Zajac Lisa M, Moran Katherine J, Groh Carla J
Karmanos Cancer Center.
University of Detroit Mercy.
Clin J Oncol Nurs. 2017 Aug 1;21(4):446-453. doi: 10.1188/17.CJON.446-453.
BACKGROUND: A notable variation among patient satisfaction scores with nursing care was identified. Contributing factors were examined and revealed significant negative correlations between the unit death rate and surviving patients' satisfaction scores. Compassion fatigue (CF) was hypothesized to be a major contributing factor. .
OBJECTIVES: The objective was to address CF in RNs and oncology care associates (assistive personnel) by developing an intervention to provide bereavement support to staff after patient deaths. .
METHODS: A mixed-methods sequential design was used. Instruments included the Professional Quality of Life scale and Press Ganey survey results. Univariate descriptive statistics, frequencies, an independent t test, and an analysis of covariance were used for data analysis. .
The preintervention results revealed average compassion satisfaction and secondary traumatic stress scores and low burnout scores. No significant difference was noted between pre- and postintervention CF scores. Patients' perception of nurses' skills improved significantly in the second quarter of 2015.
研究发现患者对护理服务的满意度得分存在显著差异。对相关影响因素进行了调查，结果显示科室死亡率与存活患者的满意度得分之间存在显著的负相关。研究假设同情疲劳（CF）是一个主要影响因素。
通过开发一项干预措施，在患者死亡后为工作人员提供哀伤支持，以解决注册护士（RN）和肿瘤护理助理（辅助人员）的同情疲劳问题。
采用混合方法序列设计。使用的工具包括职业生活质量量表和Press Ganey调查结果。数据分析采用单变量描述性统计、频率分析、独立t检验和协方差分析。
干预前结果显示同情满意度和继发性创伤压力得分平均，倦怠得分较低。干预前后的同情疲劳得分无显著差异。2015年第二季度患者对护士技能的感知有显著改善。
