My concept is compassion fatigue. Compassion fatigue (CF) as it relates to nurses working in an emergency department dealing with secondary trauma causing symptoms of compassion fatigue. The measurement tool, which I will use, is the Professional Quality of Life (ProQOL) scale. This scale has been in use since 1995 and has had several revisions, the last one updated in 2010 and it has been translated into 17 languages. The ProQOL measures compassion satisfaction (CS) and CF and its subcategories, burnout (BO) and secondary traumatic stress (STS). It is a pencil and paper Likert scale with 30 questions with 10 questions each reflecting CS, BO and STS. It was used by Potter, Deshields and Rodrigues (2013) in a pre-post test to establish if the resiliency program was successful and it was used more recently by Hunsaker, et al (2015) and Flarity, Holcomb and Gentry (2015) to measure the prevalence of compassion satisfaction and compassion fatigue among emergency room nurses and pre/post test to measure whether the intervention of a resiliency program had an impact on the nurses, respectively. The scale is readily available and easy to use and easy to self-score.
What was once thought of as a profession driven by compassion and the desire to help those in need has now become filled with weary burnt out nurses who have lost sight of their purpose. Stress has caused them to distance themselves from the principles nursing is built upon. Our health care system needs to be revamped to improve the quality of care being administered. Nurses can be proactive and take steps to avoid burning out but, our health care administrators have to take matters into their hands because they have the capacity to initiate change. They must realize the gravity of the situation and take an offensive position to make a stand against the crisis of nursing
(Abdulla, Al-Qahtani, & Al-Kuwari, 2011). One study revealed that burnout syndrome is common among critical care nurses, because they work with more critical and traumatic patients burnout syndrome is not only affect the nurse but extend to their quality of care that delivered for their patient.(Moss, Good, Gozal, Kleinpell, & Sessler., 2016). Organizational and environment factors such as excessive workload, staffing shortage, lack of empowerment lead to burnout which compromise nurse’s ability to provide high quality care. ( McHugh, Kutney, Cimiotti, Sloane, & Aiken., 2011). Burnout ,quality of care and patients outcome Different studies have explained the relation between burnout syndrome, stress in work environment ,and patients satisfaction which assessed the quality of nursing care provided, the high quality care the more patient satisfaction.
1. Introduction Compassion fatigue experienced by doctors and nurse, the term is used to describe their emotionless and apathy to the patients. However, today, compassion fatigue appears everywhere, not only happens with healthy professionals but also with all the caregivers, and even to us and to any person. Compassion fatigue becomes more common in media. In fact, compassion fatigue has been called a form of burnout to describe ‘journalists’ secondary trauma in being routinely exposed to atrocities.
Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.
Furthermore, nursing burnout has costly effects on an organization, causing poor retention rates, reduced productivity, increased absenteeism, difficulty recruiting, and high turnover rates, along with increased medical errors and reduced quality
Many factors influence the nurse ability to provide safe, effective, and high quality patient’s care. Among these factors, nurse fatigue. Nurse fatigue occurs generally as a result of a lack of adequate sleep, working extended shift hours, 2-3 back to back 12 hours shifts with no inadequate time to sleep. As a soon to be novice nurse, we need to be aware of the impacts that fatigue can have on the delivery of our care and most importantly the safety of the patients, coworkers and self. In fact, fatigue greatly decrease the nurse ability to provide safe care through increased likelihood of medical errors (e.g; administration of the wrong medication or dose to the wrong patient) causing harm.
Skovholt (2008) introduces the definition of burnout in this chapter of his book The resilient Practitioner and explains why it is critical to the therapeutic relationship to avoid it. He begins by defining “compassion fatigue” from Figley (1995. p.7) as the behaviors and emotions resulting from knowing about a traumatic event experienced by someone else and the resulting stress from wanting to or helping this person. Compassion fatigue is further distinguished from “burnout” by stating that it involves higher levels of helplessness and isolation from a support network than burnout.
“Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” states that, “In 2012, registered nurses had 11,610 incidents of MSDs (musculoskeletal disorder), resulting in a median rate of eight days away from work. Among all healthcare practitioner and technical occupations, there were 65,050 nonfatal occupational injuries and illnesses that required a median of seven days away from work.” While we are unable to attribute every workplace related injury to stress, burnout, and poor work conditions, it is easy to correlate extreme fatigue with decrease in concentration and increase in avoidable
Being a nurse is one of the hardest jobs, including one of the lowest paying for the workload nurses take on. Nurses go through years of schooling, and many nurses often end up disliking their chosen profession. There seems to always be a shortage of nurses so many nurses are more than often overworked and underpaid. Having another individual’s health hang in your balance can cause mental and physical exhaustion which can eventually lead to nurse burnout. Many nurses that work in high-stress environments and not having the proper training or enough assistance can lead to serious mistakes in patient care.
A primary factor in risking patient safety is to have a high nurse-to-patient ratio. Hospitals and nursing homes must have policies and guidelines in place for the nurse-to-patient ratios, but the policies are continuously fluctuating to compensate for the shortage. In order for nurses to want to stay in this field, benefits and policies need to be modified. Everything is like a domino effect, if the nurses aren’t well rested and able to work properly the patients suffer. “Examining survey data from 95,499 nurses, we found much higher job dissatisfaction and burnout among nurses who were directly caring for patients in hospitals and nursing homes than among nurses working in other jobs or settings, such as the pharmaceutical industry.
Burnout is classified viewed in three phases. The first phase of burnout is the arousal phase. The nurse shows anxiety, insomnia, forgetfulness, inability to concentrate, feelings of beings overwhelmed, frustration, sadness, and new physical symptoms, such as headaches and stomach problems. If the nurse does not recognize that these symptoms require intervention, the second phase is energy conservation. In this phase, the nurse starts to call in sick to work; o she may be chronically late getting to duty.