Predicting the Risk of Compassion Fatigue: An Empirical Study of Hospice Nurses By Maryann Abendroth, MSN, RN Executive Summary September 1, 2005

Size: px
Start display at page:

Download "Predicting the Risk of Compassion Fatigue: An Empirical Study of Hospice Nurses By Maryann Abendroth, MSN, RN Executive Summary September 1, 2005"

Transcription

1 Predicting the Risk of Compassion Fatigue: An Empirical Study of Hospice Nurses By Maryann Abendroth, MSN, RN Executive Summary September 1, 2005 Compassion fatigue (CF), is a secondary traumatic stress reaction resulting from helping, or desiring to help, a person suffering from traumatic events (Figley, 1995). Caregivers experiencing CF may become preoccupied with their patients and develop symptoms/behaviors not conducive to optimal patient care. Caregivers may re-experience their patients trauma, and may exhibit symptoms of avoidance of reminders, numbing in response to reminders, anxiety, confusion, helplessness, and a sense of isolation from supporters (Figley, 2005). This clinical phenomenon has emerged as a topic of concern because it negatively can affect a caregiver s ability to provide services and maintain personal and professional relationships (Collins & Long, 2003). Ignoring the reality of this phenomenon may lead to higher turnover rates, loss of productivity, diminished public opinion, and increased fiduciary risk to organizations. Additionally, the acute effects of Compassion Fatigue may impair nurses physical, and mental health, and may contribute to tension, and strain outside of their work environment (Badger, 2001). Compassion fatigue has shown to be worthy of study in medicine, psychiatry, emergency management, and religious ministry; however, its effects on nursing, and more specifically, on the population of hospice nurses, is virtually unknown (Davis, 2003; Huggard, 2003; McCann & Pearlman, 1990; Roberts, Flannelly, Weaver, & Figley, 2003; Wastell, 2002). Background In April 2005, the author completed an empirical study of compassion fatigue risk among Florida s hospice nurses. The inquiry utilized descriptive and inferential statistics to accomplish two primary objectives: (1) an estimation of the prevalence of CF and Burnout risk among Florida s hospice nurses and (2) a determination of the demographic, work-related, and personal health factors which, when included in a multiple regression model, would best predict the risk of compassion fatigue. Study participants completed a demographic tool and a CF risk (ProQOL) behavioral assessment instrument (Stamm, 2002, 2005). All 40 not-for profit and for-profit hospice 1

2 organizations were queried for participation in the study. Seventeen not for-profit hospices initially agreed to participate in the study through mailed surveys. Nurses from an additional four not for-profit and one for-profit hospice participated through surveys completed during the State Hospice Symposium in December 2004, providing a 55% facility participation rate across the state of Florida. A response rate of 37% resulted from a total of 583 surveys distributed through the combined venues. The 37% (n = 216) response rate exceeded the minimally adequate sample size of 178 by 20%, and it exceeded the 20% average response rate for mailed surveys (Norwood, 2000). A final, stratified random sample of 216 usable instruments was returned from all 11 health-planning districts across the state giving the study results good generalizability. The demographic and work-related profile of the nurses in the study is shown in Table 1. Table 1 Demographic and work-related characteristics of hospice nurses (n =216) Age Gender Race Marital Status Education 51 yrs Female 94% Caucasian 82% Married 60% Associate 47% (median) Divorced 23% Bachelor s 21% Vocational 12% Licensure RN 85% LPN 13% Hospice Certifications Case load per week Nurse / patient ratio per shift 20% 13 patients 1 nurse to 6 patients Patient deaths per month 5 (median) Full time Years nursing Years hospice Work Setting employees experience experience 85% 20 (median) 4 (median) Field 60% Inpatient unit 23% Caseloads for this sample of nurses were higher than the national median hospice nurse case load (md = 10) as reported by the National Trend Summary Report for (NHPCO, 2004). The nurse-to-patient ratios were higher in this study than the one-to-four ratios recommended by the Center to Advance Palliative Care (2002). Participants were asked personal health-related questions. Their responses were represented by the following: Diagnosed with depression and/or Post Traumatic Stress Disorder 22.2% (n = 48) Frequent headaches 28.2% (n = 61) 2

3 Diagnosed with hypertension 30.1% (n = 65) Had stress from personal finances 53.7% (n = 116) Had a tendency to sacrifice their own personal and psychological needs for their patients needs 63.8% (n = 136) Results Findings of the study revealed that nearly 80% of the sampled hospice nurses were at moderate-(52.3 %, n = 113) to-high (26.4%, n = 57) risk for compassion fatigue. The age of the participants in the low, moderate, and high risk categories showed little variability (Median low = 52, Median moderate = 51, Median high = 50). There was also very little difference among the groups with respect to nurses years of professional experience (Median low = 16, Median moderate = 20, Median high = 20) and years of hospice experience (Median low = 4, Median moderate = 4.5, Median high = 3.0). The Pro-QOL also measured burnout risk and provided percentile bands for Low, Moderate, and High risk classifications (see Table 2.0). Burnout is the physical, emotional, mental exhaustion caused by long term exposure to emotional demanding situations, and can be considered a precursor or risk factor for compassion fatigue. Symptoms of CF and burnout are similar; however, CF has a more sudden and acute onset, resulting from specific exposure to trauma and suffering (Figley, 1995, 2002). The results of the prevalence data indicated that Florida Hospice nurses are an at-risk population for burnout and compassion fatigue with 91% of those in the moderate-to-high risk category for burnout, being also classified moderate-to-high risk for compassion fatigue. Table 2 Burnout and Compassion Fatigue risk frequencies for Florida hospice nurses Low Risk Moderate to High Risk High Risk Burnout n = % n = % n = % Compassion Fatigue n = % n = % n = % An Ordinary Least Squares (OLS) multiple regression analysis was conducted utilizing variables obtained through a stepwise variable selection process. All variables (demographic, personal health, and work-related) were considered for inclusion with zero-order, as well as semi-partial correlations, being used as selection criteria. The final model included seven 3

4 independent variables accounting for 91% (p <.001) of the variance in CF risk. Trauma, anxiety, life demands, and excessive empathy (leading to blurred professional boundaries) were key determinants of CF risk. Additionally, several nurses wrote comments on their surveys reflecting the personal effects of stress which were revealed by examples such as, no relief when you have multiple deaths in a day or week, not recognizing the nurse needs time to refill the well. Implications This research has shown that hospice nurses are at a moderate-to-high risk for Compassion Fatigue. They experience, on average, five patient deaths per month, and must communicate compassionately and professionally with distraught families before, during, and after the dying process. Therefore, these nurses may be at risk for increased absenteeism, and an exodus from the profession resulting in lost revenue for the organization. The financial cost, and cost effectiveness, of having to train continually new hospice nurses may be easily measured and should be of concern to hospice organizations. More difficult to measure is the loss when an experienced hospice nurse leaves the profession. On average, hospice nurses have more than 20 years nursing and hospice nursing experience. These professionals have highly trained skills that encompass in-depth knowledge of complex symptoms of multiple diseases that affect the body, mind, and spirit. Not only is there a financial impact to the organization when they leave the profession, there is a huge loss of mentorship to newer nurses, as well as a loss of established relationships with physicians. This research has revealed also a theme of excessive empathy leading to blurred professional boundaries among the nurses. There have been cases of nurses crossing these boundaries by lending money to patients and performing other activities outside the realm of nursing care. This lack of professional behavior may, not only impact the nurse s career, but may prove to have deleterious fiduciary effects on the hospice organization, and a diminished reputation in the community. A precursory view of an organization may reveal that employees are cared for by one-day retreats, workshops, debriefing sessions, and accolades from patients and their families. These are appropriate temporary intervening measures; however, there is a need for an organizational 4

5 focus, utilizing a cohesive approach toward compassion fatigue (CF) and burnout prevention/intervention. Advanced Practice Nurses (APNs) may play a key role in CF risk assessment, employee yearly evaluations, supervisory training, hiring and retention policy development, intervention maintenance, and outcome evaluation coordinated through interdisciplinary teams and educational directors. Many organizations utilize APNs as directors of education, managers, and administrators. Compassion fatigue is a preventable and treatable phenomenon. Hospice organizations with policies, interventions, and evaluation methodologies that address CF risk may result in substantial employee benefit cost savings, uninterrupted professional nursing care, increased patient family satisfaction, and may continue to be regarded highly in communities as an optimal choice in end-of-life care. 5

6 References Badger, J.M. (2001). Understanding secondary traumatic stress. American Journal of Nursing, 101(7), Collins, S., & Long, A. (2003). Too tired to care? The psychological effects of working with trauma. Journal of Psychiatric and Mental Health Nursing, 10, Center to Advance Palliative Care (2002). CAPC Manual: Acuity. Retrieved March 2005 from Davis, S. (2003). Can caregivers care too much? Studies assess relatively new condition known as compassion fatigue that can emotionally drain benevolent practitioner. DVM Newsmagazine, 34(8), Figley, C.R. (Ed.) (1995). Compassion fatigue : Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel. Figley, C.R. (2002). Compassion fatigue: Psychotherapists chronic lack of self care. JCLP/In Session: Psychotherapy in Practice, 58(11), Huggard, P. (2003). Compassion fatigue: how much can I give?. Medical Education. 37, McCann, L., & Pearlman, L.A. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1), National Hospice and Palliative Care Organization (2004). National Trend Summary Report. Author Retrieved March 1, 2005 from Norwood, S.J. (2000). Research strategies for advanced practice nurses. Upper Saddle River, NJ: Prentice Hall Health. Roberts, S.B., Flannelly, K.J., Weaver, A.J., & Figley, C.R. (2003). Compassion fatigue among chaplains, clergy, and other respondents after September 11 th. The Journal of Nervous and Mental Disease, 191(11), Stamm, B.H. (2002). Research information on the ProQOL-CSF-R-III. Retrieved March 22, 2004 from Stamm, B.H. (2005). The ProQOL Manual. The professional quality of life scale: Compassion satisfaction, burnout, compassion fatigue/secondary trauma scales, Retrieved March 18, 2005 from Wastell, C.A. Exposure to trauma: The long-term effects of suppressing emotional reactions. The Journal of Nervous and Mental Disease, 190(12),

Burnout in Palliative Care. Palliative Regional Rounds January 16, 2015 Craig Goldie

Burnout in Palliative Care. Palliative Regional Rounds January 16, 2015 Craig Goldie Burnout in Palliative Care Palliative Regional Rounds January 16, 2015 Craig Goldie Overview of discussion Define burnout and compassion fatigue Review prevalence of burnout in palliative care Complete

More information

Measuring Pastoral Care Performance

Measuring Pastoral Care Performance PASTORAL CARE Measuring Pastoral Care Performance RABBI NADIA SIRITSKY, DMin, MSSW, BCC; CYNTHIA L. CONLEY, PhD, MSW; and BEN MILLER, BSSW BACKGROUND OF THE PROBLEM There is a profusion of research in

More information

Collaboration to Address Compassion Fatigue in Hospital Staff

Collaboration to Address Compassion Fatigue in Hospital Staff Collaboration to Address Compassion Fatigue in Hospital Staff Presenters Sabrina Derrington, MD Jim Manzardo, STB, BCC Kristi Thime, RN, CNML Objectives Understand risk factors for compassion fatigue and

More information

Nothing to disclose. Learning Objectives 4/10/2014. Caring for the Caregiver: Taking Care of You (first) and Your Staff (second)

Nothing to disclose. Learning Objectives 4/10/2014. Caring for the Caregiver: Taking Care of You (first) and Your Staff (second) Caring for the Caregiver: Taking Care of You (first) and Your Staff (second) Judith S. Gooding VP Signature Programs March of Dimes NICU Leadership Forum: April 30, 2014 Nothing to disclose Neither I nor

More information

There are nearly 20,000 registered nurses in the

There are nearly 20,000 registered nurses in the Predicting the Risk of Compassion Fatigue A Study of Hospice Nurses Maryann Abendroth, MSN, RN Jeanne Flannery, DSN, ARNP, CNRN, CRRN, CCH There is a growing interest in the clinical phenomenon of compassion

More information

Welcome. Self-Care Basics in HCH Settings. Tuesday, January 8, We will begin promptly at 1 p.m. Eastern.

Welcome. Self-Care Basics in HCH Settings. Tuesday, January 8, We will begin promptly at 1 p.m. Eastern. Welcome Self-Care Basics in HCH Settings 1 Tuesday, January 8, 2013 We will begin promptly at 1 p.m. Eastern. Event Host: Victoria Raschke, MA Director of TA and Training National Health Care for the Homeless

More information

Outpatient Behavioral Health Provider Panel Size and Burnout in the Military Health System (MHS)

Outpatient Behavioral Health Provider Panel Size and Burnout in the Military Health System (MHS) Outpatient Behavioral Health Provider Panel Size and Burnout in the Military Health System (MHS) Deployment Health Clinical Center Rapid Reviews Developed as part of the Deployment Health Clinical Center

More information

Compassion Fatigue. Robin Brown-Haithco Director of Spiritual Health and Staff Support. What is Compassion Fatigue?

Compassion Fatigue. Robin Brown-Haithco Director of Spiritual Health and Staff Support. What is Compassion Fatigue? Compassion Fatigue Robin Brown-Haithco Director of Spiritual Health and Staff Support What is Compassion Fatigue? Compassion fatigue is the natural consequence of stress resulting from caring and helping

More information

Title: Enhancing Resilience: The Impact of a Compassion Fatigue Prevention Program on Undergraduate Nursing Students

Title: Enhancing Resilience: The Impact of a Compassion Fatigue Prevention Program on Undergraduate Nursing Students Title: Enhancing Resilience: The Impact of a Compassion Fatigue Prevention Program on Undergraduate Nursing Students Julia Lillian Sherwood, BSN Cardiovascular Intensive Care Unit, Vanderbilt University

More information

Florida State University Libraries

Florida State University Libraries Florida State University Libraries Electronic Theses, Treatises and Dissertations The Graduate School 2006 Compassion Fatigue Experienced by Emergency Department Nurses Who Provided Care Melanie Alexander

More information

The challenges of measuring quality of mental health social care

The challenges of measuring quality of mental health social care The challenges of measuring quality of mental health social care How do we assess the quality of mental health social care? Perspectives from different stakeholders Gaia Cetrano gaia.cetrano@univr.it PhD

More information

JBI Database of Systematic Reviews & Implementation Reports 2013;11(12) 81-93

JBI Database of Systematic Reviews & Implementation Reports 2013;11(12) 81-93 Meaningfulness, appropriateness and effectiveness of structured interventions by nurse leaders to decrease compassion fatigue in healthcare providers, to be applied in acute care oncology settings: a systematic

More information

Compassion Fatigue: Are you running on fumes?

Compassion Fatigue: Are you running on fumes? Compassion Fatigue: Are you running on fumes? What is compassion? Feeling deep sympathy and sorrow for another who is stricken by suffering or misfortune, accompanied by a strong desire to alleviate the

More information

Liberating Restricted Visiting Policy in Greek Intensive Care Units: Is it that complicated?

Liberating Restricted Visiting Policy in Greek Intensive Care Units: Is it that complicated? Athanasiou A. RN, MSc 1 Papathanassoglou EDE. RN, MSc, PhD 2 Lemonidou C. RN, MSc, PhD 3 Patiraki E. RN, MSc, PhD 3 Giannakopoulou Μ. RN, PhD 3 1. ICU, 401 General Military Hospital of Athens 2. Cyprus

More information

Françoise Mathieu

Françoise Mathieu Managing compassion fatigue and secondary trauma - what works? Françoise Mathieu, M.Ed., RP. www.tendacademy.c om Why I started this journey Françoise Mathieu 2016 1 www.tendacademy.com Françoise Mathieu

More information

Oncology Professional Burnout

Oncology Professional Burnout 1 Oncology Professional Burnout Nancy W. Fawzy, DNSc, RN Board President, Triage Cancer This presentation is intended to provide general information on the topics presented. The author is not engaged in

More information

Outcome and Process Evaluation Report: Crisis Residential Programs

Outcome and Process Evaluation Report: Crisis Residential Programs FY216-217, Quarter 4 Outcome and Process Evaluation Report: Crisis Residential Programs April Howard, Ph.D. Erin Dowdy, Ph.D. Shereen Khatapoush, Ph.D. Kathryn Moffa, M.Ed. O c t o b e r 2 1 7 Table of

More information

SELF CARE AND RESILIENCE FOR NURSES

SELF CARE AND RESILIENCE FOR NURSES SELF CARE AND RESILIENCE FOR NURSES DELIVERED BY EILEEN HOPKINS, RGN, RCN. PROFESSIONAL LIFE COACH & TRAINER 19/02/18 ST. ITA S PORTRANE MY NURSING JOURNEY MY LIFE TODAY COMPASSION FATIGUE 4 AREAS WE WILL

More information

Burden and Coping Methods among Care Givers of Patients with Chronic Mental Illness (Schizophrenia & Bpad)

Burden and Coping Methods among Care Givers of Patients with Chronic Mental Illness (Schizophrenia & Bpad) IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 5, Issue 5 Ver. IV (Sep. - Oct. 2016), PP 43-47 www.iosrjournals.org Burden and Coping Methods among Care

More information

Reghuram R. & Jesveena Mathias 1. Lecturer, Sree Gokulam Nursing College, Venjaramoodu, Trivandrum, Kerala 2

Reghuram R. & Jesveena Mathias 1. Lecturer, Sree Gokulam Nursing College, Venjaramoodu, Trivandrum, Kerala 2 Original Article Abstract : A STUDY ON OCCURRENCE OF SOCIAL ANXIETY AMONG NURSING STUDENTS AND ITS CORRELATION WITH PROFESSIONAL ADJUSTMENT IN SELECTED NURSING INSTITUTIONS AT MANGALORE 1 Reghuram R. &

More information

Standards of Practice for Hospice Programs (2010) (Veteran-related Standards)

Standards of Practice for Hospice Programs (2010) (Veteran-related Standards) Standards of Practice for Hospice Programs (2010) (Veteran-related Standards) National Hospice and Palliative Care Organizations (NHPCO) Standards of Practice for Hospice Programs (2010) is a valuable

More information

Variables that impact the cost of delivering SB 1004 palliative care services. Kathleen Kerr, BA Kerr Healthcare Analytics September 28, 2017

Variables that impact the cost of delivering SB 1004 palliative care services. Kathleen Kerr, BA Kerr Healthcare Analytics September 28, 2017 Variables that impact the cost of delivering SB 1004 palliative care services Kathleen Kerr, BA Kerr Healthcare Analytics September 28, 2017 SB 1004 Palliative Care SB 1004 (Hernandez, Chapter 574, Statutes

More information

Walking the Walk Individual Creative Tools for Transforming Compassion Fatigue & Vicarious Trauma

Walking the Walk Individual Creative Tools for Transforming Compassion Fatigue & Vicarious Trauma Walking the Walk Individual Creative Tools for Transforming Compassion Fatigue & Vicarious Trauma Kay Glidden, M.S., Certified Compassion Fatigue Specialist & Trainer Beth Reynolds-Lewis, B.S., Certified

More information

SECONDARY TRAUMATIZATION IN PEDIATRIC HEALTHCARE PROVIDERS: COMPASSION FATIGUE, BURNOUT, AND SECONDARY TRAUMATIC STRESS

SECONDARY TRAUMATIZATION IN PEDIATRIC HEALTHCARE PROVIDERS: COMPASSION FATIGUE, BURNOUT, AND SECONDARY TRAUMATIC STRESS OMEGA, Vol. 60(2) 103-128, 2009-2010 SECONDARY TRAUMATIZATION IN PEDIATRIC HEALTHCARE PROVIDERS: COMPASSION FATIGUE, BURNOUT, AND SECONDARY TRAUMATIC STRESS PATRICK MEADORS, PH.D. ANGELA LAMSON, PH.D.

More information

"Me Time": Investing in Self Care to Stay Centered during Stressful Times

Me Time: Investing in Self Care to Stay Centered during Stressful Times Annual Conference- Atlanta, Georgia - August 23, 2016 "Me Time": Investing in Self Care to Stay Centered during Stressful Times Sandra Edmonds Crewe, Ph.D., ACSW Dean and Professor of Social Work 1. Understand

More information

Shannon Moreland, DNP, FNP, CEN University of Rochester School of Nursing Strong Memorial Hospital Rochester, NY

Shannon Moreland, DNP, FNP, CEN University of Rochester School of Nursing Strong Memorial Hospital Rochester, NY Practice Innovation Committee: Fostering the Use of Evidence-Based Practice in the Emergency Department Shannon Moreland, DNP, FNP, CEN University of Rochester School of Nursing Strong Memorial Hospital

More information

National Hospice and Palliative Care OrganizatioN. Facts AND Figures. Hospice Care in America. NHPCO Facts & Figures edition

National Hospice and Palliative Care OrganizatioN. Facts AND Figures. Hospice Care in America. NHPCO Facts & Figures edition National Hospice and Palliative Care OrganizatioN Facts AND Figures Hospice Care in America 2017 Edition NHPCO Facts & Figures - 2017 edition Table of Contents 2 Introduction 2 About this report 2 What

More information

Critical Incident 5/7/2018. Defining Critical Incident. Defusing. Defusing and Debriefing

Critical Incident 5/7/2018. Defining Critical Incident. Defusing. Defusing and Debriefing Critical Incident Defusing and Debriefing Defining Critical Incident Any event that overwhelms the normal coping abilities of an emergency worker such as EMS, Fire, Police, and Emergency room personnel.

More information

Barriers to compassion in primary care. Nathan S. Consedine, PhD Department of Psychological Medicine, University of Auckland

Barriers to compassion in primary care. Nathan S. Consedine, PhD Department of Psychological Medicine, University of Auckland Barriers to compassion in primary care Nathan S. Consedine, PhD Department of Psychological Medicine, University of Auckland Invited presentation at the NZMA s Rotorua GP CME Conference, Rotorua, June,

More information

Florida State University Libraries

Florida State University Libraries Florida State University Libraries Electronic Theses, Treatises and Dissertations The Graduate School 2005 The Effect of a Debriefing on Compassion Fatigue Levels in Public Health Nurses after Hurricanes

More information

Section V Disaster Mental Health Services Team and Program Development

Section V Disaster Mental Health Services Team and Program Development Disaster Mental Health Services Disaster Mental Health Services Team and Program Development Section V Disaster Mental Health Services Team and Program Development TEAM FORMATION AND SELECTION Staffing

More information

http://youtu.be/be8snwwbhne?t=9s Compassion - sympathetic consciousness of others distress together with a desire to alleviate it. (merriam-webster.com) or to suffer together. (greatergood.berkeley.edu)

More information

2017 Catastrophic Care. Program Evaluation. Our mission is to improve the health and quality of life of our members

2017 Catastrophic Care. Program Evaluation. Our mission is to improve the health and quality of life of our members 2017 Catastrophic Care Program Evaluation Our mission is to improve the health and quality of life of our members 2017 Catastrophic Care Program Evaluation Table of Contents Program Purpose Page 1 Goals

More information

COMPASSION SATISFACTION: SELF-PRESERVATION FOR ME. By: Sally Moore. Presented at: NACSW Convention 2014 November, 2014 Annapolis, Maryland

COMPASSION SATISFACTION: SELF-PRESERVATION FOR ME. By: Sally Moore. Presented at: NACSW Convention 2014 November, 2014 Annapolis, Maryland COMPASSION SATISFACTION: SELF-PRESERVATION FOR ME By: Sally Moore Presented at: NACSW Convention 2014 November, 2014 Annapolis, Maryland www.nacsw.org info@nacsw.org 888-426-4712 Self-Preservation for

More information

Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive Care Unit in a Selected Hospital

Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive Care Unit in a Selected Hospital International Journal of Neurosurgery 2018; 2(1): 8-12 http://www.sciencepublishinggroup.com/j/ijn doi: 10.11648/j.ijn.20180201.12 Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive

More information

2016 Complex Case Management. Program Evaluation. Our mission is to improve the health and quality of life of our members

2016 Complex Case Management. Program Evaluation. Our mission is to improve the health and quality of life of our members 2016 Complex Case Management Program Evaluation Our mission is to improve the health and quality of life of our members 2016 Complex Case Management Program Evaluation Table of Contents Program Purpose

More information

Self-Care for Nurses: Staying in Balance

Self-Care for Nurses: Staying in Balance Self-Care for Nurses: Staying in Balance Lisa Rosenzweig, PhD Psychologist MJHS Bereavement Coordinator May 10, 2016 Financial Disclosures Lisa Rosenzweig, PhD has no financial arrangements or affiliations

More information

An Approach to Developing Social Work Practice Competencies in Mental Health Setting. Dr. Prashant Talwar UNIMAS

An Approach to Developing Social Work Practice Competencies in Mental Health Setting. Dr. Prashant Talwar UNIMAS An Approach to Developing Social Work Practice Competencies in Mental Health Setting. Dr. Prashant Talwar UNIMAS 1 Social Work O Social workers have been involved in the health care field since the turn

More information

PREVALENCE AND LEVELS OF BURNOUT AMONG NURSES IN HOSPITAL RAJA PEREMPUAN ZAINAB II KOTA BHARU, KELANTAN

PREVALENCE AND LEVELS OF BURNOUT AMONG NURSES IN HOSPITAL RAJA PEREMPUAN ZAINAB II KOTA BHARU, KELANTAN IN HOSPITAL RAJA PEREMPUAN ZAINAB II KOTA BHARU, KELANTAN Zaidah Binti Mustaffa 1 & Chan Siok Gim 2* 1 Kolej Kejururawatan Kubang Kerian, Kelantan 2 Open University Malaysia, Kelantan *Corresponding Author

More information

Factors Influencing Turnover Intention in Clinical Nurses: Compassion Fatigue, Coping, Social Support, and Job Satisfaction

Factors Influencing Turnover Intention in Clinical Nurses: Compassion Fatigue, Coping, Social Support, and Job Satisfaction J Korean Acad Nurs Adm ( 간호행정학회지 ) Vol. 22 No. 5, 562-569, December 2016 ISSN 1225-9330 (Print) ISSN 2288-4955 (Online) http://dx.doi.org/10.11111/jkana.2016.22.5.562 Factors Influencing Turnover Intention

More information

Compassion Fatigue: An Expert Interview With Charles R. Figley, MS, PhD

Compassion Fatigue: An Expert Interview With Charles R. Figley, MS, PhD Compassion Fatigue: An Expert Interview With Charles R. Figley, MS, PhD Medscape Psychiatry & Mental Health. 2005;10(2) 2005 Medscape Posted 10/17/2005 Editor's Note: Disasters such as Hurricane Katrina

More information

THE INFLUENCE OF JOB STRESSOR TO PERFORMANCE OF NURSES IN PIRNGADI GENERAL HOSPITAL OF MEDAN INDONESIA

THE INFLUENCE OF JOB STRESSOR TO PERFORMANCE OF NURSES IN PIRNGADI GENERAL HOSPITAL OF MEDAN INDONESIA THE INFLUENCE OF JOB STRESSOR TO PERFORMANCE OF NURSES IN PIRNGADI GENERAL HOSPITAL OF MEDAN INDONESIA Asyiah Simanjorang 1, Ritha F Dalimunthe 2, Erna Mutiara 3 and Gerry Silaban 3 1 Doctoral Programe

More information

Relationships between Compassion Fatigue, Burnout, and Turnover Intention in Korean Hospital Nurses

Relationships between Compassion Fatigue, Burnout, and Turnover Intention in Korean Hospital Nurses J Korean Acad Nurs Vol.42 No.7 December 2012 J Korean Acad Nurs Vol.42 No.7, 1087-1094 http://dx.doi.org/10.4040/jkan.2012.42.7.1087 Relationships between Compassion Fatigue, Burnout, and Turnover Intention

More information

03/24/2017. Measuring What Matters to Improve the Patient Experience. Building Compassion Into Everyday Practice

03/24/2017. Measuring What Matters to Improve the Patient Experience. Building Compassion Into Everyday Practice Building Compassion Into Everyday Practice Christy Dempsey, MSN MBA CNOR CENP FAAN Chief Nursing Officer First OUR GOAL: OUR GOAL: Prevent suffering by optimizing care delivery Alleviate by responding

More information

Family Nurse Practitioner

Family Nurse Practitioner COMPASSION FATIGUE AND TRAUMA NURSING A Thesis Presented to the faculty of the School of Nursing California State University, San Marcos Submitted in partial satisfaction of the requirements for the degree

More information

children and families in the community

children and families in the community Self care when Hot topics in mental working with health care children and families in the community Tony Dowell Tony Dowell Department of Primary Health Care and General Practice University of Otago Wellington

More information

The relation of clinical empathy to secondary traumatic stress

The relation of clinical empathy to secondary traumatic stress Procedia - Social and Behavioral Sciences 33 (2012) 438 442 PSIWORLD 2011 The relation of clinical empathy to secondary traumatic stress Irina Crumpei a*, Ion Dafinoiu a a Facultatea de Psihologie i tiin

More information

ASSOCIATION OF CHILD LIFE PROFESSIONALS MESSAGE HANDBOOK

ASSOCIATION OF CHILD LIFE PROFESSIONALS MESSAGE HANDBOOK TRG Ceative Brief 9 9 16 - CC edits from ASSOCIATION OF CHILD LIFE PROFESSIONALS MESSAGE HANDBOOK Prepared September 2016 TABLE OF CONTENTS INTRODUCTION 3 KEY CONSIDERATIONS 4 INTERNAL MESSAGE PLATFORM

More information

National Rural Health Association. Issue Paper. Recruitment and Retention Of A Quality Health Workforce in Rural Areas

National Rural Health Association. Issue Paper. Recruitment and Retention Of A Quality Health Workforce in Rural Areas National Rural Health Association Issue Paper Recruitment and Retention Of A Quality Health Workforce in Rural Areas A series of Policy Papers on The Rural Health Careers Pipeline Number 14: Issues of

More information

Identifying Research Questions

Identifying Research Questions Research_EBP_L Davis_Fall 2015 Identifying Research Questions Leslie L Davis, PhD, RN, ANP-BC, FAANP, FAHA UNC-Greensboro, School of Nursing Topics for Today Identifying research problems Problem versus

More information

Moral Distress and Burnout: Clinicians

Moral Distress and Burnout: Clinicians Moral Distress and Burnout: Clinicians Sean M Bagshaw, MD, MSc Department of Critical Care Medicine, University of Alberta, Edmonton, Canada CCCF, Toronto, Canada October 2, 2017 13:30 13:50 2017 Disclosures

More information

Compassion fatigue in oncology nursing: A witness to suffering

Compassion fatigue in oncology nursing: A witness to suffering continuing education educational objectives After participating in this activity, clinicians should be better able to Identify the difference between burnout and compassion fatigue/secondary traumatic

More information

Behavioral Health Services. Division of Nursing Homes

Behavioral Health Services. Division of Nursing Homes Behavioral Health Services Division of Nursing Homes 483.40 Behavioral Health Services Overview F740 Introduction to Behavioral Health Services F741 Sufficient and Competent Staff F742 Treatment/Services

More information

The significance of staffing and work environment for quality of care and. the recruitment and retention of care workers. Perspectives from the Swiss

The significance of staffing and work environment for quality of care and. the recruitment and retention of care workers. Perspectives from the Swiss The significance of staffing and work environment for quality of care and the recruitment and retention of care workers. Perspectives from the Swiss Nursing Homes Human Resources Project (SHURP) Inauguraldissertation

More information

Sustainable Improvement. Michael P. Silver, MPH CVP, Improvement Science October, 2017

Sustainable Improvement. Michael P. Silver, MPH CVP, Improvement Science October, 2017 Sustainable Improvement Michael P. Silver, MPH CVP, Improvement Science October, 2017 Sustainable Improvement Resiliency positive adaptation in the context of adversity or risk Strengthening Primary Care

More information

Trait Anxiety and Hardiness among Junior Baccalaureate Nursing students living in a Stressful Environment

Trait Anxiety and Hardiness among Junior Baccalaureate Nursing students living in a Stressful Environment Trait Anxiety and Hardiness among Junior Baccalaureate Nursing students living in a Stressful Environment Tova Hendel, PhD, RN Head, Department of Nursing Ashkelon Academic College Israel Learning Objectives

More information

Understanding the Relationship Between Nurse Engagement and Patient Experience. Session ID: 467

Understanding the Relationship Between Nurse Engagement and Patient Experience. Session ID: 467 Understanding the Relationship Between Nurse Engagement and Patient Experience Session ID: 467 Objectives 1. Discuss current challenges and competing priorities for nurse leaders in the move to value based

More information

2

2 1 2 3 4 5 6 7 Abuse in care facilities is a problem occurring around the world, with negative effects. Elderly, disabled, and cognitively impaired residents are the most vulnerable. It is the duty of direct

More information

Compassion Fatigue Among Travel Nurses

Compassion Fatigue Among Travel Nurses Compassion Fatigue Among Travel Nurses Item Type text; Electronic Dissertation Authors Kramer, Loretta Rose Publisher The University of Arizona. Rights Copyright is held by the author. Digital access to

More information

Patients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study.

Patients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study. d AUSTRALIAN CATHOLIC UNIVERSITY Patients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study. Sue Webster sue.webster@acu.edu.au 1 Background

More information

Emergency Nurses Perception of Incivility in the Workplace

Emergency Nurses Perception of Incivility in the Workplace Emergency Nurses Perception of Incivility in the Workplace Katy Garth, PhD, APRN, Dana Manley, PhD, APRN, Dina Byers, PhD, APRN, & Betty Kuiper, PhDc, RN Murray State University School of Nursing & Baptist

More information

The Relationship between Compassion Fatigue and Self-Transcendence among Inpatient Hospice Nurses

The Relationship between Compassion Fatigue and Self-Transcendence among Inpatient Hospice Nurses Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2015 The Relationship between Compassion Fatigue and Self-Transcendence among

More information

PG snapshot Nursing Special Report. The Role of Workplace Safety and Surveillance Capacity in Driving Nurse and Patient Outcomes

PG snapshot Nursing Special Report. The Role of Workplace Safety and Surveillance Capacity in Driving Nurse and Patient Outcomes PG snapshot news, views & ideas from the leader in healthcare experience & satisfaction measurement The Press Ganey snapshot is a monthly electronic bulletin freely available to all those involved or interested

More information

Palliative Care Competencies for Occupational Therapists

Palliative Care Competencies for Occupational Therapists Principles of Palliative Care Demonstrates an understanding of the philosophy of palliative care Demonstrates an understanding that a palliative approach to care starts early in the trajectory of a progressive

More information

Ian Nisonson, M.D. 11/2/2017

Ian Nisonson, M.D. 11/2/2017 Ian Nisonson, M.D., FACS Conference Director President of Baptist-South Miami Medical Staff (1997-1999) Senior Active Medical Staff, Baptist Hospital of Miami Adjunct Assistant Professor, Herbert Wertheim

More information

Antecedents and outcomes of new graduate nurses experiences of workplace mistreatment. April 13th, 2012 Emily Read, MSc, RN

Antecedents and outcomes of new graduate nurses experiences of workplace mistreatment. April 13th, 2012 Emily Read, MSc, RN Antecedents and outcomes of new graduate nurses experiences of workplace mistreatment April 13th, 2012 Emily Read, MSc, RN Background Nursing faces a worker shortage Average age of Canadian nurse ~46 Shortage

More information

Massachusetts Nurses Association Congress on Health and Safety And Workplace Violence and Abuse Prevention Task Force

Massachusetts Nurses Association Congress on Health and Safety And Workplace Violence and Abuse Prevention Task Force Massachusetts Nurses Association Congress on Health and Safety And Workplace Violence and Abuse Prevention Task Force 24 Survey on Workplace Violence Summary of Results Released on August 24, 25 Prepared

More information

Summer Huntley-Dale, PhD, RN Assistant Professor Western Carolina University

Summer Huntley-Dale, PhD, RN Assistant Professor Western Carolina University Summer Huntley-Dale, PhD, RN Assistant Professor Western Carolina University Purpose Research Questions and Hypotheses Theoretical Framework Methodology Results, Findings and Implications Generalizations

More information

Payment Reforms to Improve Care for Patients with Serious Illness

Payment Reforms to Improve Care for Patients with Serious Illness Payment Reforms to Improve Care for Patients with Serious Illness Discussion Draft March 2017 Payment Reforms to Improve Care for Patients with Serious Illness Page 2 PAYMENT REFORMS TO IMPROVE CARE FOR

More information

PROMOTING HEALTHY BEHAVIORS IN NURSING STUDENTS. Donna Callaghan, PhD, RN-BC, GCNS-BC, CNE Associate Professor Faith Community Nurse

PROMOTING HEALTHY BEHAVIORS IN NURSING STUDENTS. Donna Callaghan, PhD, RN-BC, GCNS-BC, CNE Associate Professor Faith Community Nurse PROMOTING HEALTHY BEHAVIORS IN NURSING STUDENTS Donna Callaghan, PhD, RN-BC, GCNS-BC, CNE Associate Professor Faith Community Nurse DISCLOSURE SLIDE AUTHOR: Donna Callaghan LEARNER OBJECTIVES: 1. Summarize

More information

WORK-FAMILY CONFLICT: EFFECTS AND COPING STRATEGIES AMONG FEMALE EMPLOYEES BY AGNES AMISSAH (PHD) & EMMANUEL GAMOR (M.PHIL)

WORK-FAMILY CONFLICT: EFFECTS AND COPING STRATEGIES AMONG FEMALE EMPLOYEES BY AGNES AMISSAH (PHD) & EMMANUEL GAMOR (M.PHIL) WORK-FAMILY CONFLICT: EFFECTS AND COPING STRATEGIES AMONG FEMALE EMPLOYEES BY AGNES AMISSAH (PHD) & EMMANUEL GAMOR (M.PHIL) INTRODUCTION Work and family are known as the two main domains or distinct fields

More information

Compassion Fatigue: It s Not Just for Nurses Anymore

Compassion Fatigue: It s Not Just for Nurses Anymore Compassion Fatigue: It s Not Just for Nurses Anymore 2018 SCEAPA Conference February 12, 2018 Presented by: Troy Schiedehelm, EdD, LPCS & Karla Lever, PhD, LPCS, CEAP Carolinas HealthCare System EAP 720

More information

Dignity & Compassion in Care

Dignity & Compassion in Care Dignity & Compassion in Care What is compassion A sensitivity to the suffering of self and others, with a deep commitment to try and relieve it The Dalai Lama (1995) The 6 C s People who use health and

More information

12/12/2017. Addressing Compassion Fatigue in the Intensive Care Unit (ICU): An Interdisciplinary Staff Support Group. Disclosure slide.

12/12/2017. Addressing Compassion Fatigue in the Intensive Care Unit (ICU): An Interdisciplinary Staff Support Group. Disclosure slide. Addressing Compassion Fatigue in the Intensive Care Unit (ICU): An Interdisciplinary Staff Support Group Combined Sections Meeting 2018 New Orleans, LA, February 21-24, 2018 Miriam Gross PT, DPT, NCS Senior

More information

UNDERSTANDING COMPASSION FATIGUE

UNDERSTANDING COMPASSION FATIGUE UNDERSTANDING COMPASSION FATIGUE PREPARED FOR HOSPICE WELLINGTON OCTOBER 2015 Ryan Hill*, Oriana Vaccarino**, Kerry J. Daly*** *Research Shop Intern **Research Shop Project Manager ***Faculty Member Citation:

More information

Professional Practice: Nursing as a Career, not a Job

Professional Practice: Nursing as a Career, not a Job Objective: Professional Practice: Nursing as a Career, not a Job Cheri Constantino-Shor, MSN, RN, CRNI, CMSRN Postoperative Clinical Nurse Specialist Swedish Medical Center At the end of this course, the

More information

Predictors of Moral Distress among Jordanian Critical Care Nurses

Predictors of Moral Distress among Jordanian Critical Care Nurses International Journal of Nursing Science 2013, 3(2): 45-50 DOI: 10.5923/j.nursing.20130302.03 Predictors of Moral Distress among Jordanian Critical Care Nurses Rabia Allari 1,*, Fathieh Abu-Moghli 2 1

More information

PLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral Health track

PLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral Health track San Mateo Medical Center Medical Psychiatry Services 222 W. 39 th Ave. San Mateo, CA 94403 (650)573-2760 PLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral

More information

Missed Nursing Care: Errors of Omission

Missed Nursing Care: Errors of Omission Missed Nursing Care: Errors of Omission Beatrice Kalisch, PhD, RN, FAAN Titus Professor of Nursing and Chair University of Michigan Nursing Business and Health Systems Presented at the NDNQI annual meeting

More information

Nurses' Burnout Effects on Pre-operative Nursing Care for Patients at Cardiac Catheterization Centers in Middle Euphrates Governorates

Nurses' Burnout Effects on Pre-operative Nursing Care for Patients at Cardiac Catheterization Centers in Middle Euphrates Governorates International Journal of Scientific and Research Publications, Volume 6, Issue 7, July 2016 208 Nurses' Burnout Effects on Pre-operative Nursing Care for Patients at Cardiac Catheterization Centers in

More information

Florida State University Libraries

Florida State University Libraries Florida State University Libraries Electronic Theses, Treatises and Dissertations The Graduate School 2005 Emergency Department Nurses' Lived Experience with Compassion Fatigue Michelle M. Chase Follow

More information

Long-Stay Alternate Level of Care in Ontario Mental Health Beds

Long-Stay Alternate Level of Care in Ontario Mental Health Beds Health System Reconfiguration Long-Stay Alternate Level of Care in Ontario Mental Health Beds PREPARED BY: Jerrica Little, BA John P. Hirdes, PhD FCAHS School of Public Health and Health Systems University

More information

MANAGING TIME AND STRESS. There is an old saying that : time is money. In health care, time affects both money and quality

MANAGING TIME AND STRESS. There is an old saying that : time is money. In health care, time affects both money and quality MANAGING TIME AND STRESS 1 There is an old saying that : time is money. In health care, time affects both money and quality 2 1 The Present Yesterday is History Tomorrow s a Mystery But Today is a Gift

More information

Reference Understanding and Addressing Moral Distress, Epstein & Delgado, Nursing World, Sept. 30, 2010

Reference Understanding and Addressing Moral Distress, Epstein & Delgado, Nursing World, Sept. 30, 2010 Moral Distress and Moral Resilience Nurses encounter many situations in their work place that can cause moral distress. Moral distress is defined by an inability to act in alignment with one s moral values

More information

Predicting use of Nurse Care Coordination by Patients in a Health Care Home

Predicting use of Nurse Care Coordination by Patients in a Health Care Home Predicting use of Nurse Care Coordination by Patients in a Health Care Home Catherine E. Vanderboom PhD, RN Clinical Nurse Researcher Mayo Clinic Rochester, MN USA 3 rd Annual ICHNO Conference Chicago,

More information

The Relationship of Education on Geriatric Nurse Practitioners Frequency of Providing Spiritual Care in Practice

The Relationship of Education on Geriatric Nurse Practitioners Frequency of Providing Spiritual Care in Practice Hope College Digital Commons @ Hope College Faculty Presentations 9-2013 The Relationship of Education on Geriatric Nurse Practitioners Frequency of Providing Spiritual Care in Practice Barbara Vincensi

More information

STUDY PLAN Master Degree In Clinical Nursing/Critical Care (Thesis )

STUDY PLAN Master Degree In Clinical Nursing/Critical Care (Thesis ) STUDY PLAN Master Degree In Clinical Nursing/Critical Care (Thesis ) I. GENERAL RULES AND CONDITIONS:- 1. This plan conforms to the valid regulations of the programs of graduate studies. 2. Areas of specialty

More information

Resilience. CLEAR Annual Educational Conference Regulator s Approach to Ensuring Registrants are Resilient. New Orleans, Louisiana Sept.

Resilience. CLEAR Annual Educational Conference Regulator s Approach to Ensuring Registrants are Resilient. New Orleans, Louisiana Sept. Regulator s Approach to Ensuring Registrants Ginny Hanrahan and Jenny Bulbulia, CORU Ireland Resilience The world breaks everyone, and afterward, some are stronger at the broken places. Hemmingway, A Farewell

More information

Improving Intimate Partner Violence Screening in the Emergency Department Setting

Improving Intimate Partner Violence Screening in the Emergency Department Setting The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based

More information

Anxiety and Related Symptoms among Critical Care Nurses in Albaha, Kingdom of Saudi Arabia

Anxiety and Related Symptoms among Critical Care Nurses in Albaha, Kingdom of Saudi Arabia http://www.aimspress.com/ AIMS Medical Science, Volume 2 (4): 303 309. DOI:10.3934/medsci.2015.4.303 Received date 18 June 2015, Accepted date 17 September 2015, Published date 21 September 2015 Research

More information

The Watson Room: Managing Compassion Fatigue in Clinical Nurses on the Front Line

The Watson Room: Managing Compassion Fatigue in Clinical Nurses on the Front Line Walden University ScholarWorks Walden Dissertations and Doctoral Studies 2016 The Watson Room: Managing Compassion Fatigue in Clinical Nurses on the Front Line Crystal Denise Crewe Walden University Follow

More information

Adult Apgar Test. 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger.

Adult Apgar Test. 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger. Adult Apgar Test Score 0=hardly ever 1=sometimes 2=almost always 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger. 2. I am satisfied that my

More information

Running head: PICO 1. PICO Question: In regards to nurses working in acute care hospitals, how does working

Running head: PICO 1. PICO Question: In regards to nurses working in acute care hospitals, how does working Running head: PICO 1 PICO Question: In regards to nurses working in acute care hospitals, how does working twelve-hour shifts versus eight-hour shifts contribute to nurse fatigue? Katherine Ouellette University

More information

Compassion Fatigue, the Wellness of Care Providers, and the Quality of Patient Care

Compassion Fatigue, the Wellness of Care Providers, and the Quality of Patient Care Portland State University PDXScholar University Honors Theses University Honors College 2015 Compassion Fatigue, the Wellness of Care Providers, and the Quality of Patient Care Merna Labib Portland State

More information

Dial Code Grey Pip3 Male Side This Is The Head Nurse

Dial Code Grey Pip3 Male Side This Is The Head Nurse Dial 77 88 Code Grey Pip3 Male Side This Is The Head Nurse By Janet Ferguson, PMHCNS-BC, Associate Director Behavioral Health Nursing, and Donna Leno-Gordon, RNMS, MPA, Director Behavioral Health Nursing

More information

Running Head: READINESS FOR DISCHARGE

Running Head: READINESS FOR DISCHARGE Running Head: READINESS FOR DISCHARGE Readiness for Discharge Quantitative Review Melissa Benderman, Cynthia DeBoer, Patricia Kraemer, Barbara Van Der Male, & Angela VanMaanen. Ferris State University

More information

Collaborative. Decision-making Framework: Quality Nursing Practice

Collaborative. Decision-making Framework: Quality Nursing Practice Collaborative Decision-making Framework: Quality Nursing Practice SALPN, SRNA and RPNAS Councils Approval Effective Sept. 9, 2017 Please note: For consistency, when more than one regulatory body is being

More information

REDUCTION OF PSYCHIATRIC PATIENT BOARDING IN THE ED

REDUCTION OF PSYCHIATRIC PATIENT BOARDING IN THE ED The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library Geschke Center Master's Projects and Capstones Theses, Dissertations, Capstones and Projects Summer 8-17-2015 REDUCTION

More information

Hospice Palliative Care

Hospice Palliative Care Position Statement Hospice Palliative Care A Position Statement September 2011 HOSPICE PALLIATIVE CARE: A SEPTEMBER 2011 i Approved by the College and Association of Registered Nurses of Alberta () Provincial

More information

The Effects of Workplace Bullying on the Productivity of Novice Nurses

The Effects of Workplace Bullying on the Productivity of Novice Nurses This research study was supported by the National Institute for Occupational Safety and Health Pilot Research Project Training Program of the University of Cincinnati Education and Research Center Grant

More information