to promote a better nurse-patient relationship along with nurse’s mental health.
Nursing Burnout and Compassion Fatigue The issues of nursing burnout and compassion fatigue are an important one in part, because of the ongoing nursing shortage across the united states. Per the American colleges of nursing “the U.S. is projected to experience a shortage of Registered Nurses (RN’s) that is expected to intensify as Baby Boomers age and the need for health care grows” (American Association of Colleges of Nursing, 2017). The ACA fact sheet cites several reasons for this including; the increasing needs of an aging population, healthcare reform, decreased enrollment in nursing programs, shortages of nursing faculty, large portions of working nurses …show more content…
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 …show more content…
In her paper emerging model of quality, June Larrabee discusses quality as a construct that includes beneficence, value, prudence and justice (Larrabee, 1996). She speaks of quality and value as integral issues that are intertwined with mutually beneficial outcomes. Her model investigates how the well-being of individuals are affected by perceptions of how services are delivered, along with the distribution of resources based on the decisions that are made (Larrabee, 1996). She speaks of the industrial model of quality and how the cornerstone ideas of that model (that the customer always knows what is best for themselves) does not fit the healthcare model (Larrabee, 1996). Larrabee introduces the concept that the patient va provider goal incongruence affects the provide (in this case the nurse) from being able to positively affect healthcare outcomes (Larrabee, 1996). The recent introduction of healthcare measures such as HCAHPS: Patients' Perspectives of Care Survey has encouraged the healthcare community to firmly espouse an industrial model of quality. HCAHPS is a survey where patients are asked questions related to their recent hospitalization that identifies satisfaction with case based solely on the individuals’ perception of the care given. This can lead to divergent goals among the healthcare team or which the patient is a member. Larrabee’s model of quality of care model
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.
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,
Vahey, Doris C., Linda H. Aiken, Douglas M. Sloane, Sean P. Clarke, and Delfino Vargas. "Nurse Burnout and Patient Satisfaction." Medical Care 42.Suppl (2004): II-57-II-66. Print.
Recent literature reports that there is a nursing shortage and it is continually increasing. Data released by the American Association of Colleges of Nursing (2011) projects that the shortage, would increase to 260,000 by the year 2025. AACN (2011) also reported that 13% of newly registered nurses changed jobs and 37% were ready to change within a year. A study conducted reports that there is a correlation between higher nursing workloads and nurse burnout, retention rates, job dissatisfaction and adverse patient outcomes (Vahey & Aiken, 2004). Among the nurses surveyed in the study, over 40% stated that they were suffering from burnout while 1 in 5 nurses intended
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 ...
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.
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.
According to Taylor (2008) the definition of nurse is from the meaning of the Latin word nutrix, which means “to nourish”. Nursing has a focus of caring for every patient physically, emotionally, socially and spiritually. To meet the needs of every patient, nurses must take on many roles, but the main role being care giver (Taylor, 2008, p.14). Caring for another person requires many traits, and the most common is compassion. 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 have been 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 burn out 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 is a negative emotional and physical response to the unfortunate situations that can arise in the profession of care giving. The “detrimental effects can include exhaustion, an inability to focus and a decrease in productivity, as well as unhappiness, self-doubt and loss of passion and enthusiasm” (Lester, 2010, p. 11). Compassion fatigue will develop suddenly versus burnout which develops gradually (Boyle, 2011, p. 9). This abrupt onset of symptoms will hinder the nurse’s ability develop a trusting and therapeutic relationship with...
...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.
Burnout is a highly unusual type of stress disorder that is essentially characterized by emotional exhaustion, lack of empathy with patients, depersonalization, and a reduced sense of personal accomplishments. The nature of the work that healthcare practitioners perform predisposes them to emotional exhaustion. On the other hand, the lack of empathy towards patients is caused by the nurses feeling that they are underpaid and unappreciated. Numerous researches have associated burnout with the increasing rate of nurse turnover. This paper explores the causes of burnouts in nurses as well as what can be done to prevent the them.
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 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,
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
Once defined as “the degree of conformity with preset standards”...the standards of which care were judged was implicit and existed solely in the mind of evaluators (Sultz & Young, 2014). Quality of care is a measureable aspect of healthcare though challenging, it can classify and enumerate poor and high-quality care. Measures are used to analyze how healthcare institutions perform in quality and in finance; the organization has a basis for understanding its delivery of care and for improving that care (Dlugacz, 2006). The various departments and ranges of data needed to measure quality all differ in hospital settings but, the availability of medical records and other clinical information make it easier to evaluate quality of care. This paper will analyze the components of the quality of health care, identify agencies that focus on quality, explore the HCAHPS survey and the Center for Medicare & Medicaid Services roles in assessment of quality of care in hospitals.