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Manzanedo-Moreno M, Salcedo-Sampedro C, Abajas-Bustillo R, Martin-Melón R, Peña RF, Ortego-Maté C. Interventions to Reduce Compassion Fatigue in Nursing: A Systematic Review and Meta-Analysis of Controlled Studies. Int Nurs Rev 2025; 72:e70023. [PMID: 40243496 DOI: 10.1111/inr.70023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2024] [Accepted: 03/19/2025] [Indexed: 04/18/2025]
Abstract
BACKGROUND Compassion fatigue is the emotional response generated by continuous exposure to human suffering and is especially common among nursing professionals. This phenomenon can lead to decreased empathy and increased emotional exhaustion while affecting the quality of care. AIM To synthesize information from primary studies that have used and evaluated interventions aimed at managing compassion fatigue in nursing professionals. DESIGN A systematic review with meta-analysis of studies with randomized and nonrandomized control groups. METHODS Medline, CINAHL, Scopus, and Web of Science databases were searched for studies published between 2013 and 2023. The search was conducted in January 2024 to identify control group studies that provided quantitative pre-post data on both groups of compassion fatigue assessed with the Professional Quality of Life Scale (ProQol). Quality was assessed using the RoB2 and ROBINS-I scales. The protocol was registered in the International Prospective Register of Systematic Reviews (CRD42024537935). RESULTS The search strategy yielded a total of 1006 records, of which 11 studies were selected; these provided a total of 763 participants. Most of the interventions consisted of providing knowledge and skills to increase resilience, emotional well-being, and stress coping. The interventions had an average duration of 6 weeks distributed in 9 sessions with an average of 90 minutes. After the intervention, a statistically significant increase in satisfaction was obtained and a statistically significant reduction in fatigue and burnout. CONCLUSION AND IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY Interventions aimed at reducing compassion fatigue are effective among nursing professionals. In the future, further high-quality research with prospective follow-up designs is required.
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Affiliation(s)
| | | | - Rebeca Abajas-Bustillo
- Faculty of Nursing, Universidad de Cantabria, IDIVAL Nursing Research Group, Santander, Spain
| | - Roberto Martin-Melón
- Library Assistant, Biosciences Library, University of Cantabria, Santander, Cantabria, Spain
| | - Rosario Fernández Peña
- Faculty of Nursing, Universidad de Cantabria, IDIVAL Nursing Research Group, Santander, Spain
| | - Carmen Ortego-Maté
- Faculty of Nursing, Universidad de Cantabria, IDIVAL Nursing Research Group, Santander, Spain
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Yee A, Kauric-Klein Z. Managing Compassion Fatigue in Intensive Care Unit Nurses: A Systematic Review. Dimens Crit Care Nurs 2025; 44:145-158. [PMID: 40163337 DOI: 10.1097/dcc.0000000000000692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/02/2025] Open
Abstract
BACKGROUND Compassion fatigue is the accumulation of negative feelings from long-term exposure to human suffering, which leads to emotional, physical, and spiritual exhaustion. Intensive care unit nurses are especially prone to this due to the unique stressors of their work environment, such as high patient mortality and caring for medically unstable patients. There is currently a gap in literature appraising the effectiveness of interventions that help manage compassion fatigue in intensive care unit nurses. OBJECTIVES This systematic review evaluates the efficacy of compassion fatigue interventions for intensive care unit nurses. METHODS This systematic review was conducted following guidelines from the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Literature published between 2005 and 2024 was obtained from Cochrane Library, CINAHL, and PsycINFO databases. Studies were included if they met the following inclusion criteria: quantitative study design, involved an intervention to prevent or manage compassion fatigue, evaluation of compassion fatigue or one of its components (burnout and secondary traumatic stress), an intervention involving intensive care unit nurses, and articles published in the English language.These data were appraised by 2 independent reviewers using the Joanna Briggs Institute Critical Appraisal tool. RESULTS A total of 17 studies were included. This review found moderate and high strength of evidence for interventions to reduce compassion fatigue in intensive care unit nurses. The most effective interventions were mind-body interventions that were accessible, portable, brief, and adaptable to nurses' work settings. DISCUSSION This review has several limitations. Many studies included in this review had small sample sizes, were conducted at 1 hospital setting or unit, and used weak study designs. Several studies also used different interventions and measurement approaches, making it difficult to compare and synthesize findings and outcomes. Thus, the heterogeneity of studies limited our ability to draw strong conclusions about different types of interventions. Additional and more rigorous studies examining interventions to decrease and manage compassion fatigue in intensive care unit nurses are needed. There is also a need to foster better generalizability of research findings.
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Witte H, Svenningsen L, Grønkjær LL, Donskov F. Compassion training for healthcare professionals in oncology: A mixed-methods pilot study. Eur J Oncol Nurs 2025; 75:102808. [PMID: 39914130 DOI: 10.1016/j.ejon.2025.102808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2024] [Revised: 01/17/2025] [Accepted: 01/18/2025] [Indexed: 03/09/2025]
Abstract
PURPOSE Care and treatment within oncology is characterized by significant emotional demands from healthcare professionals resulting in burnout and distress. We examined the effect of compassion training on healthcare professionals using a mixed-methods explanatory sequential design. METHODS Oncology healthcare professionals underwent four weeks compassion training program. Participants completed the Self-Compassion and Professional Quality of Life Health questionnaires at baseline and post-training. Two focus group interviews were conducted using interpretive description methodology. RESULTS A total of 22 healthcare professionals participated. Four weeks of compassion training resulted in significantly improved overall Self-Compassion score (3.8 vs 4.0; P = 0.019), Self-Kindness (3.7 vs 4.0; P = 0.028), Self-Judgement (3.7 vs 4.0; P = 0.05), and Common-Humanity (3.9 vs 4.1; P = 0.013). Participants who did not complete the training (N = 9) versus those who completed (N = 13) had statistically significantly lower overall Self-Compassion scores (3.0 vs. 3.8; P = 0.004) and lower Self-Kindness (2.8 vs. 3.7; P = 0.04), Self-Judgement (2.9 vs. 3.7; P = 0.036), Common-Humanity (3.0 vs. 3.9; P = 0.036), Isolation (2.9 vs. 4.1; P = 0.001), and Over-Identification (2.9 vs. 3.4; P = 0.030). They also scored lower in Professional Quality of Life Health measures, including Compassion-Satisfaction (22.7 vs. 26.9; P = 0.011) and Perceived-Support (19.6 vs. 24.8; P = 0.007), while scoring higher for Burnout (19.2 vs. 12.7; P = 0.001), Secondary-Traumatic-Stress (14.0 vs. 10.6; P = 0.036), and Compassion-Fatigue (15.4 vs. 11.6; P = 0.001). The focus group interviews revealed four themes: Impact of Leader Approval, Project Manager, Work-Related Stress, and Calm Mind. CONCLUSION Four weeks of compassion training significantly improved self-compassion. Healthcare professionals who did not complete the training had lower levels of self-compassion and professional quality of life.
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Affiliation(s)
- Henriette Witte
- Department of Oncology, University Hospital of Southern Denmark, Esbjerg, Denmark.
| | - Lone Svenningsen
- Department of Communication, University Hospital of Southern Denmark, Esbjerg, Denmark
| | - Lea Ladegaard Grønkjær
- Department of Gastroenterology, University Hospital of Southern Denmark, Esbjerg, Denmark
| | - Frede Donskov
- Department of Oncology, University Hospital of Southern Denmark, Esbjerg, Denmark
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Li ACM, Chio FHN, Mak WWS, Fong TH, Chan SHW, Tran YHR, Kakani K. Compassion fatigue, compassion satisfaction and mindfulness among healthcare professionals: A meta-analysis of correlational studies and randomized controlled trials. Soc Sci Med 2025; 367:117749. [PMID: 39908857 DOI: 10.1016/j.socscimed.2025.117749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Revised: 11/04/2024] [Accepted: 01/20/2025] [Indexed: 02/07/2025]
Abstract
BACKGROUND Compassion fatigue is a pressing concern for healthcare professionals, impacting their well-being and the quality of service they deliver to service users. Mindfulness has emerged as a potential strategy to mitigate compassion fatigue among healthcare professionals. This meta-analysis aims to investigate the correlation between mindfulness and compassion fatigue/compassion satisfaction and the effect of mindfulness-based interventions (MBI) on compassion fatigue/compassion satisfaction. METHOD 7568 papers were identified through a systematic search in ProQuest, Web of Science, PsycINFO, Embase, and MEDLINE. 78 correlational studies and 29 randomized controlled trials were screened-in for analysis. Study quality and data were coded for analysis. RESULTS Significant moderate negative correlation between mindfulness and compassion fatigue was found. Significant moderate positive correlation was also observed between mindfulness and compassion satisfaction. Older healthcare professionals and professionals working in non-acute settings were found to have stronger correlations between mindfulness and compassion satisfaction. From randomized controlled trial studies of MBI, moderate effect size was found for compassion fatigue, and small effect size was found for compassion satisfaction. Effects were found to be similar across settings. CONCLUSIONS This meta-analysis is the first synthesis of the relationship between compassion fatigue and compassion satisfaction with mindfulness, as well as the effectiveness of mindfulness-based interventions on these two variables among healthcare professionals. Future studies could consider investigating mediators of mindfulness-based interventions to understand possible mechanisms.
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Affiliation(s)
- Amanda C M Li
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong.
| | - Floria H N Chio
- Department of Psychology, Trent University, Peterborough, Canada
| | - Winnie W S Mak
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong
| | - T H Fong
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong
| | - Sarah H W Chan
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong
| | - Y H R Tran
- Department of Psychology, University of California, Berkeley, USA
| | - K Kakani
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong
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Wu T, Lu CR. Understanding compassion fatigue among social workers: a scoping review. Front Psychol 2025; 16:1500305. [PMID: 39931289 PMCID: PMC11809495 DOI: 10.3389/fpsyg.2025.1500305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2024] [Accepted: 01/09/2025] [Indexed: 02/13/2025] Open
Abstract
Exposure to significant sources of trauma and stress among social workers is increasingly identified as an important issue that can impact the quality of professional services, and the social worker's well-being. There is more and more literature focusing on this phenomenon and related concepts. However, to our knowledge, there has been no published systematic review of the literature on compassion fatigue (CF) among social workers. Therefore, we performed a systematic scoping review by searching five electronic databases for studies published from 2001 to 2021, with the aim of identifying relevant literature. A total of twenty-nine studies were selected in the review following the systematic search strategy. Five themes were identified through the use of a narrative approach to synthesizing the literature by a Five-step framework of scoping review, including the prevalence, factors related, attributes and characteristics, consequences and strategies or interventions to reduce compassion fatigue among social workers. Findings revealed that few studies had examined the consequences and tested the effectiveness of specific interventions. Furthermore, future research involving concept analysis and related theoretical model was required in the field of social work.
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Affiliation(s)
- Tian Wu
- Department of Rehabilitation Sciences, Nanjing Normal University of Special Education, Nanjing, China
| | - Chun-Rong Lu
- Department of Social Work, Tunghai University, Taichung, Taiwan
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D’Antoni F, Matiz A, Crescentini C. Mindfulness-Oriented Professional Resilience (MOPR) Training to Reduce Compassion Fatigue in Healthcare Workers: A Pilot Study. Healthcare (Basel) 2025; 13:92. [PMID: 39857119 PMCID: PMC11765218 DOI: 10.3390/healthcare13020092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2024] [Revised: 12/28/2024] [Accepted: 01/03/2025] [Indexed: 01/27/2025] Open
Abstract
Background/Objectives: Compassion Fatigue (CF) is a critical issue among healthcare professionals, exacerbated by exposure to trauma and chronic workplace stress. This pilot study evaluates the effectiveness of a Mindfulness-Oriented Professional Resilience (MOPR) program, a structured intervention designed to mitigate CF and enhance resilience in healthcare professionals. The program integrates mindfulness practices, arousal modulation techniques, and resilience-building strategies over six weekly sessions. Methods: A sample of 73 healthcare workers (mean age 48.6, SD = 9.42) participated in the study, and pre-post data were analyzed using repeated measures ANOVA. Results: Results indicated significant improvements in professional quality of life, with increased Compassion Satisfaction (p < 0.001) and reductions in Burnout (p = 0.003) and Secondary Traumatic Stress (p < 0.001). Mindfulness skills improved significantly across four dimensions-Observing, Describing, Acting with Awareness, and Non-reactivity-with p-values ranging from <0.01 to <0.001. Arousal modulation showed increased Optimal Arousal Zone scores (p < 0.001) and reduced maladaptive stress responses, including Fight/Flight, Freeze, and Feigned Death (p < 0.05). Psychological well-being improvements were observed, particularly in Self-Acceptance (p = 0.014) and Positive Relations (p = 0.041). Conclusions: These findings suggest that the MOPR program is a promising intervention for healthcare professionals, supporting resilience and reducing the psychological burden of caregiving. Future controlled studies should explore its long-term efficacy in diverse clinical settings and in larger samples.
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Affiliation(s)
- Fabio D’Antoni
- Maternal Infant Services Unit of Udine, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), 33100 Udine, Italy
| | - Alessio Matiz
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy;
- Department of Languages and Literatures, Communication, Education and Society, University of Udine, 33100 Udine, Italy;
| | - Cristiano Crescentini
- Department of Languages and Literatures, Communication, Education and Society, University of Udine, 33100 Udine, Italy;
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Çakmak B, Çilingir D, Candas Altinbas B. Determination of Compassion Satisfaction and Compassion Fatigue Among Surgical Nurses. J Perianesth Nurs 2024:S1089-9472(24)00399-X. [PMID: 39580738 DOI: 10.1016/j.jopan.2024.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2024] [Revised: 07/16/2024] [Accepted: 08/15/2024] [Indexed: 11/26/2024]
Abstract
PURPOSE The purpose of the study was to examine the level of compassion satisfaction and compassion fatigue in surgical nurses. DESIGN A descriptive and relationship-seeking study. METHODS The study sample consisted of 200 surgical nurses working in surgical units. Data were collected using the "Nurse Introduction Form," "Compassion Scale," and "Professional Quality of Life Scale." The data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. (Armonk, NY: IBM Corp). FINDINGS According to this study, surgical nurses had a high level of compassion satisfaction and a moderate level of compassion fatigue. There is a statistically significant correlation between compassion satisfaction and compassion fatigue (P = .002, r = 0.220). CONCLUSIONS Among surgical nurses, the moderating variables that influenced levels of compassion satisfaction were gender, educational level, professional experience, and overall job satisfaction. Concurrently, age and professional experience were identified as significant factors affecting compassion fatigue.
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Affiliation(s)
- Bahtışen Çakmak
- Balıkesir Atatürk City Hospital, Altıeylül, Balıkesir, Turkey.
| | - Dilek Çilingir
- Faculty of Heath Science, Department of Surgical Disease Nursing, Karadeniz Technical University, Trabzon, Turkey
| | - Bahar Candas Altinbas
- Faculty of Heath Science, Department of Surgical Disease Nursing, Karadeniz Technical University, Trabzon, Turkey
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Al-Obiedat AM, Allari RS, Gharaibeh MK. The psychological empowerment and quality of work life among Jordanian primary care nurses and midwives. Front Med (Lausanne) 2024; 11:1476225. [PMID: 39564512 PMCID: PMC11573508 DOI: 10.3389/fmed.2024.1476225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2024] [Accepted: 10/21/2024] [Indexed: 11/21/2024] Open
Abstract
Introduction The healthcare industry, particularly in the context of primary care, presents various challenges to nurses and midwives, influencing their psychological empowerment (PE) and quality of work life (QWL). Objective This study's objective is to assess the levels of PE and QWL among Jordanian primary care nurses and midwives and explore the relationship between PE and QWL. Methods Utilizing a descriptive correlational design, the study included 273 Jordanian primary care nurses and midwives through convenience sampling. The Psychological Empowerment Instrument and Brook's Quality of Nursing Work Life Survey were used to measure PE and QWL. Data was analyzed using descriptive statistics to describe the study participant's characteristics and inferential analysis such as Pearson correlation, and multiple regression to examine relationships and identify predictors of study variables. Results The study found that the QWL scale had high reliability (Cronbach's alpha = 0.954), and similarly, the PE scale demonstrated strong reliability (Cronbach's alpha = 0.948). Moving on to the core findings, significant positive correlations were identified between PE and QWL, with a correlation coefficient of r = 0.568 (p < 0.01), indicating that higher levels of psychological empowerment were associated with better quality of work life. Furthermore, the regression analysis revealed that PE accounted for approximately 32.3% of the variability in QWL scores. Interestingly, participants holding diplomas reported the highest QWL scores (mean = 136.14), while those contemplating leaving the nursing profession displayed significantly lower QWL scores (mean = 114.14). No significant correlations were found between PE and sociodemographic variables such as age, income, and years of experience. Conclusion This study reveals a crucial need to enhance PE and QWL. Key findings show moderate PE and QWL levels, with variations based on educational background and workplace. The positive correlation between PE and QWL identifies the benefits of fostering empowerment through professional development, job autonomy, and decision-making. These insights are vital for improving nursing practice and policy and enhancing nurse satisfaction and patient care.
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Affiliation(s)
- Asem Mohammad Al-Obiedat
- Faculty of Nursing/ Al-Ahliyya Amman University, Amman, Jordan
- King Hussein Medical Center in Royal Medical Services, Amman, Jordan
| | - Rabia S Allari
- Faculty of Nursing/ Al-Ahliyya Amman University, Amman, Jordan
| | - Muntaha K Gharaibeh
- Faculty of Nursing/ Al-Ahliyya Amman University, Amman, Jordan
- Jordan University of Science and Technology, Faculty of Nursing/MCH Department, Irbid, Jordan
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Kiratli D, Duran S. Compassion fatigue and loneliness at work in nurses - the mediating role of resilience: a cross-sectional study. J Res Nurs 2024; 29:290-302. [PMID: 39291224 PMCID: PMC11403983 DOI: 10.1177/17449871241238965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/19/2024] Open
Abstract
Background Heavy workload, job stress and lack of colleague support can lead to loneliness and burnout in nurses. Caring for a patient with constant pain can cause compassion fatigue. Loneliness at work and compassion fatigue also negatively affect the quality of patient care. Aim This study aims to determine the effect of resilience on loneliness at work and compassion fatigue in nurses. Method This is a descriptive cross-sectional study. The study was conducted with a total of 214 nurses. Results A statistically significant negative relationship was found between the level of loneliness at work and resilience, and between resilience and compassion fatigue in nurses. The mediating role of resilience was found to be significant in the effect of loneliness at work on compassion fatigue in nurses. Conclusions The results of this study suggest empowering nurses who have loneliness at work and compassion fatigue. Compassion fatigue is seen as occupational deformation. Nurses need to learn how to manage compassion fatigue, develop coping skills and receive support to ensure job satisfaction. In addition, nurse managers should create a reasonable workload for nurses. These efforts can increase the job satisfaction and patient care quality of nursing departments.
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Affiliation(s)
- Didem Kiratli
- Assistant Director of Health Care Services, Dr. Behçet Uz Children's Diseases and Surgery, Training and Research Hospital, Izmir, Türkiye
| | - Songul Duran
- Associate Professor, Izmir Demokrasi University, Health Services Vocational College, Care of Elderly Program, Izmir, Türkiye
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Saliya SA, Ashine TM, Heliso AZ, Babore GO, Birhanu B, Hailu AG. Professional quality of life and job satisfaction among nurses working at tertiary hospitals in central Ethiopia. BMC Nurs 2024; 23:417. [PMID: 38902728 PMCID: PMC11191251 DOI: 10.1186/s12912-024-02101-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 06/17/2024] [Indexed: 06/22/2024] Open
Abstract
BACKGROUND Professional quality of life is a crucial aspect of healthcare professionals' well-being and job satisfaction. Job satisfaction, on the other hand, encompasses fulfillment of desired needs within the work environment, happiness or gratifying emotional response towards working conditions, and job values or equity. Existing literature tends to address job satisfaction and professional quality of life separately, overlooking their interconnectedness, especially within the unique context of Ethiopia. This study aimed to assess nurses' professional quality of life and job satisfaction. METHODS A descriptive cross-sectional study was conducted from September 1-30 2023 among 420 nurses using a structured questionnaire. The study participants were recruited by simple random sampling. Multiple linear regressions were used to identify factors associated with outcome variables. RESULTS The study involved 420 nurses, with 407 completing the questionnaire, yielding a 96.68% response rate. The findings revealed varying levels of professional quality of life. Specifically, 258 participants (63.4%) exhibited low compassion satisfaction, while 271 (66.6%) and 266 (65.4%) experienced average levels of burnout and secondary traumatic stress, respectively. Job satisfaction was moderate to high for 55% of the participants. As the finding of this study indicates, there is a positive correlation between compassion satisfaction and job satisfaction in nursing. The study also identified predictors for job satisfaction, compassion satisfaction, and compassion fatigue, such as marital status, education, and experience. CONCLUSION The majority of participants reported a medium level of compassion satisfaction, with a significant proportion experiencing moderate to high levels of compassion fatigue. Although more than half of the participants had moderate to high job satisfaction, there were still low levels of satisfaction. The study recommends developing targeted training programs, implementing workplace policies, and designing initiatives to enhance education, experience, and compassion satisfaction.
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Affiliation(s)
- Sentayehu Admasu Saliya
- College of Medicine and Health Science, School of Nursing, Wachemo University, Hosanna, Ethiopia.
| | - Taye Mezgebu Ashine
- College of Medicine and Health Science, School of Nursing, Wachemo University, Hosanna, Ethiopia
| | - Asnakech Zekiwos Heliso
- College of Medicine and Health Science, School of Nursing, Wachemo University, Hosanna, Ethiopia
| | - Getachew Ossabo Babore
- College of Medicine and Health Science, School of Nursing, Wachemo University, Hosanna, Ethiopia
| | - Bethelhem Birhanu
- College of Medicine and Health Science, School of Nursing, Wachemo University, Hosanna, Ethiopia
| | - Awoke Girma Hailu
- College of Medicine and Health Science, School of Nursing, Wachemo University, Hosanna, Ethiopia
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Üzar-Özçetin YS, Budak SE. The Relationship Between Attitudes Toward Death, Rumination, and Psychological Resilience of Oncology Nurses. Semin Oncol Nurs 2024; 40:151645. [PMID: 38664076 DOI: 10.1016/j.soncn.2024.151645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 03/25/2024] [Accepted: 04/09/2024] [Indexed: 06/07/2024]
Abstract
OBJECTIVES The study aimed to examine the relationship between attitudes toward death, rumination, and psychological resilience of oncology nurses. METHODS The study design was cross-sectional. Data were collected from 118 oncology nurses using the Demographic Data Form, Work-Related Rumination Scale, Connor-Davidson Resilience Scale Short Form, and Death Attitude Profile-Revised Scale. For data analysis, correlation and regression analyses were performed. RESULTS The study findings showed that oncology nurses` work related rumination score was moderate, while psychological resilience score was severely high. More than two-thirds of the work-related ruminations of oncology nurses were explained by psychological resilience and attitudes toward death. Even though there is a negative correlation between negative attitudes toward death and psychological resilience, the acceptance of death scores showed positive relations with psychological resilience. CONCLUSION Nurses with positive attitudes toward death can also develop psychological resilience and experience fewer work-related ruminations. This result reveals the necessity of determining oncology nurses' attitudes toward death in order to protect their psychological resilience and reduce work-related ruminations. It is also evident that the results are valuable in presenting how nurses' work-related ruminations relate to psychological resilience and attitudes toward death. IMPLICATIONS FOR NURSING PRACTICE Nurses are the main care providers in oncology settings, and they are witnessing the suffering process of their patients and experiencing the loss of their patients. These challenges bring work-related ruminations that lower the psychological resilience of nurses and affect attitudes toward death. Therefore, nurses can build an awareness of their ruminations and develop coping skills with intrusive ruminations.
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Affiliation(s)
- Yeter Sinem Üzar-Özçetin
- Associate Professor, University College Dublin, School of Nursing, Midwifery and Health Systems, UCD Health Sciences Centre, Dublin, Ireland.
| | - Simay Ezgi Budak
- Research Assistant, Psychiatric Nursing Department, Hacettepe University Faculty of Nursing, 06100, Ankara, Türkiye
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Tan SL, Zhou H, Thian HJ, Della PR. Influence of Perceived Job Demands on Professional Quality of Life and Turnover Intentions of Haematology Nurses: A Cross-Sectional Study. J Nurs Manag 2024; 2024:6626516. [PMID: 40224820 PMCID: PMC11919190 DOI: 10.1155/2024/6626516] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Revised: 01/28/2024] [Accepted: 03/09/2024] [Indexed: 04/15/2025]
Abstract
Background Haematology nurses in Singapore experience a highly stressful work environment and increased workload due to the growing number of patients and complex treatment regimens. High job demands can lead to burnout and high staff turnover rates, which compromises the quality of patient care. Aims To assess perceived work demands, levels of social support from colleagues, professional quality of life (ProQOL), and turnover intentions among haematology nurses and examine whether demographic and occupational characteristics, perceived job demands, and support were associated with ProQOL and turnover intentions. Design A descriptive, correlational, and cross-sectional design was used in this study. Methods A convenience sample of 60 haematology nurses working at a tertiary hospital in Singapore completed a self-administered survey. Perceived job demands, support from colleagues, ProQOL, and turnover intentions were measured using the Copenhagen Psychosocial Questionnaire (COPSOQ III), Professional Quality of Life Scale version 5 (ProQOL5), and Turnover Intention Scale (TIS-6). Descriptive statistics, chi-square test, and multiple linear regressions were employed for data analysis. Results Haematology nurses face high cognitive and emotional demands and receive high levels of support from colleagues at work. The majority of the participants reported moderate to high levels of compassion satisfaction (78.3%), burnout (76.7%), and secondary traumatic stress (81.7%). 53.3% of the participants expressed their intention to leave. Perceived job demands were significant predictors of haematology nurses' ProQOL and turnover intentions. Compassion fatigue also significantly predicts turnover intentions. Conclusion The high levels of burnout and secondary traumatic stress reported by haematology nurses highlight an urgent need to implement strategies to help nurses cope with the high work demands and reduce their levels of compassion fatigue. Implications for Nursing Management. The findings in this study can help nursing leaders understand haematology nurses' perceived job demands and ProQOL, to develop strategies to improve the workplace environment and retention.
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Affiliation(s)
- Sheng Lian Tan
- Nursing Division, Singapore General Hospital, Singapore, Singapore
| | - Huaqiong Zhou
- Curtin School of Nursing, Curtin University, Perth, Western Australia, Australia
| | - Huimin J. Thian
- Nursing Division, Singapore General Hospital, Singapore, Singapore
| | - Phillip R. Della
- Curtin School of Nursing, Curtin University, Perth, Western Australia, Australia
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Castillo-González A, Velando-Soriano A, De La Fuente-Solana EI, Martos-Cabrera BM, Membrive-Jiménez MJ, Lucía RB, Cañadas-De La Fuente GA. Relation and effect of resilience on burnout in nurses: A literature review and meta-analysis. Int Nurs Rev 2024; 71:160-167. [PMID: 37000679 DOI: 10.1111/inr.12838] [Citation(s) in RCA: 16] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 02/18/2023] [Indexed: 04/01/2023]
Abstract
AIM To study the relation between burnout and resilience and to identify the profile of nurses presenting this quality. BACKGROUND AND INTRODUCTION Healthcare professionals are subject to high rates of burnout. Resilience could be an important factor in preventing or alleviating this condition. METHODS The PubMed, ProQuest, Scopus and ScienceDirect databases were consulted in February 2022 using the equation 'burnout AND resilience AND nurs*'. The inclusion criteria applied were that the texts should describe quantitative studies, be published in English or Spanish, in any year, and be directly related to the question considered. The meta-analysis was performed using StatsDirect statistical software. RESULTS Analysis of the 29 studies shows that among the dimensions of burnout, nurses are especially prone to emotional exhaustion, and are less affected by depersonalisation and low personal accomplishment. Those who score highly for resilience tend to have longer service experience, acceptable salaries and less work overload. Meta-analysis reveals an inverse correlation between resilience and burnout (r = -0.41; n = 2750), exhaustion (r = -0.27; n = 6966) and depersonalisation (r = -0.23; n = 6115). CONCLUSION Many nurses present low levels of resilience and suffer from burnout syndrome. The application of programmes to enhance their resilience would help prevent burnout and optimise the potential to provide quality health care. IMPLICATIONS FOR NURSING AND HEALTH POLICY Resilience is inversely correlated with burnout, depersonalisation and emotional exhaustion. Accordingly, healthcare organisations should develop and implement evidence-based programmes to foster nurses' resilience and thus reduce their susceptibility to burnout.
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Affiliation(s)
- Andrea Castillo-González
- NeuroTraumatology and Rehabilitation Hospital, Andalusian Health Service, Av. de Juan Pablo II, s/n, Granada, Spain
| | - Almudena Velando-Soriano
- San Cecilio Clinical University Hospital, Andalusian Health Service, Avenida de la Investigación s/n, Granada, Spain
| | - Emilia I De La Fuente-Solana
- Brain, Mind and Behavior Research Center (CIMCYC), University of Granada, Campus Universitario de Cartuja s/n, Granada, Spain
| | - Begoña M Martos-Cabrera
- San Cecilio Clinical University Hospital, Andalusian Health Service, Avenida de la Investigación s/n, Granada, Spain
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14
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Ramos‐Vidal I, Ruíz É. The role of self-compassion and compassion toward others in burnout syndrome in a sample of medical students. Psych J 2024; 13:113-123. [PMID: 37905913 PMCID: PMC10917092 DOI: 10.1002/pchj.692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 08/22/2023] [Indexed: 11/02/2023]
Abstract
Burnout produces negative effects on academic performance, and, in turn, feelings of inefficiency that are detrimental to students' psychosocial well-being. The aim of this research is to determine the effects that self-compassion and compassion toward others have on various burnout dimensions in a sample of medical students. A total of 235 medical students (61.7% women) aged between 16 and 32 years old (M = 19.82; SD = 2.37) belonging to a Colombian university participated. A cluster analysis to segment the population according to burnout was carried out along with nonparametric contrasts to identify differences in the levels of self-compassion and compassion toward others between each profile. A series of regression analyses was designed to find out how each type of compassion was associated with burnout on each profile. The cluster analysis allowed us to identify three profiles. The low-involvement profile (n = 51) is characterized by low depersonalization, intermediate levels of emotional exhaustion and personal accomplishment and exhibits low levels of self-compassion and compassion fatigue compared with the other profiles. The positive-adaptation profile (n = 104) is characterized by low depersonalization levels, intermediate degrees of emotional exhaustion and high levels of personal accomplishment and exhibits the highest levels of self-compassion and compassion fatigue compared with the other profiles. The high-demand profile (n = 104) is characterized by intermediate depersonalization levels, medium-high levels of emotional exhaustion and high levels of personal accomplishment and exhibits intermediate levels of self-compassion and low levels of compassion fatigue. Establishing profiles based on burnout allows students to be segmented and for precise knowledge to be acquired about the effects that both types of compassion have on the dimensions of burnout.
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Affiliation(s)
- Ignacio Ramos‐Vidal
- Departamento de Psicología SocialUniversidad de Sevilla, Facultad de PsicologíaSevillaSpain
| | - Érika Ruíz
- Facultad de PsicologíaUniversidad Pontificia BolivarianaMonteriaColombia
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15
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Patole S, Pawale D, Rath C. Interventions for Compassion Fatigue in Healthcare Providers-A Systematic Review of Randomised Controlled Trials. Healthcare (Basel) 2024; 12:171. [PMID: 38255060 PMCID: PMC10815881 DOI: 10.3390/healthcare12020171] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 01/04/2024] [Accepted: 01/09/2024] [Indexed: 01/24/2024] Open
Abstract
BACKGROUND Compassion fatigue is a significant issue considering its consequences including negative feelings, impaired cognition, and increased risk of long-term morbidities. We aimed to assess current evidence on the effects of interventions for compassion fatigue in healthcare providers (HCP). METHODS We used the Cochrane methodology for Systematic Reviews and Meta-Analyses (PRISMA) for conducting and reporting this review. RESULTS Fifteen RCTs (n = 1740) were included. The sample size of individual studies was small ranging from 23 to 605. There was significant heterogeneity in participant, intervention, control, and outcome characteristics. The tools for assessing intervention effects on compassion fatigue included ProQOL, compassion fatigue scale, and nurses compassion fatigue inventory. Thirteen out of the fifteen included RCTs had overall high risk of bias (ROB). Meta-analysis could not be performed given the significant heterogeneity. CONCLUSIONS Current evidence on interventions for reducing compassion fatigue in HCPs is inadequate. Given the benefits reported in some of the included studies, well-designed and adequately powered RCTs are urgently needed.
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Affiliation(s)
- Sanjay Patole
- Neonatal Directorate, KEM Hospital for Women, Perth, WA 6008, Australia; (D.P.); (C.R.)
- School of Medicine, University of Western Australia, Perth, WA 6009, Australia
| | - Dinesh Pawale
- Neonatal Directorate, KEM Hospital for Women, Perth, WA 6008, Australia; (D.P.); (C.R.)
| | - Chandra Rath
- Neonatal Directorate, KEM Hospital for Women, Perth, WA 6008, Australia; (D.P.); (C.R.)
- School of Medicine, University of Western Australia, Perth, WA 6009, Australia
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16
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Lipsa JM, Rajkumar E, Gopi A, Romate J. Effectiveness of psychological interventions for compassion fatigue: a systematic review and meta-analysis. J Occup Health 2024; 66:uiae061. [PMID: 39382941 PMCID: PMC11543797 DOI: 10.1093/joccuh/uiae061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 09/12/2024] [Accepted: 09/30/2024] [Indexed: 10/10/2024] Open
Abstract
OBJECTIVES Constant exposure to trauma and death adversely affects the physical, emotional, and mental stability of the helping professionals, leading to compassion fatigue (CF). Although research has explored the effect of various psychological interventions (PIs) on CF, no studies have quantitatively synthesized their effectiveness. Thus, the current systematic review and meta-analysis address this gap by examining the efficacy of PIs in reducing CF among helping professionals. METHODS Databases such as Scopus, Web of Science, PubMed, JSTOR, ScienceDirect, and Google Scholar were searched to identify studies published between 2004 and 2023. Quantitative studies published in English that used any PI to reduce CF of helping professionals were selected for analysis. The risk of bias in studies was evaluated using Joanna Briggs Institute (JBI) checklists and the National Heart, Lung, and Blood Institute quality assessment tool. RESULTS Of the 1995 records identified from databases, 82 intervention studies were included in the systematic review, and 11 randomized controlled trials were chosen for meta-analysis. Post-intervention means and SDs of the intervention group and the control group were used to run the meta-analysis. Random effects meta-analysis results revealed that PIs are highly effective in reducing CF (standardized mean difference (SMD) = -0.95; 95% CI, -1.63 to -0.27; P = .006). CONCLUSION Evidence suggests that PIs, especially online-delivered PIs, could reduce the CF of helping professionals. Health policymakers, concerned authorities, and intervention designers should focus on reducing the CF of helping professionals, as they need to work with vulnerable populations efficiently.
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Affiliation(s)
- Jose Mariya Lipsa
- Department of Liberal Arts, Indian Institute of Technology Bhilai, Durg, Chhattisgarh, 491002, India
| | - Eslavath Rajkumar
- Department of Liberal Arts, Indian Institute of Technology Bhilai, Durg, Chhattisgarh, 491002, India
| | - Aswathy Gopi
- Department of Psychology, SRM University AP-Amaravati, Mangalagiri, Andhra Pradesh, 522240, India
| | - John Romate
- Department of Psychology, Central University of Karnataka, 585367 Kalaburagi, India
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17
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Spányik A, Simon D, Rigó A, Griffiths MD, Demetrovics Z. Emotional exhaustion and traumatic stress among healthcare workers during the COVID-19 pandemic: Longitudinal changes and protective factors. PLoS One 2023; 18:e0291650. [PMID: 38100495 PMCID: PMC10723657 DOI: 10.1371/journal.pone.0291650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 09/04/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND Healthcare workers (HCWs) are at high risk of experiencing work-related stress, burnout syndrome, and depression, especially during infectious disease outbreaks like COVID-19. Contributing factors include increased workload, lack of personal protective equipment, and inadequate support from the healthcare administration. Longitudinal studies have shown that the mental health status of HCWs has deteriorated over time. Social support and compassion satisfaction (CS) are protective factors that can mitigate adverse mental health effects. The present longitudinal study examined the mental health status of HCWs during the COVID-19 outbreak and aimed to identify potential predictors and protective factors. METHODS The study comprised 386 healthcare workers in Hungary and was conducted in two waves (T1 and T2) from January 2021 to January 2022. Participants completed an online survey including the Professional Quality of Life Scale, Maslach Burnout Inventory, demographic and work-related background factors. Statistical analyses included descriptive statistics, and a cross-lagged panel model (CLPM). RESULTS Frontline HCWs had higher levels of secondary traumatic stress (STS) and emotional exhaustion (EE) than non-frontline healthcare workers. Both groups experienced significant increases in these measures between T1 and T2. The CLPM indicated that EE had a significant lagged effect on STS among frontline workers, while STS had a significant lagged effect on EE among non-frontline workers. CS had a significant protective effect on both STS and EE in both groups. CONCLUSIONS The findings suggest that CS protects EE and STS, particularly among frontline HCWs. The study also showed that different causative relationships exist between these factors among frontline and non-frontline HCWs, which underlines the possible cyclical relationship between the two depending on the circumstances. The results provide insights into the protective role of positive work experiences and the importance of considering the needs of both frontline and non-frontline HCWs in preventive intervention programs.
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Affiliation(s)
- András Spányik
- Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
- Institute of Psychology at ELTE Eötvös Loránd University, Budapest, Hungary
| | - Dávid Simon
- Faculty of Social Science, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Adrien Rigó
- Institute of Psychology at ELTE Eötvös Loránd University, Budapest, Hungary
| | - Mark D Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
| | - Zsolt Demetrovics
- Institute of Psychology at ELTE Eötvös Loránd University, Budapest, Hungary
- Centre of Excellence in Responsible Gaming at the University of Gibraltar, Gibraltar, Gibraltar
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18
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Mirutse A, Mengistu Z, Bizuwork K. Prevalence of compassion fatigue, burnout, compassion satisfaction, and associated factors among nurses working in cancer treatment centers in Ethiopia, 2020. BMC Nurs 2023; 22:373. [PMID: 37817139 PMCID: PMC10563237 DOI: 10.1186/s12912-023-01383-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 06/16/2023] [Indexed: 10/12/2023] Open
Abstract
BACKGROUND Overuse of compassion for those under the care may threaten their professional life. In Ethiopia, there is limited study on the consequences of compassionate care. Therefore, the study assessed the effects of compassionate care among nurses. OBJECTIVE To quantify the prevalence of compassion satisfaction, burnout, compassion fatigue, and associated factors among Nurses. METHODS Institution-based quantitative cross-sectional design was conducted in five randomly selected public hospitals in Ethiopia, from May to April 2020. All the nurses who were working in the cancer treatment centers of the five hospitals were included in the study. Data were collected using a standard self-administer structured question using the Professional Quality of Life Scale (PROQOL) instrument version 5. The data were analyzed by using the SPSS 21version. Descriptively: frequency, mean, standard deviation, and inferential statistics: t-Test and one-way analysis of variance (ANOVA), and multiple linear regression analysis were computed. RESULT The majority of respondents 154 (67.0%) were female. The age of the participants ranges from 20 to 65 (32.06 + 7.45) years. The mean (SD) scores for the dimensions of compassion satisfaction, burnout, and compassion fatigue were 34.41 (6.74), 27.70 (4.24), and 35.83 (7.78) respectively. Neuroticism personality trait had positivity related to compassion fatigue (P = 0.001). Nurses who received low monthly income had significantly lower scores for compassion fatigue (P = 0.002). We found friend support, openness, sex, and agreeableness explained 32.7% (p < 0.024) of the variances in compassion satisfaction. CONCLUSION In general the study found high compassion fatigue and low compassion satisfaction. Further, having low income and neuroticism personality were related to compassion fatigue, while agreeableness, consciousness, and openness personality were related to compassion satisfaction. Therefore, attention should be given to nurses working in cancer centers to ensure positive energy.
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Affiliation(s)
- Almaz Mirutse
- College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Zuriyash Mengistu
- College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
| | - Ketema Bizuwork
- College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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19
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Lourenção LG, Penha JGM, Ximenes Neto FRG, Santos BMPD, Pantoja VJDC, Ribeiro JN, Cunha LMRD, Nascimento VFD. Analysis of the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals. CIENCIA & SAUDE COLETIVA 2023; 28:2867-2877. [PMID: 37878930 DOI: 10.1590/1413-812320232810.09972023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Accepted: 06/01/2023] [Indexed: 10/27/2023] Open
Abstract
This article examines the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals. A longitudinal, before-and-after study was conducted with nursing professionals working in the frontline in the pre-pandemic and pandemic periods. Our study applied the Brazilian versions of the Professional Quality of Life Scale and the Utrecht Work Engagement Scale. High levels of compassion satisfaction (≥43.0), low levels of burnout (<23.0) and secondary traumatic stress (<23.0), as well as high levels of vigor (≥4.0 and ≤4.99), absorption (≥4.0 and ≤4.99), and overall score (≥4.0 and ≤4.99) were observed. Moderate, negative, and significant correlations of burnout with vigor (r: -0.505; p-value: <0.001), in the pre-pandemic period; and with overall score, in the pre-pandemic (r: -0.543; p-value: <0.001) and pandemic periods (r: -0.458; p-value: <0.001), were also observed. No changes in levels of work engagement were found. Professionals with compassion fatigue showed decreased vigor, absorption, and overall score, rated as medium in the pandemic period (≥2.0 and ≤3.99), and an increased dedication, which was low (≥1.0 and ≤1.99) in the pre-pandemic period. It was concluded that there is no harmful association between compassion fatigue and work engagement with COVID-19 in nursing professionals.
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Affiliation(s)
- Luciano Garcia Lourenção
- Escola de Enfermagem, Universidade Federal do Rio Grande (FURG). R. Desembargador Eurípedes Queiroz do Vale 91, apto. 1606, Jardim Camburi. 29090-090 Vitória ES Brasil.
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20
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Chacón A, Avargues-Navarro ML, Pérez-Chacón M, Borda-Mas M. Occupational Psychosocial Risks and Quality of Professional Life in Service Sector Workers with Sensory Processing Sensitivity. Behav Sci (Basel) 2023; 13:496. [PMID: 37366749 DOI: 10.3390/bs13060496] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 06/06/2023] [Accepted: 06/09/2023] [Indexed: 06/28/2023] Open
Abstract
The aim of this study was to analyze the role of sensory processing sensitivity in the perception of stress under certain working conditions and its relationship with indicators of quality of professional life, in service sector workers. The participants (n = 3180) completed the Spanish versions of HSPS-S, CoPSoQ and ProQoL. The results show that exposure to certain working conditions represents a risk to the quality of professional life in workers of different fields, such as education, healthcare, hospitality and administration/management. The presence of high sensitivity is associated with poorer quality of professional life, specifically burnout and compassion fatigue. This study demonstrates the need to develop prevention programs aimed at managing stress by improving the working conditions, in order to adequately address sensory processing sensitivity and, consequently, promote the quality of professional life of service sector workers who present high sensitivity.
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Affiliation(s)
- Antonio Chacón
- Spanish Association of Highly Sensitive Professionals and Psychologists, PAS España, 28080 Madrid, Spain
| | | | - Manuela Pérez-Chacón
- Spanish Association of Highly Sensitive Professionals and Psychologists, PAS España, 28080 Madrid, Spain
| | - Mercedes Borda-Mas
- Department of Personality, Assessment, and Psychological Treatment, University of Seville, 41018 Seville, Spain
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21
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Sak R, Nas E, Şahin-Sak İT, Öneren-Şendil Ç, Tekin-Sitrava R, Taşkın N, Kardeş S, Yayla A, Dirik Y. Compassion as a Source of Satisfaction and Fear in Professionals Who Work With People. Psychol Rep 2023; 126:946-966. [PMID: 34898334 DOI: 10.1177/00332941211061701] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Compassion satisfaction and fear of compassion affect the mental health of professionals who work with people. In addition, each of these two variables can be important indicators of the quality of the services such professionals provide. METHODS This study examines compassion as a source of satisfaction and fear among 293 professionals work with people, including 158 teachers, 57 police officers, 45 nurses and 44 imams. A personal information form, the Fear of Compassion Scale, and the Compassion Satisfaction Scale were used as data collection tools. RESULTS Neither fear of compassion nor compassion satisfaction varied significantly according to the sampled professionals' genders, educational levels, monthly incomes or area of residence. However, both these measures did exhibit statistically significant variation by the respondents' professional roles, ages, numbers of children and marital statuses. A significant negative relationship between the participants' fear of compassion and their compassion satisfaction was also identified. CONCLUSION Courses related to kindness and social interaction should be provided in schools, to help the adults of the future.
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Affiliation(s)
- Ramazan Sak
- Faculty of Education, 53000Van Yüzüncü Yıl University, Van, Turkey
| | - Eşref Nas
- Faculty of Education, 53000Van Yüzüncü Yıl University, Van, Turkey
| | | | | | | | - Necdet Taşkın
- Faculty of Education, 53000Van Yüzüncü Yıl University, Van, Turkey
| | - Servet Kardeş
- Faculty of Education, 53000Van Yüzüncü Yıl University, Van, Turkey
| | - Ahmet Yayla
- Faculty of Education, 53000Van Yüzüncü Yıl University, Van, Turkey
| | - Yaren Dirik
- Faculty of Medicine, Van Yüzüncü Yıl University, Van, Turkey
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22
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Sant’Ana JCP, Santos JD, Silva PGB, Meira KC, Oliveira LVE, Almeida SGPD, Pierin AMG. Prevalência e Fatores associados ao Estresse Relacionado ao Trabalho e à Síndrome de Burnout entre Profissionais de Enfermagem que Atuam em Oncologia. REVISTA BRASILEIRA DE CANCEROLOGIA 2023. [DOI: 10.32635/2176-9745.rbc.2023v69n2.3644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
Abstract
Introdução: Os profissionais de enfermagem, ao considerarem o processo relacionado às condições de trabalho, estão expostos a situações que podem desencadear estresse relacionado ao trabalho e síndrome de burnout. Objetivo: Avaliar a prevalência e os fatores associados ao estresse relacionado ao trabalho e à síndrome de burnout entre profissionais de enfermagem atuantes em oncologia. Método: Estudo transversal realizado com 231 profissionais de enfermagem que atuavam em Centro de Alta Complexidade em Oncologia do Rio de Janeiro, RJ, Brasil. O estresse relacionado ao trabalho foi avaliado por meio da escala de estresse no trabalho e a síndrome de burnout pelo Maslach Burnout Inventory. A associação entre os desfechos e as variáveis independentes foi realizada por meio da Regressão de Poisson com variância robusta. Consideraram-se estatisticamente significativos valores de p<0,05. Resultados: A prevalência de estresse moderado/intenso relacionado ao trabalho foi de 75,8%, e de 38,9% para os profissionais que apresentaram síndrome de burnout. A idade, o histórico de acidente de trabalho e a agressão verbal e física estiveram positivamente associados ao estresse relacionado ao trabalho e à síndrome de burnout. Além disso, o estresse autorreferido foi fator de risco para essa síndrome. Conclusão: Observou-se alta prevalência de estresse relacionado ao trabalho e à síndrome de burnout, cujos desfechos estiveram associados à idade, ao histórico de acidente de trabalho e à violência laboral.
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23
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Moreno-Jiménez JE, Demerouti E, Blanco-Donoso LM, Chico-Fernández M, Iglesias-Bouzas MI, Garrosa E. Passionate healthcare workers in demanding intensive care units: its relationship with daily exhaustion, secondary traumatic stress, empathy, and self-compassion. CURRENT PSYCHOLOGY 2022; 42:1-16. [PMID: 36406844 PMCID: PMC9667444 DOI: 10.1007/s12144-022-03986-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/29/2022] [Indexed: 11/17/2022]
Abstract
This study focuses on Intensive Care Units (ICU) and aims to test whether daily job demands are related to daily emotional exhaustion and secondary traumatic stress (STS) after work through the experience of passion at work and whether personal resources in ICU, such as empathy and self-compassion, moderate these relationships. A diary study was designed to assess day-level job demands, passion, empathy, self-compassion at work; and day-level emotional exhaustion and STS after work. The sample was 97 healthcare workers from ICU from different Spanish hospitals being selected by the snowball technique. This sample was assessed 5 days x two moments per day through a diary questionnaire. The multilevel analysis showed a negative mediational effect of harmonious passion between daily job demands and both emotional exhaustion and STS. Also, in predicting emotional exhaustion, a moderator effect of empathy on harmonious passion was found, as well as a moderator effect of self-compassion on obsessive passion. In predicting STS, a direct positive effect was found in empathy. Our findings highlight the vocational work of these healthcare workers, considering job demands as challenging and enhancing their harmonious passion to overcome the drawbacks. Moreover, empathy revealed to have a negative effect whereas self-compassion the contrary. Thus, increase the awareness on these personal resources and how to train them could be considered as valuable preventative measures.
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Affiliation(s)
- Jennifer E. Moreno-Jiménez
- Faculty of Education and Psychology, Universidad Francisco de Vitoria, Ctra. Pozuelo-Majadahonda KM 1.800, 28223 Pozuelo de Alarcón, Madrid Spain
- Faculty of Psychology, Autonomous University of Madrid, C/ Ivan Pavlov, 6, 28049 Madrid, Spain
| | - Evangelia Demerouti
- Human Performance Management Group, Eindhoven University of Technology, Den Dolech 2, 5612 AZ Eindhoven, The Netherlands
- Department of Industrial Psychology and People Management, University of Johannesburg, Johannesburg, 2006 South Africa
| | | | - Mario Chico-Fernández
- Service of Intensive Medicine, Hospital Universitario Doce de Octubre de Madrid, Avenida de Córdoba s/n, 28041 Madrid, Spain
| | - María Isabel Iglesias-Bouzas
- Service of Intensive Medicine in Pediatric Units, Hospital Niño Jesús, Avda Menéndez Pelayo 65, 28042 Madrid, Spain
| | - Eva Garrosa
- Faculty of Psychology, Autonomous University of Madrid, C/ Ivan Pavlov, 6, 28049 Madrid, Spain
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Bibliometric Analysis of the Scientific Production on Compassion Fatigue. J Pers Med 2022; 12:jpm12101574. [PMID: 36294713 PMCID: PMC9605363 DOI: 10.3390/jpm12101574] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 09/18/2022] [Accepted: 09/20/2022] [Indexed: 11/25/2022] Open
Abstract
Background: Compassion fatigue is a common phenomenon among healthcare professionals and includes several concepts that share a direct relationship with quality of life, with consequences on both physical and emotional well-being but also at the economic and organizational levels. Objectives: To analyze the profile of scientific publications on compassion fatigue, dissecting trends, and highlighting research opportunities. Method: Bibliometric analysis based on Donthu’s guidelines, data collection from Web of Science (Clarivate Analytics), and analytic techniques (performance analysis and science mapping) with VOSviewer® and CiteSpace®. Results: We obtained 1364 articles and found that the concept emerged in 1995 and is frequently associated with areas of general health. Through analysis, we identified the following research frontiers: “vicarious traumatization”, “working”, “survivor”, “mental health”, and “impact”. Conclusion: There has been a growing interest in this subject among researchers, with an increase in scientific production related to areas of health such as nursing, providing a solid starting point for further investigation. Registration number from the Open Science Framework: osf.io/b3du8.
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25
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Moon M, Seo K. Effect of Anxiety and Calling on Professional Quality of Life in COVID-19 Dedicated Nurses in Korea. Healthcare (Basel) 2022; 10:healthcare10091797. [PMID: 36141409 PMCID: PMC9498621 DOI: 10.3390/healthcare10091797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 09/12/2022] [Accepted: 09/13/2022] [Indexed: 11/16/2022] Open
Abstract
This study was conducted to investigate the anxiety, calling, and professional quality of life (ProQOL) of coronavirus disease 2019 (COVID-19)-dedicated nurses at COVID-19 hospitals and to identify the factors influencing the ProQOL in COVID-19-dedicated nurses. For this descriptive correlational study, data were collected from June to September, 2021, using structural questionnaires completed by 149 nurses working at four general hospitals with inpatient treatment facilities for patients with COVID-19 in Korea. The State–Trait Anxiety Inventory, Multidimensional Calling Measure, and ProQOL 5 were employed for the survey. The data were examined using descriptive analysis, independent t-tests, one-way analysis of variance, Pearson’s correlation coefficients, and multiple regression analysis. The factors influencing compassion satisfaction were state anxiety, trait anxiety, and calling, with an explanatory power of 64%. The factors influencing burnout were trait anxiety and calling, and the explanatory power was 52%. The factors influencing secondary traumatic stress were state anxiety and trait anxiety, and the explanatory power was 23%. Based on the results, lower anxiety and calling influence the ProQOL of COVID-19-dedicated nurses. We propose that programs to raise and maintain ProQOL should be developed and applied.
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Affiliation(s)
- Minjung Moon
- Chungnam National University Hospital & Graduate School in Chungnam National University, Daejeon 35015, Korea
| | - Kyoungsan Seo
- College of Nursing, Chungnam National University, Daejeon 35015, Korea
- Correspondence: ; Tel.: +82-42-580-8317
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Pérez V, Menéndez-Crispín EJ, Sarabia-Cobo C, de Lorena P, Fernández-Rodríguez A, González-Vaca J. Mindfulness-Based Intervention for the Reduction of Compassion Fatigue and Burnout in Nurse Caregivers of Institutionalized Older Persons with Dementia: A Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191811441. [PMID: 36141714 PMCID: PMC9517410 DOI: 10.3390/ijerph191811441] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 08/31/2022] [Accepted: 09/08/2022] [Indexed: 05/26/2023]
Abstract
The recent COVID-19 pandemic has severely impacted the mental health of nurses caring for institutionalized older people. Caring in this environment can be complex, with higher levels of burnout and compassion fatigue in staff. It is therefore important to find interventions to increase the well-being of staff. Mindfulness training is known to be effective in treating a variety of physical and mental health conditions. This study sought to conduct a direct evaluation of the effectiveness of a combined online training in two types of mindfulness-based therapies for the reduction of compassion fatigue and burnout in geriatric nurses caring for institutionalized elderly people with dementia. In a randomized controlled trial (n = 39 experimental group, n = 35 control group), we explored whether individuals with high levels of burnout and compassion fatigue would benefit more from an online mindfulness training program. The outcome variable was the ProQoL professional quality of life scale, which was collected at baseline, at six weeks, and at three months after completion of the intervention. Significant differences were found between both groups for the subscales Compassion Fatigue and Burnout (p < 0.05), with a significant improvement in the experimental group (significant effect size). These findings were maintained at three months after the end of the intervention for both compassion fatigue (F1,28 = 18.14, p = 0.003) and burnout (F1,28 = 7.25, p = 0.040). However, there were no differences between groups for the satisfaction subscale. The effect of time and the effects of comparing the two groups after controlling for time were statistically significant for all three subscales of the questionnaire (all p values < 0.001), with effect sizes ranging from small to large (R2 change 0.10-0.47). These data indicate that the experimental condition was more effective, explaining between 10 and 18% more of the variance. A short, online intervention based on mindfulness training appears to be effective for reducing compassion fatigue and burnout in geriatric nurses, with sustained effects over time.
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Affiliation(s)
| | | | - Carmen Sarabia-Cobo
- Facultad de Enfermería, IDIVAL, Universidad de Cantabria, Avda Valdecilla s/n, 39011 Santander, Spain
| | | | | | - Julia González-Vaca
- Nursing Research Group (GRIN) from the IDIBELL Translational Medicine Area, University of Barcelona, 08007 Barcelona, Spain
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KAMA BAŞCI Ö, EKİNCİ F, ERDOĞAN AP, ESER E. Tıbbi Onkoloji Çalışanlarında Tükenmişlik: Ulusal Gerçeklerle Yüzleşmek. KAHRAMANMARAŞ SÜTÇÜ İMAM ÜNIVERSITESI TIP FAKÜLTESI DERGISI 2022. [DOI: 10.17517/ksutfd.1151313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Objectives: This study aimed to reveal the prevalence of burnout syndrome among physicians, nurses and biologists working in oncology clinics in Turkey. Sociodemographic factors affecting burnout were revealed . The adequacy of institutional measures was questioned and their participation in solution proposals was examined.
Material and Methods: This cross-sectionally designed study aimed to reach all actively working medical oncology staff in Turkey. 323 of them agreed to participate in the study. Maslach Burnout Inventory (MBI) was used to measure the burnout status of the participants. Clinical burnout reduction solutions were also questioned. The burnout prevention questions were prepared. Statistical significance was considered, and all statistical tests were two-sided (p < 0.05).
Results: Of 323 participants, 38% were medical oncologists, 58% were nurses and 4% were biologists. The median age was 37±9. According to the MBI subscales, the mean±SD burnout levels of the oncology staff are 19.7±7.8 (high) for EE, 6±4.3 (moderate) for DP and 20.9±5.1 (high) for PA. Respondents under 41 age has higher risk. The participants who are having a hobby, good sleep pattern, making regular exercises has significantly lower burnout scores.
Conclusion: Burnout syndrome was detected in more than half of oncology workers. Personal factors such as young age, family type, sleep, exercise and having a hobby affect burnout. preventive measures and interventions are required for health workers
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Affiliation(s)
| | | | - Atike Pinar ERDOĞAN
- MANISA CELAL BAYAR UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF INTERNAL MEDICINE (MEDICINE), MEDICAL ONCOLOGY
| | - Erhan ESER
- MANİSA CELÂL BAYAR ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, HALK SAĞLIĞI ANABİLİM DALI
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Ondrejková N, Halamová J. Prevalence of compassion fatigue among helping professions and relationship to compassion for others, self-compassion and self-criticism. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:1680-1694. [PMID: 35133041 DOI: 10.1111/hsc.13741] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 01/04/2022] [Accepted: 01/16/2022] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Helping professionals are at high risk of being affected by the negative aspects of helping such as compassion fatigue. To date, no study has provided a comprehensive overview of compassion fatigue and compared the prevalence among different helping professions. OBJECTIVES The aim of this study was to explore the prevalence and differences in compassion fatigue among different helping professions. We also wanted to explore the relationship between compassion, self-compassion, self-criticism and compassion fatigue. METHODS Six hundred and seven participants working in the helping professions were recruited. The sample consisted of 102 nurses, 44 doctors, 57 paramedics, 39 home nurses, 66 teachers, 103 psychologists, 40 psychotherapists and coaches, 76 social workers, 39 priests and pastors and 41 police officers. The data were collected using an online questionnaire battery measuring levels of compassion, self-compassion, self-criticism, compassion fatigue and compassion satisfaction. RESULTS We found significant differences in compassion fatigue levels among various helping professions. No large differences were found in the compassion and self-compassion levels exhibited by professionals with medium versus low compassion fatigue scores. However, participants with higher levels of compassion fatigue scored higher in self-criticism. Self-criticism was found to be the best predictor of compassion fatigue. The effect of profession on compassion fatigue as mediated by self-criticism and self-compassion was significant. CONCLUSIONS Based on the results, we recommend designing programs to combat compassion fatigue that teach helping professionals to better manage their work time and workload (hours per week with clients/patients) and learn healthier inner talk (less self-critical and more self-compassionate).
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Affiliation(s)
- Natália Ondrejková
- Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
| | - Júlia Halamová
- Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
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Compassion Fatigue in Oncology Nurses in Turkey: A Qualitative Study. Holist Nurs Pract 2022; 36:304-310. [PMID: 35981115 DOI: 10.1097/hnp.0000000000000540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Nurses working in oncology clinics, where terminal patients are frequently cared for, face the risk of compassion fatigue, and, therefore, it is important to understand their experiences of this condition. Accordingly, this study aimed to identify compassion fatigue among nurses working in oncology clinics. The findings led to the identification of 5 themes: empathy, sadness, despair, depersonalization, and not suffering from death.
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Marshman C, Hansen A, Munro I. Compassion fatigue in mental health nurses: A systematic review. J Psychiatr Ment Health Nurs 2022; 29:529-543. [PMID: 34874593 DOI: 10.1111/jpm.12812] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 11/24/2021] [Accepted: 11/30/2021] [Indexed: 12/28/2022]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: Compassion fatigue is the result of the unique stressors inherent in caregiving work, leading to a loss of compassion in clinical practice that may result in negative outcomes for mental healthcare consumers. Compassion fatigue has clear emotional and physical costs and significant impacts on staff recruitment and retention. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This review is the first to evaluate the quantitative literature on compassion fatigue in mental health nurses. Research on compassion fatigue in mental health nurses does not accurately account for the unique care relationship between nurse and consumer. Competency-based education, strong mental health nurse leadership, positive organizational cultures, clinical supervision and reflection alongside individual self-care strategies may mitigate compassion fatigue. WHAT ARE THE IMPLICATIONS FOR FUTURE PRACTICE?: Resources are urgently needed for education and workforce development that addresses compassion fatigue in mental health nurses. Interventions addressing the physical, cognitive and emotional demands of care work are needed to ensure mental health nurses have the capability to provide sustainable compassionate care to consumers. ABSTRACT: Introduction Although compassionate care is an essential component of mental health nursing, understandings of the impact of compassion fatigue is poorly understood. Aims/Questions To examine and synthesize available data on the prevalence of compassion fatigue within mental health nurses and consider what variables impact compassion fatigue. Method A search of MEDLINE, EMBASE, PsychINFO, Emcare, Web of Science, Scopus, CINAHL and grey literature for articles published between 1992 and February 2021 was conducted. Data were extracted from articles meeting inclusion criteria and integrated using narrative synthesis. Results Twelve articles were included. Prevalence of compassion fatigue ranged from low to high. Variables were identified that may mitigate the risk of compassion fatigue. Strong leadership and positive workplace cultures, clinical supervision, reflection, self-care and personal well-being may protect mental health nurses against compassion fatigue. Discussion Future research is needed on mental health nurses lived experience of compassion fatigue and their understandings of compassion. Implications for Practice Interventions should focus on increasing awareness of compassion fatigue and building individual and organizational resilience. Both organizations and individuals should be aware of the role they play in maintaining the capacity and capability for mental health nurses to provide sustainable and compassionate mental healthcare.
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Affiliation(s)
- Cameron Marshman
- School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.,Australian College of Mental Health Nurses, Clayton, Australian Capital Territory, Australia
| | - Alison Hansen
- School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.,Australian College of Mental Health Nurses, Clayton, Australian Capital Territory, Australia
| | - Ian Munro
- School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.,Australian College of Mental Health Nurses, Clayton, Australian Capital Territory, Australia
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Albendín-García L, Suleiman-Martos N, Ortega-Campos E, Aguayo-Estremera R, Romero-Béjar JL, Cañadas-De la Fuente GA. Explanatory Models of Burnout Diagnosis Based on Personality Factors in Primary Care Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9170. [PMID: 35954541 PMCID: PMC9368137 DOI: 10.3390/ijerph19159170] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 07/22/2022] [Accepted: 07/24/2022] [Indexed: 02/01/2023]
Abstract
Burnout in the primary care service takes place when there is a high level of interaction between nurses and patients. Explanatory models based on psychological and personality related variables provide an approximation to level changes in the three dimensions of the burnout syndrome. A categorical-response ordinal logistic regression model, based on a quantitative, crosscutting, multicentre, descriptive study with 242 primary care nurses in the Andalusian Health Service in Granada (Spain) is performed for each dimension. The three models included all the variables related to personality. The risk factor friendliness was significant at population level for the three dimensions, whilst openness was never significant. Neuroticism was significant in the models related to emotional exhaustion and depersonalization, whilst responsibility was significant for the models referred to depersonalization and personal accomplishment dimensions. Finally, extraversion was also significant in the emotional exhaustion and personal accomplishment dimensions. The analysis performed provides useful information, making more readily the diagnosis and evolution of the burnout syndrome in this collective.
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Affiliation(s)
- Luis Albendín-García
- Casería de Montijo Health Center, Granada-Metropolitan Health District, Andalusian Health Service, Calle Virgen de la Consolación, 12, 18015 Granada, Spain;
| | - Nora Suleiman-Martos
- Faculty of Health Sciences, University of Granada, Avenida de la Ilustración, 60, 18016 Granada, Spain; (N.S.-M.); (G.A.C.-D.l.F.)
| | | | - Raimundo Aguayo-Estremera
- Department of Psychobiology and Methodology in Behavioral Sciences, Complutense University of Madrid, Campus de Somosaguas, 28223 Pozuelo de Alarcón, Spain;
| | - José L. Romero-Béjar
- Department of Statistics and Operations Research, University of Granada, Fuentenueva s/n, 18071 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs. GRANADA), 18012 Granada, Spain
- Institute of Mathematics of the University of Granada (IMAG), Ventanilla 11, 18001 Granada, Spain
| | - Guillermo A. Cañadas-De la Fuente
- Faculty of Health Sciences, University of Granada, Avenida de la Ilustración, 60, 18016 Granada, Spain; (N.S.-M.); (G.A.C.-D.l.F.)
- Brain, Mind and Behaviour Research Center (CIMCYC), University of Granada, 18071 Granada, Spain
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Granek L, Nakash O. Oncology Healthcare Professionals’ Mental Health during the COVID-19 Pandemic. Curr Oncol 2022; 29:4054-4067. [PMID: 35735432 PMCID: PMC9222050 DOI: 10.3390/curroncol29060323] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 05/26/2022] [Accepted: 05/31/2022] [Indexed: 11/16/2022] Open
Abstract
The paper begins by reviewing the literature on oncology healthcare professionals’ (HCP) mental health. We summarize and present the current data on HCP mental health in order to understand the baseline state of oncology HCPs’ mental health status prior to the COVID-19 pandemic. At each juncture, we will discuss the implications of these mental health variables on the personal lives of HCPs, the healthcare system, and patient care. We follow by reviewing the literature on these parameters during the COVID-19 pandemic in order to better understand the impact of COVID-19 on the overall mental health of HCPs working in oncology. By reviewing and summarizing the data before and after the start of the pandemic, we will get a fuller picture of the pre-existing stressors facing oncology HCPs and the added burden caused by pandemic-related stresses. The second part of this review paper will discuss the implications for the oncology workforce and offer recommendations based on the research literature in order to improve the lives of HCPs, and in the process, improve patient care.
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Affiliation(s)
- Leeat Granek
- School of Health Policy and Management and Department of Psychology, Faculty of Health, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
- Correspondence: ; Tel.: +1-416-736-2100
| | - Ora Nakash
- School for Social Work, Smith College, Northampton, MA 01063, USA;
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Arimon-Pagès E, Fernández-Ortega P, Fabrellas-Padrés N, Castro-García AM, Canela-Soler J. Dealing with Emotional Vulnerability and Anxiety in Nurses from High-Risk Units-A Multicenter Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095569. [PMID: 35564963 PMCID: PMC9101843 DOI: 10.3390/ijerph19095569] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 04/22/2022] [Accepted: 04/27/2022] [Indexed: 02/05/2023]
Abstract
Compassion fatigue and anxiety derived from continued exposure to trauma and death greatly impact nurses’ quality of care and quality of life, increasing their desire to leave work. The aim of the study is to assess compassion fatigue and anxiety prevalence and their association with secondary variables. A multicenter, cross-sectional study in nurses from four high-risk units, Emergency, Intensive Care, Oncology, and Pediatrics, was carried out in 14 hospitals in Catalonia (Spain) between 2015 and 2016. The primary endpoints were compassion satisfaction and compassion fatigue (burnout and secondary traumatic stress), which were assessed by Professional Quality of Life (ProQOL), and anxiety, assessed with the State-Trait Anxiety Inventory (STAI). Multivariable logistic regression analyzed the association of sociodemographic, training, working, and psychological factors. Of a total of 1302 nurses, 18.6% presented low compassion satisfaction; 19.7%, high burnout; and 36.4%, high secondary traumatic stress. Trait anxiety scored high in 7.2%. Although compassion satisfaction was present, it did not protect sufficiently against the high level of compassion fatigue or anxiety present in nurses in all centers. The working conditions in the units and variables showed a strong association with nurses’ desire to leave. This corroborates the global challenge of healthcare professionals’ shortage. Participants expressed the need for better training in emotional management.
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Affiliation(s)
- Esther Arimon-Pagès
- Hospital Clinic Barcelona, Faculty of Health Sciences, University of Barcelona (UB), 08036 Barcelona, Spain; (E.A.-P.); (N.F.-P.)
| | - Paz Fernández-Ortega
- Faculty of Health Sciences, Campus Bellvitge, University of Barcelona (UB), 08036 Barcelona, Spain
- Institut Català d’Oncologia Barcelona, Grupo de Investigación Enfermera GRIN, Instituto de Investigación de Biomédica de Bellvitge (IDIBELL), 08908 Barcelona, Spain
- Correspondence: or
| | - Núria Fabrellas-Padrés
- Hospital Clinic Barcelona, Faculty of Health Sciences, University of Barcelona (UB), 08036 Barcelona, Spain; (E.A.-P.); (N.F.-P.)
| | | | - Jaume Canela-Soler
- Department of Basic Clinical Practice, Faculty of Medical and Health Sciences, University of Barcelona (UB), 08036 Barcelona, Spain;
- Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL 33612, USA
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The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic. Healthcare (Basel) 2022; 10:healthcare10020364. [PMID: 35206978 PMCID: PMC8872521 DOI: 10.3390/healthcare10020364] [Citation(s) in RCA: 120] [Impact Index Per Article: 40.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 01/29/2022] [Accepted: 02/10/2022] [Indexed: 11/16/2022] Open
Abstract
This literature review aimed to determine the level of burnout, compassion fatigue, and compassion satisfaction, as well as their associated risks and protective factors, in healthcare professionals during the first year of the COVID-19 pandemic. We reviewed 2858 records obtained from the CINAHL, Cochrane Library, Embase, PsycINFO, PubMed, and Web of Science databases, and finally included 76 in this review. The main results we found showed an increase in the rate of burnout, dimensions of emotional exhaustion, depersonalization, and compassion fatigue; a reduction in personal accomplishment; and levels of compassion satisfaction similar to those before the pandemic. The main risk factors associated with burnout were anxiety, depression, and insomnia, along with some sociodemographic variables such as being a woman or a nurse or working directly with COVID-19 patients. Comparable results were found for compassion fatigue, but information regarding compassion satisfaction was lacking. The main protective factors were resilience and social support.
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Gurowiec PJ, Ogińska-Bulik N, Michalska P, Kȩdra E, Skarbalienė A. The Role of Satisfaction With Job and Cognitive Trauma Processing in the Occurrence of Secondary Traumatic Stress Symptoms in Medical Providers Working With Trauma Victims. Front Psychol 2022; 12:753173. [PMID: 35069331 PMCID: PMC8770279 DOI: 10.3389/fpsyg.2021.753173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 12/08/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: As an occupational group, medical providers working with victims of trauma are prone to negative consequences of their work, particularly secondary traumatic stress (STS) symptoms. Various factors affect susceptibility to STS, including work-related and organizational determinants, as well as individual differences. The aim of the study was to establish the mediating role of cognitive trauma processing in the relationship between job satisfaction and STS symptoms among medical providers. Procedure and Participants: Results were obtained from 419 healthcare providers working with victims of trauma (218 nurses and 201 paramedics). Three questionnaires, namely the Secondary Traumatic Stress Inventory, Work Satisfaction Scale, and Cognitive Trauma Processing Scale, were used in the study, as well as a survey developed for this research. Correlational and mediation analyses were applied to assess relations between variables. Results: The results showed significant links between STS symptoms and both job satisfaction and cognitive processing of trauma. Three cognitive coping strategies play the intermediary role in the relationship between job satisfaction and symptoms of secondary traumatic stress. However, this role varies depending on preferred strategies. Conclusion: Nurses and paramedics are significantly exposed to the occurrence of STS. Thus, it is important to engage health care providers in activities aimed at preventing and reducing symptoms of STS.
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Affiliation(s)
| | - Nina Ogińska-Bulik
- Department of Health Psychology, Institute of Psychology, University of Lodz, Łódź, Poland
| | - Paulina Michalska
- Department of Health Psychology, Institute of Psychology, University of Lodz, Łódź, Poland
| | - Edyta Kȩdra
- State Higher Vocation School in Glogow, Medical Institute, Glogow, Poland
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El makawy AI, Mabrouk DM, Mohammed SE, Abdel-Aziem SH, EL-Kader HAA, Sharaf HA, Youssef DA, Ibrahim FM. The suppressive role of nanoencapsulated chia oil against DMBA-induced breast cancer through oxidative stress repression and tumor genes expression modulation in rats. Mol Biol Rep 2022; 49:10217-10228. [PMID: 36063350 PMCID: PMC9618492 DOI: 10.1007/s11033-022-07885-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Accepted: 08/17/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Chia oil is high in omega-3 fatty acids, which have been linked to a lower risk of many diseases, including cancer. Oil encapsulation is a method that holds promise for maintaining oil content while enhancing solubility and stability. The purpose of this study is to prepare nanoencapsulated Chia oil and investigate its suppressive effects on rat chemically induced breast cancer. METHODS The oil was extracted from commercial Chia seeds and their fatty acids were analyzed using Gas Chromatography-mass spectrometry (GC/MS). Sodium alginate was used as a loading agent to create the Chia oil nanocapsules. The DPPH assay was used to assess the oil nanocapsules' capacity to scavenge free radicals. Breast cancer induction was done by single dose subcutaneously administration of 80 mg/kg dimethylbenz (a) anthracene (DMBA). Models of breast cancer were given Chia oil nanocapsules orally for one month at doses of 100 and 200 mg/kg. Through measuring intracellular reactive oxygen species (ROS) and protein carbonyl, assessing the gene expression of tumor suppressor genes (BRCA 1 & 2, TP53), and conducting histopathological analysis, the suppressive effect of Chia oil nanocapsules was examined. RESULTS The increase in ROS and PC levels brought on by DMBA was significantly decreased by the administration of Chia oil nanocapsules. In tumor tissue from rats given Chia oil nanocapsules, the mRNA expression levels of BRCA1, BRCA2, and TP53 were controlled Histopathological analysis clarified that the tissue architecture of breast tumors was improved by nanocapsules management. CONCLUSIONS These findings demonstrate the ability of Chia oil nanocapsules to inhibit cancer cells in the rat breast.
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Affiliation(s)
- Aida I. El makawy
- Cell Biology Department, Biotechnology Research Institute, National Research Centre, Giza, P.O.12622, Egypt
| | - Dalia M. Mabrouk
- Cell Biology Department, Biotechnology Research Institute, National Research Centre, Giza, P.O.12622, Egypt
| | - Shaimaa E. Mohammed
- Nutrition and Food Sciences Department, Food Industries and Nutrition Research Institute, National Research Centre, Giza, P.O.12622, Egypt
| | - Sekena H. Abdel-Aziem
- Cell Biology Department, Biotechnology Research Institute, National Research Centre, Giza, P.O.12622, Egypt
| | - Heba A. Abd EL-Kader
- Cell Biology Department, Biotechnology Research Institute, National Research Centre, Giza, P.O.12622, Egypt
| | - Hafiza A. Sharaf
- Pathology Department, Medical Research and Clinical Studies Institute, National Research Centre, Giza, P.O.12622, Egypt
| | - Dalia A. Youssef
- Pests and Plant Protection Department, Agricultural and Biology Research Institute, National Research Centre, Giza, P.O.12622, Egypt
| | - Faten M. Ibrahim
- Medicinal and Aromatic Plants Research Department, Pharmaceutical and Drug Industries Research Institute, National Research Centre, Giza, P.O.12622, Egypt
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Ruiz Fernández MD, Lirola MJ, Ramos-Pichardo JD, Ortíz-Amo R, Ibáñez-Masero O, Rodríguez Gómez S, Ortega-Galán ÁM. Emotional Intelligence and Perceived Health Related to Expressed Compassion Fatigue: A Study in Health Sector at Regional Level. Front Psychol 2021; 12:729624. [PMID: 34916989 PMCID: PMC8670400 DOI: 10.3389/fpsyg.2021.729624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 10/29/2021] [Indexed: 11/13/2022] Open
Abstract
Background: The work of health professionals often involves physical as well as psychological strain. They constantly deal with traumatic situations of pain and suffering, which destabilize the sense of well-being. Compassion fatigue is a feeling that appears in these cases and is related to other variables such as burnout or emotional drain. Aims: The principal aim of this project was to deepen the analysis of compassion fatigue and how it could be explained through the relationship with other constructs such as emotional intelligence and perceived health. Methods: This work followed the STROBE checklist for cross-sectional studies. In this study 1,521 nurses (Mage = 47.32; SD = 8.44) participated. The responses reported by the nurses were analyzed by classifying them as high or low compassion fatigue and the differences of both groups were analyzed for the variables of emotional intelligence, perceived health and quality of professional life. Results: It was obtained significant differences for all factors except for emotional intelligence factor. A linear regression analysis showed both emotional intelligence and perceived health helped to explain (12%) compassion fatigue. Conclusion: This study provides light on comprehending the conception of compassion fatigue. It highlights the importance of intervention programs that improve the quality of professional life.
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Affiliation(s)
- María Dolores Ruiz Fernández
- Department of Nursing, Physiotherapy, and Medicine, University of Almería, Almería, Spain.,Facultad Ciencias de la Salud, Universidad Autónoma de Chile, Santiago, Chile
| | | | | | - Rocío Ortíz-Amo
- Department of Nursing Science, Physiotherapy and Medicine, University of Almería, Almería, Spain
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Algamdi M. Prevalence of oncology nurses' compassion satisfaction and compassion fatigue: Systematic review and meta-analysis. Nurs Open 2021; 9:44-56. [PMID: 34590791 PMCID: PMC8685871 DOI: 10.1002/nop2.1070] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Revised: 08/04/2021] [Accepted: 09/08/2021] [Indexed: 01/07/2023] Open
Abstract
AIM To systematically review and comprehensively analyse findings of studies reporting oncology nurses' compassion satisfaction (CS), burnout (BO) and secondary traumatic stress (STS), measured by the professional quality of life (ProQOL) scale, and explore CS and CF related factors. DESIGN Systematic review and meta-analysis of cross-sectional and interventional studies. METHOD Electronic databases were searched using keywords, and the review followed PRISMA guidelines. The prevalence of CS, BO and STS and their instrumental ratings were pooled using random effects meta-analyses. Meta-regression studies explored the effects of variables. RESULTS Fifteen studies (sample size 2,509) were reviewed, and nine were in the meta-analysis. The prevalence of CS, BO, and STS were 22.89%, 62.79% and 66.84%, respectively. No substantial correlation was found for independent variables, possibly due to sample size. There was a weak negative correlation between CS and BO [-0.06(0.90)] and a weak positive correlation between CS and STS [0.20(0.70)].
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Affiliation(s)
- Maaidah Algamdi
- Department of Nursing, Faculty of Applied Medical Sciences, University of Tabuk, Tabuk, Saudi Arabia
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Labrague LJ, de Los Santos JAA. Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID-19 pandemic. Appl Nurs Res 2021; 61:151476. [PMID: 34544570 PMCID: PMC8448586 DOI: 10.1016/j.apnr.2021.151476] [Citation(s) in RCA: 80] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 07/01/2021] [Accepted: 07/03/2021] [Indexed: 12/21/2022]
Abstract
BACKGROUND Nurses in the frontline of the battle against COVID-19 are highly vulnerable to compassion fatigue (CF), which may affect their mental health, work effectiveness, and patient safety outcomes. However, no studies have investigated nurses' CF in relation to job outcomes and care quality during the pandemic. AIMS This study aims to examine the mediating role of resilience in the relationship between CF and frontline nurses' job outcomes (job satisfaction and turnover intention) and care quality. DESIGN An online, cross-sectional survey containing five self-report scales was used to collect data from 270 frontline nurses in selected hospitals in the Philippines. RESULTS Overall, 38.5% of frontline nurses experienced medium to high CF during the second wave of the pandemic. Increased CF was associated with poorer nurse-reported quality of care (β = -0.145, p = 0.019), lower job satisfaction (β = -0.317, p = 0.001), and higher organizational turnover intention (β = 0.301, p = 0.001). Moreover, resilience fully mediated the relationship between CF and quality of care (β = -0.088, p = 0.169), and partially mediated the relationship between CF and job satisfaction (β = -0.259, p = 0.001), and CF fatigue and organizational turnover intention (β = 0.272, p = 0.001). CONCLUSION Frontline nurses are at risk of developing CF during the pandemic. Psychological resilience reduces the negative impact of CF on frontline nurses' job satisfaction, turnover intention, and the quality of care in their assigned unit. Proactive measures to reduce CF should be prioritized by nursing administrators. Resilience-promoting interventions could foster job satisfaction and retention in nurses and, hence, the quality of care delivered in their units.
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Affiliation(s)
- Leodoro J Labrague
- Fundamentals and Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Oman.
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Sarabia-Cobo C, Pérez V, de Lorena P, Fernández-Rodríguez Á, González-López JR, González-Vaca J. Burnout, Compassion Fatigue and Psychological Flexibility among Geriatric Nurses: A Multicenter Study in Spain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147560. [PMID: 34300009 PMCID: PMC8305508 DOI: 10.3390/ijerph18147560] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 07/08/2021] [Accepted: 07/14/2021] [Indexed: 02/02/2023]
Abstract
Nurses working at nursing homes are one of the most vulnerable populations for suffering burnout and compassion fatigue. In Spain, the concept of compassion fatigue and psychological flexibility related to stress in geriatric nurses has not been fully explored until now. It is important to analyze their situation in order to design robust coping and management strategies. The aim was to analyze the relationship between burnout, compassion fatigue and psychological flexibility in geriatric nurses in Spain. Participants included 291 nurses from 97 centers in 51 cities across Spain. Psychological flexibility (AAQ-II), burnout (MBI) and compassion fatigue (ProQOL) were evaluated. Responses were recievced from 281 nurses (91% women), with an average of 7.6 years of work experience. The MBI results were average (26.71), and the ProQOL scores were average for compassion fatigue (40.2%) and high for compassion satisfaction (70.3%), whereas for AAQ-II, the mean score was 37.34 (SD 4.21). The correlation was significant and negative for flexibility, burnout and compassion fatigue, and positive for compassion satisfaction. The ANOVA indicated a significant association between all variables (p < 0.05). We can conclude that geriatric nurses suffer from medium levels of burnout and compassion fatigue, together with high levels of psychological flexibility, which appears to act as a stress reliever, supporting compassion satisfaction.
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Affiliation(s)
- Carmen Sarabia-Cobo
- Facultad de Enfermería, IDIVAL, Universidad de Cantabria, Avda Valdecilla s/n, 39011 Cantabria, Spain;
- Correspondence:
| | | | | | | | - José Rafael González-López
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar nº6, 41009 Seville, Spain;
| | - Julia González-Vaca
- Departament D’Ínfermeria Medicoquirurgica, Campus Bellvitge, Universidad de Barcelona, 08907 Barcelona, Spain;
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Buonomo I, Farnese ML, Vecina ML, Benevene P. Other-Focused Approach to Teaching. The Effect of Ethical Leadership and Quiet Ego on Work Engagement and the Mediating Role of Compassion Satisfaction. Front Psychol 2021; 12:692116. [PMID: 34248796 PMCID: PMC8264287 DOI: 10.3389/fpsyg.2021.692116] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 06/01/2021] [Indexed: 01/11/2023] Open
Abstract
Recent revisions of the Job Demands Resources (JDR) model acknowledged the importance of personal and organizational dimensions enriching job resources' effect on work engagement. Consistently, this paper addresses the role of compassion satisfaction, as a job resource, on teacher work engagement, given the saliency of caring in teaching as a helping profession. Furthermore, quiet ego, as a personal dimension, and ethical leadership, as an organizational dimension, are studied as antecedents of compassion satisfaction. Overall, the study verifies with a Structural Equation Model whether and how compassion satisfaction mediates the relationships among work engagement, quiet ego, and ethical leadership. One hundred and eighty-eight Italian teachers took part in the study by completing four scales: the Ethical Leadership Scale, the Quiet Ego scale, the Professional Quality Of Life Questionnaire, and the Utrecht Work Engagement Scale-ultra-short version. The final model showed a good fit to the data: χ2 ( 48 ) = 75.399, p = 0.007, CFI = 0.979, TLI = 0.971, RMSEA = 0.055 (90% CI = 0.029-0.078, p = 0.342), SRMR = 0.039. Findings showed that teachers' compassion satisfaction is strongly related to their engagement at school, confirming that teachers' care toward their students is an important resource supporting their engagement. Furthermore, compassion satisfaction totally mediates the relationship between quiet ego and work engagement (bDIRECT = ns, bINDIRECT = 0.327, p = 0.000). Such mediating path confirms recent expansions of the JDR model about the role of personal resources on job resources and, consequently, on work engagement and confirms the Conservation of Resources theory, stating that personal resources impact work outcomes. At the same time, compassion satisfaction does not mediate the relationship between ethical leadership and work engagement, so that ethical school leaders directly impact teachers' work engagement. A possible reason for this finding relies on ethical leadership's role in promoting higher school life participation as a community. More theoretical and practical implications are described in the paper.
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Affiliation(s)
- Ilaria Buonomo
- Department of Human Sciences, Libera Università Maria Santissima Assunta (LUMSA) University, Rome, Italy
| | | | - Maria Luisa Vecina
- Departamento de Psicología Social, del Trabajo y Diferencial, Universidad Complutense, Madrid, Spain
| | - Paula Benevene
- Department of Human Sciences, Libera Università Maria Santissima Assunta (LUMSA) University, Rome, Italy
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Camargo GG, Saidel MGB, Monteiro MI. Psychological exhaustion of nursing professionals who care for patients with neoplasms. Rev Bras Enferm 2021; 74:e20200441. [PMID: 34037175 DOI: 10.1590/0034-7167-2020-0441] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 11/01/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE Identify, analyze and understand the social representations of nursing professionals about burnout syndrome. METHOD Qualitative study with nursing professionals who worked in the direct assistance to oncologic patients, conducted through semi-structured interview, using the technique of content analysis, anchoring the interpretations in the theory of social representations. RESULTS Seven professionals participated; after analysis, two categories emerged: "The stress of professionals, the naturalization of suffering and self-care strategies"; and "Ressignifications, learning in the oncologic sector and network gaps". The representations about stress and the relationship of the professionals with the daily practice were predominant. FINAL CONSIDERATIONS The nursing professionals represented the burnout syndrome socially as stress and made important reflections on the subject in the context of daily work. Concepts that determine the behavior of professionals were perceived as mechanisms of confrontation. In the vision of this social group, spirituality was revealed as a therapeutic strategy.
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Ogińska-Bulik N, Gurowiec PJ, Michalska P, Kędra E. Prevalence and predictors of secondary traumatic stress symptoms in health care professionals working with trauma victims: A cross-sectional study. PLoS One 2021; 16:e0247596. [PMID: 33621248 PMCID: PMC7901735 DOI: 10.1371/journal.pone.0247596] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2020] [Accepted: 02/09/2021] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION Medical personnel is an occupational group that is especially prone to secondary traumatic stress. The factors conditioning its occurrence include organizational and work-related factors, as well as personal features and traits. The aim of this study was to determine Secondary Traumatic Stress (STS) indicators in a group of medical personnel, considering occupational load, job satisfaction, social support, and cognitive processing of trauma. MATERIAL AND METHODS Results obtained from 419 medical professionals, paramedics and nurses, were analyzed. The age of study participants ranged from 19 to 65 (M = 39.60, SD = 11.03). A questionnaire developed for this research including questions about occupational indicators as well as four standard evaluation tools: Secondary Traumatic Stress Inventory, Job Satisfaction Scale, Social Support Scale which measures four support sources (supervisors, coworkers, family, friends) and Cognitive Processing of Trauma Scale which allows to evaluate cognitive coping strategies (positive cognitive restructuring, downward comparison, resolution/acceptance, denial, regret) were used in the study. RESULTS The results showed that the main predictor of STS symptoms in the studied group of medical personnel is job satisfaction. Two cognitive strategies also turned out to be predictors of STS, that is regret (positive relation) and resolution/acceptance (negative relation). The contribution of other analyzed variables, i.e., denial, workload and social support to explaining the dependent variable is rather small. CONCLUSIONS Paramedics and nurses are at the high risk of indirect traumatic exposure and thus may be more prone to secondary traumatic stress symptoms development. It is important to include the medical personnel in the actions aiming at prevention and reduction of STS symptoms.
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Affiliation(s)
- Nina Ogińska-Bulik
- Department of Health Psychology, Institute of Psychology, University of Lodz, Lodz, Poland
| | | | - Paulina Michalska
- Department of Health Psychology, Institute of Psychology, University of Lodz, Lodz, Poland
| | - Edyta Kędra
- Medical Institute, State Higher Vocation School in Glogow, Glogow, Poland
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Pérez-Chacón M, Chacón A, Borda-Mas M, Avargues-Navarro ML. Sensory Processing Sensitivity and Compassion Satisfaction as Risk/Protective Factors from Burnout and Compassion Fatigue in Healthcare and Education Professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020611. [PMID: 33445789 PMCID: PMC7828252 DOI: 10.3390/ijerph18020611] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Revised: 01/08/2021] [Accepted: 01/10/2021] [Indexed: 12/30/2022]
Abstract
The study analyzes sensory processing sensitivity and the compassion satisfaction as risk/protective factors against burnout and compassion fatigue, during the first period of the COVID-19 health emergency. A sample of 1566 Spanish adult healthcare (n = 694) and education (n = 872) professionals was evaluated. An ad hoc questionnaire for sociodemographic data, and the highly sensitive person scale (HSPS), Maslach burnout inventory (MBI) and professional quality of life scale (ProQOL-vIV) were administered. Burnout and compassion fatigue were observed in the healthcare and education professionals, where personal realization and depersonalization were higher in healthcare and compassion fatigue in education. The protective role of compassion satisfaction was confirmed, as was sensory processing sensitivity as a risk factor, except for its low sensory threshold dimension, which positively influenced personal realization. The findings of this study demonstrate the presence of burnout and compassion fatigue in healthcare and education professionals, displaying compassion fatigue as an emerging psychosocial risk in education, which was made more severe under the conditions of study, which is at the beginning of the COVID-19 pandemic. The importance of incorporating adequate management strategies for high sensitivity, empathy and compassion satisfaction in prevention programs is emphasized.
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Affiliation(s)
- Manuela Pérez-Chacón
- International Doctoral School of the University of Seville, University of Seville, 41013 Seville, Spain; (M.P.-C.); (A.C.)
| | - Antonio Chacón
- International Doctoral School of the University of Seville, University of Seville, 41013 Seville, Spain; (M.P.-C.); (A.C.)
| | - Mercedes Borda-Mas
- Department of Personality, Assessment, and Psychological Treatment, University of Seville, 41018 Seville, Spain
- Correspondence: (M.B.-M.); (M.L.A.-N.)
| | - María Luisa Avargues-Navarro
- Department of Personality, Assessment, and Psychological Treatment, University of Seville, 41018 Seville, Spain
- Correspondence: (M.B.-M.); (M.L.A.-N.)
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A review of stress management interventions for the oncology nursing workforce: What do we know and what should we be doing differently? HEALTH PSYCHOLOGY REPORT 2021. [DOI: 10.5114/hpr.2020.100787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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De La Fuente-Solana EI, Ortega-Campos E, Vargas-Roman K, Cañadas-De la Fuente GR, Ariza C. T, Aguayo-Extremera R, Albendín-García L. Study of the Predictive Validity of the Burnout Granada Questionnaire in Police Officers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6112. [PMID: 32842582 PMCID: PMC7504042 DOI: 10.3390/ijerph17176112] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 08/07/2020] [Accepted: 08/16/2020] [Indexed: 11/17/2022]
Abstract
Professionals with burnout have negative physical and psychological effects, with adverse consequences in their workplace. Burnout mainly affects assisting professions; amongst them, police work is one of the professions at risk of suffering from this syndrome. The aim of this research is to study the adequacy of the Maslach Burnout Inventory and Granada Burnout Questionnaire instruments to measure burnout in police officers through the study of the reliability and validity (concurrent and predictive) of these instruments. A cross-sectional study was carried out. The sample was composed of 1884 police officers, mostly men (85.4%), with an average age of 35.04 (SD = 8.30). The Maslach Burnout Inventory and Granada Burnout Questionnaire were used to measure burnout. The results obtained in this study support the adequacy of both instruments for measuring burnout. The correlation coefficients between the dimensions are significant, with a medium-high magnitude. Participants with burnout had significantly higher scores in emotional exhaustion and depersonalization and lower scores in personal accomplishment in both instruments. The area under the curve estimated for the Granada Burnout Questionnaire provided evidence of the predictive validity of the instrument. The police profession needs validated and sensitive tools to identify police changes in the dimensions of burnout. The Granada Burnout Questionnaire instrument correctly classifies burnout in police professionals.
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Affiliation(s)
- Emilia I. De La Fuente-Solana
- Faculty of Psychology, Campus de la Cartuja s/n, University of Granada, 18011 Granada, Spain; (E.I.D.L.F.-S.); (K.V.-R.)
| | - Elena Ortega-Campos
- Department of Psychology, Faculty of Psychology, University of Almería, 04120 Almería, Spain
| | - Keyla Vargas-Roman
- Faculty of Psychology, Campus de la Cartuja s/n, University of Granada, 18011 Granada, Spain; (E.I.D.L.F.-S.); (K.V.-R.)
| | | | - Tania Ariza C.
- Faculty of Education, Avda de la Paz, 137, Universidad Internacional de La Rioja, 26006 Logroño, La Rioja, Spain;
| | - Raimundo Aguayo-Extremera
- Faculty of Psychology, Campus de Somosagua s/n, Complutense University of Madrid, 28223 Madrid, Spain;
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Psychological Capital Protects Social Workers from Burnout and Secondary Traumatic Stress. SUSTAINABILITY 2020. [DOI: 10.3390/su12062246] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Summary: To counteract the negative consequences inherent to the emotionally demanding professions like social work, we need to advance the understanding of the resources that preserve the employees’ well-being. This study investigated the role of Psychological Capital (PsyCap) in protecting social workers from developing burnout and Secondary Traumatic Stress (STS). The design of the study builds on the job demands-resources model and the conservation of resources theory. A national sample of 193 Romanian social workers participated in the study. We used the structural equation modeling framework for data analysis. We tested two structural models that had burnout as a mediator for the relationship between PsyCap and STS: A partial mediation model and a total mediation model. Findings: The total mediation model was supported by our data suggesting that PsyCap has a protective role against burnout, and subsequently, STS. Moreover, the results indicate that burnout is the critical link between personal resources and STS. Applications: The results of the study contribute to enhancing the protection of the social workers’ well-being in their professional settings, by advancing the knowledge about the resources that need to be developed in order to prevent or reduce the negative job consequences associated with helping professions. As such, increasing PsyCap levels of employees enhance the sustainability of their working conditions.
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Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17020641. [PMID: 31963831 PMCID: PMC7013833 DOI: 10.3390/ijerph17020641] [Citation(s) in RCA: 75] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Revised: 01/16/2020] [Accepted: 01/17/2020] [Indexed: 12/17/2022]
Abstract
The prevalence of burnout in midwives has been briefly studied. Given the negative effects of burnout syndrome in the physical and mental health, and also related to the quality of care provided, rates of absenteeism and sick leave; identifying related factors for the syndrome are needed. The aim was to determine the prevalence, levels, and factors related to the burnout syndrome, measured with the Copenhagen Burnout Inventory in midwives. A systematic review and meta-analysis were selected from CINAHL, LILACS, ProQuest, PsycINFO, PubMed, SciELO, and Scopus databases, with the search equation “burnout AND (midwife OR midwives OR nurses midwives)”. Fourteen articles were found with a total of 8959 midwives. Most of the studies showed moderate levels of personal burnout. The prevalence obtained was 50% (95% CI = 38–63) for personal burnout; 40% (95% CI = 32–49) for work-related burnout; and 10% (95% CI = 7–13) for client-related burnout. Midwives’ age, less experience, and living alone constitute the main related factors, as well as, the scarcity of resources, work environment, and the care model used. Most midwives present personal and work-related burnout, which indicates a high risk of developing burnout. Personal factors and working conditions should be taken into account when assessing burnout risk profiles of midwives.
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Holtzhausen JDV, Coetzee SK, Ellis SM. Influence of the practice environment on community service nurses’ subjective well-being, compassion practice and psychological capital. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2020. [DOI: 10.1016/j.ijans.2020.100243] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
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