理解共情满足、共情疲劳和职业倦怠：对临终关怀和姑息治疗工作者的调查。

Understanding Compassion Satisfaction, Compassion Fatigue and Burnout: a survey of the hospice palliative care workforce.

机构信息

University of British Columbia, School of Population and Public Health, Faculty of Medicine, Vancouver, Canada.

出版信息

Palliat Med. 2013 Feb;27(2):172-8. doi: 10.1177/0269216311431311. Epub 2011 Dec 16.

DOI:10.1177/0269216311431311

PMID:22179596

Abstract

BACKGROUND

Despite the increasingly crucial role of the healthcare workforce and volunteers working in hospice and palliative care (HPC), very little is known about factors that promote or limit the positive outcomes associated with practicing compassion.

AIM

The purpose of this study was to: 1) understand the complex relationships among Compassion Satisfaction, Compassion Fatigue and Burnout within the hospice and palliative care workforce and 2) explore how key practice characteristics - practice status, professional affiliation, and principal institution - interact with the measured constructs of Compassion Satisfaction, Compassion Fatigue and Burnout.

DESIGN

Self-reported measures of Compassion Satisfaction, Compassion Fatigue and Burnout, using validated scales, as well as questions to describe socio-demographic profiles and key practice characteristics were obtained.

SETTING/PARTICIPANTS: A national survey of HPC workers, comprising clinical, administrative, allied health workers and volunteers, was completed. Respondents from hospital, community-based and care homes informed the results of our study (n = 630).

RESULTS

Our results indicate a significant negative correlation between Compassion Satisfaction and Burnout (r = -0.531, p < 0.001) and between Compassion Satisfaction and Compassion Fatigue (r = -0.208, p < 0.001), and a significant positive correlation between Burnout and Compassion Fatigue (r = 0.532, p < 0.001). Variations in self-reported levels of the above constructs were noted by key practice characteristics. Levels of all three constructs are significantly, but differentially, affected by type of service provided, principal institution, practice status and professional affiliation. Results indicate that health care systems could increase the prevalence of Compassion Satisfaction through both policy and institutional level programs to support HPC professionals in their jurisdictions.

摘要

背景

尽管医疗保健工作者和在临终关怀和姑息治疗（HPC）领域工作的志愿者的作用越来越重要，但对于促进或限制与实践同情心相关的积极结果的因素知之甚少。

目的

本研究旨在：1）了解临终关怀和姑息治疗工作者群体中同情满足感、同情疲劳和倦怠之间的复杂关系，2）探讨关键实践特征-实践状况、专业隶属关系和主要机构-如何与同情满足感、同情疲劳和倦怠的测量结构相互作用。

设计

使用经过验证的量表，获得了同情满足感、同情疲劳和倦怠的自我报告衡量标准，以及描述社会人口统计学特征和关键实践特征的问题。

设置/参与者：完成了一项针对临终关怀工作者的全国性调查，包括临床、行政、辅助卫生工作者和志愿者。来自医院、社区和养老院的受访者为我们的研究提供了结果（n=630）。

结果

我们的结果表明，同情满足感和倦怠之间存在显著的负相关（r=-0.531，p<0.001），同情满足感和同情疲劳之间也存在显著的负相关（r=-0.208，p<0.001），倦怠和同情疲劳之间存在显著的正相关（r=0.532，p<0.001）。关键实践特征注意到自我报告的上述结构水平的变化。所有三个结构的水平都受到所提供服务类型、主要机构、实践状况和专业隶属关系的显著但不同的影响。结果表明，医疗保健系统可以通过政策和机构层面的方案，增加同情满足感的普遍性，以支持其管辖范围内的 HPC 专业人员。