Levels Of Compassion Fatigue Research Articles

Compassion fatigue and COVID‐19: A global view from nurses

Due to the rapid spread of COVID-19 variants, the number of people hospitalized for COVID-19 may create psychological burdens on nurses. Nurses with high levels of compassion fatigue (CF) are more likely to make work errors, deliver poor-quality care, and have greater intent to leave their position. This study utilized the social-ecological model to examine factors associated with nurses' CF and compassion satisfaction (CS) during the COVID-19 pandemic. Data were collected from the United States, Japan, and South Korea from July to December 2020. The Professional Quality of Life Scale was used to measure burnout (BO), secondary traumatic stress (STS), and CS. Data from 662 responses were used in the analysis. Mean scores were 25.04 (±6.44) for BO, 24.81 (±6.43) for STS, and 37.85 (±7.67) for CS. Multiple regression analyses indicated that resilience and intention to leave nursing were related to each study outcome (i.e., BO, STS, and CS). Greater resilience predicted lower BO and STS but greater CS, whereas intention to leave nursing indicated greater BO and STS, but lower CS. Furthermore, intrapersonal factors and organizational factors (i.e., nurses involved in developing policies to prepare for COVID-19 patients, organizational support, and personal protective equipment [PPE] provisions) were related to BO, STS, and CS. To promote nurses' psychological well-being, improvement of organizational factors such as support, PPE, and programs to enhance resilience is recommended to prepare for future emerging infectious disease crises.

A Scoping Review of Compassion Fatigue Among Oncology Nurses Caring for Adult Patients.

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). To identify what contributes to CF and what individual, interpersonal, and organizational factors mitigate CF among oncology nurses caring for adult patients. 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. 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. 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. Consideration and future research of effective interventions are needed to sustain a future health workforce and mitigate CF among oncology nurses.

Compassion Fatigue in Small Scale Health Care Facility Nurses: Testing the Effectiveness of Cognitive Behavioral Therapy

The aim of the present research is to explore the levels of compassion fatigue and examine the effectiveness of cognitive behavioral therapy (CBT) on compassion fatigue in nurses working in small scale healthcare facilities. This research compares two settings i.e., Individual and Training. It was hypothesized that there would be a significant difference in the levels of compassion fatigue, before and after cognitive behavioral therapy interventions among nurses. Secondly, it was also hypothesized that there would be a significant difference in the effectiveness of cognitive behavioral therapy on compassion fatigue in nurses in individual settings, as compared to training settings. A sample of 30 nurses, recruited from two small scale healthcare facilities in Karachi were screened for compassion fatigue by using Professional Quality of Life Scale (ProQol) version 5. A total of Four nurses (M=24, SD=3.39) with high levels of compassion fatigue were facilitated by providing therapeutic intervention based on worksheets from a self-help workbook, ‘Overcoming Compassion Fatigue’ for both settings. The participants reported experiencing differing levels of compassion fatigue. Paired sample t- tests and Independent sample t- tests showed a significant difference (p < 0.05) in the levels of Compassion Fatigue post intervention. The findings also suggested absence of a significant difference (p > 0.05) in the levels of Compassion fatigue in nurses in individual settings as compared to training settings. The research carries implications for educators and psychologists as it proves the effectiveness of cognitive behavioral therapy in treating compassion fatigue. Hospital management may find it beneficial to utilize the current treatment process using cognitive behavioral therapy to relieve burnout and compassion fatigue in nurses.

Psychological flexibility as a predictor of professional quality of life in newly qualified psychological therapy practitioners

The professional quality of life of psychological therapy practitioners can be conceptualised within a compassion satisfaction and compassion fatigue framework. Compassion fatigue has detrimental impacts on practitioners, organisations and patient care, whereas compassion satisfaction leads to positive outcomes. Psychological flexibility is purportedly a key resilience process associated with greater compassion satisfaction and lower compassion fatigue for healthcare professionals. However, no existing research has explored this association over a longitudinal trajectory for healthcare workers and specifically newly qualified psychological therapy practitioners. This study aimed to examine whether psychological flexibility prospectively predicts levels of compassion fatigue (inclusive of burnout and secondary traumatic stress) and compassion satisfaction in newly qualified psychological therapy practitioners. Using a prospective cohort longitudinal design, fifty-six trainee psychological therapy practitioners were recruited to complete an online survey at three timepoints pre- and post-qualification over eight-months. Forty-two and thirty-eight participants completed the survey at timepoints two and three respectively. The survey comprised a demographic questionnaire and measures of psychological flexibility, professional quality of life and workplace factors. Multilevel modelling revealed that higher prospective levels of psychological flexibility predicted higher levels of compassion satisfaction and lower levels of burnout and secondary traumatic stress at all timepoints. This study offers evidence suggesting a predictive association between psychological flexibility and professional quality of life outcomes for psychological therapy practitioners.In the context of broader empirical and conceptual literature, current findings invite further robust research examining whether psychological flexibility can predict and influence professional quality of life.

Assessment of Compassion Fatigue and Empathy Levels in Nurses During the COVID-19 Outbreak: Turkey's Case.

This study was conducted to determine the compassion fatigue level of nurses andto review several variables believed to be associated with it; in addition, an assessment is made of empathy levels in the same group. This is a cross-sectional study conducted from December 2021 to May 2022 on nurses working at a city hospital linked to the Turkish Ministry of Health. The study group consisted of 616 nurses. A Personal Information Form, the Compassion Fatigue-Short Scale (CF-SS), and the Jefferson Scale of Empathy were used to collect data. Data were collected through face-to-face interviews. Student's t-test, One-Way Analysis of Variance, and Multiple Linear Regression Analysis were used for data analysis. The statistical significance value was accepted as p < 0.05. The study group consisted of 499 (81.0%) females and 117 (19.0%) males, and their ages ranged from 20 to 51, with a mean age of 29.2 ± 6.9years. The scores obtained from the CF-SS ranged from 16 to 130, with a mean score of 70.96 ± 25.04. The level of compassion fatigue was found to be higher in participants with a low family income, those who work more than 40h a week, those who chose their profession unwillingly, those who are not satisfied with their profession, and those with a history of contact with a COVID-19 patient (p < 0.05 for each group). There was a significant association between levels of compassion fatigue and empathy (r = 0.92; p = 0.220). The level of compassion fatigue was found to be moderate in the nurses observed. The factors affecting the level of compassion fatigue included gender, family income, reasons for choosing nursing as a profession, the number of patients given daily care by the nurses, satisfaction with their profession, and history of contact with a COVID-19 patient. More extensive studies focusing on the association between compassion fatigue and empathy in nurses are needed.

Investigation of psychological factors related to compassion fatigue, burnout, and compassion satisfaction among nurses

BackgroundWhile compassion fatigue is evaluated positively in nurses, compassion fatigue and burnout are undesirable from the viewpoint of professionals, service providers, institutions and ultimately society. It is necessary to identify the factors that lead to undesirable results and to reduce their effects. This study aimed to investigate nurses’ levels of compassion fatigue, compassion satisfaction, burnout, various psychopathological symptom levels, coping skills, and the relationship between them.MethodsThis was a descriptive cross-sectional study. The participants were 356 nurses working in tertiary university hospitals in Istanbul (Türkiye). The Healthcare Professional Information Form, ProQOL-IV, Brief Symptom Inventory, and the Coping Orientations to Problems Experienced scale were used to collect data. Descriptive statistics, correlation analyses, and regression models were used to analyze the data.ResultsAccording to the findings, low-level burnout, moderate-high compassion satisfaction, and low-moderate compassion fatigue symptoms were detected. Low-level anxiety, depression, somatization, hostility, and negative self-esteem were found. According to the results of regression analysis, mental disengagement and planning coping strategies positively affect the synergy of compassion fatigue (p < 0.05). Turning religion and restraint coping have a positive effect on compassion fatigue (p < 0.05). While depression has a positive effect on burnout, nurses’ positive reinterpretation and growth strategy is effective in coping with burnout (p < 0.05). Positive reinterpretation and growth coping strategies are also effective in increasing job satisfaction (p < 0.05).ConclusionsNurses showing somatization symptoms are risk factors for compassion fatigue, and nurses showing depression symptoms are risk factors for burnout, so they should be closely monitored and should be given support. Mental disengagement and planning coping strategies can reduce compassion fatigue, and positive reinterpretation and growth methods can reduce burnout and increase compassion satisfaction. It may be useful to provide counseling and training for nurses to use the right coping methods.

Compassion fatigue in Nursing professionals Palliative Care Units: literature review

Today, compassion fatigue is a major problem that significantly affects healthcare professionals. Objectives: To analyze whether working in a palliative care service predisposes nursing professionals to the appearance of symptoms related to compassion fatigue. Methods: Non-systematic literature review. A literature search was carried out using different databases of primary and secondary sources and meta-search engines, mainly using the following descriptors: "Nursing", "Palliative care" and "Compassion fatigue". Inclusion and exclusion criteria were established and, finally, the scientific articles were evaluated with their corresponding quality tool (STROBE and qualitative CASPe). Results: Levels of compassion fatigue are high among palliative care nurses. According to studies, work and personal factors show a statistically significant association with compassion fatigue. Conclusions: Nursing professionals develop compassion fatigue to a large extent in the palliative care service. In addition, factors associated with increased compassion fatigue have been established in an attempt to eradicate this phenomenon. Further research is needed to investigate the effectiveness of different intervention programmes for the correct management of compassion fatigue.

Compassion Satisfaction, Compassion Fatigue, and Burnout among Nurses

Objective: This research aimed to explore the compassion satisfaction, compassion fatigue and burnout levels of nurses and the correlations between these variables. Materials and Methods: The research used a correlational descriptive cross-sectional design. This research was conducted with 185 nurses in a state hospital in the Central Anatolia region of Turkey between October-November 2018. Data were collected using a questionnaire form and the professional quality of life scale. Results: Nurses' compassion satisfaction was found to be low, their compassion fatigue was high, and their burnout was moderate. A negative, weak, and significant correlation was found between compassion satisfaction and compassion fatigue. There was a negative, weak, and insignificant correlation between compassion satisfaction and burnout, while a positive and highly significant correlation was found between compassion fatigue and burnout. Conclusions: Some intervention programs can be developed to reduce high levels of compassion fatigue among nurses. Also, stressors in the care environment/medium can be identified, and nurses’ exposure to these stressors can be prevented. Thus, compassion fatigue and burnout reduced, compassion satisfaction can be increased.

Randomized controlled trial of emotion-focused training for helping professionals.

The aim of this study was to examine the short- and long-term effectiveness of the novel Emotion-focused Training for Helping Professions on levels of compassion fatigue (secondary traumatic stress & burnout), self-criticism, self-compassion, and compassion for others. A randomized controlled trial study was conducted. A total of 253 participants were recruited and randomly assigned to either the experimental group or the control group. The experimental group attended a 14-day online training. The control group did not perform any tasks. Results showed that after completing the intervention the experimental group participants reported significantly lower scores for secondary traumatic stress, burnout and self-criticism, and higher scores for self-compassion and that these lasted for two months after completion. Compared to the control group, the experimental group participants had significantly lower scores of secondary traumatic stress, burnout, self-criticism, and higher scores of self-compassion after the intervention. No significant changes were found for the control group, except a significant increase in time in the reported score for one dimension of burnout - exhaustion. The novel EFT-HP training was shown to be effective in reducing levels of compassion fatigue (secondary traumatic stress and burnout) and self-criticism and increasing self-compassion.

Evaluation of compassion fatigue and compassion satisfaction among emergency nurses in Jordan: A cross-sectional study

BackgroundNurses working in emergency departments are overworked and exposed to frequent stressors over time, leading to compassion fatigue, burnout, and secondary traumatic stress. AimsThis study aimed to assess the levels of compassion fatigue and compassion satisfaction, and examine the relationship of these two variables with specific demographic, health-related, and work-related factors among emergency nurses in Jordan. MethodsThis is a cross-sectional study. The Professional Quality of Life Scale Version 5 was used to collect data. ResultsA convenience sampling method was used to recruit 203 registered nurses from emergency departments in Jordan. The mean compassion fatigue and satisfaction scores were moderate. There was a significant but negligible correlation between compassion satisfaction and educational levels (r = 0.15, p < 0.05) and between secondary traumatic stress and comorbid diseases (r = −0.16, p < 0.05). ConclusionsAlthough the levels of compassion fatigue and satisfaction were moderate, both may negatively affect nurses’ care and patient outcomes. Conversely, compassion satisfaction should be improved in order to overcome the negative effects of compassion fatigue.

Professional Quality of Life of Nurses Providing Care for Patients with COVID-19

Objective: This study was conducted to determine the professional quality of life and care experiences of nurses who provide care for patients with COVID-19.Materials and Methods: The sample of this descriptive and cross-sectional study consisted of 181 nurses working in İstanbul (Turkey) which takes the first place according to the spread of the epidemic.Results: The nurses working for 1-4 years, 3 or more shifts per week, working in COVID-19 services, and providing care for 100 or more patients had higher compassion satisfaction scores.The compassion fatigue scores of those who were university graduates and worked 60 hours or more per week were found to be high. Those without children, high school graduates, those working 60 hours or more per week, those having 3 or more shifts per week, and those providing care for 100 or more patients in emergency services had higher mean scores on the professional quality of life.Conclusion: During the COVID-19 pandemic process, it is predicted that the level of compassion fatigue and burnout of nurses alarms. It is thought that reducing the workload and improving working conditions of nurse managers and leaders, the rotation of nurses between clinics, using methods of overcoming the stress.

Using research-practice-policy partnerships to mitigate the effects of childhood trauma on educator burnout

BackgroundThe effects of COVID-19 pandemic on children have been immense. ObjectiveIn this commentary, we argue for the need to utilize research-practice-policy partnerships to address the issue of educator burnout and Secondary Traumatic Stress. Participants and settingEducation systems have the potential to be the site of public health interventions in helping to identify and address the needs of children and families. MethodsIn this commentary, we review the literature on child trauma and adversity, educator burnout, and research-practice-policy partnerships. ResultsWith the return to in-person learning, educators, and the systems in which they work are overwhelmed by the magnitude of mental health challenges presenting in the classroom due to child trauma. As a result, many educators are reporting high levels of compassion fatigue, secondary trauma, and burnout, which are known predictors of leaving the workforce. Many of the strategies employed to address educator compassion fatigue, secondary trauma, and burnout focus directly on the individual level (e.g., deep breathing, yoga). Yet the compassion fatigue, secondary trauma, and burnout are rooted in larger system failures to address the growing needs of children and families. ConclusionsBy bringing together key community members, including educators, and utilizing local data to inform policy decisions, actionable, trauma-informed solutions can create the conditions for thriving educators and therefore, thriving children.

Compassion fatigue and burnout in Turkish pediatric emergency nurses during the COVID-19 pandemic

PurposeThis study was conducted to determine compassion fatigue and burnout in nurses working in the pediatric emergency department (PED) during the COVID-19 pandemic in Turkey. Design and methodsThis descriptive and cross-sectional study was conducted with 164 nurses working in the PED and following the social media platforms of the Emergency Nurses Association between September 1, 2020, and January 1, 2021. Data were collected using the online survey method with the Descriptive Data Form, Maslach Burnout Inventory (MBI), and Compassion Fatigue-Short Scale (CF-SS). ResultsPediatric emergency nurses reported that they experienced high emotional exhaustion (28.25 ± 6.05) and depersonalization (11.89 ± 2.39), low personal accomplishment (17.98 ± 3.12), and moderate compassion fatigue (4.99 ± 1.43). ConclusionPediatric emergency nurses had high levels of burnout and moderate levels of compassion fatigue during the pandemic in Turkey. To prevent any long-term negative effects of the pandemic, addressing the physiological, psychological, and psychosocial needs of nurses should be prioritized. Practical implicationsCompassion fatigue and burnout can affect the quality of care provided by nurses, but also negatively affect their well-being and quality of life during the pandemic. Therefore, the development of interventions to reduce compassion fatigue and burnout can help manage these symptoms.

Prevalence of Compassion Fatigue and Its Association with Professional Identity in Junior College Nursing Interns: A Cross-Sectional Study.

Background: The issue of compassion fatigue among clinical nurses has received considerable attention, particularly during the COVID-19 pandemic. Yet, the current status of compassion fatigue among junior college nursing interns remains unclear. Additionally, professional identity can modulate the impact of compassion fatigue or burnout on psychological well-being; however, whether professional identity still works in this group is also unclear. This study aimed to reveal the current status of compassion fatigue among nursing interns in junior colleges and also investigate the association between compassion fatigue and professional identity. Methods: This cross-sectional survey evaluated the levels of participants' compassion fatigue (The Compassion Fatigue Short Scale) and professional identity (Professional Identity Scale) in 2256 nursing interns. Results: The mean score of compassion fatigue was 44.99, and 19.5% of the participants scored above The Compassion Fatigue Short Scale median scores for compassion fatigue. A moderate negative correlation was detected between compassion fatigue and professional identity. Conclusions: The level of compassion fatigue among nursing interns is low but nearly one in five nursing students is at risk of compassion fatigue. More attention should be paid to nursing interns with a high risk of compassion fatigue. Future studies are warranted to explore which pathways could mediate the relationship between professional identify and comparison fatigue.

The experiences of patients, family caregivers, healthcare providers, and health service leaders with compassionate care following hospitalization with COVID-19: a qualitative study

Purpose This study explored the experiences of patients, caregivers, healthcare providers, and health service leaders of compassion in the care of people hospitalized with COVID-19. Materials and methods This study is a secondary analysis of qualitative data deriving from primary research data on recommendations for healthcare organizations providing care to people hospitalized with COVID-19. Participants comprised patients with COVID-19 (n = 10), family caregivers (n = 5) and HCPs in COVID-19 units (n = 12). Primary research data were analyzed deductively under the “lens” of compassion, as defined by Goetz. Results Four interacting themes were found: (1) COVID-19 – to care or not to care? The importance of feeling safe, (2) A lonely illness – suffering in isolation with COVID-19, (3) Compassionate care for people with COVID-19 across the hospital continuum, and (4) Sustaining compassionate care for people hospitalized with COVID-19 – healthcare provider compassion fatigue and burnout. Conclusions Compassionate care is not a given for people hospitalized with COVID-19. Healthcare providers must feel safe to provide care before responding compassionately. People hospitalized with COVID-19 experience additional suffering through isolation. Compassionate care for people hospitalized with COVID-19 is more readily identifiable in the rehabilitation setting. However, compassion fatigue and burnout in this context threaten healthcare sustainability. IMPLICATIONS FOR REHABILITATION Healthcare providers need to feel physically and psychologically safe to provide compassionate care for people hospitalized with COVID-19. People hospitalized with COVID-19 infection experience added suffering through the socially isolating effects of physical distancing. Compassion and virtuous behaviours displayed by healthcare providers are expected and valued by patients and caregivers, including during the COVID-19 pandemic. High levels of compassion fatigue and burnout threaten the sustainability of hospital-based care for people with COVID-19.

Compassion fatigue among frontline healthcare workers during the covid-19 pandemic in Tunisia.

BackgroundHealthcare workers (HCWs) are highly vulnerable to compassion fatigue (CF), which not only leads to decreased mental and physical health, but also to deterioration in the safety of care delivered. Our study aims to measure compassion satisfaction (CS), CF levels and their predictors among Tunisian HCWs.MethodsWe conducted a cross-sectional study among HCWs caring for confirmed and suspected Covid-19 patients, staff at two university hospitals in Sousse, Tunisia during the 4thwave of coronavirus through a self-administrated Questionnaire, using the French version of the Professional Quality of Life scale ProQol, version 5.ResultsA total of 274 professionals were recruited with a mean age of 32.87±8.35 years. HCWs tend to have an overall moderate levels of compassion satisfaction, secondary traumatic stress and burnout with mean scores 35.09±7.08, 29.72±7.62, 28.54±5.44 respectively. Self-reported resilience (β = 0.14, p = 10−3), work engagement (β = 0.39, p = 10−3) and burnout (β = -0.32, p = 10−3) were the predictors of compassion satisfaction in the linear regression analysis (adjusted r2 = 0.45). Similarly, limited work experience, compassion satisfaction and secondary traumatic sub-scores were the determinants of burnout (β = -0.1, p = 0.04; β = -0.54, p = 10−3; β = 0.35, p = 10−3 respectively); (adjusted r2 = 0.48). Regarding STS, female professionals (β = 0.20, p = 10−3), being married (β = 0.19, p = 10−3), the fear of transmitting the infection (β = 0.11, p = 0.03) and burnout (β = 0.39, p = 10−3) were the predictors for the occurrence of secondary traumatic stress (adjusted r2 = 0.48).ConclusionMore resilience promoting interventions and more coping skills programs must be implemented to fulfill HCWs’ psychological well-being needs.

Compassion Fatigue and Compassion Satisfaction among Critical Care Nurses

Critical care nursing is an area specifically dealing with patients experiencing high-dependency and life –threatening conditions. Their role was complex as they were the essential partner in conjunction with the Intensive Care Unit (ICU) multidisciplinary team and the need to undertake family liaison duties, such as providing support and education to both the patient and the patient’s family. These circumstances expose to high risk of compassion fatigue (CF) which will affect their job performance and satisfaction, harm emotional and physical health not only to themselves but to the patients. Therefore, this study was conducted to identify the level of CF and compassion satisfaction (CS) among critical care nurses. A total of 106 critical care nurses at public hospital were surveyed by using Professional Quality of Life (ProQOL) scale. The nurses had moderate burnout (BO), secondary traumatic stress (STS) and CS. Nurses who worked in Pediatric Intensive Care Unit (PICU) had high STS compared to those worked in other units. The presence of compassion fatigue among nurses in critical care requires strategies which prevent, identify and mitigate compassion fatigue among these nurses.

Compassion Fatigue and Spiritual Leaders: A Pilot Study.

This is a pilot study on compassion fatigue experienced by spiritual leaders. The sample consisted of 15 religious affiliations with a total of 41 participants (30 males and 11 females). In this sample, spiritual leaders were not experiencing significant levels of compassion fatigue, and they were satisfied with their work. There was a significant negative correlation between satisfaction and exhaustion, r = -.62, n = 35, p < .01. Additionally, participants reported their coping strategies and support systems.

Expressions of Compassion Fatigue by Emergency Department Nurses Caring for Patients With Opioid and Substance Use Disorders

IntroductionThe misuse of and addiction to opioids are a national public health crisis. The complexity of delivering patient care in emergency departments exposes nurses to stressful work situations with complex patient loads and increasing levels of compassion fatigue. Emergency nurses were asked about their feelings of compassion fatigue while caring for patients with opioid use and/or substance use disorders. MethodsTwenty-four focus groups with emergency nurses (N = 53) at a level I trauma center were conducted in late 2019 and early 2020 are used in this qualitative study using thematic analysis that identified 1 main theme of compassion fatigue with 3 subthemes (nurse frustration with addicted patients, emotional responses, and job satisfaction). ResultsFindings highlight that emergency nurses working with patients with opioid use and/or substance use disorders are dealing with a number of negative emotional stressors and frustrations, which in turn has increased their levels of compassion fatigue. These nurses repeatedly expressed feelings of increasing frustration with addicted patients, negative emotional responses, and decreasing levels of job satisfaction as components of their compassion fatigue. DiscussionThese emergency nurses identified 3 areas to improve their compassion: improved management support with encouragement across all work shifts, debriefing opportunities, and more education. Fostering a high level of self-awareness and understanding of how the work environment influences personal well-being are necessary strategies to avoid the frustrations and negative emotional responses associated with compassion fatigue.

COMPASSION SATISFACTION AND COMPASSION FATIGUE AMONG REGISTERED NURSES OF SOUTH GUJARAT.

Nurses while working under constant stress, often fail to feel compassion as they provide care and are unable to derive satisfaction from their positive work experience. The aim of the study was to identify level of compassion satisfaction and compassion fatigue among registered nurses working in intensive care units and wards of hospitals in South Gujarat. Descriptive survey design was used. The studySubjects and methods: was conducted in hospitals from Bardoli and Navsari, Data was collected from 201 nurses available at the time of study using convenience sampling technique. Tool used: Professional quality of life scale (PROQOL) version 5 and demographic proforma. Mean score ofResults: compassion fatigue was greater than compassion satisfaction. Burn out and secondary traumatic stress had a moderately positive correlation where compassion satisfaction and burnout, compassion satisfaction and compassion fatigue were negatively correlated. Level of satisfaction was signicantly associated with education, religion and income of the subjects whereas level of compassion fatigue was associated with education, income and years of experience. Recommendation: Hospital administrators need to make nurses aware about compassion fatigue, assess it periodically, and should take adequate measures to reduce it. Nurses need training regarding personal measures to reduce compassion fatigue and increase compassion satisfaction.