nurses have great responsibilities in caring for patients. Often, these nurses experience heavy workload. Heavy patient load and stress contributes to burnout. Why is burnout important to discuss in relation to nurses? Burnout affects the performance of the nurse and the quality of care he or she provides to the patient. Therefore, it is imperative that staff nurses decrease the possibility of burnout and increase or maintain excitement and enjoyment in the field of nursing. If nurses do so, they will find joy in their work and quality of patient care will be increased. Contributors to burnout and

The day comes and you think you cannot hear one more story of trauma. This is not a sign of burnout but of compassion fatigue. It’s a signal to you that it is time to step back and do self-care. Burnout and compassion fatigue are often confused as the same thing. The difference between them is that burnout builds up gradually over time and resolves itself when the volunteer or practitioner takes a break or goes to other work, even in the same field.

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

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

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

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

. 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).

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

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.

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

Pediatric Care Nurses have a demanding job that is often overlooked by most. People do not take into account how much a nurse will give to his or her patient, especially considering that patient is most likely a child between the ages of infancy to eighteen (“How Nurses”). The patients, being very young, can attribute to the amount of stress the nurse feels to do his or her best which can in some form bring an emotional factor into the mix, especially if the nurse has children himself/herself (Izumi 203). While being a pediatric care nurse, emotions play a large role in the way these professionals do their job. A step back is needed to see the emotional and physical stress these pediatric care nurses face when doing their job.