Post-Traumatic Stress In Nursing

Throughout my time on the Mother Baby Care Unit, I have faced many instances in which I have been able to reflect on both my patients and the care that I was providing them. One situation in particular that I found myself critically reflecting upon involved a new mother who was feeling slightly stressed about being discharged as her newborn son would not be going home with her. For confidentiality reasons, this patient will be given the pseudonym of Kayla for the remainder of this reflection.

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.

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

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,

At the end of the experiment, the author found that Dissociative experiences are possible during childbirth in particular symptoms. These symptoms include sensation of a change in the pace of time, not being aware of certain things that happened, and disorientation. Traumatic childbirth also impacted perinatal dissociation. Traumatic childbirth occurred when women feared for their lives and their baby’s lives, received news about some terrible obstetrical intervention or medical

The therapist will eventually start taking on the client’s trauma as his or her own. Symptoms for compassion fatigue and vicarious trauma are equivalent (Dass-Brailsford, 2007). This may take longer for the therapist to realize what is happening but it is a quicker recovery than burnout. Radey and Figley (2007) discuss in their article compassion satisfaction. Compassion satisfaction can happen when therapist put their resources to use and do not let the trauma of the their clients overcome them. The authors say three things will help them have compassion satisfaction and they are increasing positive affect, increasing resources to manage stress, and increasing self-care (Radey & Figley, 2007).

Healthcare providers are at increased risk for compassion fatigue (CF), which has also been called secondary traumatic stress, second hand shock syndrome, secondary stress reaction, and vicarious trauma (ABA, 2011). Compassion fatigue begins to become an issue when caregivers give too much of themselves to others and neglect to provide for their own needs. Neglecting one’s personal needs can be harmful, leading to destructive behaviors and patterns, such as over indulgence and increased sick calls. Over time the provider has a decreased ability to show compassion. This paper will discuss and describe compassion fatigue, warning signs of compassion fatigue, and discuss recovery options for those suffering from compassion fatigue.

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

Centre for Maternal and Child Enquiries (CMACE) (2011) Saving mothers’ lives; reviewing maternal deaths to make motherhood safer: 2006-2008. BJOG 18(1): 1-203. London. Blackwell Synergy.

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

Two years ago, I was introduced to midwifery when my brother and his girlfriend were considering options for the impending birth of my nephew. Since that time, everything I’ve pursued and studied has helped bring me a step closer to becoming a midwife myself. I find pregnancy, childbirth, and babies to be the most fascinating things in the world. I spend heaps of time independently researching different aspects of childbirth. Last year, I wrote a research paper on the differences between home births and hospital births, and I’m currently working on a podcast about home births and the role midwives play. There's so much knowledge out there that I was oblivious to; once I figured out that pregnancy, birth, and even postpartum care need not be

Kristen M. Swanson RN, PhD, FAAN derives her Theory of Caring from the works of multiple nursing scholars, combined with empirical evidence and phenomenological investigations, to create a middle-range theory applicable to almost any healthcare setting (Swanson, 1991). The middle-range theory evolved partially due to Dr. Swanson’s doctoral studies under Dr. Jean Watson (Wojnar, 2014, p. 689). Dr. Swanson’s theory contains a perinatal background, initially developed specifically in attempt to explain miscarriage experiences (Wojnar, 2014). By conducting three different studies involving three different perspectives, Dr. Swanson was able to establish and define five concepts, caring processes, critical to her theory (Swanson, 1998). The three perspectives investigated by Dr. Swanson were women who miscarried, NICU caregivers, and at-risk mothers. With each study, her definitions of the five caring processes evolved (Swanson, 1991).

McBrien, B. (2007) Learning from Practice: Reflections from a critical incident. Accident and Emergency Nursing, 15 (3): 128-133

It was an unpleasantly early morning in the hospital waiting room. Nurses buzzed around, busy attending to their patients while a faint beeping sound could be heard in the background. I was starting my second shift of the day at the hospital, just finishing working a shift in the dark, grimy morgue. Groggy, I sat down at my desk to begin another four hours of labor. My position was to assure that the paper work was properly completed and that all patients were attended too. While being a supervising nurse was a great responsibility, it left time to day dream.