Jiang Jinxia, Liu Shuyang, Chi Chunwei, Liu Yi, Xu Jinling, Zeng Li, Peng Hu
Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China.
Department of Rehabilitation Medicine, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China.
BMC Nurs. 2024 Aug 13;23(1):556. doi: 10.1186/s12912-024-02193-4.
Due to the unique working environment and nature of work in emergency departments, nurses are prone to experiencing compassion fatigue (CF), leading to job burnout and attrition. As more Generation Z (Gen Z) nurses enter the emergency department with distinct personality traits compared to previous generations, studying their experiences with CF will inform future management strategies.
The qualitative phenomenological research method was utilised to investigate CF among Gen Z emergency nurses at a hospital in Shanghai, China. Data were collected through face-to-face semi-structured interviews and analyzed using Colaizzi's seven-step phenomenological analysis method. Study participants were purposively selected.
Three main themes and nine sub-themes emerged from the study: secondary traumatic stress, including physiological symptoms, psychological symptoms, and behavioral changes; cumulative effects, including impaired empathy, interference with family life, and post-traumatic growth (PTG); coping strategies, including cognitive reconstruction, seeking support, and facilitating action.
The aim of this study is to investigate the experience of CF among Gen Z emergency nurses, providing managers with a reference for future management strategies. The significance of multi-dimensional support for Gen Z emergency nurses is underscored by our findings. Additionally, interventions that enhance resilience and competency can facilitate their psychological transformation after experiencing CF and promote accelerated personal growth.
由于急诊科独特的工作环境和工作性质，护士容易出现同情疲劳（CF），导致职业倦怠和人员流失。随着越来越多的Z世代护士进入急诊科，与前几代人相比，他们具有独特的性格特征，研究他们的同情疲劳经历将为未来的管理策略提供参考。
采用质性现象学研究方法，对中国上海一家医院的Z世代急诊护士的同情疲劳情况进行调查。通过面对面的半结构化访谈收集数据，并使用科莱齐的七步现象学分析方法进行分析。研究参与者是经过有目的选择的。
研究得出了三个主要主题和九个子主题：继发性创伤压力，包括生理症状、心理症状和行为变化；累积效应，包括同理心受损、对家庭生活的干扰和创伤后成长（PTG）；应对策略，包括认知重建、寻求支持和促进行动。
本研究旨在调查Z世代急诊护士的同情疲劳经历，为管理者制定未来管理策略提供参考。我们的研究结果强调了对Z世代急诊护士进行多维度支持的重要性。此外，增强复原力和能力的干预措施可以促进他们在经历同情疲劳后的心理转变，并加速个人成长。
