Abstract
AimThis study aimed to detect if there were differences in compassion fatigue (CF) among nurses based on substance use and demographic variables of gender, marital status, type of health institution and income.BackgroundCompassion fatigue is considered an outcome of poorly handled stressful situations in which nurses may respond with self-harming behaviours like substance use. Evidence in this area is critically lacking.MethodsThis study used a descriptive design to survey differences in CF of 282 nurses. The participants completed a demographic survey and indicated whether they consume any of the following substances on a frequent basis: cigarettes, sleeping pills, power drinks, anti-depressant drugs, anti-anxiety drugs, coffee, analgesics, amphetamines and alcohol. Compassion Fatigue scores were surveyed using CF self-test 66 items developed by Stamm and Figely (Compassion satisfaction and fatigue test. http://www.isu.edu/~bhstamm/tests.htm, 1996).ResultsThere were significant differences in CF scores in favour of nurses who used cigarettes, sleeping pills, power drinks, anti-depressants and anti-anxiety drugs. While no significant differences in CF were found between nurses who used coffee, analgesics, amphetamines and alcohol, significant differences in nurses’ CF were found in relation to type of institution, gender and marital status. But nurses’ income did not bring differences to CF scores.ConclusionNurses who might be lacking resilience cope negatively with CF using maladaptive negative behaviours such as substance use.Implications for nursing managementNursing management should be aware of the substance use drive among nurses and build organizational solutions to overcome compassion fatigue and potential substance use problems.
Highlights
Compassion fatigue (CF) is a recent concept that refers to the emotional and physical exhaustion that affects helping professionals and caregivers over time
While no significant differences in CF were found between nurses who used coffee, analgesics, amphetamines and alcohol, significant differences in nurses’ CF were found in relation to type of institution, gender and marital status
Implications for nursing management: Nursing management should be aware of the substance use drive among nurses and build organizational solutions to overcome compassion fatigue and potential substance use problems
Summary
Compassion fatigue (CF) is a recent concept that refers to the emotional and physical exhaustion that affects helping professionals and caregivers over time. It is associated with a gradual desensitization to patient stories, a decrease in quality of care, an increase in clinical errors, higher rates of depression and anxiety disorders and rising rates of stress leave and a sense of humiliation in workplace climate [1]. Compassion fatigue in nurses can be explained as a cumulative and progressive absorption process of Compassion fatigue can happen to any nurse, at any time during the job course, though some nurses may be at greater risk to develop CF than other nurses.
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