Berger Rebecca S, Wright Rebecca J, Faith Melissa A, Stapleton Stacie
Johns Hopkins All Children's Hospital, Cancer and Blood Disorders Institute, St. Petersburg, FL.
Johns Hopkins School of Nursing, Baltimore, MD.
Palliat Support Care. 2022 Dec;20(6):867-877. doi: 10.1017/S147895152100184X.
Compassion fatigue (CF), which includes burnout and secondary traumatic stress, is highly prevalent among healthcare providers (HCPs). Ultimately, if left untreated, CF is often associated with absenteeism, decreased work performance, poor job satisfaction, and providers leaving their positions. To identify risk factors for developing CF and interventions to combat it in pediatric hematology, oncology, and bone marrow transplant (PHOB) HCPs.
An integrative review was conducted. Controlled vocabulary relevant to neoplasms, CF, pediatrics, and HCPs was used to search PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and Web of Science MEDLINE. Inclusion criteria were the following: English language and PHOB population. Exclusion criteria were the following: did not address question, wrong study population, mixed study population where PHOB HCPs were only part of the population, articles about moral distress as this is a similar but not the same topic as CF, conference abstracts, and book chapters.
A total of 16 articles were reviewed: 3 qualitative, 6 quantitative, 3 mixed methods, and 4 non research. Three themes were explored: (1) high-risk populations for developing CF, (2) sources of stress in PHOB HCPs, and (3) workplace interventions to decrease CF.
PHOB HCPs are at high risk of developing CF due to high morbidity and mortality in their patient population. Various interventions, including the use of a clinical support nurse, debriefing, support groups, respite rooms, and retreats, have varying degrees of efficacy to decrease CF in this population.
同情疲劳（CF）包括职业倦怠和继发性创伤压力，在医疗服务提供者（HCP）中非常普遍。最终，如果不加以治疗，CF通常与旷工、工作表现下降、工作满意度低以及从业者离职有关。旨在确定儿科血液学、肿瘤学和骨髓移植（PHOB）领域的HCP发生CF的风险因素以及对抗CF的干预措施。
进行了一项综合综述。使用与肿瘤、CF、儿科和HCP相关的受控词汇在PubMed、护理及相关健康文献累积索引（CINAHL）、心理学文摘数据库（PsycINFO）和科学网MEDLINE中进行检索。纳入标准如下：英文文献且研究对象为PHOB人群。排除标准如下：未涉及相关问题、研究人群错误、PHOB HCP只是部分研究人群的混合研究人群、关于道德困扰的文章（因为这与CF是相似但不同的主题）、会议摘要和书籍章节。
共审查了16篇文章：3篇定性研究、6篇定量研究、3篇混合方法研究和4篇非研究类文章。探讨了三个主题：（1）发生CF的高危人群，（2）PHOB HCP的压力来源，（3）减少CF的工作场所干预措施。
由于其患者群体的高发病率和高死亡率，PHOB HCP发生CF的风险很高。各种干预措施，包括使用临床支持护士、汇报情况、支持小组、休息室和静修活动，在降低该人群CF方面具有不同程度的效果。
