Department of Family Medicine and Siaal Research Center for Family Medicine and Primary Care, Division of Community Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
Isr J Health Policy Res. 2013 Aug 15;2(1):31. doi: 10.1186/2045-4015-2-31.
Compassion fatigue among health care professionals has gained interest over the past decade. Compassion fatigue, as well as burnout, has been associated with depersonalization and suboptimal patient care. Professional caregivers in general are exposed to the risk of compassion fatigue (CF), burnout (BO) and low levels of compassion satisfaction (CS). While CF has been studied in health care professionals, few publications address its incidence among family physicians, specifically. The objectives of this study were to assess the prevalence and severity of CF among family practitioners (FPs) in the Negev (Israel's southern region), evaluating the correlations between CF, BO and CS and their relations with socio-demographic variables and work related characteristics.
Self-report anonymous Compassion Satisfaction and Fatigue Test questionnaires (CSFT) measuring CF, BO, and CS were distributed among 194 family physicians at Clalit Health Services clinics in the Negev between July 2007 and April 2008. Correlations between CF, BO and CS were assessed. Multivariable logistic regression models with backward elimination were constructed.
128 (66%) physicians responded. 46.1% of respondents scored extremely high and high for CF, 21.1% scored low for CS and 9.4% scored high for BO. Strong correlations were found between BO and CF (r = 0.769, p < 0.001), and between BO and CS (r = -0.241, p = 0.006), but no correlation was found between CS and CF. The logistic regression model showed that the only factor associated with a significantly increased risk for CF was former immigration to Israel. Increased risk for BO was associated with female gender, history of personal trauma and lack of academic affiliation. Higher CS was associated with holding management positions and teaching residents.
Family physicians in the Negev are at high risk for CF, with the potential for CF- associated patient dissatisfaction, compromised patient safety and increased medical error. We propose creation of a CF educational and early intervention treatment program for family physicians and other health care professionals. Such programs would train facilitators of physician well-being and resiliency building. We also recommend analyzing contributing variables and organizational factors related to higher CF. Policy recommendations include integrating such programs within required risk management continuing medical education.
过去十年，医护人员的同情疲劳引起了人们的关注。同情疲劳以及倦怠与去人性化和不佳的患者护理有关。一般来说，专业护理人员都面临同情疲劳（CF）、倦怠（BO）和低水平的同情满足感（CS）的风险。虽然 CF 已经在医护人员中进行了研究，但很少有出版物专门针对家庭医生的 CF 发病率进行探讨。本研究的目的是评估内盖夫（以色列南部地区）家庭医生中 CF 的流行率和严重程度，评估 CF、BO 和 CS 之间的相关性及其与社会人口统计学变量和工作相关特征的关系。
2007 年 7 月至 2008 年 4 月，在 Clalit 卫生服务的 Negev 诊所，向 194 名家庭医生分发了匿名的同情满足感和疲劳测试问卷（CSFT），以测量 CF、BO 和 CS。评估 CF、BO 和 CS 之间的相关性。采用向后逐步消除法构建多变量逻辑回归模型。
128 名（66%）医生做出了回应。46.1%的受访者 CF 得分极高和高，21.1%的 CS 得分低，9.4%的 BO 得分高。BO 与 CF（r=0.769，p<0.001）之间存在强烈相关性，BO 与 CS（r=-0.241，p=0.006）之间也存在相关性，但 CS 与 CF 之间没有相关性。逻辑回归模型显示，唯一与 CF 风险显著增加相关的因素是以前移民到以色列。BO 风险增加与女性、个人创伤史和缺乏学术背景有关。更高的 CS 与担任管理职位和指导住院医师有关。
内盖夫的家庭医生 CF 风险较高，可能导致与 CF 相关的患者不满、患者安全受损和医疗差错增加。我们建议为家庭医生和其他医护人员创建 CF 教育和早期干预治疗计划。这些计划将培训医生福祉和复原力建设的促进者。我们还建议分析与更高 CF 相关的变量和组织因素。政策建议包括将此类计划纳入强制性风险管理继续教育中。
