Cost of Nursing Care: Compassion Fatigue

Yıl 2015, Cilt: 8 Sayı: 2, 123 - 130, 01.05.2015

Meltem Şirin Afife Yurttaş

Öz

Nursing is one of the professions experiencing severe compassion fatigue. Compassion is a value that facilitates the provision of nursing
care. Nurses use the sense of compassion as a key in patient care. Compassion is to feel someone else's trauma, suffering and pain deeply.
Nurses experience compassion fatigue as a result of having compassion for patients' trauma, suffering and pain, developing empathy, and
prolonged exposure to the conditions of patients. Compassion fatigue is considered as the cost of nursing care, as a natural result of the care
relationship. Caregiving willingness, skills and energy of nurses who experience a compassion fatigue decrease. Physical,
emotional/psychological and social burden symptoms can be seen as a result of the compassion fatigue in nurses. Consequently, immediate
measures should be taken against the compassion fatigue, which directly threatens the quality of nursing care, causes insensitivity in nurses
toward their patients, and considered as an important factor in nurses who leave their institution and profession. This paper is of great
importance to bring up, understand and give due consideration to the issues of compassion fatigue in nursing, and to create prevention and
treatment programs for the compassion fatigue.

Anahtar Kelimeler

Compassion Fatigue, Compassion Satisfaction, Secondary Traumatic Stress Disorder, Nursing.

Hemşirelik Bakımının Bedeli: Merhamet Yorgunluğu

Öz

ÖzHemşirelik mesleği merhamet yorgunluğunun en ağır yaşandığı mesleklerden biridir. Merhamet hemşirelik bakımının sunulmasını kolaylaştıran bir değerdir. Hemşireler merhamet duygusunu hasta bakımında anahtar olarak kullanmaktadır. Merhamet başkasının yaşadığı travmayı, acıyı ve ağrıyı derinden fark etmektir. Hemşireler, hastaların travma, acı, ağrılarına merhamet göstermeleri, empati kurmaları ve hastaların travmalarına uzun süre maruz kalmaları sonucunda merhamet yorgunluğu yaşarlar. Merhamet yorgunluğu bakım ilişkisinin doğal bir sonucu olarak hemşirelik bakımının bedeli şeklinde ifade edilmektedir. Merhamet yorgunluğu yaşayan hemşirenin bakım verme isteği, becerisi ve enerjisi azalmaktadır. Merhamet yorgunluğu sonucunda hemşirelerde fiziksel, duygusal/ruhsal ve sosyal tükenme belirtileri görülebilmektedir. Hemşirelik bakımının kalitesini doğrudan tehdit eden, hemşirelerin hastalarına karşı duyarsızlaşmalarına sebep olan ve hemşirelerin kurumdan ve meslekten ayrılmalarında önemli bir faktör olarak görülen merhamet yorgunluğuna karşı acil önlemler alınmalıdır. Ülkemizde hemşirelikte merhamet yorgunluğu konusunun gündeme getirilmesi, anlaşılması, konuya gereken önemin verilmesi ve merhamet yorgunluğunu önleme ve tedavi programlarının oluşturulması açısından bu yazı büyük önem taşımaktadır.

Anahtar Kelimeler

Merhamet Yorgunluğu, Merhamet Memnuniyeti, Sekonder Travmatik Stres Bozukluğu, Hemşirelik.

Kaynakça

• http://www.tdk.gov.tr/, Erişim: 16.09.2014
• http://www.merriamwebster.com/dictionary/compassion Erişim: 16.09.2014
• Abendroth, M., ve Flannery, J. (2006). Predicting the risk of compassion fatigue: A study of hospice nurses. Journal of Hospice and Palliative Nursing, 8(6), 346-356.
• Adams, R. E., Boscarino, J. A. ve Figley, C. R. (2006).
• Compassion fatigue and psychological distress among social workers: a validation study. The American Journal of Orthopsychiatry, 76(1), 103-108.
• Aycock, N. ve Boyle, D. (2009). Interventions to manage compassion fatigue in oncology nursing. Clinical Journal Of Oncology Nursing, 13(2), 183-191.
• Beck, C. T. (2011). Secondary traumatic stress in nurses: a systematic review. Archives of Psychiatric Nursing, 25(1), 1- 10.
• Coetzee, S. K. ve Klopper, H. C. (2010). Compassion fatigue within nursing practice: a concept analysis. Nursing & Health Sciences, 12(2), 235-243.
• Cohen-Katz, J., Wiley, S.D., Capuano, T., Baker, D. M., Shapiro, S. (2004). The effects of mindfulness-based stress reduction on nurse stress and burnout a quantitative and qualitative study. Holistic Nursing Practice, 18(6), 302–308.
• Figley, C. R. (2002a). Compassion fatigue: psychotherapists' chronic lack of self care. Journal of Clinical Psychology, 58(11), 1433-1441.
• Figley, C. R. (2002b). Treating compassion fatigue., NY: Brunner-Routledge: New York.
• Flarity, K., Gentry, J. E. ve Mesnikoff, N. (2013). The effectiveness of an educational program on preventing and treating compassion fatigue in emergency nurses. Advanced Emergency Nursing Journal, 35(3), 247-258.
• Gentry, J. E., Baggerly, J. ve Baranowsky, A. (2004). Trainingas-treatment: effectiveness of the Certified Compassion Fatigue Specialist Training. International Journal of Emergency Mental Health and Human Resilience, 6(3), 147- 155.
• Gentry, J. E., Baggerly, J. ve Dunning, K. (2002). The accelerated recovery program for compassion fatigue. In C. R. Figley (Ed.), Compassion fatigue. II:Treating compassion fatigue. NY: Brunner/Mazel., New York.
• Godsil, B. P., Kiss, J. P., Spedding, M. ve Jay, T. M. (2013). The hippocampal-prefrontal pathway: the weak link in psychiatric disorders? European Neuropsychopharmacology: The Journal of The European College of Neuropsychopharmacology, 23(10), 1165-1181.
• Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A. ve Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association, 36(5), 420-427.
• Huggard, P. (2003). Compassion fatigue: how much can I give? Medical Education, 37(2), 163-164.
• Injeyan, M. C., Shuman, C., Shugar, A., Chitayat, D., Atenafu, E. G. ve Kaiser, A. (2011). Personality traits associated with genetic counselor compassion fatigue: the roles of dispositional optimism and locus of control. Journal of Genetic Counseling, 20(5), 526-540.
• Jenkins, B. ve Warren, N. A. (2012). Concept analysis: compassion fatigue and effects upon critical care nurses. Critical Care Nursing Quarterly, 35(4), 388-395.
• Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22(4), 116, 118-119, 120.
• Lynch, S. H. ve Lobo, M. L. (2012). Compassion fatigue in family caregivers: a Wilsonian concept analysis. Journal of Advanced Nursing, 68(9), 2125-2134.
• Maiden, J., Georges, J. M. ve Connelly, C. D. (2011). Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Dimensions of Critical Care Nursing:DCCN, 30(6), 339-345.
• McHolm, F. (2006). Rx for compassion fatigue. Journal of Christian nursing: A Quarterly Publication of Nurses Christian Fellowship, 23(4), 12-19
• Meadors, P. ve Lamson, A. (2008). Compassion fatigue and secondary traumatization: provider self care on intensive care units for children. Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates ve Practitioners, 22(1), 24-34.
• Meadors, P., Lamson, A., Swanson, M., White, M. ve Sira, N. (2009). Secondary Traumatization in Pediatric Healthcare Providers: Compassion Fatigue, Burnout, and Secondary Traumatic Stress. Omega: Journal of Death and Dying, 60(2), 103-128.
• National Institute for Occupational Safety and Health. Exposure to Stress Occupational Hazards in Hospitals. Atlanta, GA: Department of Health and Human Services, Center for Disease Control and Prevention, National Institute for Occupational Safety and Health;2008. DHHS (NIOSH) Publication No. 2008-136.
• http://www.cdc.gov/niosh/docs/2008-136/pdfs/2008-136.pdf. Ulaşım: Eylül 8, 2014.
• Najjar, N., Davis, L. W., Beck-Coon, K. ve Doebbeling, C. C. (2009). Compassion Fatigue A Review of the Research to Date and Relevance to Cancer-care Providers. Journal of Health Psychology, 14(2), 267-277.
• Negash, S. ve Sahin, S. (2011). Compassion fatigue in marriage and family therapy: implications for therapists and clients. Journal of Marital And Family Therapy, 37(1), 1-13.
• Potter, P., Deshields, T. ve Rodriguez, S. (2013). Developing a systemic program for compassion fatigue. Nursing Administration Quarterly, 37(4), 326-332