Compassion Fatigue Annotated Bibliography

Compassion fatigue is the emotional residue from the exposure of hearing trauma stories over and over until your heart and head is full until the caller/client’s trauma becomes your experience too. You cannot hear story after story and remain unaffected. As your callers/clients experience a daily repetition of trauma, so will you .Being a witness to pain, loss, fear, terror or injustice that the caller/client is living through and has to endure will eventually effect all of us.

Health providers suffer from an emotional problem called compassion fatigue. Often times compassion fatigue occurs do to the situations encountered by health care professionals and the pain they feel for the patients they care for. One of the essential components of health care is providing care is compassion

Compassion fatigue is widely known in the health care profession. Nurses working overtime and long working days to provide care for the patient and the patient’s families are a continuous stress on a nurse’s emotional and physical well-being especially if the nurse is providing the patient with end of life care as this contributes to both physical and mental work. Vital

Within literature, Compassion has been described in many ways though very few descriptions have agreed on how it is best identified (Volpintesta 2011). Crowther et al (2013) describe compassion as a deep emotion that is felt by the individual practitioner allowing them to understand what the patient may be experiencing. Nussbaum (2003) argues that compassion goes beyond just understanding and identifying that emotion, it requires the practitioner to produce a response to the feeling or emotion in order to improve the situation. Dewar (2011) points out that compassion is not only about the recognition of the patients suffering but includes small

The incidence of compassion fatigue is increasing due to the heavy responsibilities placed on nurses and other providers, physically, mentally, and spiritually. Compassion can be a limited resource, our system is rooted in cognitive networks that tire and need refueling (Carey, 2011). Healthcare workers spend more time charting than

. This exploratory study used a cross sectional survey method (Hopper, Craig, Janvir, Wetsel, Reimels, Anderson, Greenvilee & Clemson, 2010, p. 422). Compassion satisfaction and fatigue subscales were measured using the Professional Quality of Life, using ProQOL R-IV instrument (Hopper, et al. 2010, p. 423). Despite study limitations which were small sample size, authors concluded that recognising the signs and symptoms, and identifying best practice interventions and raising awareness, will lead to the development of ongoing support programs for hospital nurses (Hopper, et al., 2010, p. 427).

When choosing to pursue a career in the health care field, most enter the workplace with the desire to help and provide care for patients who are critically ill (Lombardo & Eyre, 2011). Far too often, these health professionals who were once sympathetic and caring become victims of compassion fatigue (Lombardo & Eyre, 2011). As a working health professional it is ones duty to compassionately care for the sick, wounded and traumatized patients, which involves being exposed daily to the patient’s pain, suffering and trauma (Coetzee & Klopper, 2010). Experiencing this type of trauma first hand is an un-recognized side effect of being a health care professional (Briscoe, 2014). It is easy to get wrapped up in patients, their

Compassion fatigue is a huge reality and according to Potter et al. (2013), long-term effects of compassion fatigue have negative impact on the health, well-being and performance of nurses involved. Jean Watson’s theory of caring said, true healing cannot be realized without caring therefore, compassion fatigue is a problem that does not only affect nurses, but goes a notch higher by also affecting the quality of care offered by compassion fatigue victims. Boyle (2011) observed that there is need for nurses to be compassionate and caring especially when providing care to patients, families or relatives. Slatten et al. (2011) noted that compassion fatigue is an occupational hazard among nurses involved (that is, professionals involved in helping others). Compassion fatigue is therefore, a significant problem affecting professional practice in nursing because Rosa (2014) stated that, being a successful caregiver requires a nurse to be in a position to find the meaning in what they do, remain committed and immersed in order to gain a sense of purpose. However, compassion fatigue stands as a barrier to realization of sense of purpose among

Health caregivers are the group of people mostly at risk of developing compassion fatigue. Most of the times, compassion fatigue may be as a result of the situations the care providers encountered and the pain they feel for their patients. One of the vital element of healthcare is providing a compassionate care. Compassion is defined as being aware of other people suffering, and desire to help to them reduce the suffering (Ruysschaert, 2009). Compassion fatigue is seen as a form of burnout that affect the health care provider which manifest itself as physical, emotional, and spiritual exhaustion (Lynch & Lobo, 2012). The four major factors that can lead to compassion fatigue are, giving others too much caring and not enough care to self, unresolved past trauma, inability to control stress at work, and lack of satisfaction in the work (Ruysschaert, 2009). Compassion fatigue occurs when the caregivers are milked of their sense of wellbeing, comfort, their purpose in life, strength and all the good qualities they have. It is important for those that caring for others to also pay attention to their own needs. Taking care of your own needs means that you will be healthy and therefore be more able to care for others. The caregiver needs to be able to recognize and discuss compassion in order to avoid it.

Patient care may be at risk if a nurse is experiencing compassion fatigue. Nurses can start to exhibit distancing or desensitizing behaviors in order to cope with their stressors; thus leading to a decreased satisfaction in patient care and an ineffective therapeutic relationship. The failure of the nurse to identify their stress, can

According to Coetzee and Hester (2010) compassion fatigue was adopted as a synonym for secondary traumatic stress disorder. The aim of their 2010 concept analysis of the topic was to further define compassion fatigue as it applies to the nursing practice. They describe the process of compassion fatigue from just simply discomfort to compassion stress and finally fatigue. (p.1) Their analysis describes how damaging compassion fatigue can be on a nurse’s ability to provide compassionate care. The information is vital to the field of nursing and the outcomes of our patients. Specifically, it plays an important role in my personal practice. It’s a nurse responsibility to provide compassion care for the ill. In the process nurses are exposed daily to their patient’s pain trauma, and their struggles. This and other factors such as unsafe work conditions can take a toll on nurses and their functionality.

The phrase compassion fatigue was initially identified by C. Joinson in 1992 while doing research on burnout in emergency room nurses. Joinson described situations where nurses “had either turned off their own feelings or experienced helplessness and anger in response to the stress they [felt] watching patients go through devastating illnesses or trauma” (Yoder, 2010, p. 191). Joinson’s work identified behaviors in emergency room nurses that became identified as compassion fatigue. Symptoms of compassion fatigue include “chronic fatigue, irritability, dread going to work, aggravation of physical ailments and a lack of joy in

I believe anyone involved in the medical field needs the information about compassion fatigue due to its importance. It affects everyone involved in the health care field including all staff, patients, and even the organization itself. I believe not only the clinical staff but also the administrative staff should have yearly mandatory in-services on the subject of compassion fatigue. I also believe it is important for the board members to have all of the information on compassion fatigue, because organizational symptoms include high absenteeism, lack of vision for future of the company, negativism towards management, lack of flexibility among staff members, inability of staff to respect deadlines, inability of staff to complete assignments,

Similar to physical exhaustion, emotional exhaustion results from depletion of emotional resources and failure to restore one’s own emotional equilibrium. (Moore, 2009, p. 1) In today’s busy society the demands of life, job and family can be excessive and overwhelming. Combine these demands with the additional stressors of caring for another person or persons, increased demands of productivity with decreased personnel and the unrealistic expectations of one’s self or others and place all of this burden on one person, this would adequately describe the 21st century nurse. Nurses are continually engaged in emotional relationships with patients and their families which call upon the nurse to be in a constant supporting role. One reaches emotional exhaustion when this burden becomes too heavy to carry

summary, a fair amount of research has been conducted on burnout and compassion fatigue. it is important to understand the individual factors that lead to the development of burnout and compassion fatigue. Another purpose is to understand whether or not the experience of STS is limited only to those who have direct contact with individuals who are experiencing trauma symptoms. Additionally, most literature that discusses coping with compassion fatigue focuses on self-care techniques rather than on an effective style of cognitive appraisal. Common assumptions are that effective coping styles for healthcare workers will generalize to the mental health field. The present study also aims to identify a coping profile indicating whether or not a