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Compassion fatigue in pediatric nurses
Compassion fatigue in pediatric nurses
Compassion fatigue in pediatric nurses
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Pediatric oncology nurses are given the unique opportunity to make connections and build long-term relationship with their patients and families. Standard treatment protocol for many childhood cancers span over the course of years, with long-term surveillance and follow up visits after treatment has finished. Due to their patient’s chronic diagnoses and the acuity of their conditions, pediatric oncology nurses work in an environment of increased stress. The high stress environment puts the nurses at an increased risk for compassion fatigue; so it is the responsibility of both the nurse, and the institution to be aware of the symptoms and to effectively manage the condition should it arise. Without proper attention to the stress management of pediatric oncology nurses, compassion fatigue may be of concern and put patient care at risk. 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 ... ... middle of paper ... ... fatigue and negative implications. Works Cited Murphy-Ende, K. (2012) “Mental Health Issues in Cancer”. In Payne, J. K., (Ed,) Current Trends in Oncology Nursing. (pp. 182-186). Pittsburgh: Oncology Nursing Society. Davies, B., Jin, J. (2006) “Grief and Bereavement in Pediatric Palliative Care” In Ferrel, B. R., & Coyle, N. (Eds) Textbook of Palliative Nursing Second Edition. (pp. 975-977, 987-988). New York: Oxford University Press. Hecktman, H. M. (2012). “Stress in Pediatric Oncology Nurses”. Journal of Pediatric Oncology Nursing, 29:356, 356-361. doi: 10.1177/104345212458367. Schuster, J. L. (2013, June 10). “With nurses at risk of compassion fatigue, hospitals try to ease their stress”. The Washington Post. Retrieved on October 25 2013 from: http://articles.washingtonpost.com/2013-06-10/national/39865768_1_burnout-intensive-care-unit-nurses/2
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
Health Leaders Media lists seven strategies to reduce nurse burnout, including “stress reduction classes, create a space for relaxation, mentor and buddy programs, recognition and reward, manager involvement, training and education and counseling” (Hendren, 2010, para.8). Individual hospitals have taken actions to help combat burnout among nursing staff. At the St. Boniface Hospital in Manitoba, there is a research project being conducted called the Compassion Project, which includes “compassion and mindfulness meditation training and how it can affect brain anatomy and physiology, personal well-being, employee engagement and reduced burnout” (Miller et al, 2016,
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
The definition of compassion is “sympathetic consciousness of another’s distress with a desire to alleviate it” (Merriam-Webster dictionary, 2011). Compassion and the desire to nourish may be the deciding factors that would lead one to pursue a career in nursing. Nurses over the span of their career will have extensive exposure to trauma, pain, and unfortunate situations. Workplace stressors such as scheduling and increasing workload along with repeated exposure to the hardships of others predisposes caregivers, especially nurses, to develop a unique type of burnout labeled compassion fatigue (Joinson 1992). Compassion fatigue develops when a nurse unintentionally takes on the misfortune, anxiety, pain, and trauma of the patients they care for.
It was not until 1980 when the DSM- III was published that PTSD was officially recognized as an anxiety disorder for victims of traumatic incidents (TIs) and not until 1994 when DSM- IV was published it included the witnesses as well. For psychological traits to be classified as PTSD they must satisfy the following: exposure to TI directly causes peritraumatic distress not long after the event, currently re-experiencing TI, avoiding triggers to memories of the scenario with general unresponsiveness, and hyperactivity (Lavoie et al., 2016). With the TI, memories of the event are intruding upon the daily function of the individual through images, thoughts, tastes, sounds, and smells with the flashbacks correlating
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
...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.
Most people do not notice or appreciate the heavy workload that nurses must endure when taking care of patients; this is especially true for pediatric oncology nurses. If a nurse is not working with a mind clear of distractions, his or her attitude might change towards the provision of patient care. Nurses caring for dying children also have many unmet needs that have an impact on the care they provide (CITE). A few of such unmet needs that have an impact on a nurse’s quality of care include: a lack of communication, physical and emotional pain, and hospital staff retention.
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
Oncology nursing is a science that is practiced as an art. It is the combination of delivering patient-centered care, applying scientific knowledge, and most importantly, mastering the art of genuine caring through the application of carative factors. Being an Oncology Nurse means being a part of a profession that is not only highly skilled, but also exceptionally caring. The Oncology Nurse administers complex chemotherapy regimens, guides patients through daily radiation treatments, and cares for those whose bodies and minds are forever changed by cancer. Oncology nurses often participate in prevention and screening programs, educate the newly diagnosed and support patients through their treatment
During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
A great deal of emotions occur in the postpartum period, emotions that you could never understand unless you have been there. Before I attended a conference on depression in pregnancy & postpartum the thought of fathers suffering from postnatal depression never even entered my mind. As far as I was concerned, It was only associated it with giving birth. The knowledge I gained has not only changed my outlook on the subject but the way that I interact with and educate my patients. My focus is no longer just on the dyad of mom and baby it’s on mom, dad and baby if there is a partner involved at all. The purpose of this essay is to explore a particular concept related to professional caring in nursing. It will discuss the patient/client situation, exploration of the concept, how the concept relates to personal caring through noticing, interpreting, responding and reflection. The concept that will be explored in this paper is empathy.
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,
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. “Schwartz rounds are not 'problem solving'. Instead, the focus is on the emotional experiences of staff caring for patients and they allow staff to explore, in an environment that is safe and confidential, situations that confront them.” (Thompson, A. (2013). Schwartz rounds are like support groups for healthcare workers. They allow healthcare providers to share their struggles as caregivers and solve their strugg...
The purpose of this study was to identify what personal and environmental factors may lead to an increase or decrease in the level of compassion fatigue, compassion satisfaction, and burnout that emergency department nurses experience (Hunsaker, S., et al, 2015). Results from this study revealed that there is an increase in compassion satisfaction in nurses who have graduate and doctorate levels of nursing education, compared to those who have bachelor or associate nursing degrees (Hunsaker, S., et al, 2015). Another factor that increased compassion satisfaction and decreased burnout was the length of time a nurse had been working (CITE). It was also noted that an increase in compassion satisfaction and a decrease in burnout and compassion fatigue were reported when nurses felt supported by their managers (CITE). Hunsaker, S., et al (2015) suggest the development of a mentorship program where new nurses are paired with experienced nurses, so that experienced nurses can share their wisdom and strategies in preventing compassion fatigue and burnout. Hunsaker, S., et al (2015) recommend continued research on compassion fatigue and burnout, with the hope that new research will shine a light on this growing problem. The increased awareness and development of new prevention strategies,