Koç University Hospital, Istanbul, Turkey.
Istanbul Bilgi University Faculty of Health Sciences, Istanbul, Turkey.
J Adv Nurs. 2020 Dec;76(12):3584-3596. doi: 10.1111/jan.14568. Epub 2020 Oct 3.
This study aimed to conduct a short- and long-term Compassion Fatigue Resiliency Program and compare its impact on nurses' professional quality of life, perceived stress, and resilience.
The research was conducted between January 2017 January 2019 as a randomized controlled trial.
The sample comprised 125 oncology-haematology nurses randomly assigned to a Experimental I, Experimental II, or control group. The Compassion Fatigue Resiliency Program was conducted with the nurses as an intervention. Experimental I received a short-term program (5 hr per day for 2 days, 10 hr in total) while Experimental II received a long-term one (5 weeks, 2 hr per week, 10 hr in total). Measurements were obtained during pre- and post-test and at 3-, 6-, and 12-month follow-ups. Research hypotheses were analysed using multilevel models.
The results of multilevel model analyses showed there was no statistically significant difference between mean scores for compassion fatigue, burnout, perceived stress, and resilience of nurses in the short- or long-term groups or of those in the control group. Mean compassion satisfaction scores of nurses in the short- or long-term groups were significantly higher than those in the control group. Mean compassion satisfaction scores of nurses in the short- or long-term groups were significantly higher than the control group's pre-test mean after 6 and 12 months.
This study concluded that short- or long-term programs had no influence on compassion fatigue, burnout, perceived stress, and resilience; however, both programs positively affected compassion satisfaction. We recommend that further studies be conducted, which will help determine the effectiveness of new programs.
Caring for patients with cancer can generate work-related stress that can negatively affect oncology nurses' physical and emotional health, which could lead to compassion fatigue. The program provided nurses with an opportunity to improve their compassion satisfaction. Because there was no difference between both programs regarding mean compassion satisfaction scores, a short-term program may be preferred to encourage more participation among nurses. We also recommend further studies should be conducted that include environmental improvements along with the training programs. Trial registered at ClinicalTrials.gov (The name of the trial register: Effect of a Compassion Fatigue Resiliency Program; the clinical trial registration number: NCT04372303).
本研究旨在开展短期和长期的同理心疲劳韧性计划,并比较其对护士职业生活质量、感知压力和韧性的影响。
本研究于 2017 年 1 月至 2019 年 1 月进行,为一项随机对照试验。
该样本由 125 名肿瘤血液病护士组成,随机分为实验组 I、实验组 II 和对照组。同理心疲劳韧性计划作为干预措施对护士进行实施。实验组 I 接受短期计划(每天 5 小时,共 2 天,共 10 小时),实验组 II 接受长期计划(5 周,每周 2 小时,共 10 小时)。在预测试、后测试以及 3、6 和 12 个月随访时进行测量。采用多水平模型分析研究假设。
多水平模型分析结果显示,短期或长期组或对照组护士的同理心疲劳、倦怠、感知压力和韧性的平均得分之间无统计学显著差异。短期或长期组护士的平均同情心满足得分显著高于对照组。短期或长期组护士的平均同情心满足得分在 6 个月和 12 个月后均显著高于对照组的预测试均数。
本研究得出结论,短期或长期计划对同理心疲劳、倦怠、感知压力和韧性没有影响;然而,这两个计划都对同情心满足产生了积极影响。我们建议进行进一步的研究,以确定新计划的有效性。
照顾癌症患者会产生与工作相关的压力,这会对肿瘤护士的身心健康产生负面影响,导致同理心疲劳。该计划为护士提供了提高同情心满足的机会。由于两个计划的平均同情心满足得分没有差异,因此可能更倾向于选择短期计划来鼓励更多护士参与。我们还建议进行进一步的研究,包括环境改善和培训计划。试验在 ClinicalTrials.gov 注册(试验名称:同理心疲劳韧性计划的影响;临床试验注册号:NCT04372303)。