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护士同情疲劳与应对策略的质性分析

Qualitative analysis of compassion fatigue and coping strategies among nurses.

作者信息

Ondrejková Natália, Halamová Júlia

机构信息

Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Mlynské Luhy 4, 821 05, Bratislava, Slovakia.

出版信息

Int J Nurs Sci. 2022 Sep 18;9(4):467-480. doi: 10.1016/j.ijnss.2022.09.007. eCollection 2022 Oct.

Abstract

OBJECTIVES

Nurses are considered to be at risk of experiencing compassion fatigue, which can affect their personal and professional lives. The aim of this study was to investigate stressful factors contributing to the development of compassion fatigue in nurses, their experiences of compassion fatigue, and the coping strategies they used to cope with compassion fatigue.

METHODS

The convenience sample of 86 nurses from Central Europe was recruited via social networking sites during the pandemic of COVID-19. Data collection was conducted via an online battery of questionnaires which included open-ended questions on the stressful factors, experiences, and coping strategies for compassion fatigue. The data were analysed using a theoretical thematic analysis based on Figley's descriptions of compassion fatigue. The initial data was read several times to identify recurring statements. Each statement was then categorized into the emerging domains, subdomains, categories, and subcategories.

RESULTS

The results of our study show that stressful factors, experiences, and coping strategies for compassion fatigue in nurses in Central Europe could be related to cognitive, emotional, behavioural, somatic, personal relations, spiritual, and work-related symptoms of compassion fatigue as identified by Figley and that these may resemble experiences of nurses in North America, Japan, and Spain.

CONCLUSION

This study provides a detailed overview of the stressful factors, experiences, and coping strategies for compassion fatigue, which could be used to develop an early screening tool and interventions for alleviating compassion fatigue and for preventive adaptation of the health care system.

摘要

目的

护士被认为有经历同情疲劳的风险,这可能会影响他们的个人生活和职业生涯。本研究的目的是调查导致护士同情疲劳产生的压力因素、他们的同情疲劳经历以及他们用来应对同情疲劳的应对策略。

方法

在新冠疫情期间,通过社交网站招募了来自中欧的86名护士作为便利样本。通过一系列在线问卷进行数据收集,其中包括关于同情疲劳的压力因素、经历和应对策略的开放式问题。使用基于菲格利对同情疲劳描述的理论主题分析方法对数据进行分析。对初始数据进行多次阅读以识别反复出现的陈述。然后将每个陈述归类到新兴的领域、子领域、类别和子类别中。

结果

我们的研究结果表明,中欧护士同情疲劳的压力因素、经历和应对策略可能与菲格利所确定的同情疲劳的认知、情感、行为、躯体、人际关系、精神和工作相关症状有关,并且这些可能与北美、日本和西班牙护士的经历相似。

结论

本研究详细概述了同情疲劳的压力因素、经历和应对策略,可用于开发早期筛查工具和干预措施,以减轻同情疲劳并对医疗保健系统进行预防性调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c70b/9587405/be22b9bde8fe/gr1.jpg

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