Compassion fatigue in Nursing professionals Palliative Care Units: literature review
DOI:
https://doi.org/10.51326/ec.6.1790334Keywords:
Compassion Fatigue, End of Life, Hospice and Palliative Care Nursing, nursing, Palliative Care Medicine, Psychological BurnoutAbstract
Today, compassion fatigue is a major problem that significantly affects healthcare professionals.
Objectives: To analyze whether working in a palliative care service predisposes nursing professionals to the appearance of symptoms related to compassion fatigue.
Methods: Non-systematic literature review. A literature search was carried out using different databases of primary and secondary sources and meta-search engines, mainly using the following descriptors: "Nursing", "Palliative care" and "Compassion fatigue". Inclusion and exclusion criteria were established and, finally, the scientific articles were evaluated with their corresponding quality tool (STROBE and qualitative CASPe).
Results: Levels of compassion fatigue are high among palliative care nurses. According to studies, work and personal factors show a statistically significant association with compassion fatigue.
Conclusions: Nursing professionals develop compassion fatigue to a large extent in the palliative care service. In addition, factors associated with increased compassion fatigue have been established in an attempt to eradicate this phenomenon. Further research is needed to investigate the effectiveness of different intervention programmes for the correct management of compassion fatigue.
Downloads
References
Hartogh GD. Suffering and dying well: on the proper aim of palliative care. Med Health Care Philos. 2017;20(3):413-24. https://doi.org/10.1007/s11019-017-9764-3
Cross LA. Compassion Fatigue in Palliative Care Nursing. J Hosp Palliat Nurs. 2019;21(1):21-8. https://doi.org/10.1097/njh.0000000000000477
Sorenson C, Bolick B, Wright K, Hamilton R. An Evolutionary Concept Analysis of Compassion Fatigue. J Nurs Scholarsh. 2017;49(5):557-63. https://doi.org/10.1111/jnu.12312
Sinclair S, Raffin-Bouchal S, Venturato L, Mijovic-Kondejewski J, Smith-MacDonald L. Compassion fatigue: A meta-narrative review of the healthcare literature. Int J Nurs Stud. 2017;69:9-24. https://doi.org/10.1016/j.ijnurstu.2017.01.003
Barnett MD, Ruiz IA. Psychological Distress and Compassion Fatigue among Hospice Nurses: The Mediating Role of Self-Esteem and Negative Affect. J Palliat Med. 2018;21(10):1504-6. https://doi.org/10.1089/jpm.2017.0662
Centeno C, Arias-Casais N. Global palliative care: from need to action. Lancet Glob Health. 2019;7(7):e815-6. https://doi.org/10.1016/S2214-109X(19)30223-2
Instituto Nacional de Estadística. Estadística de esperanza de vida por edad y periodo. Madrid: Instituto Nacional de Estadística; [Fecha Desconocida]. Disponible en: https://www.ine.es/jaxi/Datos.htm?path=/t00/ICV/dim3/l0/&file=31104.px [Consultado 28-06-2023]
Instituto Nacional de Estadística. Estadística de población con alguna enfermedad o problema de salud crónico. Madrid: Instituto Nacional de Estadística; [Fecha desconocida]. Disponible en: https://www.ine.es/jaxi/Datos.htm?path=/t15/p419/a2011/p04/l0/&file=04008.px [Consultado 28-06-2023]
Schneider C, Bristol A, Ford A, Lin SY, Brody AA, Stimpfel AW. A Pilot Observational Exploratory Study of Well-Being in Hospice Interdisciplinary Team Members. Am J Hosp Palliat Care. 2022;39(3):264-9. https://doi.org/10.1177/10499091211023480
Galiana L, Sansó N, Muñoz-Martínez I, Vidal-Blanco G, Oliver A, Larkin PJ. Palliative Care Professionals’ Inner Life: Exploring the Mediating Role of Self-Compassion in the Prediction of Compassion Satisfaction, Compassion Fatigue, Burnout and Wellbeing. J Pain Symptom Manage. 2022;63(1):112-23. https://doi.org/10.1016/j.jpainsymman.2021.07.004
Sansó N, Galiana L, Oliver A, Pascual A, Sinclair S, Benito E. Palliative Care Professionals’ Inner Life: Exploring the Relationships Among Awareness, Self-Care, and Compassion Satisfaction and Fatigue, Burnout, and Coping With Death. J Pain Symptom Manage. 2015;50(2):200-7. https://doi.org/10.1016/j.jpainsymman.2015.02.013
Rizo-Baeza M, Mendiola-Infante SV, Sepehri A, Palazón-Bru A, Gil-Guillén VF, Cortés-Castell E. Burnout syndrome in nurses working in palliative care units: An analysis of associated factors. J Nurs Manag. 2018;26(1):19-25. https://doi.org/10.1111/jonm.12506
Cho EJ, Cho HH. Factors Influencing Compassion Fatigue among Hospice and Palliative Care Unit Nurses. Korean J Hosp Palliat Care. 2021;24(1):13-25. https://doi.org/10.14475/jhpc.2021.24.1.13
Baqeas MH, Davis J, Copnell B. Compassion fatigue and compassion satisfaction among palliative care health providers: a scoping review. BMC Palliat Care. 2021;20(1):88. https://doi.org/10.1186/s12904-021-00784-5
Frey R, Robinson J, Wong C, Gott M. Burnout, compassion fatigue and psychological capital: Findings from a survey of nurses delivering palliative care. Appl Nurs Res. 2018;43:1-9. https://doi.org/10.1016/j.apnr.2018.06.003
Sorenson C, Bolick B, Wright K, Hamilton R. Understanding Compassion Fatigue in Healthcare Providers: A Review of Current Literature. J Nurs Scholarsh. 2016;48(5):456-65. https://doi.org/10.1111/jnu.12229
Rodrigues MSD, Lucena PLC, Lordão AV, Costa BHS, Batista JBV, Costa SFGD. Compassion fatigue in nursing professionals in the context of palliative care: scoping review. REME - Rev Min Enferm. 2021;21:e-1386. https://doi.org/10.5935/1415.2762.20210034
Heeter C, Lehto R, Allbritton M, Day TMA, Wiseman M. Effects of a Technology-Assisted Meditation Program on Healthcare Providers’ Interoceptive Awareness, Compassion Fatigue, and Burnout. J Hosp Palliat Nurs. 2017;19(4):314-22. https://doi.org/10.1097/NJH.0000000000000349
Watts KJ, O'Connor M, Johnson CE, Breen LJ, Kane RT, Choules K, et al. Mindfulness-Based Compassion Training for Health Professionals Providing End-of-Life Care: Impact, Feasibility, and Acceptability. J Palliat Med. 2021;24(9):1364-74. https://doi.org/10.1089/jpm.2020.0358
Morris SE, Tarquini SJ, Yusufov M, Adolf E, Amonoo HL, Bain PA, et al. Burnout in psychosocial oncology clinicians: A systematic review. Palliat Support Care. 2021;19(2):223-34. https://doi.org/10.1017/S147895152000084X
Mesquita Garcia AC, Domingues Silva B, Oliveira da Silva LC, Mills J. Self-compassion In Hospice and Palliative Care: A Systematic Integrative Review. J Hosp Palliat Nurs. 2021;23(2):145-54. https://doi.org/10.1097/njh.0000000000000727