Compassion Fatigue in Psychiatric Nursing: A Systematic Review

Abstract

This is a systematic compilation study which aimed to determine whether psychiatry nurses were fatigue of compassion, or not. The screening of several databases revealed four articles fulfilling inclusion criteria of the study. While three of the articles examined were descriptive; one was in cross-sectional pattern. Along the inclusion criterions, no any Turkish article was determined regarding the subject. In these articles, compassion fatigue concept has usually been considered with “compassion satisfaction and burnout” concepts. According to the findings of aforesaid articles, it was determined that compassion satisfaction of psychiatry nurses was at low level; that their compassion fatigue and burnout levels were high; and as well that they showed post-traumatic stress symptoms.

Keywords

• Nurse,burnout,compassion fatigue

Psikiyatri Hemşireliğinde Şefkat Yorgunluğu: Sistematik Derleme

Abstract

Bu çalışma, psikiyatri hemşirelerinin şefkat yorgunu olup olmadığını belirlemek amacı ile yapılmış bir sistematik derlemedir. Bu amaçla çeşitli veri tabanları taranarak konu ile ilgili dört makale makale saptanmıştır. İncelenen makalelerin üçü tanımlayıcı, biri kesitsel desende tasarlanmıştır. Dahil edilme ölçütleri doğrultusunda konu ile ilgili Türkçe dilinde yazılmış makaleye rastlanmamıştır. Makalelerde, şefkat yorgunluğunun, “şefkat doyumu ve tükenmişlik” kavramları ile birlikte ele alındığı belirlenmiş-tir. Çalışmalardan elde edilen bulgulara göre, psikiyatri hemşirelerinin şefkat doyumunun düşük, şefkat yorgunluğu ve tükenmişlik seviyesinin yüksek olduğu, yanı sıra post-travmatik stres belirtileri gösterdikleri saptanmıştır.

Keywords

• Hemşire,tükenmişlik,şefkat yorgunluğu

References

1. Beck CT (2011) Secondary traumatic stress in nurses: a systematic review. Arch Psychiatr Nurs, 25:1–10.
2. Burtson PL, Stichler JF (2010) Nursing work environment and nurse caring: relationship among motivational factors. J Adv Nurs,66:1819–1831.
3. Boyle DA (2011) Countering compassion fatigue: a requisite nursing agenda. Online J Issues Nurs, 16(1):2.
4. Collins S, Long A (2003a) Too tired to care? the psychological effects of working with trauma. J Psychiatr Ment Health Nurs, 10:17–27.
5. Collins S, Long A (2003b) Working with the psychological effects of trauma: consequences for mental health-care workers – a literature review. J Psychiatr Ment Health Nurs, 10:417–424.
6. Dixon-Woods M, Bonas A, Booth A, Jones DR, Miller T, Sutton AJ et al. (2006) How can systematic reviews incorporate qualitative research? a critical perspective. Qual Res, 6:27-44.
7. Dikmen Y, Aydın Y (2016) Hemşirelerde merhamet yorgunluğu: ne? nasıl? ne yapmalı? Journal of Human Rhythm, 2:13-21.
8. Edwards D, Burnard P, Hannigan B, Cooper L, Adams J, Juggessur T et al. (2006) Clinical supervision and burnout: the influence of clinical supervision for community mental health nurses. J Clin Nurs, 15:1007-1015.

9. Ergün G, Işık I, Dikeç G (2014) Ülkemizdeki psikiyatri kliniklerinin tedavi edici ortam yönünden incelenmesi. Available from https://sanerc.ku.edu.tr/sites/sanerc.ku.edu.tr/files/2014-4%20Nolu%20Proje_0.pdf. Accessed date: 16.9.2016.
10. Franza F, Buono, G.D, Pellegrino F (2015) Psychiatric caregiver stress: clinical implications of compassion fatigue. Psychiatr Danub, 27:321–327.
11. Gök GA (2015) Merhamet etmenin dayanılmaz ağırlığı: hemşirelerde merhamet yorgunluğu. Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 20:299-313.
12. Hiçdurmaz D, İnci FA (2015) Eşduyum yorgunluğu: tanımı, nedenleri ve önlenmesi. Psikiyatride Güncel Yaklaşımlar, 7:295-303.
13. Jacobowitz W, Moran C, Best C, Mensah L (2015) Post-traumatic stress, trauma-ınformed care, and compassion fatigue in psychiatric hospital staff: correlational study. Issues Ment Health Nurs, 36:890-899.
14. Joinson C (1992) Coping with compassion fatigue. Nursing, 22:118–121.
15. Karsavuran S (2014) Sağlık sektöründe tükenmişlik: Ankara’daki sağlık bakanlığı hastaneleri yöneticilerinin tükenmişlik düzeyleri. H.Ü. İktisadi ve İdari Bilimler Fakültesi Dergisi, 32:133-165.
16. Kraus VI (2005) Relationship between self-care and compassion satisfaction, compassion fatigue, and burnout among mental health professionals working with adolescent sex offenders. Counseling and Clinical Psychology Journal, 2:81-88.
17. Lauvrud C, Nonstand K, Palmstierna T (2009) Occurrence of post traumatic stress symptoms and their relationship to professional quality of life (ProQoL) in nursing staff at a forensic psychiatric security unit: a cross-sectional study. Health Qual Life Outcomes, 7(31):1-6.
18. Ledoux K (2015) Understanding compassion fatigue: understanding compassion. J Adv Nurs, 71:2041–2050.
19. Leka S, Hassard J, Yanagida A (2012) Investigating the impact of psychosocial risks and occupational stress on psychiatric hospital nurses' mental well-being in Japan. J Psychiatr Ment Health Nurs, 19:123-131.
20. Lombardo B, Eyre C (2011) Compassion fatigue: a nurse’s primer. Online J Issues Nurs, 16(1):3.
21. Mangoulia P, Koukia E, Alevizopoulos G, Fildissis G, Katostaras (2015) Prevalence of secondary traumatic stress among psychiatric nurses in greece. Arch Psychiatr Nurs, 29:333–338.
22. Meadors P, Lamson A (2008) Compassion fatigue and secondary traumatization: provider self care on intensive care units for children. J Pediatr Health Care, 22:24–34.
23. MeSH (2016) National Library of Medicine medical subject headings. Available from https://www.nlm.nih.gov/cgi/mesh/2016/MB_cgi. Accessed date: 14.9.2016.
24. Najjar N, Davis LW, Beck-Coon, K, Carney Doebbeling C (2009) Compassion fatigue: a review of the research to date and relevance to cancer-care providers. J Health Psychol, 14:267-277.
25. Sabo BM (2006) Compassion fatigue and nursing work: can we accurately capture the consequences of caring work? Int J Nurs Pract, 12:136-142.
26. Sorenson C, Bolick B, Wright K, Hamilton R (2016) Understanding compassion fatigue in healthcare providers: a review of current literature. J Nurs Scholarsh, 48:456–465.
27. Stamm BH (2005) The ProQOL Manual: The Professional Quality of Life Scale: Compassion Satisfaction, Burnout & Compassion Fatigue/Secondary Trauma Scales. Brooklandville, MD, Sidran Press.
28. Showalter SE (2010) Compassion fatigue: what is it? why does it matter? recognizing the symptoms, acknowledging the impact, developing the tools to prevent compassion fatigue and strengthen the professional already suffering from the effects. Am J Hosp Palliat Care, 27:239-242.
29. Şirin M, Yurttaş A (2015) Hemşirelik bakımının bedeli: merhamet yorgunluğu. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 8:123-130.
30. Yolder EA (2010) Compassion fatigue in nurses. Appl Nurs Res, 23:191–197.
31. Yeşil A, Ergün Ü, Amasyalı C, Er F, Olgun NN, Aker AT (2010) Çalışanlar İçin Yaşam Kalitesi Ölçeği Türkçe uyarlaması geçerlik ve güvenilirlik çalışması. Noro Psikiyatr Ars, 47:111-117.