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Journal Club
Open Access Article

Compassion Fatigue and Burnout

Patricia Potter
Teresa Deshields
Joyce Divanbeigi
Julie Berger
Doreen Cipriano
Lori Norris
Sarah Olsen
CJON 2010, 14(5), E56-E62 DOI: 10.1188/10.CJON.E56-E62

This descriptive, cross-sectional survey was conducted in inpatient nursing units and outpatient clinics in a cancer center in the midwestern United States. The sample of 153 healthcare providers included RNs, medical assistants, and radiology technicians. The fourth revision of the 30-item Professional Quality of Life (ProQOL R-IV) scale was used for measuring compassion fatigue, compassion satisfaction, and burnout. A series of cross tab analyses examined the relationship between participant demographics and three ProQOL R-IV subscales. The study sample scored similarly on compassion satisfaction and burnout when compared with participants who used the ProQOL R-IV in previous studies. Value exists in analyzing the prevalence of burnout and compassion fatigue among oncology healthcare providers. Understanding the needs of distinct demographic groups offers valuable direction for intervention program development. Applying internal evidence in the design of a relevant stress-reduction program will better equip healthcare providers to recognize and manage compassion fatigue and burnout.

References 

Barnard, D., Street, A., & Love, A. W. (2006). Relationships between stressors, work supports and burnout among cancer nurses. <i>Cancer Nursing, 29</i>, 338-345.

Buerhaus, P., Donelan, K., DesRoches, C., Lamkin, L., & Mallory, G. (2001). State of the oncology nursing workforce: Problems and implications for strengthening the future. <i>Nursing Economics, 19</i>, 198-208.

Cohen-Katz, J., Wiley, S. D., Capuano, T., Baker, D. M., & Shapiro, S. (2004). The effects of mindfulness-based stress reduction on nurse stress and burnout: A quantitative and qualitative study. <i>Holistic Nursing Practice, Nov.-Dec.</i>, 302-308.

Duquette, A., Kerouac, S., Sandhu, B. K., & Beaudet, L. (1994). Factors related to nursing burnout: A review of empirical knowledge. <i>Issues in Mental Health Nursing, 15</i>, 337-358.

Ferrans, C. (1990). Quality of life: Conceptual issues. <i>Seminars in Oncology Nursing, 6</i>, 248. doi: 10.1016/0749-2081(90)90026-2

Figley, C. R. (1995). <i>Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized</i>. New York, NY: Brunner Mazel.

Figley, C. R. (2002). <i>Treating compassion fatigue</i>. New York, NY: Brunner-Routledge.

Figley, C. R., & Stamm, B. H. (1996). Psychometric review of Compassion Fatigue Self Test. In B. H. Stamm (Ed.), <i>Measurement of stress, trauma and adaptation</i>. Lutherville, MD: Sidran Press.

Florio, G. A., Donnelly, J. P., & Zevon, M. A. (1998). The structure of work-related stress and coping among oncology nurses in high-stress medical settings: A transactional analysis. <i>Journal of Occupational Health Psychology, 3</i>, 227-242. doi: 10.1037/1076-8998.3.3.227

Friese, C. R. (2005). Nurse practice environments and outcomes: Implications for oncology nursing. <i>Oncology Nursing Forum, 32</i>, 765-772. doi: 10.1188/05.ONF.765-772

Garman, A., Corrigan, P., & Morris, S. (2002). Staff burnout and patient satisfaction: Evidence of relationships at the care unit level. <i>Journal of Occupational Health Psychology, 7</i>, 235-241. doi: 10.1037/1076-8998.7.3.235

Gentry, J. E., & Baranowsky, A. (1998). <i>Treatment manual for the Accelerated Recovery Program: Set II</i>. Toronto, Ontario, Canada: Psych Inc.

Gentry, J. E., Baranowsky, A., & Dunning, E. (1997). Accelerated Recovery Program for compassion fatigue. Presented at the 13th annual International Society for Traumatic Stress Studies Conference in Montreal, Quebec, Canada.

Halbesleben, J., Wakefield, B., Wakefield, D., & Cooper, L. (2008). Nurse burnout and patient safety perception versus reporting behavior. <i>Western Journal of Nursing Research, 30</i>, 560-577. doi: 10.1177/0193945907311322

Jenkins, S. R., & Baird, S. (2002). Secondary traumatic stress and vicarious trauma: A validational study. <i>Journal of Traumatic Stress, 15</i>, 423-432. doi: 10.1023/A:1020193526843

Joinson, C. (1992). Coping with compassion fatigue. <i>Nursing, 22</i>, 116-120.

Kabat-Zinn, J. (1990). <i>Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness</i>. New York, NY: Bantam Doubleday Dell Publishing Group.

Kash, K., & Breitbart, W. (1993). The stress of caring for cancer patients. In W. Breitbart and J. C. Holland (Eds.), <i>Psychiatric aspects of symptom management in cancer patients</i> (pp. 243-260). Washington, DC: American Psychiatric Press.

Larsen, D., Stamm, B. H., & Davis, K. (2002). Telehealth for prevention and intervention of the negative effects of caregiving. Retrieved from <a target="_blank" href='http://www.istss.org/publications/TS/Fall02/telehealth.htm'>http://www.i...

Leiter, M. P., Harvie, P., & Frizzell, C. (1998). The correspondence of patient satisfaction and nurse burnout. <i>Social Science and Medicine, 47</i>, 1611-1617. doi: 10.1016/S0277-9536(98)00207-X

Lewis, A. E. (1999). Reducing burnout: Development of an oncology staff bereavement program. <i>Oncology Nursing Forum, 26</i>, 1065-1069.

Mackenzie, C. S., Poulin, P. A., & Seidman-Carlson, R. (2006). A brief mindfulness-based stress reduction intervention for nurses and nurse aides. <i>Applied Nursing Research, 19</i>, 105-109.

Maslach, C. (1982). <i>Burnout—The cost of caring</i>. Englewood Cliffs, NJ: Spectrum.

Maslach, C., & Leiter, M. (1998). <i>The truth about burnout: How organizations cause personal stress and what to do about it</i>. San Francisco, CA: Jossey-Bass.

McHolm, F. (2006). Rx for compassion fatigue. <i>Journal of Christian Nursing, 23</i>, 12-19.

McVicar, A. (2003). Workplace stress in nursing: A literature review. <i>Journal of Advanced Nursing, 44</i>, 633-642. doi: 10.1046/j.0309-2402.2003.02853.x

Medland, J., Howard-Ruben, J., & Whitaker, E. (2004). Fostering psychosocial wellness in oncology nurses: Addressing burnout and social support in the workplace. <i>Oncology Nursing Forum, 31</i>, 47-54. doi: 10.1188/04.ONF.47-54

Najjar, N., Davis, L. W., Beck-Coon, K., & Doebbeling, C. C. (2009). Compassion fatigue: A review of the research to date and relevance to cancer-care providers. <i>Journal of Health Psychology, 14</i>, 267-277. doi: 10.1177/1359105308100211

Oulton, J. A. (2006). The global nursing shortage: An overview of issues and actions. <i>Policy, Politics, and Nursing Practice, 7</i>(3, Suppl.), 34S-39S. doi: 10.1177/1527154406293968

Perry, B. (2008). Why exemplary oncology nurses seem to avoid compassion fatigue. <i>Canadian Oncology Nursing Journal, 18</i>(2), 87-99.

Pfifferling, J. H., & Gilley, K. (2000). Overcoming compassion fatigue. <i>Family Practice Management, 7</i>(4), 39-46. Retrieved from http://www.aafp.org/fpm/20000400/39over.html <a target="_blank" href='http://www.aafp.org/fpm/20000400/39over.html'>http://www.aafp.org/fpm/20...

Radziewicz, R. M. (2001). Self-care for the caregiver. <i>Nursing Clinics of North America, 36</i>, 855-869.

Robert Wood Johnson Foundation. (2002). <i>Health care's human crisis: The American nursing shortage</i>. Retrieved from <a target="_blank" href='http://www.rwjf.org/files/newsroom/NursingReport/pdf'>http://www.rwjf.or...

Sherman, A. C., Edwards, D., Simonton, S., & Mehta, P. (2006). Caregiver stress and burnout in an oncology unit. <i>Palliative and Supportive Care, 4</i>, 65-80. doi: 10.1017/S1478951506060081

Simon, C., Pryce, J., Roff. L., & Klemmack, D. (2005). Secondary traumatic stress and oncology social work: Protecting compassion from fatigue and compromising the worker's worldview. <i>Journal of Psychosocial Oncology, 23</i>(4), 1-14. doi: 10.1300/J077v23n04_01

Sinclair, H. A., & Hamill, C. (2007). Does vicarious traumatisation affect oncology nurses? A literature review. <i>European Journal of Oncology Nursing, 11</i>, 348-356. doi: 10.1016/j.ejon.2007.02.007

Stamm, B. H. (2009). <i>The ProQOL manual</i>. Boise, IA: Sidran Press.

Vahey, D., Aiken, L., Sloane, D., Clarke, S., & Vargas, D. (2004). Nurse burnout and patient satisfaction. <i>Medical Care, 42</i>(2, Suppl.), II-57-II-66.

Welsh, D. (1999). Let's talk. Care for the caregiver: Strategies for avoiding compassion fatigue. <i>Clinical Journal of Oncology Nursing, 3</i>, 183-184.