Compassion fatigue is probably more common in nursing then is acknowledged in health care. According to Todaro-Franceschi (2015), many nurses do not realize they are experiencing compassion fatigue (p. 53). Compassion fatigue or burnout slowly develops over time which results in emotional exhaustion (Todaro-Franceschi, 2015, p.53 ). However, many nurses pushed through this moral distress to care for their patient. Nevertheless, the quality of care decreases because they become task oriented and their zeal for caring diminishes. Todaro-Franceschi (2015) describes the process as a natural defense mechanism to prevent overexertion of the individual (p. 53).
Lachman (2016) mentions some strategies to combat or recover from moral distress
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.
I currently work for Compassion Care Hospice. Compassion Care Hospice is a for profit hospice agencyin Las Vegas Nevada. Owners Denny Barnett, Kelly Thompson, and Joe Schwab opened Compassion Care began in April 2005. Compassion Care Hospice is run and operated by the Aria management company. Compassion care is now one of the leading Hospice in the Las Vegas area, with a census at 140.
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).
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
It was difficult to read Carmen’s post about how she became burnt out during her first Integrative Practicum placement. My interpretation of her story was that moral distress was a large contributor to her burn out (Carmen, you can correct me if I am wrong). Moral distress occurs when a person knows the right action to take but is not able to carry out this action as a result of one or more barriers (Wagner, 2015). When Carmen asked the Personal Support Worker (PSW) on her floor for assistance with feeding one of her three full feed patients, she likely did so to ensure that each of them would be able to eat their meal in a timely manner from when it arrived to the floor. Sadly, the PSW rejected her request.
We have talked about compassion fatigue last year in research. Compassion fatigue is when nurses or other health care professionals become indifferent to requests
In Chapter seven of our book Burnout and Compassion Fatigue it discusses the symptoms of compassion fatigue which I witnessed in Beth; anger, sadness, grief, anxiety, depression, physical fatigue, and irritability just to name a few. She had been caring for her dad prior to her marital break up. Her brother, Jay, suffered for a long time with dialysis treatments and Beth listened to him and consoled him through it all. Her marriage was falling apart to spite her efforts at couples counseling. She had so much of herself invested in the people she cared for and loved.
Moral Distress: In 1984, Andrew Jameton defined “moral distress” as a phenomenon in which one knows the right action to take, but is constrained from taking it.1There are many causes of moral distress causes and how it is manifested and it can lead to low morale among staff and in some instances can cause employees to quit their job or change their careers. Moral distress has been identified among nearly all healthcare professionals, but most studies have focused on nursing, as it was first recognized among nurses. Moral distress occurs when the healthcare professional comes across a situation where they are forced to choose between what the healthcare provider is best for the patient, but that conflicts with the healthcare organization, the
"To avoid this problem. Some personal reasons nurses have for leaving a position are unavoidable, but there are some things hospitals can do to make sure their nurses are content. For instance, hospitals can try to prevent compassion fatigue by making sure nurses are not working with high-risk, extremely sick patients on every shift, every day. Steering clear of these three main drivers of nurse turnover will help hospitals keep nurses long-term, ultimately saving money and keeping quality and patient satisfaction
Throughout this piece I will emphasize how this principle interacts with nursing
Trying to suppress the feelings associated with the death of a patient can take a heavy toll on the caregiver and can lead to compassion fatigue and moral distress. This can affect proficiency of care, customer service, costs to the hospital, nursing morale and ethic and maintaining the nursing staff. Mourning over the death of a patient is often not a part of the norm and is somewhat taboo due to the high amount of people they serve. Nurses, therefore, rarely talk about their grief and often do not feel they have a right or role to grieve over their patients who pass or suffer while in their care. Brosche (2010) believes this behavior is linked to “moral distress and, if not addressed, can lead to the loss of the best and the brightest nurses” (pg.
Nursing Judgment Today I had the opportunity to observe an adult med surg nurse. "The Adult Medical Surgical RN is responsible for managing the care of the adult or elderly patient experiencing general medical conditions or general surgical procedures, which require general assessments related to specific conditions, and general therapies and interventions. The Adult Medical Surgical RN is responsible to the Clinical Manager for assigned Adult Medical Surgical Unit" (Fastaff, 2018). The nurses on this unit are responsible for taking care of patients' post-surgery and even some who are not post-surgery but have complications. I experienced a negative situation today regarding a nurse and medicine administration.
When I think about moral distress, I think about the common phrase in the nursing world, that is, “nurses eating their young”. My friend Nia who is fresh out of nursing school and landed her first nursing job working in the ICU. Nia is of a Russian decent, and English is her second language. She has a strong accent, and sometimes she has trouble pronouncing some English words. She told me at work her nursing supervisor would make fun of the way she spoke and even called her a nickname in front of the other nurses.
This paper 's intention is to apply Compassion-Focused Therapy to the case study of Laura and will outline how Compassion Focused Therapy clarifies the case of Laura as well as outlining the methods used in Compassion-Focused therapy. The essay will finally evaluate how effective Compassion Focused Therapy is when understanding the case of Laura. Compassion is ‘a desire to alleviate another person’s suffering’ as redefined by Lopez (2011) which is believed that people can train themselves to become more competent in (Lutz, Brefczynski-Lewis, Johnstone & Davidson, 2008). Dalai Lama (1995) originally suggested that compassion is achieved by deep commitment to relieve the suffering of another person (as cited in Gilbert, 2010a). Compassion focuses
Nightingale acknowledged nurses need principles, ethics, skills, discretion, and compassion (McDonald, 2013). When the patient felt secure in the nurses’ care, healing could begin (McDonald,