Compassion Fatigue Levels of Nurses Working in Risky Units and Affecting Factors

Year 2024, Volume: 7 Issue: 1, 155 - 166, 25.03.2024

Hacer Erten , Funda Dinç

https://doi.org/10.38108/ouhcd.1250130

Abstract

ABSTRACT
Objective: This study was carried out to determine the compassion fatigue levels of nurses working in risky units, and their differences according to demographic characteristics and working conditions.
Methods: The study, which was designed as descriptive and cross-sectional, was conducted with a total of 118 nurses working in oncology, emergency, intensive care, operating room, and mixed services of a foundation university hospital. As a data collection tool; a questionnaire containing information about personal, professional, and working environment and the professional quality of life scale for employees (ProQOL-R-IV) were used. Descriptive analyses, t-test, ANOVA analysis of variance, Chi-square and Fisher exact test, Pearson correlation analysis, and Post hoc test were used to evaluate the data. A p value of <0.05 was considered statistically significant for all tests.
Results: It was determined that the mean score of compassion fatigue of the sample was moderate level (16.0±8.3).
From the independent variables, age, the reason for choosing the profession, the unit worked, the duration of work in the profession and the unit, the number of monthly weekend shifts, and the way of defining oneself in interpersonal relations were found to cause significant differences in the levels of compassion fatigue (p<0.05).
Conclusion: The results of the study showed that there was a significant difference in the compassion fatigue levels of the cases in terms of some demographic and work environment variables.

Keywords

Nurse, compassion Fatigue, risky unit, demographic, working conditions

Riskli Birimlerde Çalışan Hemşirelerin Merhamet Yorgunluğu Düzeyleri ve Etkileyen Faktörler

Abstract

Amaç: Bu çalışma, riskli birimlerinde çalışan hemşirelerin merhamet yorgunluğu düzeylerini, demografik özelliklere ve çalışma şartlarına göre farklılıklarını belirlemek amacıyla yapılmıştır.
Yöntem: Tanımlayıcı ve kesitsel olarak dizayn edilen çalışma, bir vakıf üniversitesi hastanesinin onkoloji, acil, yoğun bakım, ameliyathane ve karma servislerinde çalışan toplam 118 hemşire ile yürütülmüştür. Veri toplama aracı olarak, demografik ve çalışma ortamı ile ilgili bilgileri içeren anket ve merhamet yorgunluğu düzeyini belirlemek üzere çalışanlar için profesyonel yaşam kalitesi ölçeği (ProQOL-R-IV) kullanılmıştır. Verilerin değerlendirilmesinde tanımlayıcı analizler, Student t testi, Anova varyans analizi, Ki- kare ve Fisher exact test, Pearson korelasyon analizi ve post-hoc çoklu karşılaştırma testi kullanılmıştır. Tüm testler için <0.05 p değeri istatistiksel olarak anlamlı kabul edilmiştir.
Bulgular: Örneklemin merhamet yorgunluğu puan ortalamasının orta düzeyde (16.0±8.3) olduğu saptanmıştır. Bağımsız değişkenlerden; yaş, mesleği tercih nedeni, çalışılan birim, meslekte ve birimde çalışma süresi, aylık hafta sonu nöbet sayısının ve kişilerarası ilişkilerde kendini tanımlama şeklinin merhamet yorgunluğu düzeylerinde anlamlı farklılık oluşturduğu saptanmıştır (p<0.05).
Sonuç: Çalışma sonuçları hemşirelerin merhamet yorgunluğu düzeylerinde, demografik ve çalışma ortamına ait bazı değişkenler açısından anlamlı farklılık olduğunu göstermiştir.

Keywords

Hemşire, merhamet yorgunluğu, riskli birim, demografik, çalışma şartları

References

• Alan H. (2018). Hemşirelik bakımının bedeli ve yönetici hemşirenin rolü. Sağlık ve Hemşirelik Yönetimi Dergisi, 5(2), 141–146.
• Alharbi J, Jackson D, Usher K. (2020). Personal characteristic, coping strategies, and resilience impact on compassion fatigue in critical care nurses : A cross- sectional study. Nursing Health Sciences, 22, 20–27.
• Ariapooran, S. (2014). Compassion fatigue and burnout in Iranian nurses: The role of perceived social support. Iranian Journal of Nursing and Midwifery Research,19(3), 279-284
• Aslan H, Erci B, Pekince H. (2022). Relationship between compassion fatigue in nurses , and work ‑ related stress and the meaning of life. Journal of Religion and Health, 61,1848–1860
• Boyle DA. (2011). Countering compassion fatigue: a requisite nursing agenda. Online Journal of Issues in Nursing, 16(1),1-13.
• Bride BE, Radey M, Figley CR.(2007). Measuring compassion fatigue. Clinical Social Work Journal, 35,155–163 Cavanagh N, Doig L, Fiest K, Guichon JR, Page S, Mitchell I. (2019). Compassion fatigue in healthcare providers : A systematic review and meta-analysis. Nursing Ethics, 27(3), 1-27
• Coetzee SK, Klopper H. (2010). Compassion fatigue within nursing practice : A conceptanalysis. Nursing and Health Sciences, 12(2), 235–243.
• Dikmen, Y. (2016). Compassion fatigue : A study of critical care nurses in Turkey. Journal of Human Sciences, 13(2), 2879-2884.
• Doğan N, Taşçı S. (2019). Hemşirelik bakımında duygusal emek kavramı. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 11(4), 417-26
• Doğu K, Demirsoy N. (2021). Hemşirelikte merhamet ve merhamet yorgunluğu : kavram analizi. Türkiye Klinikleri Tıp Etiği-Hukuku-Tarihi Dergisi, 28(3),463-73.
• Elkonin D, Van der Vyver L. (2011). Positive and negative emotional responses to work related trauma of intensive care nurses in private health care facilities. Health SA Gesondheid, 16(1), 348– 355.
• Emre, I. (2020). Merhamet. Türk Dili, 69(818), 14–19.
• Figley CR. (1995). Compassion fatigue: Toward a new understanding of the costs of caring. In B. H. Stamm (Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators (pp. 3–28). The Sidran Press.
• Gribben JL, MacLean SA, Pour T, Waldman ED, Weintraub AS. (2019). A cross -sectional analysis of compassion fatigue, burnout, and compassion satisfaction in pediatric emergency medicine physicians in the United States. Academic Emergency Medicine, 26(7), 732–743.
• Hooper C, Craig J, Janvrin D, Wetsel M, Reimels E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of Emergency Nursıng, 36(5), 420–427.
• Joinson, C. (1992). Coping with compassion fatigue. Nursing ,22(4), 116 – 121.
• Kelly L, Runge J, Spencer C. (2015). Predictors of compassion fatigue and compassion satisfaction in acute care nurses. Journal of Nursing Scholarship, 47(6), 522-528.
• Kim K, Han Y, Kim J. (2014). Korean nurses’ ethical dilemmas, professional values and professional quality of life. Nursing Ethics,22(4), 1–12.
• Ludick M, Figley CR. (2017). Toward a mechanism for secondary trauma induction and reduction : reimagining a theory of secondary traumatic stress. Traumatology, 23(1),112–123.
• Mangoulia P, Koukia E, Alevizopoulos G, Fildissis G, Katostaras T. (2015). Prevalence of secondary traumatic stress among psychiatric nurses in greece. Archives of Psychiatric Nursing, 29(5), 333–338.
• Maslach C, Leiter MP. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103–111.
• Nolte AGW, Downing C, Hastings-Tolsma M, Temane A, Lecturer S. (2017). Compassion fatigue in nurses : A metasynthesis. Journal of Clinical Nursing, 26, 4364–4378. O’Callaghan EL, Lam L, Cant R, Moss C. (2020). Compassion satisfaction and compassion fatigue in Australian emergency nurses: A descriptive cross-sectional study. International Emergency Nursing, 48, 100785.
• Ortega-Campos E, Vargas-rom K, Velando-Soriano A. (2019). Compassion fatigue, compassion satisfaction , and burnout in oncology nurses : A systematic review and meta analysis. International Emergency Nursing, 12(1), 72-84.
• Özkaplan N. (2009). Duygusal emek ve kadın işi / erkek işi. Çalışma ve Toplum, 2(21),15-24.
• Peters E. (2018). Compassion fatigue in nursing: A concept analysis. Nursing Forum, 53(4), 466–480.
• Potter P, Deshields T, Divanbeigi J, Berger J, Cipriano D, Norris L. ve ark. (2010). Compassion fatigue and burnout: Prevalence among oncology nurses. Clinical Journal of Oncology Nursing, 14(5), 56-62 .
• Sacco TL, Ciurzynski SM, Harvey ME. (2015). Compassion satisfaction and compassion fatigue among critical care nurses. Critical Care Nurse, 35(4), 32-42.
• Şeremet GG, Ekinci E. (2021). Sağlık çalışanlarında merhamet yorgunluğu, merhamet memnuniyeti ve merhamet korkusu. Süleyman Demirel Üniversitesi Vizyoner Dergisi, 12(29), 330-344. Sinclair S, Raf S, Venturato L, Mijovic-Kondejewski J, Smith-Macdonald L. (2017). International journal of nursing studies compassion fatigue : A meta-narrative review of the healthcare literature. International Journal of Nursing Studies, 69, 9–24.
• Stamm BH. (2005). The ProQOL Manual. A Collaborative Publication with Sidran Press www.sidran.org. Weintraub AS, Sarosi A, Goldberg E, Waldman ED. (2020). A cross-sectional analysis of compassion fatigue, burnout, and compassion satisfaction in pediatric hematology-oncology physicians in the United States. Journal of Pediatric Hematology/Oncology, 42(1), 50–55.
• World Health Organization. (2016). Global strategy on human resources for health : Workforce 2030. https://www.who.int/publications/i/item/9789241511131
• Xie W, Chen L, Feng F, Okoli CTC, Tang P, Zeng L ve ark. (2021). The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analysis. International Journal of Nursing Studies, 120, 1-18.
• Yeşil A, Ergün Ü, Amasyalı C, Er F, Olgun N, Aker AT. (2011). Çalışanlar için yaşam kalitesi ölçeği türkçe uyarlaması geçerlik ve güvenilirlik çalışması. Nö.ro Psikiyatri Arşivi, 48(3), 111–117. Yılmaz G, Üstün B. (2019). Sociodemographic and professional factors influencing the professional quality of life and post-traumatic growth of oncology nurses. Journal of Psychiatric Nursing, 10(4), 241–250.
• Yoder EA (2010). Compassion fatigue in nurses. Applied Nursing Research, 23(4), 191-197.
• Yu H, Jiang A, Shen J. (2016). Prevalence and predictors of compassion fatigue, burnout and compassion satisfaction among oncology nurses : A cross-sectional survey. International Journal of Nursing Studies, 57, 28–38. https://doi.org/10.1016/j.ijnurstu. 2016.01.012