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同情疲劳:探索早期职业肿瘤护士的经历

Compassion Fatigue: Exploring Early-Career Oncology Nurses' Experiences
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作者信息

Finley Brooke A, Sheppard Kate G

机构信息

University of Arizona.

出版信息

Clin J Oncol Nurs. 2017 Jun 1;21(3):E61-E66. doi: 10.1188/17.CJON.E61-E66.

Abstract

BACKGROUND: Oncology nurses have a higher risk and rate of compassion fatigue (CF) compared to professionals in other specialties. CF exhibits tangible negative outcomes, affecting nurses' health and professional practice.
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OBJECTIVES: Early-career oncology nurses' unique CF experiences lack thorough scientific exploration. This secondary analysis seeks to qualitatively augment this paucity and illuminate targeted interventions.
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METHODS: Open-ended interviews were conducted with five early-career inpatient oncology nurses. Subsequent transcripts were explored for CF themes secondarily using thematic analysis.
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FINDINGS

Themes indicate that early-career oncology nurses enjoy connecting with patients and families, but over-relating, long patient stays, and high patient mortality rates trigger CF. Symptoms include internalizing patients' and families' pains and fears, being haunted by specific patient deaths, feeling emotionally depleted, assuming that all patients will die, and experiencing burnout, physical exhaustion, and hypervigilance protecting loved ones.

摘要

背景

与其他专业的专业人员相比,肿瘤护理人员出现同情疲劳(CF)的风险和发生率更高。同情疲劳会产生明显的负面后果,影响护士的健康和专业实践。

目的

早期职业肿瘤护理人员独特的同情疲劳经历缺乏深入的科学探索。这项二次分析旨在从质量上弥补这一不足,并阐明有针对性的干预措施。

方法

对五名早期职业住院肿瘤护理人员进行了开放式访谈。随后,使用主题分析法对访谈记录进行二次探索,以寻找同情疲劳的主题。

结果

主题表明,早期职业肿瘤护理人员喜欢与患者及其家属建立联系,但过度关联、患者住院时间长和患者死亡率高会引发同情疲劳。症状包括将患者及其家属的痛苦和恐惧内化、被特定患者的死亡所困扰、感到情绪枯竭、认为所有患者都会死亡,以及出现职业倦怠、身体疲惫和过度警惕以保护亲人。

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