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The Impact of Compassion Fatigue in Nursing
Majority of nurses start their jobs being excited and eager to help patients physically, mentally, emotionally, and spiritually. These nurses intend to provide the best patient care available. Unfortunately, these caring nurses may soon become victims of the continuing stress of meeting all of the needs of patients and their families. This stress can lead men and women in the nursing field to quickly find themselves experiencing compassion fatigue. Compassion fatigue has been defined as a combination of physical, emotional, and spiritual depletion associated with caring for patients (Lombardo & Eyre, 2011). Often times people confuse this concept with burnout. A nurse must be both compassionate and
The hospital that I was working at did not have a specific policy about compassion fatigue. However, there are a number of professional documents and organizational policies that inform the discussion of compassion fatigue including the CNA code of ethics and the employment standards act. In the next few paragraphs I will discuss how each one informs the discourse of compassion fatigue.
I pray that the busyness of life, the tasks that need to be done, the science of healthcare, sleep deprivation, or monotony will never cloud the love and compassion that I have for people. Personally, I love making connections with people. I love giving people a chance to tell their stories. During my nursing practice, I foresee that I will do my best to be the most caring nurse possible. The responsibility lays within each individual nurse as to the level of caring and compassion that they bring to carrying out their nursing duties. I will continually choose to focus on the needs of my patients above my own. Displaying empathy, I will strive to put myself in each one of their shoes and make self-reflection a priority. I foresee that I will do whatever is within my power to enhance trust, comfort, happiness, and wellness for my patients. This may look like spending extra time with a patient, visiting a patient when I’m off-duty, providing emotional or spiritual resources to a patient, respecting a patient’s beliefs and values, providing for any physical needs or extra comfort measures, or just lending a listening ear or a shoulder to cry on. My patients will always know that they are not
It can be related to feelings of hopelessness and lack of meaning, anxiety, decreased ability to concentrate, irritability, insomnia, emotional numbing, lack of empathy, and escapist activities (such a self-medicating with drugs and alcohol). This is in direct opposition to the idea that nurses would be responsive to an insightful of their clients needs. Dennis Portnoy wrote “Compassion fatigue was often triggered by patient care situations in which nurses believed that their actions would “not make a difference” or “never seemed to be enough”. He further elaborated in the article Burnout and compassion Fatigue that nurses who experienced this syndrome also did so because of systemic issues such as; overtime worked, high patient acuity, high patient census, heavy patient assignments, high acuity, overtime and extra workdays, personal issues, lack of energy and lack of experience (Portnoy, 2011). These issues, interfere with the nurses' ability to identify with the patient and to tune in to important issues and obscure symptoms. Once consideration is that nurses can use Orlando’s theory to identify and address their own needs and respond with the same level of consideration to their own needs in order to prevent a burn out
One of the most serious issues in nursing, that can affect a nurses career is nursing burn- out. According to the article “Where have all the nurses gone”, current nurses that are practicing, report high rates of job dissatisfaction (which is part of burn out) and 1 of 5 nurses may quit nursing in the next 5 years (Dworkin, 2002). Burnout is associated with nurses not coming in to work, not feeling satisfied when doing their job, high turnover rates and a lack of commitment to the work (Katisfaraki, 2013). If a nurse becomes burned- out, they may not take care of their patients as well and could make mistakes with medication administration. A study performed in the United States by Dr. Jeannie Cimiottti, shows that hospitals with high burn-out rates among nurses have higher levels UTI’s, and surgical infections (World, 2012). Nursing burnout not only affects the nurse, but it also affects the patient, the nurses’ colleagues, and the nurses’ family; nursing burn out often leads to emotional exhaustion and depression, that can effect relations and communication between the nurse effected and the person they are communicating with. This paper will cover what burn-out is, who is susceptible to burn out, and treatment and prevent nursing burn out.
Compassion fatigue is a complex form of secondary traumatic stress often experienced by nurses and other health care professionals due to their stressful work environment. Compassion fatigue is extreme exhaustion that penetrates all aspects of one’s wellbeing, including the physical, emotional, psychological and spiritual aspects of life (Murphy-Ende, 2012). Dealing with children who are both chronically ill or in palliative care is known to be extremely stressful. Not only are nurses faced with dealing with the physical symptoms of their patients, they also must attend to their fragile emotional state and be of assistance to their anxious family members. Oncologic diagnoses can put a child and their family into turmoil. Since the nurse is the first, and most constant point of contact, they are often the ones who become responsible for ensuring well-being of the entire family throughout the ...
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
Studies have suggested that empathetic nursing may positively affect the quality of nursing care, contributing to more positive outcomes in regards to the health and well-being of patients, in various degrees of ill health. Hojat (2007); Mercer & Reynolds, 2002, Raudonis, 1993). In contrast, Slaby (2014) believes that empathy has a ‘blind spot’ of imposing only the personal perspectives and life experiences of that nurse onto the patient, this therefore may lead to assumptions which could prove demeaning and incorrect. Raudonis (1993) research contradicts Slabys viewpoint, and notes in his qualitative study of 14 terminally-ill patients (in a hospice environment), that empathetic care resulted in better pain management, higher morale, and improved quality of life as well as an impression of being better acknowledged, accepted and cared for. This disproves Slaby’s (2014) point of view as Slaby implied that empathy was presumptuously driven, individualistic and selfish, and so discounted empathy as being driven by genuine concern for the patient. Slaby’s (2014) viewpoint is further disproved by Shaw, Haxell and Weblemoe (2012) who state that while the value of empathy is individually perceived, the perception of treatment as an individual rarely alters (Shaw, Haxell, & Weblemoe, 2012). Raudonis’s qualitative approach, while valid, has some weaknesses. For example it is somewhat outdated, but was utilised due to there being a limited number of qualitative studies on this topic. A possible limitation in the study, however, is that the patients assessed were receiving hospice care, which often provides a more personal approach than in a hospital ward (Lunt & Neale, 1987). The participants of the study, were mostly female cancer patient...
The definition of compassion is “sympathetic consciousness of another’s distress with a desire to alleviate it” (Merriam-Webster dictionary, 2011). Compassion and the desire to nourish may be the deciding factors that would lead one to pursue a career in nursing. Nurses over the span of their career will have extensive exposure to trauma, pain, and unfortunate situations. Workplace stressors such as scheduling and increasing workload along with repeated exposure to the hardships of others predisposes caregivers, especially nurses, to develop a unique type of burnout labeled compassion fatigue (Joinson 1992). Compassion fatigue develops when a nurse unintentionally takes on the misfortune, anxiety, pain, and trauma of the patients they care for.
Burnout is a highly unusual type of stress disorder that is essentially characterized by emotional exhaustion, lack of empathy with patients, depersonalization, and a reduced sense of personal accomplishments. The nature of the work that healthcare practitioners perform predisposes them to emotional exhaustion. On the other hand, the lack of empathy towards patients is caused by the nurses feeling that they are underpaid and unappreciated. Numerous researches have associated burnout with the increasing rate of nurse turnover. This paper explores the causes of burnouts in nurses as well as what can be done to prevent the them.
Nurses want to give complete and quality care, but are unable to, due to the constant needs of their workload and inadequate staffing. They have to prioritize their patients needs based on the most critical treatments first. Then whatever time is left, they fill in what treatments they can. Some reasons that nursing treatments are missed include: too few staff, time required for the nursing intervention, poor use of existing staff resources and ineffective delegation.” (Kalisch, 2006) Many nurses become emotionally stressed and unsatisfied with their jobs. (Halm et al., 2005; Kalisch,
The nursing profession is one of the most physically, emotionally, and mentally taxing career fields. Working long shifts, placing other’s needs before your own, dealing with sickness and death on a regular basis, and working in a high stress environment are all precursors to developing occupational burnout in the nursing profession. Burnout refers to physical, emotional and mental exhaustion, which can lead to an emotionally detached nurse, who feels hopeless, apathetic, and unmotivated. Burnout extends beyond the affected nurse and begins to affect the care patients receive. Researchers have found that hospitals with high burnout rates have lower patient satisfaction scores (Aiken et al 2013). There are various measures that nurses can take
In recent years, there’s evidence to suggest that mental health nurses experience stress and burned out related to their work, Stress, as an result of stressful workplaces (Bernard et al,2000).
The pediatric oncology unit has become a heavily studied area for those interested in prevention of compassion fatigue, burnout, and identification of those character traits that offer increased resilience. Nurses are expected to maintain professionalism and appropriate work-life balance but this may become a difficult task on a unit where children have a chronic, intensive, and potentially life-ending condition. Nurses become close to the patient and their family and when death occurs they too may feel a great sense of intense grief and loss. The acknowledgment of this grief and the promotion of adequate self-care habits, work-life divisions, and the ability to recognize when help may be needed are amongst the most important means in prevention of burnout and compassion fatigue. In addition to utilization of positive coping skills by the nurse a responsibility by the organization is also necessary to prevent staff burnout and turnover. The organization is responsible for acknowledgement of a loss on the unit. Presentation of prompt and anonymous counseling services to everyone on the unit following a death and regularly on high-risk units is just one of the many ways an organization can continue to decrease the loss of good nurses to compassion fatigue and
When caring for patients, raising a family, advancing our education, and working 12 to 16 hour shifts, we sometimes neglect addressing our own needs for well-being, which may lead to distractions, burn out, and compassion fatigue. In turn, this can adversely affect patient outcomes, satisfaction, and lead to medical errors. In my professional practice I am mindful and know the importance of maintaining a mindful professional appearance by being in the moment; showing sincere interest in not only one’s physical needs, but also their opinions, issues, concerns, and mental well-being; volunteering discretionary effort; and respecting and leveraging separate realities. When practicing mindfulness, I can easily avoid burnout, compassion fatigue, and prevent medical errors that can occur when being
Compassion fatigue is defined as “The emotional residue or strains of exposure to working with those suffering from the consequences of traumatic events” (The American Institute of Stress, n.d.). Compassion fatigue occurs when healthcare workers, especially those who work with patients one-on-one daily, feel the emotional stress of their jobs starting to wear on them. For example, a person who works with a cancer patient and watches that patient worsen and finally pass away, may experience great emotional pain. Dealing with stressful situations over time could also cause compassion fatigue. One way to prevent compassion fatigue is through implementation of Schwartz rounds. “Schwartz rounds are not 'problem solving'. Instead, the focus is on the emotional experiences of staff caring for patients and they allow staff to explore, in an environment that is safe and confidential, situations that confront them.” (Thompson, A. (2013). Schwartz rounds are like support groups for healthcare workers. They allow healthcare providers to share their struggles as caregivers and solve their strugg...