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从护士角度出发对同情疲劳的原因及其后果的定性研究。

Qualitative study on the causes and consequences of compassion fatigue from the perspective of nurses.

机构信息

Infanta Elena Hospital, Andalusian Health Service, Huelva, Spain.

Department of Nursing, University of Huelva, Huelva, Spain.

出版信息

Int J Ment Health Nurs. 2021 Apr;30(2):469-478. doi: 10.1111/inm.12807. Epub 2020 Oct 30.

Abstract

Compassion is one of the core elements of nursing care. Continued exposure to patient pain and suffering puts nurses at risk of developing compassion fatigue. The aim of this study was to understand the causes and consequences of compassion fatigue from the perspective of nurses. To this end, a qualitative design based on the hermeneutic phenomenology paradigm was used. Five focus group sessions were held with 43 nursing professionals. Two themes and six sub-themes emerged from the analysis of their discourses in relation to the impact of compassion fatigue on nurses. Based on the results obtained, the causes perceived as generating compassion fatigue are the lack of time and resources to provide comprehensive nursing care. The consequences identified were difficulties in carrying out their work, repercussions on family and private life, anxiety, stress, and, in some cases, the desire to quit the profession. This study concluded that healthcare organizations are key to fostering compassionate care and that cultivating compassion is necessary to prevent compassion fatigue.

摘要

同情是护理关怀的核心要素之一。护士持续接触患者的痛苦会使他们面临同情疲劳的风险。本研究旨在从护士的角度理解同情疲劳的原因和后果。为此,采用了基于解释学现象学范式的定性设计。通过与护士的对话分析,共进行了 5 次焦点小组会议,涉及 43 名护理专业人员。根据分析结果,确定了导致同情疲劳的两个主题和六个子主题。基于所获得的结果,被认为产生同情疲劳的原因是缺乏时间和资源来提供全面的护理。确定的后果包括工作困难、对家庭和私人生活的影响、焦虑、压力,在某些情况下,甚至有离职的愿望。本研究得出结论,医疗保健组织是培养同情关怀的关键,培养同情心对于预防同情疲劳是必要的。

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