NOVEL THINKING

Put simply, compassion fatigue happens when individuals become too physically, emotionally, and mentally exhausted due to the demands of the job. Our synthesis, generated from nine studies with a total sample of 201 participants working across diverse settings, showed considerable similarity of nurse experience of compassion fatigue. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. While this research analysed but nine studies, Noblit and Hare (1988) have noted that few studies are sufficient for metasynthesis; fewer works also allowed for a greater depth of analysis (Bondas & Hall, 2007a,b). Take some time off and indulge in some “Me time” to decompress the negative feelings that you have accumulated in the busy life that you lead. To interpret the body of qualitative work focusing on compassion fatigue to distil a common understanding that could then be applied to nursing care. The time period was from 1992–present; 1992 was the starting point as this was when the term first appeared in the literature. The nurse has changed and has become apathetic to the patients as he/she tries to survive one shift to the next by going through the motions of daily routine. Self‐care and awareness may buffer feelings of compassion fatigue (Sansó et al., 2015). What we see is often not what it seems. The nurse's challenge was to find a balance between professional and personal issues. Now that the health care community has learned more about the virus and treating infected patients, protocols have been solidified in the treatment of COVID-19 infections and curtailing the transmission of the virus. Perry et al. These nurses often isolated themselves from patients, as well as from people in their personal lives (Giarelli et al., 2016). In the past few decades, burnout and compassion fatigue have received increased focus and attention.

Compassion Fatigue is a real deal.

The many COVID-19 infection control and patient assessment protocols can be very tedious to follow. At the beginning of the pandemic, the scientific community did not know much about the COVID-19 virus. The authors declare that there is no conflict of interest. A lack of knowledge in the work environment was also a cause of compassion fatigue that brought about anxiety for nurses. Nurses working on COVID-19 units may become preoccupied with worrying about life-threatening events on future work days. Descriptive and interpretive analyses for themes which were then compared to scores on quantitative variables: nurse characteristics, personal life stress, and quality of work life, Examine the effect of compassion satisfaction, compassion fatigue, moral distress, and level of education on work engagement, Nonexperimental, descriptive, correlational design; mixed methods, To identify the range and types of coping strategies that paediatric nurses in different settings use to manage compassion fatigue and prevent burnout; identify the types of symptoms and triggers of compassion fatigue (any symptoms unique to working with children). Are you experiencing hypochondriac symptoms of pain and aches that you are not quite sure as to where it originated? This reality can cause dread and anxiety at home when thinking of or planning to go to work. This could often lead to patient dissatisfaction, more stress for the nurses from the negativity of that situation, and would ultimately lead to more reasons for the nurse to get tired and get uninterested with the job.

Strategies to promote teamwork and positive working relationships should be promoted (Finzi‐Dottan & Kormosh, 2016; Sorenson et al., 2016). We can’t blame them for leaving if that’s the case. What measures discussed in the article can help prevent compassion fatigue? As a method designed to facilitate knowledge development, metasynthesis allowed for integration of qualitative study findings conducted between 1992–2016 using defined search terms. Understanding the complex demands which create an inability to care and nurture are fundamental to addressing problems in the practice setting. Figure 1 details the record retrieval process. The now indifferent nurse is just too tired to give any care, and that is a problem. St. Louis, MO 63134 This finding is important, however, as the synthesis provides substantiation that saturation has likely been reached (Campbell et al., 2011). Compassion fatigue has also been identified as a factor in patient safety (Day & Anderson, 2011; Maiden, Georges, & Connelly, 2011; Schultz et al., 2007), as well as accidents and poor quality of care (Slatten, David Carson, & Carson, 2011), and is believed to exact a toll on organisational structure and costs (Najjar, Davis, Beck‐Coon, & Carney Doebbeling, 2009). Nurses and health care leaders can review the protocols in relation to adverse situations that occur in the implementation of the patient care protocols to identify what antecedents to compassion fatigue can be avoided.

This would help nurses identify ways to increase their ability to engage in activities such as exercise, prayer and/or meditation at home and at work. Delays in care and time management issues may prohibit nurses from developing authentic relationships with their patients that further fuels worry regarding their ability to address all of their assigned patients' personal, spiritual, and/or mental health needs. Thorne (2009) has noted that there are multiple ways of knowing and diverse sources of knowledge are needed to make clinical decisions. On a scale of one to ten, how tired are you of your job as a nurse? While the method was originally developed for ethnographic studies, it was also intended to guide other interpretive works (Bondas & Hall, 2007a,b); it is well described and frequently used in metasyntheses. (2014). Over time, your ability to feel and care for others becomes eroded through overuse of your skills of compassion. Compassion fatigue has been noted to be a term preferred over secondary traumatic stress (Figley, 1995) or vicarious trauma since it embodies a process occurring over time and typically does not reflect onset as a result of a single traumatic event.

They are dependent on other nurses to deliver the needed supplies to them and this takes time, especially when the unit is understaffed.

This can facilitate the development of a peer support network, making it possible for nurses to seek early assistance in dealing with the effects of compassion fatigue (Knobloch Coetzee & Klopper, 2010). The secondary effects of the trauma that the nurses have to meet each day are converted to unseen stressors readily absorbed by the nurse, causing them to feel tired and drained all the time. Specifically, dissertations and theses were not included since many were not accessible and costs of procuring the work would have made the project undoable.

As a result, nurses caring for COVID-19 patients are at high risk for experiencing compassion fatigue. Expectations are not rightfully set. One nurse commented, “I certainly was feeling like it wasn't the right career for me” (Perry et al., 2011, p. 95). Some were interviewed twice: N = 20 (female FT practicing RNs, also caring for older relatives 10+ hours/week); age range 42–69 years Table 2. Together they are concerned with compassion fatigue among nurses dealing with the pandemic and other stressful circumstances that nurses aren't always prepared to handle.

The aim of this research was to interpret the body of qualitative work that has focused on compassion fatigue and to distil a common understanding that could then be applied to nursing care. The challenge is to present the findings for use with diverse audiences (Sandelowski & Barroso, 2002). Other such creative approaches need to be developed and tested with nurses who carry a significant burden in caring. Although nurses do their best to educate family during phone conversations, their ability to interact with family is limited by distance and/or time.

These changes range from time-intensive infection control routines to family visitation restrictions for patients admitted to acute health care facilitates. Review and developments in level 2 psychological support skills training for oncology clinical nurse specialists.

One nurse reported, “I unfortunately got sucked into becoming emotionally involved with these kids” (Maytum et al., 2004, p. 176).

Data analysis suggests that “triggering factors” are antecedents influencing the development of compassion fatigue; “physical symptoms” and “emotional symptoms” follow and are interrelated. Feeling a lack of support at work created a sense of being alone in a crowded room despite the presence of other nurses and healthcare providers. There were three criteria for inclusion into the study: (i) the method was qualitative, and (ii) the focus was compassion fatigue, and (iii) nurses were the population of interest. Time taken to don and doff personal protective equipment (PPE) can take time away from the patient's bedside.

What’s the meaning of the concept of caring? No study was excluded because of appraisal as our aim was to explore compassion fatigue and its dimensions – extracting the common, core features; studies were not excluded based on quality. Efforts to handle the complex demands of an overburdened healthcare system place extraordinary stress on those charged with providing services. One participant stated “I felt anxious about my skill level and was I up to scratch to cope with whatever patient that I might receive” (Drury et al., 2014, p. 525).

But it never hurts to hint that as a wonderful suggestion, right?

Other conceptual analyses identified spiritual commitment, continuous and intense contact with patients, emotional investment including exposure to suffering and high use of self, and personal and professional support systems as key antecedents, with inadequate professional performance and decreased holistic health as consequences (Harris & Quinn Griffin, 2015; Jenkins & Warren, 2012). In particular, nurses need to focus on preventing medical complications associated with COVID-19, which may cause them to question their ability to compassionately provide holistic care to the patient. Physical symptoms can include difficulty sleeping, headaches, digestive problems, muscle tension and fatigue. Compassion satisfaction and compassion fatigue in Australian emergency nurses: A descriptive cross-sectional study. The continued exasperation in facing this emotional struggle on a daily basis can result in feelings of defeat and desensitize the ability to feel compassion when delivering care.

This highly interpretive research offers insight into what may be the core, central features accompanying compassion fatigue, serving as an anchor for clinical application, as well as for additional research. We'll conclude by discussing ways to prevent compassion fatigue. Nurses, the largest single group of healthcare providers, are challenged to provide care for patients with increasingly complex needs in overburdened healthcare systems. According to F. Oshberg, MD in the book When Helping Hurts: “First, you should understand that it’s a process.

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