Al-Majid Sadeeka, Carlson Nika, Kiyohara Melody, Faith Merideth, Rakovski Cyril
Author Affiliations: Professor (Dr Al-Majid), California State University Fullerton; Director of Clinical and Quality Improvement (Ms Carlson), Clinical Educator (Ms Kiyohara), and Wellness Coordinator (Ms Faith), Orange Coast Memorial Medical Center, Fountain Valley, California; and Associate Professor (Dr Rakovski), Chapman University, Orange, California.
J Nurs Adm. 2018 Jun;48(6):310-315. doi: 10.1097/NNA.0000000000000620.
The aim of this study was to assess the degree of compassion satisfaction and compassion fatigue (CF) among critical care, oncology and charge nurses.
Cumulative grief resulting from caring for critically/terminally ill patients may result in CF, leading to lower quality care and higher nurse attrition.
Data were collected from 38 direct care nurses and 10 charge nurses, using the Professional Quality of Life.
Charge nurses had higher secondary traumatic stress (STS) than direct care nurses. Nurses with less than 10 years of experience had lower CS than experienced nurses. Higher levels of burnout (BO) and STS were reported among charge nurses, whereas less direct care nurses had average to high BO and STS ratings.
Previous studies focused on direct care nurses; our findings suggest that CF is prevalent among charge nurses as well. Interventions should be considered for clinical providers and charge nurses including debriefing, stress reduction, peer support, and team building.
本研究旨在评估重症监护、肿瘤护理和护士长的同情满意度和同情疲劳（CF）程度。
照顾重症/绝症患者产生的累积悲伤可能导致同情疲劳，进而导致护理质量下降和护士流失率上升。
使用职业生活质量量表，对38名直接护理护士和10名护士长进行数据收集。
护士长比直接护理护士有更高的继发性创伤应激（STS）。工作经验少于10年的护士的同情满意度低于有经验的护士。护士长报告的职业倦怠（BO）和继发性创伤应激水平较高，而较少直接护理护士的职业倦怠和继发性创伤应激评级为中等至高等。
以往研究主要关注直接护理护士；我们的研究结果表明，同情疲劳在护士长中也很普遍。应考虑对临床医护人员和护士长采取干预措施，包括汇报情况、减轻压力、同伴支持和团队建设。
