Compassion fatigue: A meta-narrative review of the healthcare literature

Sinclair, Shane; Raffin-Bouchal, Shelley; Venturato, Lorraine; Mijovic-Kondejewski, Jane; Smith-MacDonald, Lorraine

doi:10.1016/j.ijnurstu.2017.01.003

Cited by 334 publications

(364 citation statements)

References 86 publications

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“…Compassion fatigue is constituted of two related dimensions: burnout and secondary traumatic stress (Stamm, 2010). In health care staff, it is associated with reduction in reflective capacity, indifferent and hard responses toward patients and a reduction in staff's own mental wellbeing (Coetzee and Klopper, 2010).The cumulative work related stress experienced by health care providers has been shown to impact upon the delivery of healthcare services (Sinclair et al, 2017). Burnout is a psychological syndrome, characterised by exhaustion, frustration, anger and depression associated with professional life (Stamm, 2010) that occurs in response to chronic uncontrollable work demands when providing a service (Maslach et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Investigating professional quality of life in nursing staff working in Adolescent Psychiatric Intensive Care Units (PICUs)

Foster

2019

JMHTEP

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Structured Abstract:Purpose: The purpose of this study was to investigate professional quality of life of mental health nursing staff working within an Adolescent PICU setting.Professional quality of life is important, as there is a correlation between staff wellbeing and the quality of healthcare services delivered, particularly within mental health settings. Mental health nursing staff in Adolescent PICU services deal with a wide range of physically and emotionally demanding challenges when providing care, yet the potential impact of this demanding work upon staff in this context has not been explored. Design:The study used a longitudinal non-experimental design with a purposive sample. Quantitative data was collected from a total of seventeen registered mental health nurses and health care assistants working in an Adolescent PICU Unit in the North of England. Repeated measures were administered at three consecutive intervals, three months apart, using a validated self-report measure, the Professional Quality of Life Scale V (ProQOL V, Stamm, 2010). Data was analysed using descriptive and inferential statistical analysis using benchmark data from the ProQoL V instrument for comparison.Findings: Analysis of results compared to ProQol V benchmark data showed significantly higher than expected levels of compassion satisfaction, and lower than expected levels of burnout and secondary traumatic stress for Adolescent PICU nursing staff within the study. There were no significant differences 3 between qualified nurses and health care assistants. Potential explanations and practice implications of these findings are discussed.Value: This is the first published study to investigate professional quality of life within the mental health nursing population working in Adolescent PICU, providing empirical insights into a previously unexplored mental health context. Word Count: 5200

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Section: Introductionmentioning

confidence: 99%

Investigating professional quality of life in nursing staff working in Adolescent Psychiatric Intensive Care Units (PICUs)

Foster

2019

JMHTEP

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“…Due to long‐lasting exposure to taking care of patients with sufferings, nurses often experience increased BO and STS but decreased CS, which is traditionally considered as a “cost of caring”. Reduced ProQOL can detrimentally influence the nurses' physical and psychological well‐being and contribute to the loss of their compassion in clinical practice (Sinclair, Raffin‐Bouchal, Venturato, Mijovic‐Kondejewski, & Smith‐MacDonald, ). To understand the factors influencing nurses' ProQOL and its potential mechanism plays a vital role in promoting the working experience among these vital caregivers.…”

Section: Introductionmentioning

confidence: 99%

Mediating effects of empathy on the association between nursing professional values and professional quality of life in Chinese female nurses: A cross‐sectional survey

Hui

Dai²,

Wang

2019

Nursing Open

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AimThis study aimed to examine whether and to what extent, empathy mediates the association between nursing professional values and professional quality of life (ProQOL) in Chinese female nurses.DesignCross‐sectional study design.MethodsA convenience sample of 733 nurses from Xi'an, Shaanxi Province, China, was recruited. Each participant was invited to complete a self‐administrated socio‐demographic questionnaire, the Nursing Professional Values Scale, the Jefferson Scale of Empathy and the Professional Quality of Life Scale. Descriptive statistics, Pearson correlation analysis and the bootstrap method were employed to analyse data using SPSS 23.0 software.ResultsThe participants reported a medium level of ProQOL. Nursing professional values were positively associated with compassion satisfaction but negatively associated with burnout. Empathy mediated 9.2% and 57.1% of the total observed effect of nursing professional values on compassion satisfaction and burnout, respectively.

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“…The results show that CF is a multi-dimensional, complex, and relatively unknown phenomenon with weak and conflicting underlying theories (Sinclair et al, 2017). The inconstant and present contradictions make it difficult to provide a clear and standard definition of CF.…”

Section: Discussionmentioning

confidence: 92%

“…The inconstant and present contradictions make it difficult to provide a clear and standard definition of CF. Because of this, a number of scholars have rendered the reconceptualization of the phenomenon as mandatory (Ledoux, 2015;Sinclair et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Nurses provide safe quality care for patients through establishing sympathetic interactions with the patient, leading to increased work satisfaction, and staying in the profession. Sinclair et al (2017) believed that compassion begins during the time when the nurse interacts with the patient experiencing pain and suffering, which culminates into sympathetic feelings, and triggers some measures for relieving the patient's aches and pains. Figley's model (2002) is based on the assumption that individuals with high empathy who manifest a sympathetic and compassionate response to patients' suffering are highly vulnerable to experiencing CF themselves (Figley, 2002).…”

Section: Discussionmentioning

confidence: 99%

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Concept development of "compassion fatigue" in clinical nurses: Application of Schwartz-Barcott and Kim's hybrid model

Sabery¹,

Hosseini²,

Tafreshi³

et al. 2017

Asian/Pacific Island Nursing Journal

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Compassion fatigue is not a new concept in nursing; yet, it is not well known and there is no fixed clear definition of the term. The ambiguity surrounding how to define compassion fatigue has challenged its measurement and evaluation. Thus, any attempt to determine attributes of this underdeveloped concept and studying it in a new socio-cultural context requires concept development. The purpose of this study is to clarify the concept of compassion fatigue through concept development and to produce a vivid and tentative definition of this concept in clinical practice.Concept development was conducted using a three-step hybrid concept analysis including theoretical, fieldwork, and final analysis phases according to Schwartz-Barcott and Kim's method. We reviewed and analyzed 48 articles that met the inclusion criteria. Following, the first author conducted 13 interviews with clinical nurses followed by an inductive content analysis. Finally, a comprehensive definition of compassion fatigue in nurses was attained.Compassion fatigue in nurses can be explained as a cumulative and progressive process of absorption of the patient's pain and suffering formed from the sympathetic and caring interactions with the patients and their families. The physical, emotional, intellectual, spiritual, social, and organizational consequences of compassion fatigue are so extensive that they threaten the existential integrity of the nurse. Context-based variables (culture, family, and community) such as personality features like devotion behaviors and commitment towards the patient, exposure to multiple stressors, organizational challenges, and lack of self-care are factors associated with an increased risk of compassion fatigue. Concept development of compassion fatigue is the first step in the protection of nurses against the destructive consequences of compassion fatigue and to improve quality of care.

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Compassion fatigue: A meta-narrative review of the healthcare literature

Cited by 334 publications

References 86 publications

Investigating professional quality of life in nursing staff working in Adolescent Psychiatric Intensive Care Units (PICUs)

Investigating professional quality of life in nursing staff working in Adolescent Psychiatric Intensive Care Units (PICUs)

Mediating effects of empathy on the association between nursing professional values and professional quality of life in Chinese female nurses: A cross‐sectional survey

Concept development of "compassion fatigue" in clinical nurses: Application of Schwartz-Barcott and Kim's hybrid model

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