Risk For Compassion Fatigue Research Articles

Compassion Fatigue in Adult Daughter Caregivers of a Parent with Dementia

Adult daughters face distinct challenges caring for parents with dementia and may experience compassion fatigue: the combination of helplessness, hopelessness, an inability to be empathic, and a sense of isolation resulting from prolonged exposure to perceived suffering. Prior research on compassion fatigue has focused on professional healthcare providers and has overlooked filial caregivers. This study attempts to identify and explore risk factors for compassion fatigue in adult daughter caregivers and to substantiate further study of compassion fatigue in family caregivers. We used content analysis of baseline interviews with 12 adult daughter caregivers of a parent with dementia who participated in a randomized trial of homecare training. Four themes were identified in adult daughter caregiver interviews: (a) uncertainty; (b) doubt; (c) attachment; and (d) strain. Findings indicated adult daughter caregivers are at risk for compassion fatigue, supporting the need for a larger study exploring compassion fatigue in this population.

Who is at risk for compassion fatigue? An investigation of genetic counselor demographics, anxiety, compassion satisfaction, and burnout.

Compassion fatigue is a state of detachment and isolation experienced when healthcare providers repeatedly engage with patients in distress. Compassion fatigue can hinder empathy and cause extreme tension. Prior research suggests 73.8% of genetic counselors are at moderate to high risk for compassion fatigue and approximately 1 in 4 have considered leaving the field as a result Injeyan et al. (Journal of Genetic Counseling, 20, 526-540, 2011). Empirical data to establish a reliable profile of genetic counselors at risk for compassion fatigue are limited. Thus the purpose of this study was to establish a profile by assessing relationships between state and trait anxiety, burnout, compassion satisfaction, selected demographics and compassion fatigue risk in practicing genetic counselors. Practicing genetic counselors (n = 402) completed an anonymous, online survey containing demographic questions, the State-Trait Anxiety Inventory, and the Professional Quality of Life scale. Multiple regression analysis yielded four significant predictors which increase compassion fatigue risk (accounting for 48% of the variance): higher levels of trait anxiety, burnout, and compassion satisfaction, and ethnicity other than Caucasian. Additional findings, study limitations, practice implications, and research recommendations are provided.

Compassion Fatigue in Liver and Kidney Transplant Nurse Coordinators: A Descriptive Research Study

Because of the nature of the helping professions, nurses are at high risk for compassion fatigue and burnout. In the past, many researchers have studied compassion fatigue and burnout in nurses. However, reports of research assessing liver and kidney transplant nurse coordinators' compassion fatigue and burnout are rare. To assess liver and kidney transplant nurse coordinators' levels of compassion fatigue and burnout. A nonexperimental, exploratory descriptive study was conducted using the Professional Quality of Life Scale Version 5 (ProQOL-V), a 30-item self-report instrument to measure participants' level of compassion satisfaction, burnout, and secondary traumatic stress. This study sampled 14 liver and kidney transplant nurse coordinators from a large multiorgan transplant center in the Southeast region. Transplant nurse coordinators had an average level of compassion satisfaction, an average level of burnout, and an average level of secondary traumatic stress. Within liver and kidney transplant nurse coordinators, a statistically significant relationship was found between education levels of transplant nurse coordinators and the level of burnout, suggesting that education levels may influence burnout.

Sleep Disturbance, Chronic Stress, and Depression in Hospice Nurses: Testing the Feasibility of an Intervention

To test the feasibility of a cognitive-behavioral therapy for an insomnia (CBT-I) intervention in chronically bereaved hospice nurses. Five-week descriptive correlational. Nonprofit hospice in central Texas. 9 agency nurses providing direct patient and family care. Direct care nurses were invited to participate. Two intervention group sessions occurred at the hospice agency and included identification of dysfunctional thoughts and beliefs about sleep, stimulus control, sleep hygiene, and relaxation techniques to promote sleep. Measurements were taken at baseline and three and five weeks postintervention. Sleep quality, depressive symptoms, and narrative reflections on the impact of sleep quality on self-care. Participants reported moderate-to-severe sleep disturbances and moderate depressive symptoms. The CBT-I intervention was well accepted by the participants, and on-site delivery increased participation. Additional longitudinal study is needed to investigate the effectiveness of CBT-I interventions to improve self-care among hospice nurses who are at high risk for compassion fatigue and, subsequently, leaving hospice care. Hospice nurses are exposed to chronic bereavement that can result in sleep disturbances, which can negatively affect every aspect of hospice nurses' lives. Cognitive-behavioral sleep interventions show promise in teaching hospice nurses how to care for themselves by getting quality sleep. Identifying the risks for sleep disturbances and depressive symptoms in hospice nurses will allow for effective, individualized interventions to help promote health and well-being. If hospice nurses achieve quality sleep, they may remain in the profession without suffering from chronic bereavement, which can result in compassion fatigue. A CBT-I intervention delivered at the agency and in a group format was feasible and acceptable by study participants.

Compassion fatigue, burnout and compassion satisfaction among family physicians in the Negev area - a cross-sectional study

BackgroundCompassion fatigue among health care professionals has gained interest over the past decade. Compassion fatigue, as well as burnout, has been associated with depersonalization and suboptimal patient care. Professional caregivers in general are exposed to the risk of compassion fatigue (CF), burnout (BO) and low levels of compassion satisfaction (CS). While CF has been studied in health care professionals, few publications address its incidence among family physicians, specifically. The objectives of this study were to assess the prevalence and severity of CF among family practitioners (FPs) in the Negev (Israel’s southern region), evaluating the correlations between CF, BO and CS and their relations with socio-demographic variables and work related characteristics.MethodsSelf-report anonymous Compassion Satisfaction and Fatigue Test questionnaires (CSFT) measuring CF, BO, and CS were distributed among 194 family physicians at Clalit Health Services clinics in the Negev between July 2007 and April 2008. Correlations between CF, BO and CS were assessed. Multivariable logistic regression models with backward elimination were constructed.Results128 (66%) physicians responded. 46.1% of respondents scored extremely high and high for CF, 21.1% scored low for CS and 9.4% scored high for BO. Strong correlations were found between BO and CF (r = 0.769, p < 0.001), and between BO and CS (r = −0.241, p = 0.006), but no correlation was found between CS and CF. The logistic regression model showed that the only factor associated with a significantly increased risk for CF was former immigration to Israel. Increased risk for BO was associated with female gender, history of personal trauma and lack of academic affiliation. Higher CS was associated with holding management positions and teaching residents.Conclusions and policy recommendationsFamily physicians in the Negev are at high risk for CF, with the potential for CF- associated patient dissatisfaction, compromised patient safety and increased medical error. We propose creation of a CF educational and early intervention treatment program for family physicians and other health care professionals. Such programs would train facilitators of physician well-being and resiliency building. We also recommend analyzing contributing variables and organizational factors related to higher CF. Policy recommendations include integrating such programs within required risk management continuing medical education.

Risk for Burnout and Compassion Fatigue and Potential for Compassion Satisfaction Among Clergy: Implications for Social Work and Religious Organizations

ABSTRACT This study explores the relationship of personal and organizational characteristics, along with symptoms of depression, and clergy compassion fatigue, burnout, and potential for compassion satisfaction. Ninety-five clergy from a cluster of Lutheran churches in the Mid-Atlantic United States completed anonymous surveys. Results suggested that clergy were at low risk for burnout and moderate risk for compassion fatigue and they had a moderate potential for compassion satisfaction. Results further revealed that years in service and reported depression significantly predicted burnout. The model did not predict risk for compassion fatigue. Similarities and differences between social workers and clergy are discussed, with recommendations for collaboration and support between the two professions.

Personal factors related to compassion fatigue in health professionals

This study examines the role of some personal and professional factors in compassion fatigue among health-care professionals. Research participants included 182 (89 mental and 93 medical) health-care professionals who completed an assessment battery measuring compassion fatigue, emotion management, trait emotional intelligence, situation-specific coping strategies, and negative affect. Major findings indicate that both self-report “trait” emotional intelligence and ability-based emotion management are inversely associated with compassion fatigue; adaptive coping is inversely related to compassion fatigue; and differences exist between mental and medical professions in emotional intelligence, coping strategies, and negative affect. Furthermore, problem-focused coping appears to mediate the association between trait emotional intelligence and compassion fatigue. These findings shed light on the role of emotional factors in compassion fatigue among health-care professionals. Beyond enhancing our knowledge of practitioners' professional quality of life, the current study serves as a basis for the early identification of groups of practitioners at risk for compassion fatigue.

The Relationship Between Clinician Sex, Ethnicity, Sexual Identity and Secondary Traumatic Stress

This study, conducted with community mental health clinicians at two sites in the San Francisco Bay Area, explored the relationship between clinician secondary traumatic stress and the clinician's sex, ethnicity, and sexual identity. Thirty-six clinicians at two community mental health sites were administered the Professional Quality of Life-Revision 3 (ProQOL - CSF-R-III; 1995–2002). While research has indicated that women, ethnic minorities, and sexual minorities may be more susceptible to stress reactions, the present study did not find significant differences in secondary traumatic stress scores or levels. While recent research has indicated that female providers are at an increased risk for compassion fatigue in particular, the researchers did not find significant relationships between variables examined and scores or construct levels on the ProQOL - CSF-R-III. Implications of this research point to a need for increased research to affirm that sex, ethnicity, and sexual orientation do not put clinicians at increased risk for secondary traumatic stress.

Risk of compassion fatigue and burnout and potential for compassion satisfaction among employee assistance professionals: Protecting the workforce.

Employee Assistance Program (EAP) professionals provide a majority of the mental health services to adults within the workplace. With increased traumatic events at work, including workplace violenc...

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Purpose: In this study the literature of compassion fatigue in nurses was reviewed in order to analyze the trends of overall research for level of fatigue, symptoms, and factors. Methods: For this study, five databases were searched using the key words ‘compassion fatigue’, ‘secondary traumatization’, ‘secondary traumatic stress’, and ‘vicarious traumatization’. Thirty-six papers were analyzed. Results: Most of the compassion fatigue research (86%) was conducted between 2006 and 2011 and the most frequent research approach was quantitative research with the ProQOL which was the most frequently used instrument in the studies. He research was conducted in pediatric, emergency & trauma, oncology, psychiatric, and hospice units with no consistent patterns of t compassion fatigue levels. Factors affecting compassion fatigue were personal factors such as age, education background, work-related factors such as caring for trauma patients, work hours, psychological factors such as work stress, burnout, and support/coping factors such as organizational support, and coping resources. Conclusion: Nurses’ compassion fatigue varied from low to high by nursing specialties. Many factors affected the compassion fatigue of nurses. In the future there is a need for study on Korean nurses, and identification of groups at risk for compassion fatigue. Furthermore there is a need to develop management programs on compassion fatigue in nurses, stress reduction and wellbeing.

Compassion Fatigue Among Social Work Students in Field Placements

This pilot study, conducted with BSW and MSW field students at a public university in Southwestern United States, explored the psychological effect of compassion fatigue and compassion satisfaction on social work students in field placements. Results from the Professional Quality of Life Scale's compassion satisfaction and fatigue subscales indicated that social work students appear to be motivated and committed to the profession and have higher scores of compassion satisfaction than the instrument average. Students' scores on their risk for burnout were slightly higher than those of other helping professionals and their risk for compassion fatigue during their field experience was similar to more experienced helping professionals.

Compassion Fatigue: An Application of the Concept to Informal Caregivers of Family Members with Dementia

Introduction. Compassion fatigue is a concept used with increasing frequency in the nursing literature. The objective of this paper is to identify common themes across the literature and to apply these themes, and an existing model of compassion fatigue, to informal caregivers for family members with dementia. Findings. Caregivers for family members with dementia may be at risk for developing compassion fatigue. The model of compassion fatigue provides an informative framework for understanding compassion fatigue in the informal caregiver population. Limitations of the model when applied to this population were identified as traumatic memories and the emotional relationship between parent and child, suggesting areas for future research. Conclusions. Research is needed to better understand the impact of compassion fatigue on informal caregivers through qualitative interviews, to identify informal caregivers at risk for compassion fatigue, and to provide an empirical basis for developing nursing interventions for caregivers experiencing compassion fatigue.

Intrapsychic Correlates of Professional Quality of Life: Mindfulness, Empathy, and Emotional Separation

Research examining stress disorders provides important information about professional and workplace variables with the potential to influence practitioners’ risk for compassion fatigue and burnout. However, little attention is given to intrapersonal skills or abilities that might function to reduce risk by increasing resilience and improving work satisfaction, but without jeopardizing practitioners’ empathic engagement and effective treatment relationships with clients. This study uses a random sample of licensed clinical social workers (N= 171) to examine relationships of mindfulness, empathy, and emotional separation to several aspects of professional quality of life, including compassion fatigue, burnout, and compassion satisfaction. Data are analyzed using ordinary least squares linear regression. Findings show mindfulness and emotional separation are significantly associated with compassion satisfaction and burnout, and emotional separation is significantly associated with compassion fatigue. These results suggest that increased emphasis on the intentional management of internal emotional states may be as important for clinicians as it is for clients, and that professional training programs should consider how best to teach such skills.

The Experience of Secondary Traumatic Stress Upon Care Providers Working Within a Children's Hospital

This study examined the impact of routine occupational exposure to traumatic aspects of child illness, injury, and medical treatment upon care providers working within a children's hospital. Three hundred fourteen providers completed a demographic data sheet and four questionnaires. Results suggested overall that the level of Compassion Fatigue in this sample was similar to a trauma worker comparison group. In addition, 39% of the sample was at moderately to extremely high risk for Compassion Fatigue, and 21% was at moderate to high risk for Burnout. Burnout and Compassion Fatigue were related to type of profession and length of employment. Various dimensions of empathy were related to both Burnout and Compassion Fatigue. Regression analyses indicated that years in direct care and greater blurring of caregiver boundaries were predictive of greater Burnout and Compassion Fatigue. There is a need to further refine the assessment of occupational exposure to potential traumatic aspects of care within pediatric hospital settings and link assessment to prevention and intervention efforts.

Compassion Fatigue Risk and Self-Care Practices Among Residential Treatment Center Childcare Workers

SUMMARY Exploration of the presence of risk for compassion fatigue among residential childcare workers (RCW) at residential treatment facilities and the relationship between self-care practices and compassion fatigue were explored. Using the Professional Quality of Life Survey (ProQOL-R III) to assess compassion fatigue, burnout, and compassion satisfaction among RCWs workers at two residential facilities for emotionally disturbed children, this study identified demographic and self-care practices that correlate with risk for compassion fatigue. Findings are interpreted and recommendations for RCWs and administrators of residential treatment programs for emotionally disturbed children are presented.

The Psychic Costs of Empathic Engagement: Personal and Demographic Predictors of Genetic Counselor Compassion Fatigue

Empathic connection with one's patients is essential to genetic counselor clinical practice. However, repeatedly engaging with distressed patients may cause compassion fatigue, a phenomenon characterized as feeling overwhelmed by experiencing patients' suffering. In order to extend findings of an initial qualitative study, we surveyed 222 genetic counselors about their compassion fatigue and factors that predict its occurrence. Multiple regression analysis identified seven significant predictors accounting for 53.7% of the variance in compassion fatigue. Respondents at higher risk of compassion fatigue were more likely to report being burned out, using self-criticism and giving up to manage stress, experiencing a greater variety of distressing clinical events, having larger patient caseloads, relying on religion as a coping strategy, having no children, and seeking support to manage stress. Respondents also provided critical incidents regarding their compassion fatigue and themes in these incidents are described. Practice and research recommendations are provided.

A Developmental Perspective on Risk for Compassion Fatigue in Middle-aged Nurses Caring for Hurricane Victims in Florida

A Developmental Perspective on Risk for Compassion Fatigue in Middle-aged Nurses Caring for Hurricane Victims in Florida

A Developmental Perspective on Risk for Compassion Fatigue in Middle-aged Nurses Caring for Hurricane Victims in Florida

This research examined the risk for compassion fatigue (CF) in 55 middle-aged female nurses 40 to 60 years old who cared for victims of the 2004 hurricanes in Florida. Developmental theory and CF theory provided the framework for the study. Consistent with both theories, 76% of the nurses were at low risk for CF.

Compassion Fatigue, Compassion Satisfaction, and Burnout

Summary Over the past several decades the mental health field has become increasingly concerned about potential negative effects in professionals of providing crisis intervention and traumatic stress services to individuals and groups. The employee assistance (EA) field has not received adequate attention with regard to the study of these negative effects, such as compassion fatigue. This paper highlights results from a national research study of members of the Employee Assistance Professionals Association (EAPA) who were assessed for risk for compassion fatigue and burnout, as well as potential for compassion satisfaction. Additionally, coping methods for dealing with work-related stress resulting from the provision of workplace crisis intervention services were measured. Findings indicate that EA professionals who provide clinical services and/or crisis intervention services in the workplace are at low risk for burnout, moderate risk for compassion fatigue, and have high potential for compassion satisfaction. Implications for the EA field, in terms of training and practice, are discussed.

Predicting the Risk of Compassion Fatigue

• There is a growing interest in the clinical phenomenon of compassion fatigue and its impact on healthcare providers; however, its impact on hospice nurses is basically unknown. This study investigated the prevalence and the relationships between nurse characteristics and compassion fatigue risk. It also provided a model for predicting compassion fatigue risk. A non-experimental descriptive design using cross-sectional data and descriptive and inferential statistics was used. Nurses (N = 216) from 22 hospices across the state of Florida participated in the study. Findings revealed that 78% of the sample was at moderate to high risk for compassion fatigue, with approximately 26% in the high-risk category. Trauma, anxiety, life demands, and excessive empathy (leading to blurred professional boundaries) were key determinants of compassion fatigue risk in the multiple regression model that accounted for 91 % (P< .001) of the variance in compassion fatigue risk. Knowledge of these variables may help organizations identify nurses at risk and provide interventions and preventions to maintain optimal nursing care. K W O R D