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多地点多系统护士的同情疲劳与同情满足感

Compassion Fatigue and Compassion Satisfaction Among Multisite Multisystem Nurses.

作者信息

Kawar Lina Najib, Radovich Patricia, Valdez Regina M, Zuniga Stephine, Rondinelli June

机构信息

Kaiser Permanente Southern California Patient Care Services, Regional Nursing Research Program, Kaiser Permanente, Pasadena (Drs Kawar and Rondinelli and Ms Valdez); Loma Linda University Health, Loma Linda, California (Dr Radovich); Kaiser Foundation Health Plan/Hospital, Pasadena, California (Dr Zuniga).

出版信息

Nurs Adm Q. 2019 Oct/Dec;43(4):358-369. doi: 10.1097/NAQ.0000000000000370.

Abstract

Compassion fatigue is a phenomenon that might affect nurses of all specialties. Compassion fatigue occurrence could be profound and costly. The immediate impact could be disruption of the unit culture. This study investigated the prevalence and individual-level factors associated with compassion fatigue among nurses. An upsurge in patients' complexity today may leave nurses stressed with increasing practice demands and vulnerable to compassion fatigue. If ignored, compassion fatigue may compromise nurses' health and care outcomes. A sample of 1174 nurses from 2 large Southern California health care organizations completed an online survey measuring compassion fatigue, burnout, and compassion satisfaction. Overall, participants scored moderate to average (23-41) on compassion satisfaction, burnout, and compassion satisfaction. Experienced and working nights nurses experienced higher compassion satisfaction levels. Higher compassion fatigue means were associated with new graduates = 29.5, BSN nurses = 27.2, ICU nurses = 27.4, and working 12-hour shift nurses = 26.9, suggesting higher compassion fatigue vulnerability. Nurse leaders and managers can apply this baseline evidence to create tailored programs for specific nursing specialties and inexperienced nurses to tackle compassion fatigue and reduce related unit disorder. Seasoned nurses' perspective can be of value in enhancing those efforts.

摘要

同情疲劳是一种可能影响所有专业护士的现象。同情疲劳的发生可能是严重且代价高昂的。其直接影响可能是单位文化的混乱。本研究调查了护士中同情疲劳的患病率及相关的个体层面因素。如今患者病情复杂性的增加可能使护士因实践要求不断提高而倍感压力,进而容易产生同情疲劳。如果被忽视,同情疲劳可能会损害护士的健康和护理效果。来自南加州两个大型医疗保健机构的1174名护士参与了一项在线调查,该调查测量了同情疲劳、职业倦怠和同情满意度。总体而言,参与者在同情满意度、职业倦怠和同情满意度方面的得分中等至平均(23 - 41)。经验丰富且值夜班的护士的同情满意度水平更高。较高的同情疲劳均值与新毕业护士(29.5)、护理学学士护士(27.2)、重症监护室护士(27.4)以及值12小时班的护士(26.9)相关,这表明这些护士更容易出现同情疲劳。护士领导和管理人员可以利用这一基线证据为特定护理专业和经验不足的护士制定针对性的项目,以应对同情疲劳并减少相关的单位混乱。经验丰富的护士的观点对于加强这些努力可能具有价值。

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