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Nursing burnout research paper introduction
Words to describe compassion fatigue
Nursing burnout research paper introduction
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Being a nurse requires the ability to provide continuous care for another person with acute or chronic medical conditions. Providing around the clock care of another can cause emotional and physical strain on the nurses wellbeing and requires many notable traits. The most common and publically expected trait is compassion defined as a “sympathetic consciousness of another’s distress with a desire to alleviate it” (Merriam-Webster dictionary, 2011). A calling, which includes compassion and the desire to nourish, may be a strong motive that leads one to pursue a career in nursing. However, nurses must acquire the mental ability and skills to provide compassionate care in situations that may be contagious, traumatic, painful, and high stress. The nurse must also be prepared to experience stressors outside the realm of patient care. Workplace stressors such as scheduling and demanding nurse patient ratios, along with repeated exposure to the acute hardships of others predisposes caregivers, especially nurses, to develop a unique type of burn out labeled compassion fatigue (Joinson, 1992).
The Professional Issue
Compassion fatigue becomes an issue in nursing when nurses allow themselves to develop an emotional attachment to patients under their care. Sabo (2005), has the opinion that”caring for patients experiencing trauma, pain and suffering, nurses’ health can be profoundly affected, resulting in a phenomenon such as compassion fatigue.” The nature of the unit in which the nurse chooses to work can be a major contributor to the development of compassion fatigue, especially if it is susceptible to negative outcomes, for example critical care or oncology. Caregivers in these specialty units have an increased risk for devel...
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.... Online Journal Of Issues In Nursing, 16(1), 1. doi:10.3912/OJIN.Vol16No01Man02
Bush, N. (2009). Compassion fatigue: are you at risk?. Oncology Nursing Forum, 36(1), 24-28. doi:10.1188/09.ONF.24-28
Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22(4), 116.
Lester, N. (2010). Compassion fatigue. Mental Health Practice, 14(2), 11.
Lombardo, B., & Eyre, C. (2011). Compassion Fatigue: A Nurse's Primer. Online Journal Of Issues In Nursing, 16(1), 1. doi:10.3912/OJIN.Vol16No01Man03
Merriam-Webster Dictionary, (2011). Retrieved from http://www.merriam-webster.com/
Sabo, B. (2006). Compassion fatigue and nursing work: can we accurately capture the consequences of caring work?. International Journal Of Nursing Practice, 12(3), 136-142.
The Compassion Fatigue Awareness Project, (2010). Retrieved from http://www.compassionfatigue.org
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 ...
Nurse fatigue is a serious topic not only in the nursing profession circles but in the health sector as a whole. The effects of nurse fatigue are serious in a way that the issue can no longer be ignored. As discussed in this paper, it is important for nurses to be aware of the signs of fatigue and take adequate action when it happens. It is also possible for nurses to develop a work ethic that ensures nurses do not reach the point of fatigue
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 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.
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
The hospital that I was working at did not have a specific policy about compassion fatigue. However, there are a number of professional documents and organizational policies that inform the discussion of compassion fatigue including the CNA code of ethics and the employment standards act. In the next few paragraphs I will discuss how each one informs the discourse of compassion fatigue.
One of the most serious issues in nursing, that can affect a nurses career is nursing burn- out. According to the article “Where have all the nurses gone”, current nurses that are practicing, report high rates of job dissatisfaction (which is part of burn out) and 1 of 5 nurses may quit nursing in the next 5 years (Dworkin, 2002). Burnout is associated with nurses not coming in to work, not feeling satisfied when doing their job, high turnover rates and a lack of commitment to the work (Katisfaraki, 2013). If a nurse becomes burned- out, they may not take care of their patients as well and could make mistakes with medication administration. A study performed in the United States by Dr. Jeannie Cimiottti, shows that hospitals with high burn-out rates among nurses have higher levels UTI’s, and surgical infections (World, 2012). Nursing burnout not only affects the nurse, but it also affects the patient, the nurses’ colleagues, and the nurses’ family; nursing burn out often leads to emotional exhaustion and depression, that can effect relations and communication between the nurse effected and the person they are communicating with. This paper will cover what burn-out is, who is susceptible to burn out, and treatment and prevent nursing burn out.
Radey, M., & Figley, C. R. (2007). The social psychology of compassion. Clinical Social Work Journal, 35(3), 207-214.
The nursing profession is one of the most physically, emotionally, and mentally taxing career fields. Working long shifts, placing other’s needs before your own, dealing with sickness and death on a regular basis, and working in a high stress environment are all precursors to developing occupational burnout in the nursing profession. Burnout refers to physical, emotional and mental exhaustion, which can lead to an emotionally detached nurse, who feels hopeless, apathetic, and unmotivated. Burnout extends beyond the affected nurse and begins to affect the care patients receive. Researchers have found that hospitals with high burnout rates have lower patient satisfaction scores (Aiken et al 2013). There are various measures that nurses can take
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,
This theory “Focuses on the human component of caring and the moment-to-moment encounters between the one who is caring and the one who is being cared for, especially the caring activities by nurses as they interact with others” (Kearney-Nunnery, 2016, p. 49). Healthcare systems have been focusing more on curing than caring. The costs of non-caring are quality, safety and medical errors. Inadequate staffing further distances the relationship between nursing and patients. When the patient feels like an object, they become dissatisfied (Pajnkihar et al., 2017). If management can apply a caring approach to administration, they will see the benefits of nurses spending more time with patients. This restores nursing to promote wholeness and healing. Focusing on a caring approach promotes adequate staffing to facilitate the nurse patient
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...
Bolton SC (2000) who cares?: offering emotion work as a `gift’ in the nursing labour process.
Since rehab nurses frequently have the same patients for long periods of time, they witness the patients progress made from when they first began their treatment. Although they may feel happiness once their patient reaches their maximum function, they are also susceptible to compassion fatigue during treatment. Rehabilitation Nurses are constantly exposed to patients who have lost a part of who they are due to physical impairment and who need guidance in finding coping mechanisms. As a result, they are expected to replenish patient enthusiasm and provide constant support. Many believe education, training and experience will protect healthcare providers from feeling pain or loss, but compassion fatigue is inevitable especially when dealing with emotional exhaustion from work overload and patient care (Bush, 2009, pg. 26). Rehabilitation Nurses empathize with patients who are struggling to regain function or who cannot accept their new physical condition. Not all providers and all cases cause emotional distress and burnout; rather, it depends on the severity, relationship, and work environment of a Rehab Nurse (Bush, 2009, pg. 26). Regardless, all healthcare providers should take preventative care and find their own coping mechanisms that will ensure their