J Addict Nurs. 2021;32(4):225-234. doi: 10.1097/JAN.0000000000000434.
The risk of compassion fatigue (CF) for professionals who support and care for individuals and families facing the dual burden of addiction and trauma has been recently recognized. The aim of this mixed methods study was to investigate CF/secondary traumatic stress and compassion satisfaction (CS) in addiction nursing care providers. The Professional Quality of Life Scale was distributed to 21 addiction nurses and 29 nurse assistants in the alcohol and drug dependency centers of a psychiatric hospital in Greece. High CF risk was reported in 22% of participants, whereas 46% expressed high-to-moderate potential for CS. Participants described the long transition from compassion frustration or disengagement at the beginning of their career to CS at later stages. Learning to be compassionate entailed finding the right distance, redefining therapeutic role and expectations, and containing feelings and experiences. Being able to experience CS involved getting satisfaction from small changes, personal and professional growth, and self-care. A compassionate organizational culture, clinical supervision, and ongoing education may protect addiction professionals from absorbing or internalizing unmanageable emotions, which may lead to CF and also help them to gain a deeper understanding of their communication and interactions with individuals fighting addiction.
最近人们已经认识到,支持和照顾面临成瘾和创伤双重负担的个人和家庭的专业人员存在同情疲劳(CF)的风险。本混合方法研究的目的是调查成瘾护理提供者中的 CF/二次创伤压力和同情满足(CS)。专业生活质量量表分发给希腊一家精神病院酒精和药物依赖中心的 21 名成瘾护士和 29 名护士助理。报告称,22%的参与者存在高 CF 风险,而 46%的参与者表示存在高到中度的 CS 潜力。参与者描述了从职业生涯早期的同情挫折或脱离到后期的 CS 的漫长转变过程。学会同情需要找到适当的距离,重新定义治疗角色和期望,并控制情绪和体验。能够体验到 CS 可以从微小的变化、个人和职业成长以及自我保健中获得满足感。富有同情心的组织文化、临床监督和持续的教育可以保护成瘾专业人员免受无法承受的情绪的影响,这可能导致 CF,并帮助他们更深入地了解他们与成瘾作斗争的个人的沟通和互动。