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Giordano NA, Razmpour O, Mascaro JS, Kaplan DM, Lewis AS, Baird M, Willis PH, Reif L, Bommakanti R, Lisenby A, Cunningham T, Cimiotti JP. Reliability and Validity of Measures Commonly Utilized to Assess Nurse Well-Being. Nurs Res 2024; 73:399-405. [PMID: 38842438 DOI: 10.1097/nnr.0000000000000752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2024]
Abstract
BACKGROUND A healthy nursing workforce is vital to ensuring that patients are provided quality care. Assessing nurses' well-being and related factors requires routine evaluations from health system leaders that leverage brief psychometrically sound measures. To date, measures used to assess nurses' well-being have primarily been psychometrically tested among other clinicians or nurses working in specific clinical practice settings rather than in large, representative, heterogeneous samples of nurses. OBJECTIVES This study aimed to psychometrically test measures frequently used to evaluate factors linked to nurse well-being in a heterogeneous sample of nurses within a large academic health system. METHODS This cross-sectional, survey-based study used a convenience sample of nurses working across acute care practice settings. A total of 177 nurses completed measures, which included the Professional Quality of Life, the short form of the Professional Quality of Life measure, the two-item Connor-Davidson Resilience Scale, the five-item World Health Organization Well-Being Index, the Secondary Traumatic Stress Scale, and the single-item Mini-Z. Internal reliability and convergent validity were assessed for each measure. RESULTS All the measures were found to be reliable. Brief measures used to assess domains of well-being demonstrated validity with longer measures, as evident by significant correlation coefficients. DISCUSSION This study provides support for the reliability and validity of measures commonly used to assess well-being in a diverse sample of nurses working across acute care settings. Data from routine assessments of the nursing workforce hold the potential to guide the implementation and evaluation of interventions capable of promoting workplace well-being. Assessments should include psychometrically sound, low-burden measures, such as those evaluated in this study.
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Peixoto MM, Cunha O. Life satisfaction, psychological distress, compassion satisfaction and resilience: when the pleasure of helping others protects veterinary staff from emotional suffering. Vet Res Commun 2024:10.1007/s11259-024-10510-0. [PMID: 39162767 DOI: 10.1007/s11259-024-10510-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2024] [Accepted: 08/15/2024] [Indexed: 08/21/2024]
Abstract
INTRODUCTION Individuals working in veterinary field suffer significantly from mental health problems, and research has extensively focused on psychological and work-related predictors of psychological distress. This study intended to approach psychological distress through a positive lens by investigating the predictive role of life satisfaction on psychological distress in veterinary staff, and the mediating effect of compassion satisfaction, resilience and perceived social support. METHODOLOGY A total of 868 veterinary staff (i.e. veterinarians, veterinary nurses, veterinary assistants and veterinary administrative staff) completed a web-survey assessing life satisfaction, psychological distress, compassion satisfaction, resilience, and social support. RESULTS Life satisfaction negatively predicts psychological distress, and compassion satisfaction and resilience showed a mediation effect on the relationship between life satisfaction and psychological distress, with compassion satisfaction explaining 59% and resilience 6.4% of the effect of life satisfaction on psychological distress. CONCLUSION Current data support the role of life satisfaction as a protective dimension on psychological distress within a broader sample population of veterinary staff in Portugal, highlighting the role of compassion satisfaction and resilience in contributing in minimising distress among veterinary staff.
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Affiliation(s)
- Maria Manuela Peixoto
- Center for Psychology, University of Porto, Porto, Portugal.
- Faculdade de Psicologia e Ciências da Educação, Centro de Psicologia da Universidade do Porto, Universidade do Porto, Rua Alfredo Allen, s/n, Porto, 4200-135, Portugal.
| | - Olga Cunha
- HEI-Lab: Human Environment Interaction Lab, Lusófona University, Porto, Portugal
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Hayajneh AA, Al-Younis MO, Rababa M, Qahah I. Effect of Mindfulness Intervention on Compassion Fatigue Among Nurses: A Randomized Controlled Trial Study. Holist Nurs Pract 2024:00004650-990000000-00037. [PMID: 39166821 DOI: 10.1097/hnp.0000000000000687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2024]
Abstract
Compassion fatigue is a syndrome defined by both mental and physical restlessness. Mindfulness intervention can enhance one's emotions with nonjudgmental awareness and greater consciousness of thoughts and feelings. This study aims to examine the effect of mindfulness intervention on compassion fatigue among nurses. A randomized controlled trial was conducted, recruiting 100 nurses from three hospitals and dividing participants into an intervention and a control group. Increased mindfulness awareness was found in the comparison group in the research. The intervention group's mean burnout level was significantly lower than the comparison group. Age, gender, marital status, household size, and household income were among the sociodemographic factors that significantly correlated with compassion fatigue, which was determined through burnout and secondary traumatic stress. Nurses reported significant levels of compassion fatigue; however, this was significantly decreased through mindfulness intervention.
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Affiliation(s)
- Audai A Hayajneh
- Author Affiliations: Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan (Dr Hayajneh, Ms Al-Younis, and Dr Rababa); The World Islamic Sciences and Education University, Amman, Jordan (Dr Qahah)
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Jiang J, Liu S, Chi C, Liu Y, Xu J, Zeng L, Peng H. Experiences of compassion fatigue among Generation Z nurses in the emergency department: a qualitative study in Shanghai, China. BMC Nurs 2024; 23:556. [PMID: 39135166 PMCID: PMC11321091 DOI: 10.1186/s12912-024-02193-4] [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: 05/28/2024] [Accepted: 07/22/2024] [Indexed: 08/15/2024] Open
Abstract
BACKGROUND Due to the unique working environment and nature of work in emergency departments, nurses are prone to experiencing compassion fatigue (CF), leading to job burnout and attrition. As more Generation Z (Gen Z) nurses enter the emergency department with distinct personality traits compared to previous generations, studying their experiences with CF will inform future management strategies. METHODS The qualitative phenomenological research method was utilised to investigate CF among Gen Z emergency nurses at a hospital in Shanghai, China. Data were collected through face-to-face semi-structured interviews and analyzed using Colaizzi's seven-step phenomenological analysis method. Study participants were purposively selected. RESULTS Three main themes and nine sub-themes emerged from the study: secondary traumatic stress, including physiological symptoms, psychological symptoms, and behavioral changes; cumulative effects, including impaired empathy, interference with family life, and post-traumatic growth (PTG); coping strategies, including cognitive reconstruction, seeking support, and facilitating action. CONCLUSIONS The aim of this study is to investigate the experience of CF among Gen Z emergency nurses, providing managers with a reference for future management strategies. The significance of multi-dimensional support for Gen Z emergency nurses is underscored by our findings. Additionally, interventions that enhance resilience and competency can facilitate their psychological transformation after experiencing CF and promote accelerated personal growth.
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Affiliation(s)
- Jinxia Jiang
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China
| | - Shuyang Liu
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China
| | - Chunwei Chi
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China
| | - Yi Liu
- Department of Rehabilitation Medicine, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China
| | - Jinling Xu
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China
| | - Li Zeng
- Nursing Department, Tongji Hospital, School of Medicine, Tongji University, Shanghai, 200065, China.
| | - Hu Peng
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China.
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Shi J, Cao X, Chen Z, Pang X, Zhuang D, Zhang G, Mao L. Sensory processing sensitivity and compassion fatigue in intensive care unit nurses: A chain mediation model. Aust Crit Care 2024:S1036-7314(24)00199-1. [PMID: 39129065 DOI: 10.1016/j.aucc.2024.06.010] [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: 05/09/2024] [Revised: 06/23/2024] [Accepted: 06/24/2024] [Indexed: 08/13/2024] Open
Abstract
BACKGROUND Compassion among intensive care unit (ICU) nurses is an essential component of humanistic care in the ICU However, the enormous pressures of the job and the lack of social support have led to persistently severe compassion fatigue. Sensory processing sensitivity, as a personality trait for individuals to perceive external factors, has underlying significance for compassion fatigue. AIMS This study aims to investigate the internal and external environmental factors and the underlying mechanisms that influence the impact of sensory processing sensitivity among ICU nurses on the development of compassion fatigue. STUDY DESIGN A cross-sectional descriptive study was conducted with 290 nurses from various hospitals in five cities in China. METHOD A self-designed demographic questionnaire, the Chinese version of the Professional Quality of Life Scale, the Chinese version of the Highly Sensitive Person Scale, the Chinese version of the Perceived Social Support Scale, and the Chinese version of the Perceived Stress Scale were used to survey 290 ICU nurses. The mediating roles of perceived social support and perceived stress between sensory processing sensitivity and compassion fatigue were tested. RESULTS The research results indicate that the total effect of sensory processing sensitivity on compassion fatigue is significant (0.245 [0.093, 1.160]), whereas the direct effect of sensory processing sensitivity on compassion fatigue is not significant (-0.43 [-0.402, 0.247]). Perceived social support and perceived stress exhibit serial mediating effects between sensory processing sensitivity and compassion fatigue (-0.065 [-0.142, -0.013]). CONCLUSION Our results revealed, for the first time, the underlying mechanism between sensory processing sensitivity and compassion fatigue among ICU nurses. Providing necessary stress-relief condition and abundant social support are important measures for nursing managers to reduce compassion fatigue and improve the quality of critical care humanistic nursing services.
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Affiliation(s)
- Jiaqi Shi
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China.
| | - Xinmei Cao
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China.
| | - Zhi Chen
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China.
| | - Xinyue Pang
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China.
| | - Danwen Zhuang
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China.
| | - Guohua Zhang
- Key Research Center of Philosophy and Social Sciences of Zhejiang Province, Institute of Medical Humanities, Wenzhou Medical University, 325035, China; The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, 325035, China.
| | - Lijie Mao
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China.
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van den Berg NM, Paans W, Schroevers MJ, van der Wal-Huisman H, van Leeuwen BL. Does a participatory live music practice support nurses to deliver compassionate care to hospitalised patients? A qualitative study. J Clin Nurs 2024; 33:3684-3699. [PMID: 38764215 DOI: 10.1111/jocn.17213] [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: 09/28/2023] [Revised: 04/16/2024] [Accepted: 04/27/2024] [Indexed: 05/21/2024]
Abstract
AIM To gain more insight into how nurses experience a participatory live music practice in relation to their ability to deliver compassionate care to medically hospitalised patients. DESIGN Qualitative interpretive design. METHODS Sixteen nurses participating in a live music practice with patients were interviewed using in-depth interviews with open-ended questions. Audio recordings were transcribed verbatim and subsequently coded. Theory-driven inductive and deductive approaches were applied in thematic data analysis. RESULTS We identified four themes: (1) Nurses' empathy and compassion; (2) The caring nurse-patient relationship; (3) Person-centred approaches to care and (4) Nurses' subjective wellbeing. By observing patients' reactions to the music, nurses described that they obtained a deeper insight and understanding of patients' emotional wellbeing. These observations led to increased feelings of compassion in patient contact and stimulated informal communication between nurses and patients through a sense of shared humanity. According to nurses, these aspects positively affected collaboration with patients in delivering care and stimulated them to pursue person-centred approaches to care. Participating in the live music practice also positively affected nurses' wellbeing, enhanced relaxation and created an ambiance in which compassion could be expressed. CONCLUSION A live music practice can positively contribute to the delivery of compassionate care by providing meaningful shared moments that increase feelings of empathy and compassion and strengthen the caring relationship. IMPLICATIONS FOR THE PROFESSION Offering a live music practice at the ward and bedside offers a unique possibility to enhance engagement in person-centred, compassionate care. IMPACT While compassion and compassionate care are essential component of nursing, nurses often experience multiple barriers to its provision in daily practice. An innovative way to stimulate compassionate care is through the participation of nurses and patients in a live music practice, providing a meaningful moment shared between them. This stimulates feelings of shared humanity and bonding in the caring relationship. REPORTING METHOD The COnsolidated criteria for REporting Qualitative research (COREQ). No Patient or Public Contribution.
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Affiliation(s)
- Nina M van den Berg
- Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Wolter Paans
- Research Group Nursing Diagnostics, Hanze University of Applied Sciences Groningen, Groningen, The Netherlands
| | - Maya J Schroevers
- Department of Health Sciences, Section Health Psychology, University Medical Center Groningen, Groningen, The Netherlands
| | - Hanneke van der Wal-Huisman
- Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Barbara L van Leeuwen
- Department of Surgical Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
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Hoefer L, Tatebe LC, Patel P, Tyson A, Kingsley S, Chang G, Kaminsky M, Doherty J, Hampton D. Trauma surgeons experience compassion fatigue: A major metropolitan area survey. J Trauma Acute Care Surg 2024; 97:183-188. [PMID: 38197666 DOI: 10.1097/ta.0000000000004223] [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: 01/11/2024]
Abstract
INTRODUCTION Compassion fatigue (CF), the physical, emotional, and psychological impact of helping others, is composed of three domains: compassion satisfaction (CS), secondary traumatic stress (STS), and burnout (BO). Trauma surgeons (TSs) experience work-related stress resulting in high rates of CF, which can manifest as physical and psychological disorders. We hypothesized that TSs experience CF and there are potentially modifiable systemic factors to mitigate its symptoms. METHODS All TSs in a major metropolitan area were eligible. Personal and professional demographic information was obtained. Each participant completed six validated surveys: (1) Professional Quality of Life scale, (2) Perceived Stress Scale, (3) Multidimensional Scale of Perceived Social Support, (4) Adverse Childhood Events Questionnaire, (5) Brief Coping Inventory, and (6) Toronto Empathy Questionnaire. Compassion fatigue subscale risk scores (low, <23; moderate, 23-41; high, >41) were recorded. Linear regression analysis assessed the demographic and environmental factors association with BO, STS, and CS. Variables significant on univariate analysis were included in multivariate models to determine the independent influence on BO, STS, and CS. Significance was p ≤ 0.05. RESULTS There were 57 TSs (response rate, 75.4% [n = 43]; White, 65% [n = 28]; male, 67% [n = 29]). Trauma surgeons experienced CF (BO, 26 [interquartile range (IQR), 21-32]; STS, 23 [IQR, 19-32]; CS, 39 [IQR, 34-45]). The Perceived Stress Scale score was significantly associated with increased BO (coefficient [coef.], 0.52; 95% confidence interval [CI], 0.28-0.77) and STS (coef., 0.44; 95% CI, 0.15-0.73), and decreased CS (coef., -0.51; 95% CI, -0.80 to -0.23) ( p < 0.01). Night shifts were associated with higher BO (coef., 1.55; 95% CI, 0.07-3.03; p = 0.05); conversely, day shifts were associated with higher STS (coef., 1.94; 95% CI, 0.32-3.56; p = 0.03). Higher Toronto Empathy Questionnaire scores were associated with greater CS (coef., 0.33; 95% CI, 0.12-0.55; p < 0.01). CONCLUSION Trauma surgeons experience moderate BO and STS associated with modifiable system- and work-related stressors. Efforts to reduce CF should focus on addressing sources of workplace stress and promoting empathic care. LEVEL OF EVIDENCE Prognostic and Epidemiological; Level III.
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Affiliation(s)
- Lea Hoefer
- From the Department of Surgery (L.H.), University of Chicago Medicine, Chicago, IL; Department of Surgery (L.C.T.), Northwestern University, Chicago, IL; Department of Surgery (P.P.), Loyola University Medical Center, Maywood, IL; Department of Surgery (A.T.), Northshore University Health System, Evanston, IL; Department of Surgery (S.K.), Advocate Health Care, Chicago, IL; Department of Surgery (G.C.), Mount Sinai Hospital, Chicago, IL; Department of Trauma and Burn Surgery (M.K.), John H. Stroger Jr. Hospital of Cook County, Chicago, IL; Department of Surgery (J.D.), Advocate Christ Medical Center, Chicago, IL; and Department of Surgery (D.H.), University of Chicago Medicine and Section of Trauma and Acute Care Surgery, Chicago, IL
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Crawford C, Williams JR. Support Needs of Labor and Delivery Nurses After Traumatic Experiences. J Obstet Gynecol Neonatal Nurs 2024; 53:383-396. [PMID: 38369297 DOI: 10.1016/j.jogn.2024.01.008] [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: 09/25/2023] [Revised: 01/13/2024] [Accepted: 01/23/2024] [Indexed: 02/20/2024] Open
Abstract
OBJECTIVE To examine the effect of psychological distress, overall distress, and institutional support following a traumatic workplace event on absenteeism, turnover intention, and resilience among labor and delivery nurses. DESIGN A quantitative cross-sectional survey. SETTING Online distribution from January 13, 2021, to February 2, 2021. PARTICIPANTS A nationwide convenience sample of labor and delivery nurses recruited from the Association of Women's Health, Obstetric and Neonatal Nurses (N = 171). METHODS Participants completed a survey that included the Second Victim Experience and Support Tool-Revised and the Second Victim Support Desirability survey. We compared available versus desired support options using descriptive analyses. We examined levels of psychological distress and lack of institutional support in relation to turnover intention, absenteeism, and resilience using multiple regression analyses. RESULTS Participants identified and described various traumatic experiences in the workplace, including neonatal and maternal death, complicated births, and workplace violence. Participants indicated that the available support services did not meet their needs. Psychological distress, overall distress, and lack of institutional support were associated with absenteeism and turnover, whereas only institutional support was associated with resilience. CONCLUSION Labor and delivery nurses encounter various traumatic events in the workplace, and the support services provided after an event do not meet their needs. Additional research is needed to understand the scope of the problem and investigate best practices to assist labor and delivery nurses following traumatic events.
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Sprang G, Gusler S, Eslinger J, Gottfried R. The Relationship Between Secondary Traumatic Stress and Compassion Satisfaction: A Systematic Literature Review. TRAUMA, VIOLENCE & ABUSE 2024; 25:2282-2296. [PMID: 37981840 DOI: 10.1177/15248380231209438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
Abstract
This systematic literature review examines the relationship between secondary traumatic stress (STS) and compassion satisfaction (CS) to identify the state of the science and directions for future research. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis framework was used to guide the identification and evaluation of studies. Eight academic databases were systematically searched between July and December of 2022 to identify articles and dissertations published in English or Hebrew between 2000 and 2022. Studies were considered for inclusion if they examined the relationship between STS and CS and met an established quality threshold. If studies used a mixed methods approach, only quantitative results were included in the review. The search strategy yielded 537 studies with 33 included in the final review. Findings of this review suggest experiences of high levels of STS can coexist with high levels of CS indicating that people can gain satisfaction from their work and experience STS. Most studies examined the relationship between STS and CS using bivariate analyses with variability found in the direction of the relationship. This variability was also found in multivariate studies included in this review. These findings suggest the need for interventions to address both STS and CS with attention paid to the potential negative impact of emotional contagion and the vulnerability of younger female practitioners. Future research should pay attention to the rigor of the analysis of STS and CS and the exploration of mediating or moderating mechanisms between these constructs.
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Affiliation(s)
- Ginny Sprang
- Department of Psychiatry and Center on Trauma and Children, University of Kentucky, Lexington, USA
| | - Stephanie Gusler
- Department of Psychiatry and Center on Trauma and Children, University of Kentucky, Lexington, USA
| | - Jessica Eslinger
- Department of Psychiatry and Center on Trauma and Children, University of Kentucky, Lexington, USA
| | - Ruth Gottfried
- The David Yellin Academic College of Education, Jerusalem, Israel
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Banks J, Lopez V, Sahay A, Cleary M. A Scoping Review of Compassion Fatigue Among Oncology Nurses Caring for Adult Patients. Cancer Nurs 2024; 47:E213-E225. [PMID: 36944157 DOI: 10.1097/ncc.0000000000001226] [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: 03/23/2023]
Abstract
BACKGROUND Oncology nurses have frequent contact with oncology patients during their cancer journey. This long-term, recurrent contact can impact the health and well-being of the nurse through the development of compassion fatigue (CF). OBJECTIVES To identify what contributes to CF and what individual, interpersonal, and organizational factors mitigate CF among oncology nurses caring for adult patients. METHODS A scoping review framework by Arksey and O'Malley guided this review. Electronic databases were searched for relevant studies. A blinded screening process was undertaken by the authors using the following inclusion criteria: English language published from January 2011 to December 2021, primary research peer-reviewed studies, and focusing on CF within oncology nurses caring for adult patients in any practice setting. RESULTS Nineteen studies (21 articles) were identified. The review found nurses' personal beliefs around nursing care being provided, and personality traits of psychological inflexibility, neuroticism, passive coping, and avoidance contributed to CF. Workplace conflict and lack of a healthy work-life balance also contributed to CF. However, nurses' personal resilience, ability to positively reflect upon their work, a supportive team environment, and continuing education were found to mitigate CF. CONCLUSIONS Levels of CF vary among oncology nurses caring for adult patients. Oncology nurses may benefit from personal and organizational resources aimed at improving oncology nurses' professional quality of life while decreasing CF. IMPLICATIONS FOR PRACTICE Consideration and future research of effective interventions are needed to sustain a future health workforce and mitigate CF among oncology nurses.
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Affiliation(s)
- Janneka Banks
- Author Affiliations: School of Nursing, Midwifery and Social Sciences, CQUniversity, Australia
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Desai K, O’Malley P, Van Culin E. Impact of heartfulness meditation practice compared to the gratitude practices on wellbeing and work engagement among healthcare professionals: Randomized trial. PLoS One 2024; 19:e0304093. [PMID: 38848338 PMCID: PMC11161083 DOI: 10.1371/journal.pone.0304093] [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: 01/12/2024] [Accepted: 04/26/2024] [Indexed: 06/09/2024] Open
Abstract
OBJECTIVE To investigate whether Heartfulness meditation practice, compared to Gratitude practice, leads to measurable changes in mental wellbeing among healthcare providers across the US. METHOD Participants were randomly assigned to one of the following 6-week interventions: the trainer-guided virtual Heartfulness meditation program or the podcast-based self-guided gratitude practice group. The Professional Quality of Life Scale-5 (ProQOL-5) was used to determine Compassion Satisfaction (CS) and risk for Burnout (BO) and secondary traumatic stress (STS). The Utrecht Work Engagement Scale (UWES) was used to assess vigor, dedication, and absorption at work. Outcomes were collected at baseline and the end of the study period. Qualitative questions regarding the experience of learning and practicing were also offered at the end of the six weeks. RESULTS The majority of participants were nurses (50%), followed by allied healthcare professionals (37%) and physicians (13%) (N = 83). There was a general trend towards increases in CS in the Heartfulness group compared to the gratitude group. However, this was not statistically significant. Strong evidence suggests there was a significant improvement in BO for the Heartfulness group between Week 0 and Week 6 (p = 0.002), as well as STS (p = 0.0004) and vigor (p = 0.0392). Qualitative data analysis revealed that the subjects in the Heartfulness arm reported improved sleep and decreased reactivity to stress. Subjects in the gratitude arm reported improved mood and favorable results using gratitude practices at home with family members. CONCLUSION In our study, Heartfulness meditation practice was associated with a significant improvement in burnout and vigor at work, with a trend towards compassion satisfaction after six weeks compared with gratitude practices. Qualitative analysis indicates the benefits of both Heartfulness and Gratitude practices. Further randomized trials with a larger sample size are needed to explore these science-based practices for the wellbeing of healthcare workers.
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Affiliation(s)
- Kunal Desai
- Department of Internal Medicine, Boonshoft School of Medicine, Wright State University, Dayton, Ohio, United States of America
| | - Patricia O’Malley
- Nurse Scientist- Premier Health Nursing Research, Miami Valley Hospital, Dayton, Ohio, United States of America
| | - Emily Van Culin
- Premier Health Learning Institute, Dayton, Ohio, United States of America
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O'Connor M, Shimoinaba K, Zhong Y, Peyton S. Self-compassion training in palliative care during COVID-19: A pilot study. Palliat Support Care 2024; 22:582-587. [PMID: 36226853 DOI: 10.1017/s1478951522001195] [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] [Indexed: 11/07/2022]
Abstract
OBJECTIVES This pilot project replicated a self-compassion program to support health-care professionals in palliative care settings. We anticipated that undertaking this program would enhance participants' psychological well-being. METHODS Participants were recruited by convenience sampling from palliative care services in an area of Melbourne, Australia. Because of the COVID-19 pandemic, the program was offered online and comprised six once-weekly gatherings. Three survey rounds with identical questions were conducted prior to, immediately after, and 3 months after the training. The surveys consisted of 6 scales: the Self-Compassion Scale, the Santa Clara Brief Compassion Scale, the Cognitive and Affective Mindfulness Scale, the Depression Anxiety Stress Scale, the Professional Quality of Life Scale, and the Interpersonal Reactivity Index Scale. Paired-sample t-test and repeated measures analysis of variance analyses were used to compare participant responses. RESULTS Nine participants working in palliative care completed the training and 3 surveys and included qualitative responses. The experience was overwhelmingly positive. Self-compassion (F = 14.44; p < 0.05) and mindfulness (F = 18.44; p < 0.05) scores significantly increased post-training, were picked up in a short time and endured. The emotional state improved by compassion satisfaction, showing a positive improvement 3 months post-training, along with there being no changes in compassion satisfaction, burnout, and dispositional empathy. SIGNIFICANCE OF RESULTS Participants all worked in a supportive environment, which encouraged self-care. Even against the pandemic difficulties, a short online program was effective, assisting participants to cultivate their inner resources in mindfulness and self-compassion. While a small sample size, expansion of the training may benefit the wider palliative care workforce.
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Affiliation(s)
- Margaret O'Connor
- Nursing and Midwifery, Monash University, Frankston, Australia
- Melbourne City Mission Palliative Care, Melbourne, Australia
| | | | - Yaping Zhong
- Nursing and Midwifery, Monash University, Frankston, Australia
| | - Suzanne Peyton
- Melbourne City Mission Palliative Care, Melbourne, Australia
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Murray DD, Chiotu LB. How Mental Health Nurses Report Their Compassion Fatigue and Compassion Satisfaction: A Cross-Sectional Study and the Implications for Healthcare Leaders. Issues Ment Health Nurs 2024; 45:506-519. [PMID: 38640492 DOI: 10.1080/01612840.2024.2322045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/21/2024]
Abstract
Compassion fatigue is the cost of caring for others in emotional pain where the helping professional absorbs the trauma of those they help and cannot detach emotionally at the end of the day. Stressful and perceived unsupportive work environments may leave the caregiver at a heightened risk for compassion fatigue. To study the level of compassion fatigue and compassion satisfaction experienced by mental health nurses. A descriptive, cross-sectional, electronic survey design was utilized. The Professional Quality of Life Scale-5 was used. The study was conducted at a large, urban hospital that exclusively treats patients with mental health and addiction issues located in Ontario, Canada. The sample included all nurses who were listed on the hospital's Email list. All nurses who are displayed on this list are mental health nurses. Analyses were conducted to assess for differences between the characteristics and the subscales of professional quality of life. One hundred and forty-eight mental health nurses completed a questionnaire. The response rate was 21%. Seventy-six percent reported moderate levels of burnout, 59% reported moderate levels of secondary traumatic stress, and 21% reported high levels of compassion satisfaction. Predictors were seen for the characteristics of gender, ethnicity, marital status, area, exposure to violence and support felt. Compassion fatigue has clear implications. Organizations willing to invest in reducing it, have the potential to improve patient outcomes and the well-being of nurses. The majority of mental health nurses reported moderate levels for each of the subscales.
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Affiliation(s)
- Debbilynn Dawn Murray
- Professional Practice Office, Centre for Addiction and Mental Health (CAMH), Toronto, Canada
| | - Light Bosah Chiotu
- Complex Care and Recovery Program, Centre for Addiction and Mental Health (CAMH), Toronto, Canada
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14
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Ahmadi MH, Heidarzadeh M, Fathiazar A, Ajri-Khameslou M. Investigating the relationship between compassion fatigue and moral injury in nurses. Nurs Ethics 2024:9697330241247323. [PMID: 38676567 DOI: 10.1177/09697330241247323] [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: 04/29/2024]
Abstract
Background: Compassion fatigue and professional quality of life are important in health and professional ethics. Aim: This study aimed to determine the relationship between compassion satisfaction, compassion fatigue, secondary traumatic stress, and moral injury in nurses. Research design: This research is a cross-sectional descriptive-analytical study. The research community of this research was all the nurses of the teaching hospitals of Ardabil city. Three questionnaires on demographic characteristics, the Professional Quality of Life Scale (ProQOL), and the Moral Injury Events Scale were used to collect data. SPSS (version 22) software was used for data analysis. Participants and research context: The study recruited 297 nurses randomly selected from five teaching hospitals in Ardabil city. Ethical considerations: Ethical approval was obtained from the Ardabil University of Medical Sciences ethics committee (with the code of ethics IR.ARUMS.REC.1401.198). Informed consent was obtained from the participants. Results: The results showed that the mean compassion satisfaction score of this study's participants was 37.61 ± 8.86, the mean compassion fatigue score of this study's participants was 28.73 ± 7.04, and the mean secondary traumatic stress score of this study's participants was 29.95 ± 7.84. The mean score of moral injury among nurses was 31.19 ± 8.54. The results showed a negative significant relationship between compassion satisfaction and moral injury (p < 0.001). Also, there is a positive significant relationship between compassion fatigue and secondary traumatic stress with moral injury (p < 0.001). Conclusion: The results of this study show a negative relationship between compassion satisfaction and moral injury. According to the results of the present study, nurse managers should implement educational interventions, create ethical processes, and clear ethical guidelines to reduce moral injury and increase compassion satisfaction.
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Fradelos EC, Alikari V, Artemi S, Missouridou E, Mangoulia P, Kyranou M, Saridi M, Toska A, Tsaras K, Tzavella F. A Mixed-Method Study on the Assessment of Factors Influencing Nurses' Provision of Spiritual Care. Healthcare (Basel) 2024; 12:854. [PMID: 38667616 PMCID: PMC11050414 DOI: 10.3390/healthcare12080854] [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: 02/01/2024] [Revised: 04/11/2024] [Accepted: 04/16/2024] [Indexed: 04/28/2024] Open
Abstract
The purpose of this study was to explore factors that influence nurses' beliefs about offering spiritual care. STUDY DESIGN A mixed-method study design, incorporating both quantitative (questionnaire) and qualitative research, was used for this study (focus group discussion). METHODS The questionnaires were completed by a convenience sample of nurses and their assistants working in two public hospitals. These questionnaires included the Greek versions of the FACIT-Sp-12, SCIPS, NEO-FFI, and the Spiritual Climate Scale, as well as a specially designed questionnaire to gather demographic, socioeconomic, and professional information about the study population (SCS). Three nurses and two nursing assistants who worked in public hospitals and were chosen through purposive sampling made up the sample for the qualitative study. In utilizing inductive content analysis methodology, a qualitative analysis was carried out. RESULTS Greek nurses frequently offer spiritual care to their patients, primarily existential spiritual care. It was discovered that the spiritual climate, the nurses' positive coherence, and their educational level all exert a favorable effect on total spiritual care. Three categories and seven subcategories were used to describe the participants' prior experiences with spiritual care. CONCLUSIONS Greek nurses frequently offer spiritual care to their patients, and both internal and external factors influence their attitudes in this regard.
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Affiliation(s)
- Evangelos C. Fradelos
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41500 Larissa, Greece; (M.S.); (A.T.)
| | - Victoria Alikari
- Department of Nursing, University of West Attica, 12244 Egaleo, Greece; (V.A.); (E.M.)
| | | | - Evdokia Missouridou
- Department of Nursing, University of West Attica, 12244 Egaleo, Greece; (V.A.); (E.M.)
| | | | - Maria Kyranou
- Department of Nursing, Cyprus University of Technology, Limassol 3036, Cyprus;
| | - Maria Saridi
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41500 Larissa, Greece; (M.S.); (A.T.)
| | - Aikaterini Toska
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41500 Larissa, Greece; (M.S.); (A.T.)
| | | | - Foteini Tzavella
- Department of Nursing, University of Peloponnese, 22131 Tripoli, Greece;
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Seyffert M, Wu C, Özkan-Seely GF. Insights into the Impact of Organizational Factors and Burnout on the Employees of a For-Profit Psychiatric Hospital during the Third Wave of the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:484. [PMID: 38673395 PMCID: PMC11050685 DOI: 10.3390/ijerph21040484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Revised: 04/02/2024] [Accepted: 04/04/2024] [Indexed: 04/28/2024]
Abstract
In this paper, we provide insights into the interplay among the organizational, job, and attitudinal factors and employees' intentions to resign during the third wave of the COVID-19 pandemic at a mental health hospital. We point out shortcomings in the relationship dynamics between executive administration and operational staff and propose a pathway to develop more effective leadership frameworks to increase job satisfaction. We integrate qualitative data from case information and open-ended questions posed to employees at a mental health hospital and quantitative data from a small-scale survey (n = 19). We highlight that the ability to achieve objectives, work autonomy, burnout, affective commitment, distributive and procedural justice, and job satisfaction are critical in determining individuals' intentions to resign. Individuals identified disconnectedness and moral distress as critical aspects, while highlighting empathy, compassion, satisfaction, and confidence as pivotal elements. Mental healthcare settings could benefit from enhancing the staff's ability to achieve objectives, work autonomy, affective commitment, and both distributive and procedural justice. Addressing burnout and implementing measures to increase job satisfaction are equally vital. Efficiently restructuring dynamics between various leadership levels and staff can significantly improve employee retention.
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Affiliation(s)
- Michael Seyffert
- School of Business, University of Washington Bothell, Bothell, WA 98195, USA;
| | - Chunyi Wu
- Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA;
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Zapata J, Zavala-Idar A, Recto P, Lesser J. The mental health consequences of COVID-19 on a sample of health professions students: a mixed methods study. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-10. [PMID: 38603780 DOI: 10.1080/07448481.2024.2338425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 03/22/2024] [Indexed: 04/13/2024]
Abstract
Objective: To assess and examine how the COVID-19 pandemic may have impacted the mental health of a sample of health professions students (HPS) using an explanatory sequential mixed-methods design. Participants: Participants included 41 HPS enrolled in a co-curricular interprofessional education (IPE) program. Measurements: Measures included the CES-D scale, PSS scale, and the GAD scale. Qualitative description was used to explore the experiences of these HPS. Results: The HPS explained that fear of acquiring COVID-19, transmitting the virus to loved ones, and dying as a result of the disease negatively influenced their mental health. The HPS revealed that there were some beneficial outcomes resulting from the pandemic, including the strengthening of family bonds and the cultivation of resiliency. Conclusions: The pandemic has had a negative impact on the mental health of these HPS. It is essential that these students receive support for their mental health in order to provide optimal care to the population they serve.
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Affiliation(s)
- Jose Zapata
- South Texas AHEC, The University of Texas Health at San Antonio, San Antonio, Texas, USA
| | - Annette Zavala-Idar
- South Texas AHEC, The University of Texas Health at San Antonio, San Antonio, Texas, USA
| | - Pamela Recto
- South Texas AHEC, The University of Texas Health at San Antonio, San Antonio, Texas, USA
| | - Janna Lesser
- South Texas AHEC, The University of Texas Health at San Antonio, San Antonio, Texas, USA
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18
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Chu LC. Effect of compassion fatigue on emotional labor in female nurses: Moderating effect of self-compassion. PLoS One 2024; 19:e0301101. [PMID: 38547163 PMCID: PMC10977725 DOI: 10.1371/journal.pone.0301101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 03/07/2024] [Indexed: 04/02/2024] Open
Abstract
Emotional labor is common in nursing but may be affected by the mental state of nurses. This study explored the effect of compassion fatigue on emotional labor and whether self-compassion moderates this effect of compassion fatigue. METHODS A two-stage survey design with a convenience sample. Participants were female nursing staff recruited from emergency departments, intensive care units, ward nursing units, and outpatient departments of medical centers, regional hospitals, and district hospitals in Taiwan. A total of 300 questionnaire copies in each of the first and second stages were distributed, and 272 pairs of responses were retrieved (valid response rate = 91%). The reliability and validity of the questionnaire were tested, and confirmatory factor analysis was conducted with AMOS 21. The proposed hypotheses were verified using hierarchical regression conducted with SPSS version 25.0. RESULTS This study revealed that compassion fatigue positively predicted surface acting (β = 0.12, p < 0.05) and negatively predicted deep acting (β = -0.18, p < 0.01) and expression of genuine emotions (β = -0.31, p < 0.01). In addition, self-compassion negatively moderates the relationships between compassion fatigue and surface acting (β = -0.12, p < 0.05), and positively moderates the relationships between compassion fatigue and expression of genuine emotions (β = 0.15, p < 0.01). CONCLUSIONS To avoid excessive consumption of emotional resources, nurses with high compassion fatigue may employ surface acting by engaging in emotional labor without making an effort to adjust their feelings. Nurses need also be sympathized with, and such sympathy can come from hospitals, supervisors, colleagues, and, most crucially, the nurses themselves. Hospital executives should propose improvement strategies that can prevent the compassion fatigue on nurses, such as improving nurses' self-compassion.
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Affiliation(s)
- Li-Chuan Chu
- School of Health Policy and Management, Chung Shan Medical University, Taiwan, Republic of China
- Department of Medical Education, Chung Shan Medical University Hospital, Taiwan, Republic of China
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19
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Gündüz ES, Yildirim N, Akatin Y, Gündoğdu NA. Relationship between nurses' resilience and quality of professional life. Int Nurs Rev 2024. [PMID: 38511869 DOI: 10.1111/inr.12960] [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: 07/26/2023] [Accepted: 02/25/2024] [Indexed: 03/22/2024]
Abstract
AIM This study aimed to investigate the correlation between the resilience levels of nurses and qualit of their professional life. BACKGROUND Nurses' resilience level can affect their professional qualityof life. A higher resilience level enables them to manage stress and overcome challanges more effectively leading to enhanced patient care and satisfaction. Coversly, lower resiliance can lead to burnout, negatievly impacting both the nurses' wellbeing and the quality of service delivered to patients. INTRODUCTION It is crucial to understand the correlation between the professional life quality and resilience of nurses working in difficult conditions. METHODS This correlational study was conducted between September 2021 and February 2022. A total of 276 nurses were included in the study. Data were collected using the Demographic Data Form consisting of sociodemographic characteristics, the Professional Quality-of-Life Scale, and the Resilience Scale for Adults. RESULTS The resilience score was above average, and the professional quality of life was high. Compassion satisfaction and compassion fatigue, which are components of professional quality of life, were moderate, and the burnout level was low. A robust positive correlation was observed between resilience and the professional quality of life. The linear regression model showed that choosing the profession unwillingly, dissatisfaction with the unit in which one works, and the level of psychological resilience are independent factors of professional quality of life. CONCLUSION According to the findings, high psychological resilience increases the quality of professional life. Resilience, choosing nursing willingly, and liking the unit in which one works are determinants of professional quality of life. IMPLICATIONS FOR NURSING POLICY Enhancing the professional quality of life of nurses has important individual, institutional, and social consequences. Enhancing resilience has the potential to elevate the quality of professional life. Hence, it is important to develop national and international policies and models. Additionally, managers bear significant responsibilities in ensuring a positive work environment. Undoubtedly, having nurses work in units they like, feel happy in, and prefer will increase their professional quality of life and make positive contributions to patient care, the institution, and society.
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Affiliation(s)
- Emine Selda Gündüz
- Vocational School of Health Services, Akdeniz University, Antalya, Turkey
| | - Nezaket Yildirim
- Faculty of Nursing, Department of Nursing Management, Akdeniz University, Antalya, Turkey
| | - Yeliz Akatin
- Republic of Turkey Ministry of Health Izmir Provincial Health Directorate Izmir University of Health Sciences Tepecik Training and Research Hospital, İzmir, Turkey
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20
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Vogt KS, Johnson J, Coleman R, Simms-Ellis R, Harrison R, Shearman N, Marran J, Budworth L, Horsfield C, Lawton R, Grange A. Can the Reboot coaching programme support critical care nurses in coping with stressful clinical events? A mixed-methods evaluation assessing resilience, burnout, depression and turnover intentions. BMC Health Serv Res 2024; 24:343. [PMID: 38491374 PMCID: PMC10941361 DOI: 10.1186/s12913-023-10468-w] [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: 04/05/2023] [Accepted: 12/12/2023] [Indexed: 03/18/2024] Open
Abstract
BACKGROUND Critical care nurses (CCNs) are routinely exposed to highly stressful situations, and at high-risk of suffering from work-related stress and developing burnout. Thus, supporting CCN wellbeing is crucial. One approach for delivering this support is by preparing CCNs for situations they may encounter, drawing on evidence-based techniques to strengthen psychological coping strategies. The current study tailored a Resilience-boosting psychological coaching programme [Reboot] to CCNs. Other healthcare staff receiving Reboot have reported improvements in confidence in coping with stressful clinical events and increased psychological resilience. The current study tailored Reboot for online, remote delivery to CCNs (as it had not previously been delivered to nurses, or in remote format), to (1) assess the feasibility of delivering Reboot remotely, and to (2) provide a preliminary assessment of whether Reboot could increase resilience, confidence in coping with adverse events and burnout. METHODS A single-arm mixed-methods (questionnaires, interviews) before-after feasibility study design was used. Feasibility was measured via demand, recruitment, and retention (recruitment goal: 80 CCNs, retention goal: 70% of recruited CCNs). Potential efficacy was measured via questionnaires at five timepoints; measures included confidence in coping with adverse events (Confidence scale), Resilience (Brief Resilience Scale), depression (PHQ-9) and burnout (Oldenburg-Burnout-Inventory). Intention to leave (current role, nursing more generally) was measured post-intervention. Interviews were analysed using Reflexive Thematic Analysis. RESULTS Results suggest that delivering Reboot remotely is feasible and acceptable. Seventy-seven nurses were recruited, 81% of whom completed the 8-week intervention. Thus, the retention rate was over 10% higher than the target. Regarding preliminary efficacy, follow-up measures showed significant increases in resilience, confidence in coping with adverse events and reductions in depression, burnout, and intention to leave. Qualitative analysis suggested that CCNs found the psychological techniques helpful and particularly valued practical exercises that could be translated into everyday practice. CONCLUSION This study demonstrates the feasibility of remote delivery of Reboot and potential efficacy for CCNs. Results are limited due to the single-arm feasibility design; thus, a larger trial with a control group is needed.
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Affiliation(s)
- K S Vogt
- Bradford Institute for Health Research, Bradford Royal Infirmary, Temple Bank House, Duckworth Lane, Bradford, BD9 6RJ, UK.
- Department of Psychology, University of Leeds, Leeds, LS2 9JT, UK.
- Department of Primary Care & Mental Health, Institute of Population Health, University of Liverpool, Eleanor Rathbone Building, Liverpool, L69 7ZA, UK.
| | - J Johnson
- Bradford Institute for Health Research, Bradford Royal Infirmary, Temple Bank House, Duckworth Lane, Bradford, BD9 6RJ, UK
- Department of Psychology, University of Leeds, Leeds, LS2 9JT, UK
- School of Population Health, University of New South Wales, Sydney, 2052, Australia
| | - R Coleman
- Bradford Institute for Health Research, Bradford Royal Infirmary, Temple Bank House, Duckworth Lane, Bradford, BD9 6RJ, UK
- School of Health and Wellbeing: College of Medical, Veterinary and Life Sciences, University of Glasgow, Clarice Pears Building, Glasgow, G12 8TB, UK
| | - R Simms-Ellis
- Bradford Institute for Health Research, Bradford Royal Infirmary, Temple Bank House, Duckworth Lane, Bradford, BD9 6RJ, UK
- Department of Psychology, University of Leeds, Leeds, LS2 9JT, UK
| | - R Harrison
- School of Population Health, University of New South Wales, Sydney, 2052, Australia
- Centre for Health Systems and Safety Research: Australian Institute of Health Innovation, Macquarie University, Sydney, Australia
| | - N Shearman
- Leeds Teaching Hospitals NHS Trust, Great George Street, Leeds, LS1 3EX, UK
- Mid Yorkshire Teaching NHS Trust, Wakefield, UK
| | - J Marran
- Bradford Institute for Health Research, Bradford Royal Infirmary, Temple Bank House, Duckworth Lane, Bradford, BD9 6RJ, UK
| | - L Budworth
- Bradford Institute for Health Research, Bradford Royal Infirmary, Temple Bank House, Duckworth Lane, Bradford, BD9 6RJ, UK
- Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK
- NIHR Yorkshire & Humber Patient Safety Research Collaboration, Bradford Teaching Hospitals Foundation Trust, Bradford, UK
| | - C Horsfield
- West Yorkshire Adult Critical Care Network, Leeds Teaching Hospitals, Leeds, UK
| | - R Lawton
- Bradford Institute for Health Research, Bradford Royal Infirmary, Temple Bank House, Duckworth Lane, Bradford, BD9 6RJ, UK
- Department of Psychology, University of Leeds, Leeds, LS2 9JT, UK
| | - A Grange
- Bradford Institute for Health Research, Bradford Royal Infirmary, Temple Bank House, Duckworth Lane, Bradford, BD9 6RJ, UK
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Chatham AA, Petruzzi LJ, Patel S, Brode WM, Cook R, Garza B, Garay R, Mercer T, Valdez CR. Structural Factors Contributing to Compassion Fatigue, Burnout, and Secondary Traumatic Stress Among Hospital-Based Healthcare Professionals During the COVID-19 Pandemic. QUALITATIVE HEALTH RESEARCH 2024; 34:362-373. [PMID: 38011747 PMCID: PMC10905984 DOI: 10.1177/10497323231213825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
High levels of burnout among healthcare providers (HCPs) have been a widely documented phenomenon, which have been exacerbated during the COVID-19 pandemic. In the United States, qualitative studies that are inclusive of HCPs in diverse professional roles have been limited. Therefore, we utilized a qualitative-quantitative design to examine professional quality of life in terms of compassion fatigue, burnout, and secondary traumatic stress among hospital-based HCPs, including social workers, hospitalists, residents, and palliative care team members during COVID-19. HCPs (n = 26) participated in virtual semi-structured focus groups or individual interviews and online surveys (n = 30) including the Professional Quality of Life (ProQOL) Scale. While ProQOL scores indicated low levels of compassion fatigue, burnout, and secondary traumatic stress, thematic analysis of our qualitative data included rich descriptions of compassion fatigue, burnout, and secondary traumatic stress. Safety concerns and value misalignment characterized structural stressors perceived to contribute to HCP compassion fatigue, burnout, and secondary traumatic stress. The discrepancy between our qualitative and quantitative findings may be indication that modifications to current screenings are warranted. These findings also suggest a need to identify and implement structural and policy changes that increase HCPs' physical and emotional safety and promote better alignment of institutional interests with HCP values.
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Affiliation(s)
- Ana A. Chatham
- Steve Hicks School of Social Work at The University of Texas at Austin, Austin, TX, USA
| | - Liana J. Petruzzi
- Population Health Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
| | - Snehal Patel
- Population Health Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
- Internal Medicine Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
| | - W. Michael Brode
- Population Health Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
- Internal Medicine Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
| | - Rebecca Cook
- Population Health Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
- Internal Medicine Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
| | - Brenda Garza
- Population Health Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
| | - Ricardo Garay
- Population Health Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
| | - Tim Mercer
- Population Health Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
- Internal Medicine Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
| | - Carmen R. Valdez
- Steve Hicks School of Social Work at The University of Texas at Austin, Austin, TX, USA
- Population Health Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA
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Taşdemir Hİ, Aydın R, Dursun Ergezen F, Taşdemir D, Ergezen Y. Unveiling the burden of compassion fatigue in nurses. Nurs Ethics 2024; 31:371-387. [PMID: 37735789 DOI: 10.1177/09697330231200571] [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] [Indexed: 09/23/2023]
Abstract
BACKGROUND The COVID-19 pandemic has placed an unprecedented burden on nurses who have been at the forefront of patient care. The continuous exposure to suffering, death, and overwhelming demands has the potential to lead to compassion fatigue, a state of emotional, physical, and cognitive exhaustion. RESEARCH AIM The study aimed to explore and understand the phenomenon of compassion fatigue in nurses as the effect of the COVID-19 pandemic. RESEARCH DESIGN A constructivist grounded theory design was used. PARTICIPANTS AND RESEARCH CONTEXT The research data were collected from 20 nurses who had been employed in pandemic clinics in Turkey for a minimum of 6 months. Data were collected using a two-step approach: purposeful sample selection followed by theoretical sample selection. Individual interviews were conducted via an online platform with participants who consented to participate in the study from January 16th to April 28th, 2022. The collected data underwent initial, focused, and theoretical coding for analysis. The research findings were reported following the Consolidated Criteria for Reporting Qualitative Research guidelines. ETHICAL CONSIDERATIONS Ethical approval for the study was received from Non-Interventional Clinical Research Ethics Committee. The study was conducted following the Declaration of Helsinki. FINDINGS The study identified a core category, namely the desire to provide the best care, which was accompanied by five main categories: causes, symptoms, consequences, coping methods, and the benefits of coping methods. CONCLUSION During the pandemic process, nurses have experienced compassion fatigue due to various factors and have seen its symptoms. Nurses have developed various coping mechanisms individually. However, they have not indicated any institutional-level support. It has become necessary to plan nurse-centered comprehensive interventions that will reduce compassion fatigue.
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Hauenstein EJ, Schimmels J. Providing Gender Sensitive and Responsive Trauma-Informed Psychiatric Nursing Care. How Hard Can It Be? Issues Ment Health Nurs 2024; 45:202-216. [PMID: 38412453 DOI: 10.1080/01612840.2024.2310663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
This paper addresses the challenge of providing gender sensitive and responsive trauma-informed care (TIC) in psychiatric nursing practice. Gender identity, gender subordination, and gender-related trauma history are examined as three key individual-level factors that affect nurses' capacity to engage therapeutically to provide gender sensitive and responsive TIC. Using Peplau's Interpersonal Theory and building on a shared trauma and resilience model, gender-sensitive and responsive TIC is situated within interpersonal science and the ability of the psychiatric nurse to attune to her own and her patient's gender ideologies. Strategies for transforming practice including self-reflection, self-compassion, and peer and supervisor support are reviewed. Noting the import of the practice environment, several observations of changes needed at the level of the unit, organization, and society to effect gender equitable policies that enable the implementation of gender-sensitive and responsive TIC are made.
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Affiliation(s)
- Emily J Hauenstein
- School of Nursing, University of Virginia, Charlottesville, Virginia, USA
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Almansa-Sáez AM, Carmona-Samper ME, Merchán-Carrillo AM, Fernández-Medina IM. Level of professional quality of life and coping with death competence in healthcare professionals exposed to perinatal loss: A cross-sectional study. DEATH STUDIES 2024; 48:140-149. [PMID: 36975846 DOI: 10.1080/07481187.2023.2193811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Perinatal loss is a traumatic and stressful experience with a significant emotional toll on the physical and psychological wellbeing of the healthcare professionals. We included 216 healthcare professionals working in an obstetrics-gynecology service or neonatal intensive care unit in a cross-sectional study and aimed to analyze the possible association between the healthcare professionals' level of professional quality of life, their coping with death competence, and their personal and work-related characteristics. Compassion fatigue and burnout did not correlate significantly with healthcare professionals' personal and work-related characteristics. Formal training was strongly associated with high levels of compassion satisfaction and coping with death competence. A low level of coping with death competence was found in women and in younger healthcare professionals, those who are single, and with little professional experience. Self-care activities and hospital support systems can be effective resources in coping with death.
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Affiliation(s)
| | - María Encarnación Carmona-Samper
- Department of Psychology, University of Almería, Almería, Spain
- Health Research Center (CEINSA), University of Almería, Almería, Spain
| | - Ana María Merchán-Carrillo
- Department of Psychology, University of Almería, Almería, Spain
- Center for Neuropsychological Assessment and Rehabilitation (CERNEP), University of Almería, Almería, Spain
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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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Liao T, Liu Y, Luo W, Duan Z, Zhan K, Lu H, Chen X. Non-linear association of years of experience and burnout among nursing staff: a restricted cubic spline analysis. Front Public Health 2024; 12:1343293. [PMID: 38356947 PMCID: PMC10864452 DOI: 10.3389/fpubh.2024.1343293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 01/05/2024] [Indexed: 02/16/2024] Open
Abstract
Background Occupational burnout is intricately linked to a spectrum of physical disorders encompassing respiratory, cardiovascular, and gastrointestinal conditions, as well as manifestations such as headaches, type 2 diabetes, elevated cholesterol levels, chronic fatigue, and muscle pain. Despite this association, there remains a paucity of research on the specific risk factors contributing to burnout among nurses in China. Methods This cross-sectional study utilized convenience sampling to recruit participants, with data analyzed from 1,774 nurse staffs. Psychosocial traits were assessed using the Three-Item Loneliness Scale for loneliness, the Generalized Anxiety Disorder 7-item scale (GAD-7) for anxiety symptoms, the 9-item Patient Health Questionnaire (PHQ-9) for depressive symptoms, the Connor Davidson Resilience Scale-10 item (CDRISC-10) for resilience, and the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) for burn out. Restrictive cubic spline analysis to investigate the dose-response relationship between years of experience and burn out. Multivariate linear regression was employed to investigate the relationship between burnout and various risk factors. Results After controlling for basic demographic variables, good sleep quality was associated with a reduction in emotional exhaustion (β = -0.307, p < 0.001), while loneliness (β = 1.334, p < 0.001), depressive symptoms (β = 0.896, p < 0.001), and anxiety symptoms (β = 0.504, p < 0.001) were significantly associated with increased emotional exhaustion. Moreover, higher levels of resilience were positively associated with personal accomplishment (β = 0.635, p < 0.001). Regarding depersonalization, loneliness (β = 0.577, p < 0.001), depressive symptoms (β = 0.429, p < 0.001), and anxiety symptoms (β = 0.152, p < 0.01) were found to increase its level. Conversely, good resilience was associated with a decrease in depersonalization (β = -0.069, p < 0.001). The non-liner association between year of experience and emotional exhaustion was significantly (p < 0.05). Conclusion Our findings revealed that significant risk factors contributing to burnout among nursing staff including bad sleep quality, loneliness, lower level of resilience, anxiety symptoms, depressive symptoms. Moreover, a nonlinear correlation between years of experience and the likelihood of experiencing emotional exhaustion was exist.
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Affiliation(s)
- Tanghong Liao
- China-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, China
- Discipline Construction Office, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China
| | - Yufei Liu
- Faculty of Health Sciences, University of Macau, Macau, China
| | - Wenqun Luo
- Department of Gynecology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China
| | - Zhizhou Duan
- Preventive Health Service, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China
| | - Kangmin Zhan
- First Clinical College, Medical College of Nanchang University, Nanchang, China
- Jiangxi Medical College, Nanchang University, Nanchang, China
- The Second Department of Respiratory Disease, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nantong, China
| | - Hongjian Lu
- Department of Biobank, Nantong First People's Hospital, Nantong, China
| | - Xiangfan Chen
- Department of Biobank, Nantong First People's Hospital, Nantong, China
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Bayram Deger V. Editorial: Anxiety, burnout, and stress among healthcare professionals. Front Psychol 2024; 14:1348250. [PMID: 38274684 PMCID: PMC10808712 DOI: 10.3389/fpsyg.2023.1348250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Accepted: 12/11/2023] [Indexed: 01/27/2024] Open
Affiliation(s)
- Vasfiye Bayram Deger
- Nursing Department, Faculty of Health Sciences, Mardin Artuklu University, Mardin, Türkiye
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Özsavran M, Kurt A, Ayyıldız TK, Gül Z. "A Life Slips Through Our Fingers" Experiences of Nurses Working in Pediatric Intensive Care Units About Children's Death: A Qualitative Study. OMEGA-JOURNAL OF DEATH AND DYING 2024:302228231225885. [PMID: 38166543 DOI: 10.1177/00302228231225885] [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: 01/04/2024]
Abstract
Caring for a dying child can be an experience full of all kinds of negative emotions, pain and stress for the pediatric nurse. In this study, which was carried out in Turkey, we aimed to determine how nurses working in a pediatric intensive care unit remembered and made sense of their experiences regarding children's deaths. In-depth interviews were held with 13 nurses. The data were analyzed using the content analysis method. Three themes were identified. These were (1) Personal effects of death, (2) Difficulties in care, and (3) Coping with death. It was clear that the nurses were traumatised by their exposure to infant deaths. The findings showed that nurses experienced regret, fatigue and posttraumatic stress disorder. In addition, it was determined that nurses should be supported to cope with child deaths, which is a complicated process involving the child and the family, especially emotionally. Moreover, providing institutional support to nurses and referring them to cognitive-behavioral therapies may make it easier for them to cope with the emotional burden they carry, as well as the burnout they experience.
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Affiliation(s)
- Musa Özsavran
- Ahmet Erdogan Vocational School of Health Services, Zonguldak Bülent Ecevit University, Zonguldak, Turkey
| | - Aylin Kurt
- Faculty of Health Sciences, Bartın University, Bartın, Turkey
| | - Tülay Kuzlu Ayyıldız
- Faculty of Health Sciences, Zonguldak Bülent Ecevit University, Zonguldak, Turkey
| | - Zeynep Gül
- Institute of Health Sciences, Zonguldak Bülent Ecevit University, Zonguldak, Turkey
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Lykins AB, Seroka NW, Mayor M, Seng S, Higgins JT, Okoli CTC. Compassion Satisfaction, Burnout, and Secondary Traumatic Stress Among Nursing Staff at an Academic Medical Center: A Cross-Sectional Analysis. J Am Psychiatr Nurses Assoc 2024; 30:63-73. [PMID: 34931579 DOI: 10.1177/10783903211066125] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Although several studies have recently described compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) in nurses, few to date have examined these issues across nursing specialties. Such examination is needed to inform future nursing-subspecialty tailored interventions. AIMS To examine (1) differences in CS, BO, and STS across nursing specialties and (2) differences associated with demographic, work-related, and behavioral factors among nurses. METHOD A secondary analysis of survey responses from nurses (N = 350) at an academic medical center. Demographic, behavioral, work-related, and professional quality of life variables were analyzed using hierarchical regression analyses. RESULTS CS, BO, and STS scores significantly varied across specialties with emergency nurses experiencing significantly elevated rates of BO and STS, and lowest rates of CS; scores were also differentially associated with demographic, work-related, behavioral, and workplace violence variables. CONCLUSIONS Key differences in CS, BO, and STS by nursing specialty suggests the importance of tailoring BO and STS mitigative interventions. BO and STS risk factors should be assessed in nurses (e.g., behavioral health problems and poor sleep quality) and specialty-specific interventions (e.g., reducing workplace violence exposure in emergency settings) may be considered to improve CS while reducing BO and STS among nurses.
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Affiliation(s)
- Amanda B Lykins
- Amanda B. Lykins, DNP, RN, UK Healthcare, Lexington, KY, USA
| | | | - Mark Mayor
- Mark Mayor, MSN, BSc, BA, RN, University of Louisville, Louisville, KY, USA
| | - Sarret Seng
- Sarret Seng, BSN, BA, RN, University of Kentucky, Lexington, KY, USA
| | - Jacob T Higgins
- Jacob T. Higgins, PhD, BSN, RN, CCRN-K, University of Kentucky, Lexington, KY, USA
| | - Chizimuzo T C Okoli
- Chizimuzo T. C. Okoli, PhD, MPH, MSN, APRN, PMHNP-BC, FAAN University of Kentucky, Lexington, KY, USA
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Yehene E, Asherman A, Goldzweig G, Simana H, Brezner A. Secondary traumatic stress among pediatric nurses: Relationship to peer-organizational support and emotional labor strategies. J Pediatr Nurs 2024; 74:92-100. [PMID: 38029691 DOI: 10.1016/j.pedn.2023.11.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 11/13/2023] [Accepted: 11/13/2023] [Indexed: 12/01/2023]
Abstract
BACKGROUND Even though the cost of caring is acknowledged in multiple helping professions, research into secondary traumatic stress in pediatric nursing remains limited. This study aimed to determine the prevalence of secondary traumatic stress among pediatric nurses and examine its correlation with demographics, perceived organizational support, peer support, and emotional labor strategies. DESIGN AND METHODS A total of 186 nurses working in a pediatric hospital completed questionnaires addressing secondary traumatic stress, perceived organizational support, peer support, and emotional labor strategies. Through correlational and mediation analyses, we explored the relationships between the study variables. RESULTS Approximately 77.8% of the pediatric nurses surveyed exhibited moderate to severe secondary traumatic stress. Notably, the level of secondary traumatic stress did not correlate with demographic variables. Increased peer support was significantly associated with a heightened use of all emotional labor strategies (surface acting, deep acting, and natural expression) and with elevated levels of secondary traumatic stress. However, surface acting was the sole mediator of this relationship. Conversely, greater perceived organizational support correlated with decreased levels of surface acting and secondary traumatic stress, with surface acting serving as the mediator. CONCLUSIONS Pediatric nurses are greatly impacted by secondary traumatic stress. Enhancing organizational support and carefully assessing peer support can reduce this, by decreasing nurses' need to suppress or feign genuine emotions. PRACTICE IMPLICATIONS To enhance nurses' psychological well-being, healthcare institutions should raise awareness of secondary traumatization and foster a supportive organizational environment that prioritizes effective team emotional support and evaluates collegial emotional labor.
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Affiliation(s)
- Einat Yehene
- School of Behavioral Sciences, the Academic College of Tel Aviv - Yaffo, Israel; Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel.
| | - Adi Asherman
- School of Behavioral Sciences, the Academic College of Tel Aviv - Yaffo, Israel
| | - Gil Goldzweig
- School of Behavioral Sciences, the Academic College of Tel Aviv - Yaffo, Israel
| | - Hadar Simana
- Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel
| | - Amichai Brezner
- Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel
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Guastello AD, Brunson JC, Sambuco N, Dale LP, Tracy NA, Allen BR, Mathews CA. Predictors of professional burnout and fulfilment in a longitudinal analysis on nurses and healthcare workers in the COVID-19 pandemic. J Clin Nurs 2024; 33:288-303. [PMID: 35949164 PMCID: PMC9538120 DOI: 10.1111/jocn.16463] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 05/14/2022] [Accepted: 06/27/2022] [Indexed: 01/22/2023]
Abstract
AIMS AND OBJECTIVES (1) To investigate the vulnerability of nurses to experiencing professional burnout and low fulfilment across 5 months of the COVID-19 pandemic. (2) To identify modifiable variables in hospital leadership and individual vulnerabilities that may mitigate these effects. BACKGROUND Nurses were at increased risk for burnout and low fulfilment prior to the COVID-19 pandemic. Hospital leadership factors such as organisational structure and open communication and consideration of employee opinions are known to have positive impacts on work attitudes. Personal risk factors for burnout include symptoms of depression and anxiety. METHODS Healthcare workers (n = 406 at baseline, n = 234 longitudinal), including doctors (n = 102), nurses (n = 94), technicians (n = 90) and non-clinical administrative staff (n = 120), completed 5 online questionnaires, once per month, for 5 months. Participants completed self-report questionnaires on professional fulfilment and burnout, perceptions of healthcare leadership, and symptoms of anxiety and depression. Participants were recruited from various healthcare settings in the southeastern United States. The STROBE checklist was used to report the present study. RESULTS Both at baseline and across the 5 months, nurses working during the COVID-19 pandemic reported increased burnout and decreased fulfilment relative to doctors. For all participants, burnout remained largely steady and fulfilment decreased slightly. The strongest predictors of both burnout and fulfilment were organisational structure and depressive symptoms. Leadership consideration and anxiety symptoms had smaller, yet significant, relationships to burnout and fulfilment in longitudinal analyses. CONCLUSIONS Burnout and reduced fulfilment remain a problem for healthcare workers, especially nurses. Leadership styles and employee symptoms of depression and anxiety are appropriate targets for intervention. RELEVANCE TO CLINICAL PRACTICE Leadership wishing to reduce burnout and increase fulfilment among employees should increase levels of organisational support and consideration and expand supports to employees seeking treatment for depression and anxiety.
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Affiliation(s)
- Andrea D. Guastello
- Department of PsychiatryCollege of Medicine, University of FloridaGainesvilleFloridaUSA
- Univeristy of Florida, Evelyn F. and William L. McKnight Brain InstituteGainesvilleFloridaUSA
- UF Center for OCD, Anxiety, and Related DisordersUniversity of FloridaGainesvilleFloridaUSA
| | - Jason Cory Brunson
- Laboratory for Systems MedicineCollege of Medicine, University of FloridaGainesvilleFloridaUSA
| | - Nicola Sambuco
- Univeristy of Florida, Evelyn F. and William L. McKnight Brain InstituteGainesvilleFloridaUSA
- UF Center for OCD, Anxiety, and Related DisordersUniversity of FloridaGainesvilleFloridaUSA
- Department of Clinical and Health PsychologyCollege of Public Health and Health Professions, University of FloridaGainesvilleFloridaUSA
| | - Lourdes P. Dale
- Department of PsychiatryCollege of Medicine‐Jacksonville, University of FloridaJacksonvilleFloridaUSA
| | - Natasha A. Tracy
- Department of PsychiatryCollege of Medicine, University of FloridaGainesvilleFloridaUSA
- Univeristy of Florida, Evelyn F. and William L. McKnight Brain InstituteGainesvilleFloridaUSA
- UF Center for OCD, Anxiety, and Related DisordersUniversity of FloridaGainesvilleFloridaUSA
| | - Brandon R. Allen
- Department of Emergency MedicineCollege of Medicine, University of FloridaGainesvilleFloridaUSA
| | - Carol A. Mathews
- Department of PsychiatryCollege of Medicine, University of FloridaGainesvilleFloridaUSA
- Univeristy of Florida, Evelyn F. and William L. McKnight Brain InstituteGainesvilleFloridaUSA
- UF Center for OCD, Anxiety, and Related DisordersUniversity of FloridaGainesvilleFloridaUSA
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Demirel Y, Çağatay HT, Ertuğrul B, Başaran E, Salimoğlu S. The effect of the compassion levels of healthcare workers on their psychological well-being. Work 2024; 77:253-262. [PMID: 37638464 DOI: 10.3233/wor-230035] [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] [Indexed: 08/29/2023] Open
Abstract
BACKGROUND A sense of compassion has a core importance in health service delivery. Research on the psychological impact of being compassionate on healthcare workers is limited. OBJECTIVE This research aims to examine the effect of compassion levels of healthcare workers on their psychological well-being. METHODS This was a cross-sectional and descriptive study. The population of the research consists of health personnel working throughout Ankara, the capital. The study was carried out with 414 healthcare workers. A personal information form, compassion scale and psychological well-being scale were used in the research questionnaire. RESULTS A positive and significant relationship was found between compassion and psychological well-being scores. It was determined that compassion positively affected psychological well-being levels. The level of compassion showed that there was a significant difference between the groups according to the variables of gender, family structure, job satisfaction and whether they would choose the same profession again. The level of psychological well-being was found to be significantly different between the groups in education, job satisfaction and making the same profession choice again. CONCLUSION It is a professional requirement that health professionals in patient care have a sense of compassion and reflect this feeling in their conduct. Research shows that the greater the compassion, the higher the psychological well-being. Therefore, undertaking training initiatives to make healthcare workers more compassionate can contribute to patient care and at the same time to the psychological well-being of healthcare workers.
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Affiliation(s)
- Yüksel Demirel
- Department of Medical Services and Techniques, Vocational School of Health Services, Başkent University, Ankara, Turkey
| | - Hüseyin Tolga Çağatay
- Department of Medical Services and Techniques, Vocational School of Health Services, Başkent University, Ankara, Turkey
| | - Bekir Ertuğrul
- Department of Medical Services and Techniques, Vocational School of Health Services, Başkent University, Ankara, Turkey
| | - Esin Başaran
- Department of Medical Services and Techniques, Vocational School of Health Services, Başkent University, Ankara, Turkey
| | - Serap Salimoğlu
- Department of Medical Services and Techniques, Vocational School of Health Services, Başkent University, Ankara, Turkey
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Usset TJ, Stratton RG, Knapp S, Schwartzman G, Yadav SK, Schaefer BJ, Harris JI, Fitchett G. Factors Associated With Healthcare Clinician Stress and Resilience: A Scoping Review. J Healthc Manag 2024; 69:12-28. [PMID: 38175533 DOI: 10.1097/jhm-d-23-00020] [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: 01/05/2024]
Abstract
GOAL Clinician stress and resilience have been the subjects of significant research and interest in the past several decades. We aimed to understand the factors that contribute to clinician stress and resilience in order to appropriately guide potential interventions. METHODS We conducted a scoping review (n = 42) of published reviews of research on clinician distress and resilience using the methodology of Peters and colleagues (2020). Our team examined these reviews using the National Academy of Medicine's framework for clinician well-being and resilience. PRINCIPAL FINDINGS We found that organizational factors, learning/practice environment, and healthcare responsibilities were three of the top four factors identified in the reviews as contributing to clinician distress. Learning/practice environment and organizational factors were two of the top four factors identified in the reviews as contributing to their resilience. PRACTICAL APPLICATIONS Clinicians continue to face numerous external challenges that complicate their work. Further research, practice, and policy changes are indicated to improve practice environments for healthcare clinicians. Healthcare leaders need to promote resources for organizational and system-level changes to improve clinician well-being.
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Affiliation(s)
- Timothy J Usset
- Division of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota, and VA Maine Health Care System, Augusta, Maine
| | | | - Sarah Knapp
- Ascension St. Vincent Hospital, Indianapolis, Indiana
| | - Gabrielle Schwartzman
- The School of Medicine and Health Sciences, George Washington University, Washington, DC
| | | | | | - J Irene Harris
- VA Maine Health Care System, Augusta, Maine, and Department of Psychology, University of Maine, Orono, Maine
| | - George Fitchett
- Department of Religion, Health and Human Values, Rush University Medical Center, Chicago, Illinois
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Zhang J, Zou J, Wang X, Luo Y, Zhang J, Xiong Z, Zhang J. Clinical nurses' compassion fatigue psychological experience process: a constructivist grounded theory study. BMC Nurs 2023; 22:487. [PMID: 38114975 PMCID: PMC10729325 DOI: 10.1186/s12912-023-01665-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 12/14/2023] [Indexed: 12/21/2023] Open
Abstract
BACKGROUND Clinical nurses are susceptible to compassion fatigue when exposed to various types of traumatic events in patients for extended periods of time. However, the developmental process, staging, and psychological responses distinct to each stage of compassion fatigue in nurses are not fully clarified. This study aimed to explore the processes of compassion fatigue and the psychological experiences specific to each phase of compassion fatigue among clinical nurses. METHODS Charmaz's Constructivist Grounded Theory methodology was used in this qualitative research. Semi-structured interviews were conducted with 13 clinical nurses with varying degrees of compassion fatigue from December 2020 to January 2021. Interview data were analyzed using grounded theory processes. RESULTS The data were categorized into five separate categories and 22 sub-categories. This study found that the process of compassion fatigue is dynamic and cumulative, which was classified into five phases: compassion experience period, compassion decrement period, compassion discomfort period, compassion distress period, and compassion fatigue period. CONCLUSION Clinical nurses who experience compassion fatigue may go through five stages that are stage-specific and predictable. The findings can shed light on local and global applications to better understand the problem of nurses' compassion fatigue. The interventions for addressing compassion fatigue in clinical nurses should be stage-specific, targeted, and individualized.
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Affiliation(s)
- Jie Zhang
- Hunan University of Chinese Medicine, Changsha, China
| | - Jie Zou
- Hepatobiliary Pancreatic Cancer Center, Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital, Chongqing, China
| | - Xiao Wang
- The Third Xiangya Hospital of Central South University, Changsha, China
| | - Yaoyue Luo
- Hunan University of Chinese Medicine, Changsha, China
| | - Jin Zhang
- Hepatobiliary Pancreatic Cancer Center, Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital, Chongqing, China
| | - Zhiyao Xiong
- General Ward of Musculoskeletal & Burn & Pain Rehabilitation Department, Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China
- West China School of Nursing, Sichuan University, Chengdu, China
| | - Jingping Zhang
- Nursing Psychology Research Center of XiangYa School of Nursing, Central South University, 172 Tongzi Po Road, Changsha, Hunan, 410013, China.
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Maddigan J, Brennan M, McNaughton K, White G, Snow N. The Prevalence and Predictors of Compassion Satisfaction, Burnout and Secondary Traumatic Stress in Registered Nurses in an Eastern Canadian Province: A Cross-Sectional Study. Can J Nurs Res 2023; 55:425-436. [PMID: 36694930 PMCID: PMC10619188 DOI: 10.1177/08445621221150297] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND The quality of Registered Nurses' worklife is impacting nurses' mental health, and the standard of care received by clients. Contributing factors to nurses' stress are the trauma of continuous caring for those in great suffering, and adverse working conditions. OBJECTIVES i) to explore the prevalence of work-related stress in a provincial sample of Registered Nurses; ii) to compare the levels of compassion satisfaction, burnout and secondary traumatic stress reported by nurses in hospital, community, non-direct care settings, and, iii) to identify factors that predict levels of nursing work stress. METHODS A descriptive, predictive study with a self-report survey containing demographic questions and the Professional Quality of Life Scale was emailed to over 3,300 Registered Nurses. The scale measured the prevalence of three worklife indicators, compassion satisfaction, burnout and secondary traumatic stress. Multiple linear regression identified factors that predicted the levels of the three indicators. A subgroup analysis explored the quality of worklife based on three practice environments. FINDINGS Nurses (n = 661) reported moderate compassion satisfaction, burnout, and secondary traumatic stress. The strongest predictor, satisfaction with one's current job, predicted high compassion satisfaction and lower burnout and secondary stress. The subgroup analysis identified hospital nurses as having the most work-related stress and the lowest level of compassion satisfaction. CONCLUSION Innovative, collaborative action can transform nurses' practice environments. Organizational support is essential to bring about needed improvements.
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Affiliation(s)
- Joy Maddigan
- Faculty of Nursing, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada
| | - Maureen Brennan
- Organizational Development, Eastern Regional Health Authority, St. John's, NL, Canada
| | - Kelly McNaughton
- Peer Support and Trauma Response Program, Toronto Hospital for Sick Kids, Toronto, ON, Canada
| | - Gerry White
- Faculty of Medicine, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada
| | - Nicole Snow
- Faculty of Nursing, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada
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Moyal Melumad N, Goldzweig G, Albo Hershkovitz T, Braun M. The joint effect of attachment orientations and empathy on compassion fatigue and compassion satisfaction among oncologists. Psychol Health 2023:1-15. [PMID: 37941455 DOI: 10.1080/08870446.2023.2279259] [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: 01/11/2022] [Accepted: 10/26/2023] [Indexed: 11/10/2023]
Abstract
OBJECTIVE Compassion fatigue, which consists of burnout and secondary traumatic stress, and compassion satisfaction are conceptualized as the negative and positive emotional reactions of working in the helping professions. In this study we examined the joint effect of oncologists' attachment orientations and empathy on their compassion fatigue and satisfaction. METHODS Seventy-three oncologists completed a demographic questionnaire, the shortened version of the Experiences in Close Relationships scale, the Interpersonal Reactivity Index, and the Professional Quality of Life questionnaire. RESULTS A cluster analysis based on empathy and attachment orientations yielded three meaningful clusters that seem to reflect the three attachment orientations: secure, anxious and avoidant. The oncologists in the three clusters differed in their compassion fatigue levels (i.e. both burnout and secondary traumatic stress) and in their compassion satisfaction levels. Secure attachment (i.e. low scores on both anxious attachment and avoidant attachment) along with high levels of the cognitive component of empathy (perspective-taking) resulted in lower levels of compassion fatigue and higher levels of compassion satisfaction than did insecure attachment. CONCLUSIONS The study emphasizes the importance of oncologists' attachment orientations and appropriate distance/closeness to their patients in protecting them from compassion fatigue and helping them experience compassion satisfaction.
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Affiliation(s)
| | - Gil Goldzweig
- School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Yaffo, Israel
| | - Tom Albo Hershkovitz
- School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Yaffo, Israel
| | - Michal Braun
- Breat Oncology Unit, Hadassah University Hospital, Jerusalem, Israel
- School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Yaffo, Israel
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Chen Y, Jiang H, Shen Y, Gu H, Zhou P. Nurse managers' experience during the COVID-19 pandemic in China: A qualitative study. Nurs Open 2023; 10:7255-7265. [PMID: 37605492 PMCID: PMC10563399 DOI: 10.1002/nop2.1978] [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: 09/15/2022] [Revised: 11/30/2022] [Accepted: 08/10/2023] [Indexed: 08/23/2023] Open
Abstract
AIMS The aim of the study was to explore the experiences of female new nurse managers during the COVID-19 pandemic. DESIGN This was a phenomenological study, and qualitative descriptive analysis was used. METHODS New nurse managers were defined as new nurse managers with less than 3 years of management experience in this study. During November and December of 2021, 18 female new nurse managers were interviewed face-to-face with a semi-structured interview guide in three municipal hospitals. The study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines for evaluating qualitative research reports. Data analysis was performed using Colaizzi's seven-step method. RESULTS Four main themes and 10 sub-themes were extracted from the collected data. The four major themes were as follows: (1) a shift in stress; (2) work-related physical and psychological discomfort; (3) reflection on the cause; (4) coping and struggles. CONCLUSIONS New nurse managers were experiencing great stress and exhaustion in their roles. It is important that they are helped to handle situations. Providing them with readily accessible support, addressing their psychosocial needs and addressing exhaustion is necessary. Considering their short management time, the hospital should provide adequate support in human, financial and material areas and provide training to help new nurse managers better adapt to their new roles. In addition, nurse directors should create a culture of mutual respect, identify workplace bullying and create a harmonious and cooperation-oriented work environment for new nurse managers. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Yan Chen
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
| | - Huiping Jiang
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
| | - Ya Shen
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
| | - Huifeng Gu
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
| | - Peihong Zhou
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
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Kelly LA, Miller BA, Graber A, Tran A, Collins J. The Gratitude Campaign: A Multihospital Evidence-Based Practice Project. J Nurs Adm 2023; 53:567-573. [PMID: 37824454 DOI: 10.1097/nna.0000000000001347] [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: 10/14/2023]
Abstract
Nurse well-being and optimism were tested in the midst of COVID-19 patient surges and staffing challenges. Using the American Nurses Foundation Gratitude Toolkit, a health system implemented monthly gratitude practices at 4 hospitals. Validated survey measures indicated that nurses' scores of self-perceived gratitude, flourishing behaviors, and mindfulness were maintained during this challenging time but did not statistically increase. Although statistical significance increases were not demonstrated, the gratitude campaign offered clinical significance through positive feedback and was sustained through the distribution of a toolkit disseminated across the health system.
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Affiliation(s)
- Lesly A Kelly
- Author Affiliations: Nurse Scientist (Dr Kelly), CommonSpirit Health, Phoenix, Arizona; System Director High Reliability and Patient Safety (Miller), CommonSpirit Health, Bakersfield, California; Nursing Practice Coordinator (Graber), CHI Health Mercy Council Bluffs, Council Bluffs, Iowa; Professional Practice and Magnet Coordinator (Tran), CHI Health St Elizabeth, Lincoln, Nebraska; Chief Nursing Office (Collins), Bay Area Hospital, Coos Bay, Oregon
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Topçu N, Akbolat M, Amarat M. The mediating role of empathy in the impact of compassion fatigue on burnout among nurses. J Res Nurs 2023; 28:485-495. [PMID: 38144971 PMCID: PMC10741259 DOI: 10.1177/17449871231177164] [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: 12/26/2023] Open
Abstract
Background The burnout levels of nurses, who have an important place in the delivery of health services, are increasing day by day. As the burnout levels of nurses increase, there may be undesirable situations such as compassion fatigue specific to them, their patients and their institutions. Purpose The aim of this study is to determine the effect of compassion fatigue seen in nurses on burnout and the mediating role of empathy in this effect. Methods The research was conducted on nurses working in three public hospitals operating in Sakarya, Turkey, between 2 January and 16 April 2019. Since the research was conducted in more than one hospital, the minimum number of participants was determined for each hospital using the stratified sampling method in the first stage. In the second stage, the participants were selected by convenience sampling method. Descriptive statistics, linear regression and process macro regression analysis were used to analyse the data. Results The results showed the effect of nurses' compassion fatigue on burnout and empathy (β = 0.673). In addition, empathy has a mediating role in the effect of compassion fatigue on burnout (β = 0.251). Conclusions/implications for practice Reducing the burnout levels of nurses, who have a very important place in the delivery of health services, is important for both themselves and patients. It is recommended that the results of this study, which may contribute to the development of the awareness of nurse managers, should be made with the ability to understand the symptoms of compassion fatigue and burnout, teaching coping methods and providing support by experts when necessary.
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Affiliation(s)
- Nihal Topçu
- Student, Department of Healthcare Management, Graduate School of Business, Sakarya University, Sakarya, Turkey
| | - Mahmut Akbolat
- Professor, Department of Healthcare Management, Business Faculty, Sakarya University, Sakarya, Turkey
| | - Mustafa Amarat
- Associate Professor, Department of Healthcare Management, Ordu University, Ordu, Turkey
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Jafarian_amiri SR, Qanbari Qalehsari M, Zabihi A, Babanataj R, Chehrazi M. The relationship between empowerment and compassion satisfaction, compassion fatigue, and burnout in nurses during COVID-19 outbreak. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:379. [PMID: 38144007 PMCID: PMC10743936 DOI: 10.4103/jehp.jehp_504_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 06/07/2023] [Indexed: 12/26/2023]
Abstract
BACKGROUND The quality of nurses' professional life is at stake in crises such as COVID-19. Empowerment helps employees perform better and advance the goals of the organization. This study aimed to investigate the relationship between empowerment and the quality of nurses' professional life during the outbreak of COVID-19. MATERIALS AND METHODS The current cross-sectional study was conducted in 2021 in the hospitals of Babol University of Medical Sciences with the participation of 200 nurses providing care for COVID-19 patients who were included in the study by convenience sampling method. Data collection tools included the Empowerment Questionnaire (Leader Empowerment Behaviors Scale, Structural Empowerment, and Psychological Empowerment) and the Professional Quality of Life Questionnaire. SPSS software version 23 was used to analyze the data. Multiple linear regressions were used to investigate the relationship between empowerment and quality of professional life. RESULTS In the majority of nurses, compassion satisfaction 140 (70%), burnout 172 (86%), and compassion fatigue 126 (63%) were at moderate level. A significant relationship was found between compassion satisfaction and Leader Empowerment (R = 0.54, P =. 001), Psychological Empowerment (R = 0.55, P =. 001), and Structural Empowerment (R = 0.42, P =. 001) and Compassion Fatigue and Leader Empowerment (R = 0.35, P =. 001), psychological empowerment (R = 0.42, P =. 001), and structural empowerment (R = 0.49, P =. 001). CONCLUSION Nursing managers' attention to empowerment strategies in crises such as COVID-19 can improve compassion satisfaction and reduce compassion fatigue in nurses. It is also necessary to implement policies and guidelines for the development of psychosocial support to health promotion of the workplace, education, informing, and empowering nurses.
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Affiliation(s)
- Seyedeh Roghayeh Jafarian_amiri
- Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Islamic Republic of Iran
| | - Mojtaba Qanbari Qalehsari
- Nursing Care Research Center, Health Research Institute, Nursing and Midwifery School, Babol University of Medical Sciences, Babol, Islamic Republic of Iran
| | - Ali Zabihi
- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran
| | - Reyhaneh Babanataj
- Trauma Nursing Research Center, Medical Surgical of Science Department, Faculty of Nursing, Kashan University of Medical Science, Kashan, Islamic Republic of Iran
| | - Mohammad Chehrazi
- Department of Epidemiology and Biostatistics, School of Health, Babol University of Medical Sciences, Babol, Islamic Republic of Iran
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Pratt EH, Hall L, Jennings C, Olsen MK, Jan A, Parish A, Porter LS, Cox CE. Mobile Mindfulness for Psychological Distress and Burnout among Frontline COVID-19 Nurses: A Pilot Randomized Trial. Ann Am Thorac Soc 2023; 20:1475-1482. [PMID: 37289650 PMCID: PMC10559143 DOI: 10.1513/annalsats.202301-025oc] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 06/08/2023] [Indexed: 06/10/2023] Open
Abstract
Rationale: The coronavirus disease (COVID-19) pandemic exacerbated psychological distress and burnout in frontline healthcare workers. Interventions addressing psychological distress and burnout among these workers are lacking. Objectives: To determine the feasibility and explore the impact of mobile mindfulness to treat psychological distress and burnout among nurses in frontline COVID-19 units. Methods: We conducted a pilot randomized trial of 102 nurses working in COVID-19 units at a single hospital between May 2021 and January 2022. Participants were randomized to mobile mindfulness (intervention) or waiting list (control). The primary outcome was feasibility, assessed by comparing rates of randomization, retention, and intervention completion to predefined targets. Secondary outcomes were changes in psychological distress (Patient Health Questionnaire-9, General Anxiety Disorder-7, Perceived Stress Scale-4) and burnout symptoms (Maslach Burnout Inventory) after 1 month. Results: We randomized 102 of 113 consented individuals (90%, target 80%), and 88 completed follow-up (86%, target 80%). Among 69 intervention participants, 19 completed ⩾1 mindfulness session per week (28%, target 60%), and 13 completed ⩾75% of mindfulness sessions (19%, target 50%). Intervention participants had greater decreases in Patient Health Questionnaire-9 scores than control subjects (difference in differences, -2.21; 95% confidence interval, -3.99, -0.42; P = 0.016), but the Maslach Burnout Inventory depersonalization scores decreased more in the control arm than in the intervention arm (difference in differences, 1.60; 95% confidence interval, 0.18, 3.02; P = 0.027). There were no other changes in emotional distress or burnout symptoms. Conclusions: This trial of mobile mindfulness in frontline nurses met feasibility targets for randomization and retention, but participants had modest intervention use. Intervention participants had a reduction in depression symptoms, but not in burnout. Clinical trial registered with www.clinicaltrials.gov (NCT04816708).
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Affiliation(s)
- Elias H. Pratt
- Division of Pulmonary and Critical Care Medicine and
- Program to Support People and Enhance Recovery and
| | - Levent Hall
- School of Nursing, University of North Carolina–Greensboro, Greensboro, North Carolina
| | | | - Maren K. Olsen
- Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina
- Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina; and
| | - Adina Jan
- Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina
| | - Alice Parish
- Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina
| | - Laura S. Porter
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina
| | - Christopher E. Cox
- Division of Pulmonary and Critical Care Medicine and
- Program to Support People and Enhance Recovery and
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Dehghan M, Mokhtarabadi S, Rashidi E, Rahiminejad E, Asadi N. Correlation between professional quality of life and alarm fatigue symptoms among intensive care unit nurses. Health Sci Rep 2023; 6:e1583. [PMID: 37822846 PMCID: PMC10563168 DOI: 10.1002/hsr2.1583] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 08/03/2023] [Accepted: 09/14/2023] [Indexed: 10/13/2023] Open
Abstract
Introduction Medical devices and equipment are necessary for accurate and continuous monitoring of the patients admitted to intensive care units, one of which is alarm systems. Frequent sounds of alarms can affect nurses' concentration and accuracy when providing care. Complications such as headache, fatigue, and stress occur after repeated alarms, leading to poor quality of professional life among nurses. This study aimed to determine the relationship between quality of professional life and alarm fatigue syndrome among intensive care unit nurses. Methods This cross-sectional study used convenience sampling to select nurses working in intensive care units from three hospitals in southern Iran in 2021 (n = 201). Data were collected using three questionnaires, including sociodemographic form, the professional quality of life questionnaire (ProQOL), and the alarm fatigue symptom (AFS) scale. Results The mean scores of compassion satisfaction (CS), burnout, secondary traumatic stress (STS) (subscales of the ProQOL), and AFS were 34.66 ± 7.54, 28.98 ± 7.59, 27.69 ± 5.87, and 13.48 ± 7.32, respectively. The majority of them had no or mild AFS, moderate CS, burnout, and STS. Among the study variables, only AFS were a significant predictor of CS and STS among ICU nurses. In addition, work experience in ICU, AFS, and a second job were significant predictors of burnout among ICU nurses. Conclusions The study results showed a significant relationship between alarm fatigue syndrome, burnout, STS, and CS. Given that more than half of the nurses in the intensive care unit in the present study experienced some degree of alarm fatigue syndrome, it is necessary to plan and implement interventions to better manage the alarms in the intensive care unit.
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Affiliation(s)
- Mahlagha Dehghan
- Nursing Research CenterKerman University of Medical SciencesKermanIran
| | - Sima Mokhtarabadi
- Nursing Research CenterKerman University of Medical SciencesKermanIran
| | - Elham Rashidi
- Nursing Research CenterKerman University of Medical SciencesKermanIran
| | - Elham Rahiminejad
- Nursing Research CenterKerman University of Medical SciencesKermanIran
| | - Neda Asadi
- Nursing Research CenterKerman University of Medical SciencesKermanIran
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Arman M. Empathy, sympathy, and altruism-An evident triad based on compassion. A theoretical model for caring. Scand J Caring Sci 2023; 37:862-871. [PMID: 36942653 DOI: 10.1111/scs.13163] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 02/27/2023] [Accepted: 03/03/2023] [Indexed: 03/23/2023]
Abstract
BACKGROUND Based on existing confusion and a suggested contradiction regarding empathy and compassion in relation to caring science as well as in clinical health care. AIM The aim of the study was to find a knowledge base for the development of clinical caring science for, empathy, sympathy altruism, and compassion and their mutual relationship. DESIGN A theoretical paper. RESULTS The text discusses the different concepts separately, considering their history, research, obstacles, and bias and then brings them together in a concept model. The conclusion shows that empathy, sympathy, and altruism have no contradictions. Instead, they together form an evident triad based on compassion. Compassion is a prerequisite and a basis for the others to work. In clinical application, empathy is metaphorically a quality coming from the head, sympathy from the heart and altruism from the hand, merged in an attitude of compassion as a motif to care. The paper also reflects on the possibilities to increase and develop a compassionate mood and capacity by education and training.
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Affiliation(s)
- Maria Arman
- Department of Neurobiology Care Science and Society, Karolinska Institutet, Huddinge, Sweden
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Dobrina R, Bicego L, Giangreco M, Cassone A, Schreiber S, Buchini S, Piazza M, Muzzatti B, Rigoni P. A multi-method quasi-experimental study to assess compassion satisfaction/fatigue in nurses, midwives and allied health professionals receiving a narrative medicine intervention. J Adv Nurs 2023; 79:3595-3608. [PMID: 37089066 DOI: 10.1111/jan.15686] [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: 04/07/2022] [Revised: 03/20/2023] [Accepted: 04/16/2023] [Indexed: 04/25/2023]
Abstract
AIMS To: (1) measure the impact of a narrative medicine intervention on compassion fatigue and compassion satisfaction of nurses, midwives and allied health professionals; (2) explore participants' working experiences and (3) their impressions of the intervention. DESIGN Multi-methods, quasi-experimental before-after intervention design. METHODS The intervention consisted of 20 narrative medicine sessions (60 h). Healthcare providers (N = 48) from a mother-and-child hospital in Italy completed the 'Professional quality of life' questionnaire before and after the intervention (January 2020-April 2021). Baseline scores served as internal controls. Open-ended questions explored participants' touching experiences at work and their evaluation of the intervention. A thematic content analysis was performed. Reporting followed the TREND and SRQR guidelines. RESULTS The differences before-after intervention in compassion satisfaction or fatigue scores were not statistically significant. Three themes emerged from participants' touching experiences: "Witnessing death and sufferance"; "Witnessing violence" and "Organizational stressors during COVID-19". A statistically significantly higher median score for post-intervention compassion satisfaction was found among participants who reported at least one touching experience compared to those who had no touching experience. Four themes emerged from the reported strengths of the program: "Learning to exteriorize feelings"; "Team building"; "Useful to rework personal/professional journey" and "Develops professional empowerment". Two themes emerged from reported weaknesses: "Programme organization" and "Participants' difficulties in sharing experiences". CONCLUSION A time-limited narrative medicine intervention is not sufficient to produce significant changes in satisfaction or compassion fatigue, especially if implemented during a pandemic. However, such an intervention holds promise for supporting nurses and midwives' professional empowerment and promoting continuity of compassionate care. IMPACT For those at risk of compassion fatigue, policymakers need to invest in training in narrative medicine, which promotes team building, and employee well-being and thus favours compassionate care. Such programmes should be offered to undergraduate students to nurture compassion and attention to self. PATIENT OR PUBLIC CONTRIBUTION Does not apply as the study only includes health care providers.
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Affiliation(s)
- Raffaella Dobrina
- Healthcare Professions Department, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
| | - Livia Bicego
- Healthcare Professions Department, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
| | - Manuela Giangreco
- Clinical Epidemiology and Public Health Research Unit, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
| | - Andrea Cassone
- Healthcare Professions Department, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
| | - Silvana Schreiber
- Healthcare Professions Department, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
| | - Sara Buchini
- Healthcare Professions Department, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
| | - Maria Piazza
- Obstetrics and Gynaecology Department, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
| | - Barbara Muzzatti
- Alcohology Unit, Department of Addiction, Azienda Sanitaria Friuli Occidentale, Pordenone, Italy
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Ge MW, Hu FH, Jia YJ, Tang W, Zhang WQ, Chen HL. Global prevalence of nursing burnout syndrome and temporal trends for the last 10 years: A meta-analysis of 94 studies covering over 30 countries. J Clin Nurs 2023; 32:5836-5854. [PMID: 37194138 DOI: 10.1111/jocn.16708] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 12/07/2022] [Accepted: 03/24/2023] [Indexed: 05/18/2023]
Abstract
AIMS AND OBJECTIVES To determine the global prevalence of nursing burnout syndrome and time trends for the last 10 years. BACKGROUND The prevalence of burnout syndrome varied greatly in different regions in the last 10 years, so the average prevalence and time trends of nursing burnout syndrome for the last 10 years were not completely clear. DESIGN A meta-analysis conducted in the PRISMA guidelines. METHODS CINAHL, Web of Science, and PubMed were searched for trials on the prevalence of nursing burnout syndrome from 2012 to 2022 systematically. Hoy's quality assessment tool was used to evaluate the risk of bias. The global prevalence of nursing burnout syndrome was estimated, and subgroup analysis was used to explore what caused heterogeneity. Time trends for the last 10 years were evaluated by meta-regression using Stata 11.0. RESULTS Ninety-four studies reporting the prevalence of nursing burnout were included. The global prevalence of nursing burnout was 30.0% [95% CI: 26.0%-34.0%]. Subgroup analysis indicated that the specialty (p < .001) and the region (p < .001) and the year (p < .001) were sources of the high heterogeneity. Meta-regression indicated that it tended to increase gradually for the last 10 years (t = 3.71, p = .006). The trends increased in Europe (t = 4.23, p = .006), Africa (t = 3.75, p = .006) and obstetrics (t = 3.66, p = .015). However, no statistical significance was found in ICU (t = -.14, p = .893), oncology (t = -0.44, p = .691) and emergency department (t = -0.30, p = .783). CONCLUSIONS A significant number of nurses were found to have moderate-high levels of burnout syndrome for the last 10 years. The meta-analysis also indicated an increased trend over time. Therefore, more attention to the prevalence of nursing burnout syndrome is urgently required. RELEVANCE TO CLINICAL PRACTICE High prevalence of nursing burnout may attract more attention from the public. This analysis may serve as an impetus for relevant policy to change nurses' working conditions and reduce the occurrence of burnout.
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Affiliation(s)
- Meng-Wei Ge
- School of Medicine, Nantong University, Nantong, China
| | - Fei-Hong Hu
- School of Medicine, Nantong University, Nantong, China
| | - Yi-Jie Jia
- School of Medicine, Nantong University, Nantong, China
| | - Wen Tang
- School of Medicine, Nantong University, Nantong, China
| | | | - Hong-Lin Chen
- School of Public Health, Nantong University, Nantong, China
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Zeng L, Zhang X, Liu G, Liu D, Li L, Jin M, Li X, Wang J. Secondary traumatic stress and posttraumatic growth in newly graduated nurses: the mediating role of compassion satisfaction. BMC Nurs 2023; 22:295. [PMID: 37653400 PMCID: PMC10469798 DOI: 10.1186/s12912-023-01456-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Accepted: 08/21/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND Nurses' secondary traumatic stress, compassion satisfaction and posttraumatic growth are closely related, but for newly graduated nurses, there are few reports to evaluate the specific path between these three. The aim of this study was to investigate examine the mediating role of compassion satisfaction in secondary traumatic stress and posttraumatic growth among newly graduated nurses. METHODS From March 2021 to May 2021, a total of 330 newly graduated nurses from five tertiary hospitals in China were enrolled, and asked to complete questionnaires regarding secondary traumatic stress, compassion satisfaction and posttraumatic growth. Descriptive statistics, independent-samples T-test, one-way analysis of variance (ANOVA), Pearson correlation analysis and structural equation model were used in this study. A STROBE checklist was used to report findings. RESULTS The scores of secondary traumatic stress, compassion satisfaction and posttraumatic growth of newly graduated nurses were 27.11 ± 4.94 (score range: 10-50), 31.89 ± 6.22 (score range: 10-50) and 56.47 ± 20.41 (score range: 0-100), respectively. Additionally, structural equation modeling showed that compassion satisfaction mediated the relationship between secondary traumatic stress and posttraumatic growth with the partial mediating effect of 0.089. CONCLUSIONS Newly graduated nurses may experience moderate secondary traumatic stress, but their posttraumatic growth is at a low level, and compassion satisfaction significantly affects the relationship between the two. Nursing managers should strengthen psychological evaluation, and promote their posttraumatic growth by improving their level of compassion satisfaction.
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Affiliation(s)
- Li Zeng
- Sichuan Nursing Vocational College, Chengdu, Sichuan, China.
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
| | - Xiangeng Zhang
- Sichuan Nursing Vocational College, Chengdu, Sichuan, China
| | - Guiling Liu
- College of Modern Nursing, Dazhou Vocational and Technicial College, Dazhou, Sichuan, China
| | - Dong Liu
- School of Pharmacy, Chengdu Medical College, Chengdu, Sichuan, China
| | - Lan Li
- Sichuan Nursing Vocational College, Chengdu, Sichuan, China
| | - Man Jin
- The Third People's Hospital of Chengdu, Chengdu, Sichuan, China
| | - Xin Li
- Army Medical Center of PLA, Chongqing, China
| | - Jialin Wang
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
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Tran ANP, To QG, Huynh VAN, Le KM, To KG. Professional quality of life and its associated factors among Vietnamese doctors and nurses. BMC Health Serv Res 2023; 23:924. [PMID: 37649084 PMCID: PMC10469419 DOI: 10.1186/s12913-023-09908-4] [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: 02/05/2023] [Accepted: 08/12/2023] [Indexed: 09/01/2023] Open
Abstract
BACKGROUND Prevalence of health workers with occupational health issues ranked fourth among all careers resulting in a reduction in quality of life. However, tools to measure professional quality of life (ProQoL) are unavailable in Vietnamese. This study aims to develop a Vietnamese version of the ProQoL, and examine ProQoL and its associated factors among doctors and nurses. METHODS The ProQoL is comprised of 30 items measures compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS). The tool was translated into Vietnamese following the Guideline by Guillemin et. al (1993), reviewed by expert panels, and validated for internal consistency and test-retest reliability among 38 health workers working at hospitals in HCMC. The validated tool was then used in a cross-sectional study to measure the ProQoL of full-time doctors and nurses working in clinical departments at the University Medical Center, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam. In addition to the ProQoL, self-reported data about demographic and occupational characteristics were collected. RESULTS The Vietnamese version of ProQoL achieved high internal consistency (alphas between 0.85 and 0.91) and Intra-class Correlation Coefficients (ICCs between 0.71 and 0.89) for all subscales. Among 316 health workers, mean scores of CS, BO, STS were 36.4 (SD = 5.4), 24.9 (SD = 5.1), 25.9 (SD = 5.3), respectively, indicating moderate levels of CS, BO and STS. Participants who were older (b = 0.17, 95%CI = 0.08, 0.26), had sufficient perceived income (b = 2.59, 95%CI = 0.93, 4.24), and > 10 years of working experience (b = 2.15, 95%CI = 0.68, 3.62), had higher CS scores. Those who were older (b=-0.15, 95%CI=-0.23, -0.07), had sufficient perceived income (b=-2.64, 95%CI=-4.18, -1.09), > 10 years of experience (b=-1.38, 95%CI=-2.76, -0.01), worked in surgical department (b=-1.46, 95%CI=-2.54, -0.38) and 8 hours/day (b=-1.52, 95%CI=-2.61, -0.44), had lower BO scores. Moreover, those in a relationship (b=-2.27, 95%CI=-3.53, -1.01) and had sufficient perceived income (b=-1.98, 95%CI=-3.64, -0.32) had lower STS scores. CONCLUSIONS The Vietnamese version of ProQoL is valid and reliable for use among Vietnamese health workers. Age, marital status, perceived income status, years of working experience, daily working hours, and specialty was associated with at least one component of ProQoL but gender, religion, education level, and monthly income were not.
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Affiliation(s)
- Anh N P Tran
- Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
- Laboratory Department, University Medical Center Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
| | - Quyen G To
- Appleton Institute, Central Queensland University, 4701, Rockhampton, QLD, Australia
| | - Van-Anh N Huynh
- Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
| | - Khoi M Le
- Science and Training Department, University Medical Center Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
| | - Kien G To
- Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam.
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Visintini E, Inzerillo M, Savaris M, Paravan G, Serafini M, Palese A. Factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study. Intern Emerg Med 2023; 18:1349-1357. [PMID: 37142862 PMCID: PMC10158679 DOI: 10.1007/s11739-023-03289-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 04/22/2023] [Indexed: 05/06/2023]
Abstract
The progressive desensitization of nurses in relation to fundamental needs (FNs) has been documented in anecdotical, scientific, and policy literature with nurses spending limited time at the bedside, thus affecting the quality of care and clinical outcomes. A potential reason that has been recognized is the limited nursing staff available in the units. However, other cultural, social, and psychological factors which have not been investigated to date may have a role in triggering the phenomenon. To investigate nurses' perceptions of the reasons that progressively detach clinical nurses from the FNs of patients, was the main intent of the study. In 2020, a qualitative study based on grounded theory following the Standards for Reporting Qualitative Research guidelines was performed. Purposeful sampling was adopted, by including 22 clinical nurses designated as 'good nurses' according to the perception of nurses working in executive and academic position. All agreed to be interviewed face-to-face. The detachment of nurses from the patients' FNs has been explained by three main factors that are interconnected: namely 'Being personally and professionally convinced regarding the role of FNs', 'Being progressively detached from the FNs', and 'Being forced to be detached from FNs'. Nurses also identified a category including strategies aimed at preventing detachment and 'Rediscovering the FNs as the core of nursing'. Nurses are personally and professionally convinced about the relevance of the FNs. However, they distance themselves from the FNs due to: (a) factors mainly attributable to internal personal and professional forces, such as the emotional fatigue that daily work entails; and (b) external forces related to the work environment where nurses work. To prevent this detrimental process that may result in negative outcomes for patients and their relatives, several strategies at the individual, organizational, and educational levels should be implemented.
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Affiliation(s)
- Erica Visintini
- Department of Medicine (DAME), University of Udine, 33100, Udine, Italy
| | | | - Michele Savaris
- Department of Medicine (DAME), University of Udine, 33100, Udine, Italy
| | - Greta Paravan
- Department of Medicine (DAME), University of Udine, 33100, Udine, Italy
| | - Micol Serafini
- Department of Medicine (DAME), University of Udine, 33100, Udine, Italy
| | - Alvisa Palese
- Department of Medicine (DAME), University of Udine, 33100, Udine, Italy.
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Huang CH, Wu HH, Lee YC. A comparative study on patient safety culture among high-risk hospital staff in the context of the COVID-19 and non-COVID-19 pandemic: a cross-sectional study in Taiwan. Front Public Health 2023; 11:1200764. [PMID: 37575098 PMCID: PMC10415219 DOI: 10.3389/fpubh.2023.1200764] [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: 04/05/2023] [Accepted: 07/14/2023] [Indexed: 08/15/2023] Open
Abstract
The study aimed to compare the evolution of patient safety culture perceived by high-risk hospital staff in the context of the COVID-19 pandemic and non-COVID-19 pandemic and to examine the variations in patient safety culture across demographic variables. The study found that the COVID-19 pandemic has significantly impacted patient safety culture in healthcare settings, with an increased focus on safety climate, job satisfaction, teamwork climate, stress recognition, and emotional exhaustion. Safety culture and work stress vary among medical professionals of different age groups. To reduce stress, workload should be minimized, work efficiency improved, and physical and mental health promoted. Strengthening safety culture can reduce work-related stress, improve job satisfaction, and increase dedication towards work. The study recommends interventions such as psychological and social support, along with emotional management training, to reduce emotional exhaustion. Healthcare institutions can set up psychological counseling hotlines or support groups to help medical professionals reduce stress and emotional burden.
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Affiliation(s)
- Chih-Hsuan Huang
- Business School, Hubei University of Economics, Wuhan, China
- Hubei Enterprise Culture Research Center, Hubei University of Economics, Wuhan, China
- Research Center of Hubei Logistics Development, Hubei University of Economics, Wuhan, China
| | - Hsin-Hung Wu
- Department of Business Administration, National Changhua University of Education, Changhua, Taiwan
- Department of M-Commerce and Multimedia Applications, Asia University, Taichung, Taiwan
- Faculty of Education, State University of Malang, Malang, East Java, Indonesia
| | - Yii-Ching Lee
- Department of Health Business Administration, Hung Kuang University, Taichung, Taiwan
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Asadollah F, Nikfarid L, Sabery M, Varzeshnejad M, Hashemi F. The Impact of Loving-Kindness Meditation on Compassion Fatigue of Nurses Working in the Neonatal Intensive Care Unit: A Randomized Clinical Trial Study. Holist Nurs Pract 2023; 37:215-222. [PMID: 37335149 DOI: 10.1097/hnp.0000000000000590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2023]
Abstract
Compassion fatigue is a common complication in nurses, which can lead to burnout, job dissatisfaction, and a decline in the quality of patient care. This study aimed to investigate the impact of loving-kindness meditation on compassion fatigue of nurses working in the neonatal intensive care unit (NICU). This cluster-blinded randomized clinical trial study was conducted on 66 NICU nurses in 2 educational hospitals selected. The intervention group received a 1-month online program for daily training and practice of loving-kindness meditation. The control group received miscellaneous files on mental health during the COVID-19 pandemic period. The Nursing Compassion Fatigue Inventory (NCFI) was filled out by the 2 groups, before and after the intervention. The results showed that the mean scores of the NCFI in the intervention group decreased significantly compared with before the intervention (P = .002). In comparison with the control group, there was a significant difference between the mean scores of the 2 groups after the intervention (P = .034). Among nurses working in NICU, loving-kindness meditation significantly reduces compassion fatigue after 1 month. These findings support the use of this intervention for nurses.
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Affiliation(s)
- Fatemeh Asadollah
- School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran (Mss Asadollah and Hashemi and Dr Nikfarid); Department of Medical-Surgical Nursing, Kashan University of Medical Sciences and Health Services, Kashan, Iran (Dr Sabery); and Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran (Dr Varzeshnejad)
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