Department of Psychology, School of Social Sciences, Nottingham Trent University, Nottingham NG1 4FQ, UK.
Int J Environ Res Public Health. 2020 Sep 24;17(19):6987. doi: 10.3390/ijerph17196987.
Psychosocial hazards in mental healthcare contribute to the development of compassion fatigue in mental health professionals. Compassion fatigue has a negative impact on the mental health and wellbeing of professionals that can impair the quality of services provided to clients. The majority of research on compassion fatigue has focused on individual-level variables such as gender, history of trauma and age, among others. It is also imperative to understand the role played by alterable work-related characteristics in contributing to the development of compassion fatigue in order to attenuate its impact on mental health professionals and their clients. The present review examined articles exploring work-related factors associated with compassion fatigue. Fifteen quantitative studies were included and their quality was assessed using a checklist. An inductive content-analysis approach was adopted to synthesise the themes emerging from the data. The results suggested a theoretical model consistent with the Job Demands-Resources model, wherein job demands (such as workplace trauma, workload and therapeutic settings) are associated with compassion fatigue, and job resources (such as supervisors', coworkers' and organisational support) mitigate the impact of job demands. In addition to person-oriented factors, work-related factors are critical for the prevention of compassion fatigue.
精神卫生保健中的心理社会危害导致精神卫生专业人员出现同情疲劳。同情疲劳对专业人员的心理健康和幸福感产生负面影响,会损害向客户提供服务的质量。大多数关于同情疲劳的研究都集中在个体层面的变量上,例如性别、创伤史和年龄等。了解可改变的工作相关特征在导致同情疲劳发展中的作用也至关重要,以便减轻其对心理健康专业人员及其客户的影响。本综述探讨了与同情疲劳相关的工作相关因素的文章。纳入了 15 项定量研究,并使用清单评估其质量。采用归纳内容分析方法综合数据中出现的主题。结果提出了一个与工作要求-资源模型一致的理论模型,其中工作要求(如工作场所创伤、工作量和治疗环境)与同情疲劳相关,而工作资源(如主管、同事和组织支持)减轻工作要求的影响。除了以人为中心的因素外,工作相关因素对于预防同情疲劳至关重要。