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Words to describe compassion fatigue
Compassion fatigue in psychiatric nursing
Compassion fatigue in psychiatric nursing
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Compassion Fatigue
Compassion fatigue is a growing problem for nurses and professional caregivers. When nurses witness pain, fear, sickness, disease and even death they can start to feel the same pain and suffering that their patients experience. This can lead to compassion fatigue. Compassion fatigue is phrase used to describe “the stress resulting from helping or wanting to help a traumatized person” (Tellie, 2008). It is often referred to as secondary traumatic stress syndrome and can lead to lack of empathy and caring emotions; two things that are needed in order to effectively care for sick and suffering patients. In this paper, the author will examine the five concepts of compassion fatigue and related symptoms and warning signs, explain the physical, emotional and spiritual needs of the caregiver and identify coping strategies and resources available to caregivers.
Warning signs of five concepts of compassion fatigue
There are five major concepts of compassion fatigue: cognitive, emotional, behavioral, spiritual and somatic. Because of the array of different ways compassion fatigue can affect each person, symptoms may vary but there are warning signs that may signal someone is suffering from compassion fatigue. It is important to be able to recognize the warning signs of compassion fatigue in order to properly care for yourself before it becomes too late. Some warning signs associated with each concept are described below.
Cognitive
Cognitive warning signs can start off subtle with little things like forgetfulness and decreased concentration, but they can quickly increase causing inability to focus at work which can lead to poor patient care and even medical errors. Other cognitive warning signs include low self-esteem,...
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...o effectively combatting compassion fatigue
References
Bush, N. (2009). Compassion fatigue: Are you at risk? Oncology Nursing Forum, 36(1), 24-28. Retrieved from http://library.gcu.edu:2048/login?url=http://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=rzh&AN=2010154574&site=ehost-live&scope=site
Lombardo, B., & Eyre, C. (2011). Compassion fatigue: A nurse's primer. Online Journal of Issues in Nursing, 16(1), 1. Retrieved from http://library.gcu.edu:2048/login?url=http://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=rzh&AN=2011048800&site=ehost-live&scope=site
Tellie, M. (2008). Compassion fatigue: The cost of caring. Nursing Update, 32(8), 34-27. Retrieved from http://library.gcu.edu:2048/login?url=http://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=rzh&AN=2011038772&site=ehost-live&scope=site
Leo Buscaglia once said, “Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.” In the field of nursing, this concept could not be illustrated more profoundly. The trait of caring within nursing is arguably the most important trait that a nurse could possess. It can be defined in various ways, but to me, caring is the act of being moved or compelled to action by feelings of compassion, empathy, sympathy, anger, intention, sadness, fear, happiness, protection, enlightenment, or love in light of another human being. There are many aspects to the term “caring”. It is an ever-present shape shifter, swiftly
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
Concept analysis seeks to determine structure, function, attributes, and characteristics of a concept which serves to provide common understanding of the term so that future research endeavors find the concept clearly communicable and increasingly measurable. (Smego, 2010.) Compassion Fatigue (CF) within the nursing profession needs to be probed more critically and monitored for trends among certain subspecialties of nursing. Compassion fatigue or otherwise known as Secondary Traumatic Stress Disorder is clinically defined as, “The emotional residue or strain of exposure to working with those suffering from the consequences of traumatic events. It differs from burn-out, but can co-exist.
Radey, M., & Figley, C. R. (2007). The social psychology of compassion. Clinical Social Work Journal, 35(3), 207-214.
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 ...
Nurse fatigue is a serious topic not only in the nursing profession circles but in the health sector as a whole. The effects of nurse fatigue are serious in a way that the issue can no longer be ignored. As discussed in this paper, it is important for nurses to be aware of the signs of fatigue and take adequate action when it happens. It is also possible for nurses to develop a work ethic that ensures nurses do not reach the point of fatigue
...health while going through cancer. In this case, their family leads to the emotions that can impact the patient’s health and decision-making.
It is a negative emotional and physical response to the unfortunate situations that can arise in the profession of care giving. The “detrimental effects can include exhaustion, an inability to focus and a decrease in productivity, as well as unhappiness, self-doubt and loss of passion and enthusiasm” (Lester, 2010, p. 11). Compassion fatigue develops suddenly versus burnout which develops gradually (Boyle, 2011, p. 9). This abrupt onset of symptoms will hinder the nurse’s ability to develop a trusting and therapeutic relationship with the patients under their care.... ...
McCance,T.V.,McKenna, H. P., & Boore, J. R. P. (1999). Caring: Theoretical perspectives of relevance to nursing. Journal of Advanced Nursing,30, 1388 – 1395.
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,
...e with compassion fatigue will be of no use to help with the patient’s emotional and spiritual needs. The emotions of both the nurse and the patient needs to be met in order to establish good communication and compassionate care between the two.
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
The nursing discipline embodies a whole range of skills and abilities that are aimed at maximizing one’s wellness by minimizing harm. As one of the most trusted professions, we literally are some’s last hope and last chance to thrive in life; however, in some cases we may be the last person they see on earth. Many individuals dream of slipping away in a peaceful death, but many others leave this world abruptly at unexpected times. I feel that is a crucial part to pay attention to individuals during their most critical and even for some their last moments and that is why I have peaked an interest in the critical care field. It is hard to care for someone who many others have given up on and how critical care nurses go above and beyond the call
I attentively listened while Mrs. X shared her feelings including her struggles to accept the truth of her situation. I was able to recognize and respond to my patient’s needs and emotions. Compassion was also evident when I listened and supported my patient in silence while she prayed. Roach (2002) described compassion as the “participation in the experience of another” (p. 50). It is the ability to immerse oneself in the patient situations so one can attempt to understand what the patient is feeling. Compassion allowed me to genuinely offer the gift of authentic presence, while conveying a since interest in my patient’s story. I integrated active listening and therapeutic touch to establish a compassionate atmosphere, in which the patient could express her fears and work towards growth and healing (Caranto, 2015). Competence was apparent in my ability to perform an adequate assessment. I recognized my patient’s physical, psychological, and environmental needs. Through rapport and therapeutic communication, I identified my patient’s concerns and fears for the future. Competence was also evident in my capacity to integrate a plan of care that centered not only on addressing identified fears, but also on discovering hope for the future. I displayed confidence by believing in my abilities to care for this patient despite the presenting challenges. I recognized that establishing rapport with the
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.