Does self-compassion mitigate the relationship between burnout and barriers to compassion? A cross-sectional quantitative study of 799 nurses

Dev, Vinayak; Fernando, Antônio; Lim, Anecita Gigi; Consedine, Nathan S.

doi:10.1016/j.ijnurstu.2018.02.003

Cited by 72 publications

(66 citation statements)

References 65 publications

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“…A greater range of prior clinical experiences may provide opportunities for learning such that more senior health care workers are better equipped to deal with challenging clinical encounters (Dev et al, 2018; and/or ageing itself may also offer benefits in this regard. Compared to students, qualified health professionals were more caring towards difficult patients and less likely to use a mask.…”

Section: Discussionmentioning

confidence: 99%

“…Developing the capacity to sustain care in such scenarios has ostensibly been an important feature of medical training (The Medical School Objectives Writing Group, 1999). Recent work suggests that clinical exposure might be important medical students have been shown to habituate to established elicitors of disgust in medical settings (i.e., dead bodies, Rozin, 2008), and health care providers with more experience are better able to maintain their capacity to deliver care in the face of patientrelated barriers (Dev, Fernando, Lim, & Consedine, 2018). Recent work suggests that clinical exposure might be important medical students have been shown to habituate to established elicitors of disgust in medical settings (i.e., dead bodies, Rozin, 2008), and health care providers with more experience are better able to maintain their capacity to deliver care in the face of patientrelated barriers (Dev, Fernando, Lim, & Consedine, 2018).…”

Section: Statement Of Contributionmentioning

confidence: 99%

“…Evolutionary theory suggests that caring behaviour evolved as a means to protect offspring, attract mates, and support affiliative bonds (Gilbert, 2019). Recent work has investigated the factors that may facilitate and inhibit compassionate care (Dev et al, 2018;Gilbert & Mascaro, 2017) including caring for strangers, as is the case for health care providers. However, caring for others is a costly endeavour and tends to be constrained to those we know and like (Gilbert, 2019).…”

Section: Statement Of Contributionmentioning

confidence: 99%

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Fighting the flinch: Experimentally induced compassion makes a difference in health care providers

Reynolds

Powell

Lin

et al. 2019

British J Health Psychol

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Objectives. Although health care providers are required to sustain care in difficult circumstances, some patients challenge this principle. Evoking compassion seems likely to be helpful in such situations. This research aimed to evaluate whether inducing compassion in health care providers might mitigate disengagement with patients who have challenging presenting features such as those with disgusting symptoms and/or are to blame for their own health problems.Design. An online experimental study with clinical health care providers.Methods. Medical students (n = 219) and qualified health care professionals (n = 108) took part in an online experiment. Participants were randomized to view a slideshow of either neutral images (control) or compassion-inducing images (compassion condition) and were then presented with a series of patient vignettes where presenting problems systematically varied on patient responsibility and disgusting symptoms. Engagement was assessed by asking participants how caring they felt, how much they would want to help, how challenging it would be, and whether they would wear a mask.Results. Participants reported less engagement with patients who were responsible for their illness and who presented with disgusting symptoms. Induced compassion offset disengagement and qualified health professionals were more caring and willing to help patients than medical students. The compassion induction eliminated some differences between experienced and trainee clinicians.Conclusions. This research demonstrates that disgust and patient responsibility impacts clinical engagement and that medical students are more impacted by such scenarios than qualified health providers. Inducing compassion may help to mitigate these differences, and further investigation into strategies that foster engagement with difficult patients is warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Statement Of Contributionmentioning

confidence: 99%

Section: Statement Of Contributionmentioning

confidence: 99%

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Fighting the flinch: Experimentally induced compassion makes a difference in health care providers

Reynolds

Powell

Lin

et al. 2019

British J Health Psychol

Self Cite

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“…A component of this kind of training is reflective discussion about one's own behaviour, thoughts and feelings and as such may also improve the insight of staff. Although there is growing evidence to suggest a relation between nurses’ self‐compassion and less burn‐out and more compassionate care for patients (Dev, Fernando, Lim, & Consedine, ; Durkin, Beaumont, Hollins, & Carson, ), it is important not to focus exclusively on training staff members but to create an organizational context as well that maximizes the likelihood of (self‐)compassionate behaviour (Crawford, Brown, Kvangarsnes, & Gilbert, ; Scott, ).…”

Section: Discussionmentioning

confidence: 99%

The role of emotion regulation, coping, self‐reflection and insight in staff interaction with patients with a diagnosis of personality disorder in forensic settings

Oostvogels¹,

Bongers

Willems³

2018

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? Interaction between staff and patients with a diagnosis of personality disorder in forensic settings is important for quality of care, but research is lacking on what determines this interaction. What the paper adds to existing knowledge? Insight, emotion‐focused coping and emotion regulation of staff influence the interaction between staff and these patients. Staff who understand their own thoughts, feelings and behaviour better (more insight) needed less support, encouragement or back‐up from their patients. Staff who cope by getting upset, blaming themselves or fantasizing about solutions (emotion‐focused coping) on the contrary needed more support from their patients. Emotion regulation had an impact on the relation between coping and hostile staff behaviour. When staff get upset (emotion‐focused coping) and try to think differently about the situation (reappraisal), this makes them behave in a more hostile manner towards their patients. When staff suppress their emotions and also distract themselves or engage in social activities (avoidance‐focused coping), they behave in a less hostile manner towards their patients. What are the implications for practice? In order to provide compassionate care for their patients, staff ought to be trained in self‐compassion. This may help them not to get upset, blame themselves or fantasize about solutions and to understand their own thoughts, feelings and behaviour better. As a result, staff may need less support, encouragement or back‐up from their patients. Context is important: Staff ought to suppress their emotions when emotions run high, but only when they also care for themselves by distracting themselves or engaging in social activities. Facing and regulating their emotions by changing what they think about the situation (reappraisal) may be more appropriate once emotions have settled down. This may help staff to remain compassionate towards their patients in the long run and avoid burn‐out or compassion fatigue due to ignoring their own needs and boundaries. Abstract IntroductionResearch is lacking on what determines interaction between staff and patients with a diagnosis of personality disorder in forensic settings. AimTo test whether coping, self‐reflection, insight and emotion regulation are related to the behaviour of staff towards these patients, and to test the possible moderating and mediating effect of emotion regulation. MethodUsing a cross‐sectional design, 76 direct care staff of a forensic clinic completed questionnaires on all variables. Relations were tested using simple linear regression, mediation and moderation analyses. ResultsInsight and emotion‐focused coping of staff were related to seeking less and more support from patients, respectively. Emotion regulation by reappraisal combined with emotion‐focused coping was associated with more hostile behaviour by staff, and suppression combined with avoidance‐focused coping with less hostile behaviour. ConclusionInsight, emotion‐focused copin...

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“…More recently, studies have also begun to explore the potential of self‐compassion in the stress‐management process of various formal health care professionals. In these early studies, greater self‐compassion has been linked to reduced burnout and fatigue in both hospital and community nurses and student midwives . Further, interventional research specifically targeting self‐compassion with nurses has also shown promising effects, with increases in compassion and resilience and decreases in secondary trauma and burnout demonstrated after an 8‐week pilot MSC programme .…”

Section: Self‐compassion and Well‐beingmentioning

confidence: 99%

Self‐compassion as an applicable intervention target for family carers of older adults: A conceptual commentary

Murfield

Moyle

O’Donovan

2020

Int J Geriat Psychiatry

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Does self-compassion mitigate the relationship between burnout and barriers to compassion? A cross-sectional quantitative study of 799 nurses

Cited by 72 publications

References 65 publications

Fighting the flinch: Experimentally induced compassion makes a difference in health care providers

Fighting the flinch: Experimentally induced compassion makes a difference in health care providers

The role of emotion regulation, coping, self‐reflection and insight in staff interaction with patients with a diagnosis of personality disorder in forensic settings

Self‐compassion as an applicable intervention target for family carers of older adults: A conceptual commentary

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