Cardiac Intensive Care Unit at Norton Children's Hospital, Louisville, KY, United States of America.
University of Kentucky College of Nursing, Lexington, KY, United States of America.
J Pediatr Nurs. 2020 Jan-Feb;50:1-4. doi: 10.1016/j.pedn.2019.10.007. Epub 2019 Oct 25.
Compassion fatigue (CF) and secondary traumatic stress (STS) is prevalent in intensive care nurses, especially in pediatric intensive care nurses (PICU). CF, which includes STS and burnout, leads to reduced employee engagement and nursing turnover.
The purpose of this project was to evaluate the impact of a staff resilience program on nursing turnover, employee engagement and compassion satisfaction among nurses in a PICU.
A retrospective pre-test and post-test design was used to evaluate the impact of a staff resilience program on turnover, engagement, and Professional Quality of Life (ProQOL), which measured compassion satisfaction and compassion fatigue.
RN turnover was reduced and employee engagement was improved, although the differences were not statistically significant. The aggregate scores of the ProQOL indicated the RN's had low levels of CF with high levels of compassion satisfaction post implementation of the resilience program. Years of work experience was positively associated with compassion satisfaction and work engagement.
Education regarding the prevention of CF and burnout coupled with interventions designed to promote resilience can be effective in reducing CF and in building compassion satisfaction.
Doing an assessment of compassion fatigue and following up with the implementation of interventions to build staff resilience and promote psychological health can lead to positive outcomes, as demonstrated by the increase in work engagement and compassion satisfaction when burnout and CF decreased.
同情疲劳（CF）和继发性创伤应激（STS）在重症监护护士中很常见，尤其是在儿科重症监护护士（PICU）中。CF 包括 STS 和倦怠，导致员工敬业度降低和护理人员流失。
本项目旨在评估员工韧性计划对 PICU 护士离职、员工敬业度和同情心满意度的影响。
采用回顾性预测试和后测试设计，评估员工韧性计划对离职、敬业度和职业生活质量（ProQOL）的影响，ProQOL 衡量同情心满意度和同情疲劳。
尽管差异没有统计学意义，但注册护士的离职率降低，员工敬业度提高。实施韧性计划后，ProQOL 的综合评分表明 RN 经历的 CF 程度较低，同情心满意度较高。工作年限与同情心满意度和工作敬业度呈正相关。
教育预防 CF 和倦怠，并采取干预措施促进韧性，可有效减少 CF，并增强同情心满意度。
对同情疲劳进行评估，并通过实施干预措施来建立员工韧性和促进心理健康，可以带来积极的结果，正如倦怠和 CF 减少时工作敬业度和同情心满意度增加所证明的那样。
