Compassion Fatigue and Satisfaction in Nurses and Midwives during the COVID-19 Pandemic in Turkey
Year 2022,
Volume: 12 Issue: 2, 521 - 527, 30.06.2022
Ferdane Taş
,
Özlem Aşcı
,
Meltem Demirgöz Bal
Abstract
Objective: To examine the levels of compassion fatigue and compassion satisfaction of nurses and midwives during the COVID-19 pandemic and the influencing factors.
Methods: This descriptive study was carried out with the participation of Turkish midwives and nurses. In the study using the convenience sampling method, data were collected online using an online questionnaire. The questionnaire, created through the Google form, was shared between May and June 2021 in the midwife and nurse groups (Facebook, Instagram, WhatsApp) on electronic platforms. Compassion fatigue (CF) and compassion satisfaction (CS) consisting of the burnout (BO) and secondary traumatic stress (STS) subcomponents were assessed by the Professional Quality of Life scale. The study was completed with 402 nurses and midwives from various units. Descriptive statistics, and the Mann-Whitney U and Kruskal-Wallis tests were used in the analysis of the data.
Results: Among the participants, the rate of dissatisfaction with the clinic worked was 24.6% and the turnover intention rate was 70.6%. During the pandemic period, 75.6% of the participants reported that they were exposed to verbal violence, 7.7% to physical violence, and 74.4% to mobbing behaviors. Low CS was found in 24.9% of the participants, a high level of BO in 27.1%, and high STS in 32.8%.
Conclusion: Violence and mobbing against nurses and midwives should be prevented in order to increase the professional quality of life.
Supporting Institution
This study does not have any financial and material support.
Thanks
We thank all nurses and midwives who participated in our study.
References
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O, Cabrera-Troya J, Carmona-Rega MI, Ortega-Galán ÁM.
Compassion fatigue, burnout, compassion satisfaction and
perceived stress in healthcare professionals during the
COVID-19 health crisis in Spain. J Clin Nurs 2020;29(21-
22):4321–4330.
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nurses: a cross-sectional study. Occup Med (Lond)
2021:71(3)131-135.
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healthcare system. Public Health Research 2021; 11(1): 15-18.
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for the Professional Quality of Life Scale, 2nd Edition.
2010. Available from: https://www.researchgate.net/
publication/340033923.
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to reduce emergency department staff occupational
stress and/or burnout: a systematic review. JBI Evid Synth
2020;18(6):1156-1188.
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and burnout, professional quality of life, and turnover
intention among clinical nurses. PLoS One 2019;14(12):1-13.
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model: Further evidence for the buffering effect of personal
resources. SA Journal of Industrial Psychology 2011;37(2):10-
19.
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Eyck PT, Mower W, Krishnadasan A, Santibanez S, Mohr N.
Symptoms of anxiety, burnout, and PTSD and the mitigation
effect of serologic testing in emergency department personnel
during the COVID-19 pandemic. Ann Emerg Med 2021;78(1)35-
43.
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Wang L, Zhou Q, Zhou C, Pan Y, Liu S, Zhang H, Yang J, Zhu
B, Hu Y, Hashimoto K, Jia Y, Wang H, Wang R, Liu C, Yang C.
Vicarious traumatization in the general public, members, and
non-members of medical teams aiding in COVID-19 control.
Brain Behav Immun 2020;88: 916–919.
- [13] Çınarlı T. Acil hemşirelerinde merhamet yorgunluğunu
etkileyen faktörler. Ondokuz Mayıs Üniversitesi, Sağlık Bilimleri
Enstitüsü, Acil Hemşireliği Anabilim Dalı, Yayınlanmamış
Doktora Tezi, 2019:49-119.
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satisfaction and compassion fatigue in Australian emergency
nurses: A descriptive cross-sectional study. Int Emerg Nurs,
2020;48:100785.
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of life in nurses. Annals of King Edward Medical University
2017;23(4):474-478.
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responses and correlation with subjective stress and stress
regulation. Neurobiol Stress. 2019; 11:100177.
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N, Jebbeh RAAEA. Coping strategies as moderating factors to
compassion fatigue among critical care nurses. Brain Behav
2019;9(4):e01264.
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outcomes and associated factors among the health care
workers exposed to the COVID-19. Int J Soc Psychiatry
2021;67(1):84–89.
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nurses working with patients with suspected/confirmed
COVID-19 in Turkey. Perspect Psychiatr Care 2021; 57(4):1664-
1672.
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L, Cimino S, Crudele M, Lombardi L, Pignataro S, Viceconti
ML, Babore A. Psychological adjustment of healthcare
workers in ıtaly during the COVID-19 pandemic: differences in
stress, anxiety, depression, burnout, secondary trauma, and
compassion satisfaction between frontline and non-frontline
professionals. Int J Environ Res Public Health 2020;17(22):8358.
- [21] Liu J, Gan Y, Jiang H, Li L, Dwyer R, Lu K, Yan S, Sampson O, Xu
H, Wang C, Zhu Y, Chang Y, Yang Y, Yang T, Chen Y, Song F, Lu Z.
Prevalence of workplace violence against healthcare workers:
a systematic review and meta-analysis. Occup Environ Med
2019;76(12):927-937.
- [22] Çevik M, Gümüştakim RŞ, Bilgili P, Ayhan Başer D, Doğaner
A, Saper SHK. Violence in healthcare at a glance: The
example of the Turkish physician. Int J Health Plann Manage
2020;35(6):1559-1570.
- [23] Ayranci U, Yenilmez Ç, Balci Y, Kaptanoglu C. Identification of
violence in Turkish health care settings. J Interpers Violence
2006;21(2):276-296.
- [24] Hee Jun K, Youngjin L, Moon Sook Y. The relationship between
experience of verbal abuse, compassion fatigue, and work
engagement in emergency nurses. J Korean Acad Soc Home
Care Nurs 2019;26(3):300-308.
- [25] Adeyemo Sunday O, Omoaregba Joyce O, Aroyewun Bushura
A, Modebe Vera O, James Bawo O, Uteh Blessing E, Ezemokwe
Chinedu O.. Experiences of violence, compassion fatigue and
compassion satisfaction on the professional quality of life of
mental health professionals at a tertiary psychiatric facility in
Nigeria. Open Science Journal of Clinical Medicine 2015; 3(2):
69-73.
- [26] Portoghese I, Galletta M, D’aloja1 E, Finco G, Campagna M.
Patient verbal abuse, emotional exhaustion, and affective
commitment among healthcare workers: A moderated
mediation model of peer support. Le Travail Humain
2018;4(81):307-329.
- [27] Difazio RL, Vessey JA, Buchko OA, Chetverikov DV, Sarkisova VA,
Serebrennikova NV. The incidence and outcomes of nurse bullying
in the Russian Federation. Int Nurs Rev 2019;66(1):94-103.
- [28] Bamb S, Guazzini A, Piredda M, Lucchini A, De Marinis MG,
Rasero L. Negative interactions among nurses: An explorative
study on lateral violence and bullying in nursing work settings.
J Nurs Manag 2019:27(4):749-757.
- [29] Al-Ghabeesh SH, Qattom H. Workplace bullying and its
preventive measures and productivity among emergency
department nurses. Isr J Health Policy Res 2019;8(1):44.
- [30] Aristidou L, Mpouzika M, Papathanassoglou EDE, Middleton
N, Karanikola MNK. Association between workplace bullying
occurrence and trauma symptoms among healthcare
professionals in Cyprus. Front Psychol 2020;11:575623.
- [31] Karanikola M, Giannakopoulou M, Mpouzika M, Kaite
CP, Tsiaousis GZ, Papathanassoglou EDE. Dysfunctional
psychological responses among Intensive care unit nurses:
a systematic review of the literature. Rev Esc Enferm USP
2015;49(5):847-857.
- [32] Pang Y, Dan H, Jung H, Bae N, Kim O. Depressive symptoms,
professional quality of life and turnover intention in Korean
nurses. Int Nurs Rev 2020; 67(3):387-394.
- [33] Eltaybania S, Noguchi-Watanabea M, Igarashia A, Saitoa Y,
Yamamoto-Mitania N. Factors related to intention to stay
in the current workplace among longterm care nurses: A
nationwide survey. Int J Nurs Stud 2018;80:118-127.
- [34] Hämmig O. Explaining burnout and the intention to leave the
profession among Health professionals – a cross-sectional
study in a hospital setting in Switzerland. BMC Health Serv Res
2018;18(1):785.
- [35] OECD. Data. Nurses. 2021. Available from: https://data.oecd.
org/healthres/nurses.htm#indicator-chart. (Accessed 8 June
2021)
- [36] Caringi JC, Hardiman ER, Weldon P, Fletcher S, Devlin M,
Stanick C. Secondary traumatic stress and licensed clinical
social workers. Traumatology 2017;23(2):186–195.
- [37] Pergol – Metko P, Czyżewski L. Compassion fatigue and
perceived of social support among polish nurses. BMC Nurs
2020.
- [38] Best NI, Durham CF, Woods-Giscombe C, Waldrop J. Combating
compassion fatigue with mindfulness practice in military nurse
practitioners. JNP 2020;16(5):57-60
Year 2022,
Volume: 12 Issue: 2, 521 - 527, 30.06.2022
Ferdane Taş
,
Özlem Aşcı
,
Meltem Demirgöz Bal
References
- [1] World Health Organization (WHO). WHO Coronavirus
(COVID-19) Dashboard. Available from: https://covid19.who.
int/ (Accessed 8 June 2021).
- [2] Murphy PA. Midwifery in the time of COVID-19. J Midwifery
Womens Health 2020;3(65):299-300.
- [3] Alharbi J, Jackson D, Usher K. The potential for COVID-19 to
contribute to compassion fatigue in critical care nurses. J Clin
Nurs 2020;29(15-16):2762–2764.
- [4] Ruiz-Fernández MD, Ramos-Pichardo JD, Ibáñez-Masero
O, Cabrera-Troya J, Carmona-Rega MI, Ortega-Galán ÁM.
Compassion fatigue, burnout, compassion satisfaction and
perceived stress in healthcare professionals during the
COVID-19 health crisis in Spain. J Clin Nurs 2020;29(21-
22):4321–4330.
- [5] Keles E, Bektemur G, Baydili KN. COVID-19 deaths among
nurses: a cross-sectional study. Occup Med (Lond)
2021:71(3)131-135.
- [6] Lynch MA, Pusey-Murray A. The effects of Covid-19 in the
healthcare system. Public Health Research 2021; 11(1): 15-18.
- [7] Stamm BH. The Concise ProQoL Manual: The concise manual
for the Professional Quality of Life Scale, 2nd Edition.
2010. Available from: https://www.researchgate.net/
publication/340033923.
- [8] Xu H, Kynoch K, Tuckett A, Eley R. Effectiveness of interventions
to reduce emergency department staff occupational
stress and/or burnout: a systematic review. JBI Evid Synth
2020;18(6):1156-1188.
- [9] Kim Y, Lee E, Lee H. Association between workplace bullying
and burnout, professional quality of life, and turnover
intention among clinical nurses. PLoS One 2019;14(12):1-13.
- [10] Tremblay MA, Messervey D. The Job Demands-Resources
model: Further evidence for the buffering effect of personal
resources. SA Journal of Industrial Psychology 2011;37(2):10-
19.
- [11] Rodriguez RM, Montoy JCC, Hoth KF, Talan DA, Harland KK,
Eyck PT, Mower W, Krishnadasan A, Santibanez S, Mohr N.
Symptoms of anxiety, burnout, and PTSD and the mitigation
effect of serologic testing in emergency department personnel
during the COVID-19 pandemic. Ann Emerg Med 2021;78(1)35-
43.
- [12] Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, Bi J, Zhan G, Xu X,
Wang L, Zhou Q, Zhou C, Pan Y, Liu S, Zhang H, Yang J, Zhu
B, Hu Y, Hashimoto K, Jia Y, Wang H, Wang R, Liu C, Yang C.
Vicarious traumatization in the general public, members, and
non-members of medical teams aiding in COVID-19 control.
Brain Behav Immun 2020;88: 916–919.
- [13] Çınarlı T. Acil hemşirelerinde merhamet yorgunluğunu
etkileyen faktörler. Ondokuz Mayıs Üniversitesi, Sağlık Bilimleri
Enstitüsü, Acil Hemşireliği Anabilim Dalı, Yayınlanmamış
Doktora Tezi, 2019:49-119.
- [14] O’Callaghan EL, Lam L, Cant R, Moss C. Compassion
satisfaction and compassion fatigue in Australian emergency
nurses: A descriptive cross-sectional study. Int Emerg Nurs,
2020;48:100785.
- [15] Mohsin Z, Shahed S, Sohail T. Correlates of professional quality
of life in nurses. Annals of King Edward Medical University
2017;23(4):474-478.
- [16] Goldfarb EV, Seo D, Sinha R. Sex differences in neural stress
responses and correlation with subjective stress and stress
regulation. Neurobiol Stress. 2019; 11:100177.
- [17] Al Barmawi MA, Subih M, Salameh O, Sayyah NSY, Shoqirat
N, Jebbeh RAAEA. Coping strategies as moderating factors to
compassion fatigue among critical care nurses. Brain Behav
2019;9(4):e01264.
- [18] Arpacioglu S, Gurler M, Cakiroglu S. Secondary traumatization
outcomes and associated factors among the health care
workers exposed to the COVID-19. Int J Soc Psychiatry
2021;67(1):84–89.
- [19] Erkin Ö, Konakçı G, Duran S, Secondary traumatic stress in
nurses working with patients with suspected/confirmed
COVID-19 in Turkey. Perspect Psychiatr Care 2021; 57(4):1664-
1672.
- [20] Trumello C, Bramanti SM, Ballarotto G, Candelori C, Cerniglia
L, Cimino S, Crudele M, Lombardi L, Pignataro S, Viceconti
ML, Babore A. Psychological adjustment of healthcare
workers in ıtaly during the COVID-19 pandemic: differences in
stress, anxiety, depression, burnout, secondary trauma, and
compassion satisfaction between frontline and non-frontline
professionals. Int J Environ Res Public Health 2020;17(22):8358.
- [21] Liu J, Gan Y, Jiang H, Li L, Dwyer R, Lu K, Yan S, Sampson O, Xu
H, Wang C, Zhu Y, Chang Y, Yang Y, Yang T, Chen Y, Song F, Lu Z.
Prevalence of workplace violence against healthcare workers:
a systematic review and meta-analysis. Occup Environ Med
2019;76(12):927-937.
- [22] Çevik M, Gümüştakim RŞ, Bilgili P, Ayhan Başer D, Doğaner
A, Saper SHK. Violence in healthcare at a glance: The
example of the Turkish physician. Int J Health Plann Manage
2020;35(6):1559-1570.
- [23] Ayranci U, Yenilmez Ç, Balci Y, Kaptanoglu C. Identification of
violence in Turkish health care settings. J Interpers Violence
2006;21(2):276-296.
- [24] Hee Jun K, Youngjin L, Moon Sook Y. The relationship between
experience of verbal abuse, compassion fatigue, and work
engagement in emergency nurses. J Korean Acad Soc Home
Care Nurs 2019;26(3):300-308.
- [25] Adeyemo Sunday O, Omoaregba Joyce O, Aroyewun Bushura
A, Modebe Vera O, James Bawo O, Uteh Blessing E, Ezemokwe
Chinedu O.. Experiences of violence, compassion fatigue and
compassion satisfaction on the professional quality of life of
mental health professionals at a tertiary psychiatric facility in
Nigeria. Open Science Journal of Clinical Medicine 2015; 3(2):
69-73.
- [26] Portoghese I, Galletta M, D’aloja1 E, Finco G, Campagna M.
Patient verbal abuse, emotional exhaustion, and affective
commitment among healthcare workers: A moderated
mediation model of peer support. Le Travail Humain
2018;4(81):307-329.
- [27] Difazio RL, Vessey JA, Buchko OA, Chetverikov DV, Sarkisova VA,
Serebrennikova NV. The incidence and outcomes of nurse bullying
in the Russian Federation. Int Nurs Rev 2019;66(1):94-103.
- [28] Bamb S, Guazzini A, Piredda M, Lucchini A, De Marinis MG,
Rasero L. Negative interactions among nurses: An explorative
study on lateral violence and bullying in nursing work settings.
J Nurs Manag 2019:27(4):749-757.
- [29] Al-Ghabeesh SH, Qattom H. Workplace bullying and its
preventive measures and productivity among emergency
department nurses. Isr J Health Policy Res 2019;8(1):44.
- [30] Aristidou L, Mpouzika M, Papathanassoglou EDE, Middleton
N, Karanikola MNK. Association between workplace bullying
occurrence and trauma symptoms among healthcare
professionals in Cyprus. Front Psychol 2020;11:575623.
- [31] Karanikola M, Giannakopoulou M, Mpouzika M, Kaite
CP, Tsiaousis GZ, Papathanassoglou EDE. Dysfunctional
psychological responses among Intensive care unit nurses:
a systematic review of the literature. Rev Esc Enferm USP
2015;49(5):847-857.
- [32] Pang Y, Dan H, Jung H, Bae N, Kim O. Depressive symptoms,
professional quality of life and turnover intention in Korean
nurses. Int Nurs Rev 2020; 67(3):387-394.
- [33] Eltaybania S, Noguchi-Watanabea M, Igarashia A, Saitoa Y,
Yamamoto-Mitania N. Factors related to intention to stay
in the current workplace among longterm care nurses: A
nationwide survey. Int J Nurs Stud 2018;80:118-127.
- [34] Hämmig O. Explaining burnout and the intention to leave the
profession among Health professionals – a cross-sectional
study in a hospital setting in Switzerland. BMC Health Serv Res
2018;18(1):785.
- [35] OECD. Data. Nurses. 2021. Available from: https://data.oecd.
org/healthres/nurses.htm#indicator-chart. (Accessed 8 June
2021)
- [36] Caringi JC, Hardiman ER, Weldon P, Fletcher S, Devlin M,
Stanick C. Secondary traumatic stress and licensed clinical
social workers. Traumatology 2017;23(2):186–195.
- [37] Pergol – Metko P, Czyżewski L. Compassion fatigue and
perceived of social support among polish nurses. BMC Nurs
2020.
- [38] Best NI, Durham CF, Woods-Giscombe C, Waldrop J. Combating
compassion fatigue with mindfulness practice in military nurse
practitioners. JNP 2020;16(5):57-60