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Covid-19 Pandemisinde Hemşirelerde Merhamet Yorgunluğu ve Risk Faktörleri

Year 2022, Volume: 15 Issue: 3, 298 - 306, 15.07.2022
https://doi.org/10.46483/deuhfed.1010957

Abstract

Giriş: Hemşirelik mesleğinin doğası gereği hemşireler merhamet yorgunluğu yaşayabilir. Pandemi dönemi bu riski artırabilir ve bu durum hemşireyi, hastayı ve sağlık sistemini olumsuz etkileyebilir. Amaç: Bu çalışmanın amacı pandemi sürecinde hemşirelerin yaşadığı merhamet yorgunluğunu değerlendirmektir. Yöntem: Kesitsel tipteki bu araştırma, Eskişehir’deki bir hastanede çalışan 280 hemşire ile gerçekleştirildi. Ölçüm aracı olarak yapılandırılmış soru formu ve Merhamet Yorgunluğu-Kısa Ölçeği kullanılmıştır. Bulgular: Hemşirelerin merhamet yorgunluğu puanı 68.36 (± 25.81) olarak bulunmuştur. Kadınların, sağlık meslek lisesi mezunlarının, 6-10 yıl süre ile çalışanların, mesleği bırakmak isteyenlerin, pandemi sürecinde haftalık 48 saatten fazla çalışanların, kendisine virüs bulaşma ve ailesine virüs bulaştırma kaygısı yaşayanların ve yakınına COVID-19 tanısı konulanların merhamet yorgunluğu puanı istatistiksel olarak anlamlı düzeyde daha yüksek bulunmuştur. Ek olarak cinsiyetin, çalışma süresinin, mesleğe ilişkin düşüncelerin, COVID-19’a ilişkin duygu ve deneyimlerin merhamet yorgunluğun açısından risk faktörleri olduğu saptanmıştır. Sonuç: Merhamet yorgunluğunun hemşireler ve bakım alanı üzerindeki etkisi dikkate alındığında hemşirelerin bu konuda desteklenmesi ve nitel çalışmalar ile daha geniş örnekleme sahip prospektif kohort çalışmaların planlanması önerilmektedir.

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References

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  • 2. Baud D, Qi Xiaolong, Nielsen-Saines K, Musso D, Pomar L, Favre G. Real estimates of mortality following COVID‐19 infection. Lancet Infect Dis 2020;20(7):773.
  • 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;00:1-3.
  • 4. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. Jama Network Open 2020;3(3):e203976-e203976.
  • 5. Alharbi J, Jackson D, Usher K. Compassion fatigue in critical care nurses. An integrative review of the literature. Saudi Med J 2019;40(11):1087-1097.
  • 6. Gascon S, Leiter MP, Andrés E, Santed MA, Pereira JP, Cunha MJ, et al. The role of aggressions suffered by healthcare workers as predictors of burnout. J Clin Nurs 2013;22:3120–3129.
  • 7. Wallace CL, Wladkowski SP, Gibson A, White P. Grief during the COVID-19 pandemic: Considerations for palliative care providers. J Pain Symptom Manage 2020;60(1):e70-e76.
  • 8. Remuzzi A, Remuzzi G. COVID-19: Protecting health-care workers. The Lancet 2019;395:922.
  • 9. Uslu E. Pandemilerde merhamet yorgunluğu. İçinde Gürhan N, Pandemide Psikiyatri Hemşireliği. 1. Basım. Ankara: Türkiye Klinikleri; 2020: 19-23.
  • 10. Arcadi P, Simonetti V, Ambrosca R, Cicolini G, Simeone S, Pucciarelli G, et al. Nursing during the COVID‐19 outbreak: A phenomenological study. J Nurs Manag 2021;29(5):1111-1119.
  • 11. Shigemura J, Ursano RJ, Kurosawa M, Morganstein JC, Benedek DM. Understanding the traumatic experiences of healthcare workers responding to the COVID-19 pandemic. Nurs Health Sci 2021;23(1):7-8.
  • 12. Mottaghi SH, Poursheikhali H, Shameli L. Empathy, compassion fatigue, guilt and secondary traumatic stress in nurses. Nurs Ethics 2020;27(2):494-504.
  • 13. Labrague LJ, de Los Santos JAA. Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID-19 pandemic. Appl Nurs Res 2021;61:1-8.
  • 14. 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.
  • 15. Missouridou E, Mangoulia P, Pavlou V, Kritsotakis E, Stefanou E, Bibou P. et al. Wounded healers during the COVID‐19 syndemic: Compassion fatigue and compassion satisfaction among nursing care providers in Greece. Perspect Psychiatr Care 2021;1-12.
  • 16. Strauss C, Taylor BL, Gu J, Kuyken W, Baer R, Jones F et al. What is compassion and how can we measure it? A review of definitions and measures. Clin Psychol Rev 2016;47:15-27.
  • 17. Stamm BH. The concise ProQOL manual. 2nd Edition. Beth Hudnall Stamm. Pocatello: The ProQOL.org; 2010: 1-30.
  • 18. Cocker F, Joss N. Compassion fatigue among healthcare, emergency and community service workers: a systematic review. Int J Environ Res Public Health 2016;13(618):1-18.
  • 19. Pelon SB. Compassion fatigue and compassion satisfaction in hospice social work. J Soc Work End Life Palliat Care 2017;13(2-3):134-150.
  • 20. Ledoux K. Understanding compassion fatigue: understanding compassion. J Adv Nurs 2015;71(9):2041-50.
  • 21. Uslu E, Buldukoğlu K. Compassion fatigue in psychiatric nursing: a systematic review. Current Approaches in Psychiatry 2017;9(4):421-430.
  • 22. Alharbi J, Jackson D, Usher K. Personal characteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross-sectional study. Nurs Health Sci 2020;22(1):20-27.
  • 23. Boyle DA. Countering compassion fatigue: A requisite nursing agenda. Online J Issues Nurs 2011;16(1):1-11.
  • 24. 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.
  • 25. Horesh D, Brown AD. Traumatic stress in the age of COVID-19: A call to close critical gaps and adapt to new realities. Psychol Trauma 2020;12(4):331-335.
  • 26. Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE et al. Comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage 2020;60(1):e60-e65.
  • 27. Adams RE, BJ, Figley CR. Compassion fatigue and psychological distress among social workers:a validation study. Am J Orthopsychiatry 2006;(76):103-108.
  • 28. Dinç S, Ekinci M. Turkish adaptation, validity and reliability of compassion fatigue short scale. Current Approaches in Psychiatry 2019;11:192-202.
  • 29. Kang L, Ma S, Chen M, Yang J, Wang Y, Li R et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain Behav Immun 2020;87:11-17.
  • 30. Lam SK, Kwong EW, Hung MS, Pang SM, Chien WT. A qualitative descriptive study of the contextual factors influencing the practice of emergency nurses in managing emerging infectious diseases. Int J Qual Stud Health Well-being 2019;14(1):1-11.
  • 31. World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak. World Health Organization 2020; CC BY-NC-SA 3.0 IGO:1-6.
  • 32. Graham Y, Fox A, Scott J, Johnson M, Hayes C. How a pandemic affects the mental health of the nursing workforce. Nurs Times 2020;116(8):20-22.
  • 33. Lluch C, Galiana L, Doménech P, Sansó N. The Impact of the COVID-19 pandemic on burnout, compassion fatigue, and compassion satisfaction in healthcare personnel: a systematic review of the literature published during the first year of the pandemic. Healthcare 2022;10(2):1-41.
  • 34. Hochwarter W, Jordan S, Kiewitz C, Liborius P, Lampaki A, Franczak J et al. Losing compassion for patients? The implications of COVID-19 on compassion fatigue and event-related post-traumatic stress disorder in nurses. J Manag Psychol 2022;37(3):206-222.

Compassion Fatigue and Risk Factors in Nurses in The Covid-19 Pandemic

Year 2022, Volume: 15 Issue: 3, 298 - 306, 15.07.2022
https://doi.org/10.46483/deuhfed.1010957

Abstract

Background: Nurses may experience compassion fatigue due to the nature of the nursing profession, the pandemic period can increase this risk, and this can affect the nurse, the patient, and the health care system negatively. Objectives: The purpose of this study is to evaluate the compassion fatigue experienced by nurses during the pandemic process. Methods: This cross-sectional study was conducted with 280 nurses working in a hospital in Eskişehir. A structured questionnaire and the Compassion Fatigue -Short Scale were used as measurement tools. Results: The mean compassion fatigue score of the nurses was found as 68.36 (± 25.81). The compassion fatigue score of the nurses who were female, were graduates of health vocational high school, had 6-10 year of work experience, wanted to quit the job, worked for more than 48 hours a week during the pandemic, were anxious about being infected with the COVID-19 virus and spreading it to their family, and had family members diagnosed with COVID-19 was found to be significantly high. In addition, nurse's gender, weekly working hours, thoughts about the profession, feelings and experiences about the COVID-19 virus were determined to be risk factors for compassion fatigue. Conclusion: Considering the effect of compassion fatigue on nurses and the field of care, we recommend that nurses should be supported in this regard and that qualitative studies and prospective cohort studies with larger samples should ne planned.

Project Number

Proje değil.

References

  • 1. Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci 2020;74(4):281-282.
  • 2. Baud D, Qi Xiaolong, Nielsen-Saines K, Musso D, Pomar L, Favre G. Real estimates of mortality following COVID‐19 infection. Lancet Infect Dis 2020;20(7):773.
  • 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;00:1-3.
  • 4. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. Jama Network Open 2020;3(3):e203976-e203976.
  • 5. Alharbi J, Jackson D, Usher K. Compassion fatigue in critical care nurses. An integrative review of the literature. Saudi Med J 2019;40(11):1087-1097.
  • 6. Gascon S, Leiter MP, Andrés E, Santed MA, Pereira JP, Cunha MJ, et al. The role of aggressions suffered by healthcare workers as predictors of burnout. J Clin Nurs 2013;22:3120–3129.
  • 7. Wallace CL, Wladkowski SP, Gibson A, White P. Grief during the COVID-19 pandemic: Considerations for palliative care providers. J Pain Symptom Manage 2020;60(1):e70-e76.
  • 8. Remuzzi A, Remuzzi G. COVID-19: Protecting health-care workers. The Lancet 2019;395:922.
  • 9. Uslu E. Pandemilerde merhamet yorgunluğu. İçinde Gürhan N, Pandemide Psikiyatri Hemşireliği. 1. Basım. Ankara: Türkiye Klinikleri; 2020: 19-23.
  • 10. Arcadi P, Simonetti V, Ambrosca R, Cicolini G, Simeone S, Pucciarelli G, et al. Nursing during the COVID‐19 outbreak: A phenomenological study. J Nurs Manag 2021;29(5):1111-1119.
  • 11. Shigemura J, Ursano RJ, Kurosawa M, Morganstein JC, Benedek DM. Understanding the traumatic experiences of healthcare workers responding to the COVID-19 pandemic. Nurs Health Sci 2021;23(1):7-8.
  • 12. Mottaghi SH, Poursheikhali H, Shameli L. Empathy, compassion fatigue, guilt and secondary traumatic stress in nurses. Nurs Ethics 2020;27(2):494-504.
  • 13. Labrague LJ, de Los Santos JAA. Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID-19 pandemic. Appl Nurs Res 2021;61:1-8.
  • 14. 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.
  • 15. Missouridou E, Mangoulia P, Pavlou V, Kritsotakis E, Stefanou E, Bibou P. et al. Wounded healers during the COVID‐19 syndemic: Compassion fatigue and compassion satisfaction among nursing care providers in Greece. Perspect Psychiatr Care 2021;1-12.
  • 16. Strauss C, Taylor BL, Gu J, Kuyken W, Baer R, Jones F et al. What is compassion and how can we measure it? A review of definitions and measures. Clin Psychol Rev 2016;47:15-27.
  • 17. Stamm BH. The concise ProQOL manual. 2nd Edition. Beth Hudnall Stamm. Pocatello: The ProQOL.org; 2010: 1-30.
  • 18. Cocker F, Joss N. Compassion fatigue among healthcare, emergency and community service workers: a systematic review. Int J Environ Res Public Health 2016;13(618):1-18.
  • 19. Pelon SB. Compassion fatigue and compassion satisfaction in hospice social work. J Soc Work End Life Palliat Care 2017;13(2-3):134-150.
  • 20. Ledoux K. Understanding compassion fatigue: understanding compassion. J Adv Nurs 2015;71(9):2041-50.
  • 21. Uslu E, Buldukoğlu K. Compassion fatigue in psychiatric nursing: a systematic review. Current Approaches in Psychiatry 2017;9(4):421-430.
  • 22. Alharbi J, Jackson D, Usher K. Personal characteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross-sectional study. Nurs Health Sci 2020;22(1):20-27.
  • 23. Boyle DA. Countering compassion fatigue: A requisite nursing agenda. Online J Issues Nurs 2011;16(1):1-11.
  • 24. 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.
  • 25. Horesh D, Brown AD. Traumatic stress in the age of COVID-19: A call to close critical gaps and adapt to new realities. Psychol Trauma 2020;12(4):331-335.
  • 26. Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE et al. Comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage 2020;60(1):e60-e65.
  • 27. Adams RE, BJ, Figley CR. Compassion fatigue and psychological distress among social workers:a validation study. Am J Orthopsychiatry 2006;(76):103-108.
  • 28. Dinç S, Ekinci M. Turkish adaptation, validity and reliability of compassion fatigue short scale. Current Approaches in Psychiatry 2019;11:192-202.
  • 29. Kang L, Ma S, Chen M, Yang J, Wang Y, Li R et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain Behav Immun 2020;87:11-17.
  • 30. Lam SK, Kwong EW, Hung MS, Pang SM, Chien WT. A qualitative descriptive study of the contextual factors influencing the practice of emergency nurses in managing emerging infectious diseases. Int J Qual Stud Health Well-being 2019;14(1):1-11.
  • 31. World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak. World Health Organization 2020; CC BY-NC-SA 3.0 IGO:1-6.
  • 32. Graham Y, Fox A, Scott J, Johnson M, Hayes C. How a pandemic affects the mental health of the nursing workforce. Nurs Times 2020;116(8):20-22.
  • 33. Lluch C, Galiana L, Doménech P, Sansó N. The Impact of the COVID-19 pandemic on burnout, compassion fatigue, and compassion satisfaction in healthcare personnel: a systematic review of the literature published during the first year of the pandemic. Healthcare 2022;10(2):1-41.
  • 34. Hochwarter W, Jordan S, Kiewitz C, Liborius P, Lampaki A, Franczak J et al. Losing compassion for patients? The implications of COVID-19 on compassion fatigue and event-related post-traumatic stress disorder in nurses. J Manag Psychol 2022;37(3):206-222.
There are 34 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Articles
Authors

Esra Uslu 0000-0003-0168-2747

Gülcan Kendirkıran 0000-0002-3243-9590

Project Number Proje değil.
Publication Date July 15, 2022
Published in Issue Year 2022 Volume: 15 Issue: 3

Cite

APA Uslu, E., & Kendirkıran, G. (2022). Compassion Fatigue and Risk Factors in Nurses in The Covid-19 Pandemic. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 15(3), 298-306. https://doi.org/10.46483/deuhfed.1010957

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