Cross Lisa A
Lisa A. Cross, MSN, BA, CRRN, CHPN, is doctoral nursing student, University of Massachusetts, Lowell; and is clinical nursing instructor, North Shore Community College, Danvers, MA.
J Hosp Palliat Nurs. 2019 Feb;21(1):21-28. doi: 10.1097/NJH.0000000000000477.
The purpose of this review was to define compassion fatigue in the context of palliative care nursing. Compassion fatigue was first introduced as a description for nursing burnout; however, it was not fully described. An initial concept analysis within nursing placed it in terms of a psychological model for secondary traumatic stress disorder, with continual revisions of this application. Palliative care nurses are routinely exposed to pain, trauma, and the suffering they witness by nature of ongoing symptom management and end-of-life care delivery; however, the focus of care is on healthy end-of-life management rather than preservation of life. The literature was reviewed to provide clarification of compassion fatigue for palliative care nurses to assist in future identification and direction in the profession. CINAHL, EBSCO, Journals@Ovid, MEDLINE, PsycINFO, PubMed, and ScienceDirect databases were queried for peer-reviewed literature, and dictionaries were examined for subject-specific definitions. The method that was used was a concept analysis in the tradition of Walker and Avant. A concept definition was proposed for the discipline of palliative care nursing. Identification of compassion fatigue for this profession helps facilitate the recognition of symptoms for a group that deals with patient suffering on a regular basis.
本综述的目的是在姑息治疗护理的背景下界定同情疲劳。同情疲劳最初被引入作为护理倦怠的一种描述；然而，它并未得到充分描述。护理领域的初步概念分析将其置于继发性创伤后应激障碍的心理模型中，并对该应用进行了不断修订。姑息治疗护士由于持续进行症状管理和提供临终护理，经常接触到疼痛、创伤以及他们所目睹的痛苦；然而，护理的重点是健康的临终管理而非生命维持。回顾文献是为了澄清姑息治疗护士的同情疲劳，以协助该专业未来的识别和指导。检索了CINAHL、EBSCO、Journals@Ovid、MEDLINE、PsycINFO、PubMed和ScienceDirect数据库中的同行评审文献，并查阅了词典以获取特定主题的定义。所采用的方法是遵循沃克和阿万特传统的概念分析。为姑息治疗护理学科提出了一个概念定义。识别该职业的同情疲劳有助于促进对一个经常应对患者痛苦的群体的症状识别。
