what nursing theory supports compassion fatigue

Rather, the manager holds a Master’s in Business Administration degree. Nurses working in several specialty practice areas, suc… Dr. Georges holds a PhD in nursing science from the University of Washington School of Nursing, as well as BSN and MS degrees from the University of California, San Francisco. (2003). J Hosp Palliat Nurs. Journal of Advanced Nursing, 42(2), 169-200. Eun-Ok Im Further, there is a need to understand what effect self-sacrificing behavior may have on the ability of nurses’ skills, such as empathy and health-promoting personality traits, to self select high demand areas, such as oncology, critical care, or mental health. Get a verified writer to help you with Theoretical Framework: Compassion Fatigue. In C. R. Figley (Ed. Type: This essay points out the main causes of compassion fatigue and the theoretical framework of the compassion fatigue theory. (2013). Therefore, nurses should receive adequate support from superiors, family members, and colleagues to help keep their spirits up and to professionally complete their daily duties. New York: Brunner - Routledge. Case examples are provided to support this discussion. Dr. Sabo received her nursing diploma from the Winnipeg (Manitoba, Canada) Health Science Center School of Nursing, her BA from the University of Manitoba, and her MA (Anthropology) and PhD (Nursing) degrees from Dalhousie University. Researchers have suggested that ongoing exposure to graphic accounts of human cruelty, trauma, and suffering, as well as the healing work within the therapeutic relationship that is facilitated through ‘empathic openness’ (as is the case in compassion fatigue), may leave healthcare providers, including nurses, vulnerable to emotional and spiritual consequences (Dunkley & Whelan, 2006). Over a period of time the nurse begins to experience intrusive images of clients’ stories of abuse. Jackson, D., Firtko, A., & Edenborough, M. (2007). In other words, one’s unique history of life experiences shapes how one will experience, interpret, and adapt to traumatic or highly stressful events. Schaufeli, W., & Enzmann, D. (1998). Individuals experiencing vicarious traumatization have their cognitive schema permanently altered. The past twenty years have seen a rise in research linking exposure to pain, suffering, and trauma with the health of professionals providing care (Abendroth & Flannery, 2006; Adams, Boscarino, & Figley, 2006; Figley, 1999; Joinson, 1992; McCann & Pearlman, 1990; Pearlman, 1998; Pearlman & Saakvitne, 1995a; Sabo, 2010; Sabo, 2006). This study was an integrative literature review in relation to compassion fatigue models, appraising these models, and developing a comprehensive theoretical model of compassion fatigue. Research clearly demonstrates that working with patients who are in pain, suffering, or at end of life may take a toll on the psychosocial health and well being of nurses. Nurses should always strive to do what is best for the patient. (Nolte, Downing, Temane, and Hastings, 2017) One consequence of compassion fatigue is decreased coping mechanisms. According to Harris and Griffin (2015) one antecedent is poor or lack of personal and professional support systems. Pearlman, L., & MacIan, P. (1995). The trauma and suffering experienced by the patient has a direct affect on the caregiver’s ability to empathize, engage, and develop therapeutic relationships with patients. This analysis separates compassion fatigue from its similar concepts of vicarious traumatization, STSD, and burnout, providing a definition for palliative care nursing. Although some signs and symptoms may overlap across all three types of occupational stress (See Table), the level of intensity as well as additional symptoms can be helpful in differentiating between types of occupational stress. Figley points out that it is necessary for nurses to be educated on possible interventions to consider if compassion fatigue is detected. Compassion fatigue in nursing: A concept analysis. Dr. Jane Georges is currently Dean and professor at the Hahn School of Nursing and Health Science at the University of San Diego in San Diego, California. Overtime, this repeated exposure begins to take its toll on a nurse’s wellbeing which then leads to compassion fatigue. It is possible that ongoing exposure to these factors may lead nurses to experience compassion fatigue, one form of occupational stress. Nurses should always be concerned with their patients’ needs and attend to them by giving psychological support, counseling, and showing compassion to them. Consistency of the burnout construct across occupations. Nurses may intentionally stop working with certain patients or reduce their empathy for patients, and others may have repetitive call-ins to avoid working specific patient populations. Beneficence as the act of doing well for the patient and the family is an essential ethic in nursing. Zane Wolf The preferred choice for many patients is choosing private care. Watson’s (2010) theory of human caring advocates relationship-based nursing. ...not every individual who works with those who have been traumatized will develop vicarious traumatization. 2019 Feb;21(1):21-28. doi: 10.1097/NJH.0000000000000477. This CSDT interactive model attempts to take into account the variability of life experiences, suggesting that vicarious traumatization is unique to the individual (McCann & Pearlman, 1990; Pearlman & Saakvitne, 1995b). The ANA code of ethics as described in the book of Conceptual Foundations as: ANA’s Code of Ethics for Nurses, 2001 * 1. Textbook of the principles and practice of nursing (5th ed.). Management perceives the problem to be related to burnout. Please check your email for instructions on resetting your password. Throughout this process I have experienced many different feelings towards my managers and experienced several different types of management styles as related to our recent management concept learning. Possible factors leading to burnout can be classified according to personality characteristics, work-related attitudes, and work/organizational characteristics. Many changes have occurred on her unit and she has expressed to her managers the dislike for the new employees and dissatisfaction for her job. Journal of Career Assessment, 14(3), 370-384. Alternatively, heightened awareness occurs when an experienced hematological cancer nurse recognizes certain cues triggering the belief that a particular patient will do poorly but not that all patients will do poorly. Lack of one concept will affect the nursing profession in one way, or another. Don’t waste Your Time Searching For a Sample, Get Your Job Done By a Professional Skilled Writer. In an article by Nolte, Downing, Temane and Hastings (2017) they describe specific consequences that may result from compassion fatigue which include fear, anxiety, hypervigilance, difficulty concentrating, sleep disturbances, feeling burdened, fatigued and overwhelmed. The ProQOL that has been in use since 1995, is the most commonly used measure of the negative and positive effects of helping others who experience trauma and suffering. It has always been a nurse’s role to show empathy to patients and their relatives. In B. H. Stamm (Ed. These elements, however, are no longer considered to be specific to provider-recipient interactions. If compassion fatigue is suspected, nurses should seek counsel from professional counselors, mentors and any other persons with counseling techniques. The compassion fatigue theory is connected to the relationship between the patient and the care provider. Get the latest public health information from CDC: https://www.coronavirus.gov. Nursing Research, 55(2), 137-146. Over the past ten years compassion fatigue has received considerable attention as a potential form of occupational stress experienced by nurses. The psychological effects of working with trauma. Rather, burnout can occur in the absence of such interactions. The model is based on the assumption that empathy and emotional energy are the critical elements necessary for the formation of a therapeutic relationship and a therapeutic response. Memory plays an important role in the development of vicarious traumatization by serving as a mental recording of life experiences and its interpretations. Through the three core relationships, the patients’ problems can easily be solved. As I move forward in my role as a family nurse practitioner, I must always remember to take some time out of the day to focus on me. You have been working on a medical/surgical unit for three years. She is always expressing the joy and reward she sees from being able to help patients and their families during their stay. For example, restructuring within healthcare institutions may result in nurses being moved from one service to another. Treating therapists with vicarious traumatization and secondary traumatic stress disorders. Nurs Clin North Am. The healthcare sector: A challenging or draining work environment. Joinson, C. (1992). Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. It is also worth noting that a clear distinction between compassion fatigue and vicarious traumatization lies in the permanency of change to the individual. AND Nurses should always maintain these principles in their professional practice (Harmer & Henderson, 2010). (2003). But not all authors view empathy in the same way. A concept analysis is a structured process which provides nurses with the meaning for a nursing theory and lays the foundation for application of the concept in nursing practice.Causes and Effects of Compassion Fatigue The following paper will discuss compassion fatigue as it relates to nursing and briefly describe the nursing theory utilized. Peters (2018) describes four essential attributes of compassion fatigue which include, diminished endurance/energy, declining empathic ability, helplessness/hopelessness, and emotional exhaustion.Causes and Effects of Compassion Fatigue When you develop a close relationship with a patient and they pass away, you feel as if you could have done more and begin to place blame on oneself. COVID-19 is an emerging, rapidly evolving situation. Sacco and Copel (2017) discussed that the compassion fatigue self-test was introduced in the 1980’s and is another questionnaire used to determine your risk of developing compassion fatigue.Causes and Effects of Compassion Fatigue. The theoretical model that supports the compassion fatigue concept is Jean Watson’s theory of human caring. The delivery of healthcare in the United States has been static for the past century with care delivered through problem-based visits in an office or hospital setting. In C. Figley (Ed. Karen Foli Help. Causes and Effects of Compassion Fatigue, Compassion fatigue is an important concept for healthcare professionals to understand. A review of the literature on the health of nurses leaves little doubt that their work may take a toll on their psychosocial and physical health and well being.Nurses working in several specialty practice areas, such as intensive care, mental health, paediatrics, and oncology have been found to be particularly vulnerable to work-related stress. The compassion fatigue theory is connected to the relationship between the patient and the care provider. This theory argues that exposure to trauma, whether direct or indirect, disrupts one’s frame of reference in one of five core areas of need, namely safety, trust, esteem, control, and intimacy (McCann & Pearlman, 1990).