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Compassion fatigue among health care professionals can have a serious impact on patient care. When health care providers are suffering from compassion fatigue, they may be less able to empathize with patients and provide high-quality care. Compassion fatigue may also lead to burnout, which can further reduce the quality of patient care. Compassion fatigue is a state of mind in which a nurse becomes less compassionate while caring for their patients. Compassion fatigue is actually quite common in healthcare settings, with some studies reporting that 7.3% to 40% of participants were afflicted with the condition. Stress and burnout are two of the main causes of burnout in nurses. Compassion fatigue in nursing must be treated as a workplace hazard as soon as possible. When you or someone you know displays compassion fatigue, you should seek professional help as soon as possible. Nurses are accustomed to putting others’ needs ahead of their own, so they struggle to improve self-care. Compassion fatigue is felt by a number of other people, not just healthcare professionals and first responders. Although frontline workers are at risk of contracting the pandemic, those at home are experiencing and witnessing far more suffering than before. Furthermore, compassion fatigue can impact HR team members who are naturally empathetic but lack adequate coping mechanisms, as well as those who do not have a work-life balance at all. They can lead to exhaustion, weariness, and, in some cases, shutdowns for affected professionals. Compassion fatigue affects 7.3% of workers in intensive care units, but it affects 40%. It rises to 25% to 70% among inexperienced mental health professionals When health professionals are consistently present and care for patients following trauma, they are more likely to develop this condition. According to an article published in the journal Occupational Medicine in March 2020 about 306 social workers, compassion fatigue was associated with increased absences from work due to sickness, higher turnover rates, lower morale, and impaired judgment. How Does Compassion Affect Patient Outcomes? Credit: www.myamericannurse.com A study suggests that compassionate care is the most effective medicine. Compassion and empathy can be used by health care workers to speed healing and reduce pain and anxiety for patients, according to Stanford University’s Center for Compassion and Altruism Research and Education. A nursing assistant who spots a patient’s shaky gait and walks with them to their car is an example of compassionate care. It has been demonstrated that patients who feel empathy are more likely to take their medication and adhere to their aftercare guidelines. If you’re looking for a new boss, make it a point to ask them to walk you through a difficult time at work. It can help you find compassionate and empathetic candidates. Training your staff on compassion skills should be a constant priority. Give public recognition and gift cards to acts of kindness. The staff must be willing to show adequate compassion in order to provide a high-quality healthcare experience. It is also critical to be knowledgeable and appreciative of the patient. Patients feel cared for and respected when they are treated respectfully. It can help them feel more in control of their lives by reducing their worries. When a patient is treated respectfully, he or she is more likely to collaborate with healthcare professionals and to discuss their health concerns. When doctors and other healthcare professionals work together more closely, patient outcomes can be improved at a faster rate. What Are The Effects Of Compassion Fatigue On Nurses? Credit: headhearthand.org The effects of compassion fatigue on nurses are both physical and emotional. On a physical level, nurses may experience headaches, body aches, fatigue, and disturbed sleep. Emotionally, nurses may feel overwhelmed, anxious, irritable, and depressed. Compassion fatigue can also lead to a sense of isolation, as nurses may feel like they are the only ones experiencing these challenges. According to a survey conducted by the American Nurses Foundation in 2021, 81% of nurses reported feeling exhausted in 2021, while 70% felt overwhelmed. Nurses suffering from compassion fatigue become less empathetic and compassionate toward patients. It happens because of exhaustion and mental stress caused by prolonged exposure to trauma, and because interventions are ineffective in preventing this. Nurses’ thoughts, moods, and states of mind can be affected by how they interact with others. Compassion fatigue occurs when you are unable to focus or have overwhelming feelings for others. In nursing, compassion fatigue symptoms can range from irritability to depression to a loss of personal and professional pride. Nurses may experience compassion fatigue when they devote themselves so much to assisting others that they miss out on their own needs. Burnout occurs in a number of nursing homes, with nurses frequently feeling dissatisfaction with their jobs and even leaving the profession. To help deal with compassion fatigue, we must first assess ourselves and willingness to seek assistance or improve our self-care. Secondary traumatic stress occurs when a witness or someone who is a witness is subjected to violence or threats to their personal safety. Compassion fatigue is based on Watson’s theory of human caring. Watson’s theory of human caring postulates an empathic relationship between patient and nurse. Watson’s concept of compassion fatigue is based on his theory of human caring. Compassion fatigue is based on a theory of human caring that was developed by Watson. Compassion fatigue theory suggests that nurses become worn down after a certain amount of time with patients. According to this theory, there is a basic empathic relationship between patients and nurses, and that nurses can become tired of feeling like they are constantly caring for patients after a certain amount of time. It is possible for fatigue to lead to burnout and secondary traumatic stress. The symptoms of compassion fatigue, in addition to fatigue, are typically similar to those of other types of chronic pain. In the process, you may feel depressed, lose motivation, and become less active. When nurses experience compassion fatigue, they may become less effective, less satisfied with their work, and less willing to work. What Two Needs Does Compassion Fatigue Affect? Compassion fatigue is a type of burnout that can affect people who work in fields where they are constantly exposed to other people’s trauma. It can lead to feelings of cynicism, detachment, and isolation. Compassion fatigue can also affect people’s physical and mental health. There are several symptoms of CF, such as a diminished ability to provide emotional support, a diminished sense of motivation, and a sense of detachment from others. A person suffering from CF is most likely affected by trauma, such as natural disasters and war veterans, or by chronic trauma, such as child abuse survivors. The problem is a serious one that can cause a loss of compassion as well as a decline in the quality of care provided to trauma victims. There is no one-size-fits-all solution for managing CF, and strategies that work well for one person may not work well for another. To effectively manage CF, you must first identify and address the symptoms and signs, as well as take the necessary steps to address them. If you work with someone who has been traumatized, you should take precautions to protect yourself from the effects of CF. The risks of CF victims can be reduced through a variety of measures, as can the care provided to them. If you want to improve your performance, you should be open to trying new things because strategies that work well for one person may not work well for another. It is also critical to remember that CF is a temporary condition that can be managed with the assistance of a supportive environment and appropriate tools and resources. The Consequences Of Compassion Fatigue Workers who assist victims of violence, war, natural disasters, and other humanitarian crises are frequently fatigued and burned out (1). Psychology, social work, and nursing professionals who deal with trauma victims or those who have had extreme stress are frequently fatigued by compassion fatigue. It is also common among physicians, therapists, and other health care professionals who care for patients with chronic illnesses. Compassion fatigue has a number of negative consequences. Compassion fatigue can have a significant impact on a number of health issues, including physical and psychiatric disorders. What is compassion fatigue? Compassion fatigue is most common among those who work with violence, war, natural disasters, or other humanitarian crises. What Are The Risks Of Compassion Fatigue? When compassion fatigue is not treated, it can lead to mental health issues such as depression, anxiety, obsessive compulsive disorders, and substance abuse. It may seem counterproductive to help others while wearing your own oxygen mask, but it is required. When people confuse compassion fatigue with burnout, which is a cumulative sense of fatigue or dissatisfaction, they are usually referring to something else. This is most common in professionals who specialize in healing or assisting people. When the emotional impact of your work becomes overwhelming, you may experience compassion fatigue; being affected by your work is part of the job description in caregiving professions. Compassion fatigue is most commonly observed when a person withdraws from social circles and exhibits numbness. Compassion fatigue has been linked to secretive self-medication and addiction, as well as stigma associated with it. Long-term stress can be detrimental to your memory and concentration, making it difficult to concentrate on your work. Many caregivers and professionals have a difficult time adjusting to their new role as caregivers and professionals. COVID-19 victims have access to a highly specialized group of professionals. Compassion fatigue is thought to be a possibility, especially if they are constantly dealing with the trauma and stress of the pandemic. Social workers could be at risk as a result of this. In order to provide compassionate care, psychologists must be able to do so without feeling overwhelmed. During times of stress, it is possible to accomplish this by providing support and resources such as counseling. A healthy approach should also be taken to dealing with compassion fatigue by ensuring that psychologists have the appropriate tools to deal with it. What Is Compassion Fatigue In Nursing Compassion fatigue is characterized by an increase in the level of compassion for patients that a nurse displays over time. Compassion fatigue is quite common in healthcare settings, according to some studies, with 7.3% to 40% of study participants suffering from the condition. Nurses who have compassion fatigue are in danger of developing it. Compassion fatigue is caused by repeated exposure to pain and suffering among others, high stress environments, and the constant giving of oneself. In order to reduce compassion fatigue, preventative and restorative measures must be implemented at the individual and organizational levels. The following databases were searched: OVID, Science Direct, Academic One File, Criminal Justice Abstracts, Education Full Text (H.W. Wilson), and many more. Nurses who received motivational messages were found to have higher job satisfaction, compassion, and communication skills in comparison to those who received no messages. In this article, we’ll look at the relationship between nurses’ professional quality of life, mindfulness, and competitiveness. Trauma in Animal Protection and Welfare Work: The Potential of Trauma-Informed Practice. To understand what is meant by primary and secondary trauma, you must first distinguish between these two types of trauma. When there is a truly traumatic event that involves sexual assault or war, the primary trauma is a primary trauma. A secondary trauma, on the other hand, is a condition that is not as severe as first-degree trauma but still causes significant harm. For example, a worker who is constantly subjected to criticism from their boss may suffer from secondary trauma. In addition, the distinction between primary and secondary trauma must be made in order to determine the type of intervention required. As an example, if a worker has experienced primary trauma, they may require professional assistance in dealing with it. Secondary trauma can impact a worker in a negative way, so mindfulness or cognitive behavioral therapy may be beneficial in treating this. It is frequently thought that compassion fatigue affects military veterans, but it is also a problem among professionals working in stressful environments. Compassion fatigue, according to the National Institute of Occupational Safety and Health, is a condition that is characterized by the impact of assisting others. The shortening of recovery time from stress than from stress itself, increased vulnerability to relapse, and increased risk for burnout are all characteristics of stress. Because compassion fatigue can be prevented, it is critical to manage it. The National Institute of Occupational Safety and Health defines burnout as a syndrome that describes the effects of a stressful work environment. It is characterized by a weakened ability to meet work demands, increased absenteeism, and decreased productivity (Cocker, 2016). It is critical to manage burnout before it becomes a long-term issue. The management of compassion fatigue is critical in order to reduce it. How To Prevent Compassion Fatigue Among Nurses People who have been subjected to trauma are often treated and seen by nurses at first. When you are subjected to this, you may feel drained and detached from yourself. Nurses are committed to assisting patients and providing them with the best care possible. When they experience compassion fatigue, however, their compassion may fade and they may be less caring and detached. A lack of patient care can result from this. It’s critical to keep compassion fatigue at bay. Make certain that you are adequately rested and that your work is carried out in a proper manner. Discuss work-related issues and symptoms with your supervisor. If you are experiencing compassion fatigue, you should seek professional help from your doctor or therapist. You can benefit from their services if you are suffering from a medical condition or if you want to improve your work performance. Compassion Fatigue Resiliency Program Compassion fatigue resiliency programs are designed to help individuals who work in high-stress professions to develop the skills necessary to cope with compassion fatigue. These programs typically involve a combination of education, self-care, and peer support. The goal of these programs is to help participants become more resilient to the effects of compassion fatigue and to provide them with the tools they need to continue to provide care for others.
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Şefkat, insanları acı duyma ya da benzeri sıkıntılı zamanlarda bir arada tutan, değerli ve önemli bir duygudur. Şefkat duygusu empati ve saygıya göre bireyi tek ve özel olarak kabul eder (Korkmaz & Uslu, 2017). Şefkat yorgunluğuna baktığımızda literatüre çok yeni girmiş bir kavramdır. Genellikle yurtdışı kaynaklı araştırmalarda yer almaktadır. Araştırmalar çoğunlukla ‘Öz şefkat’ ve ‘Bilinçli Farkındalık’ kavramları çevresinde toplanmıştır. Bazı kaynaklarda eşduyum ve merhamet yorgunluğu olarak da geçen şefkat yorgunluğu bir başkası yerine davranma, başkasını travmasından etkilenme olarak tanımlanabilmektedir. Başkası yerine davranma derken kastedilen durum fazla empati duygusuyla harekete geçmektir (Pehlivan & Güner, 2018). Nussbaum (2001) şefkatli davranışın birinin acı çektiğinin ve bu acının ciddi olduğunun fark edilmesiyle başladığını belirtmektedir (Akt., Pehlivan & Güner, 2018). Bu yüzden şefkat her zaman pozitif bir duygu olarak karşımıza çıkmayacağı gibi şefkat yorgunluğu etkisi yaratabilir (Denk, 2018). Şefkat yorgunluğu için diğer bir tanım; ruh sağlığı alanında hizmet veren kişilerce diğer insanlara karşı empati kurma ve danışmanlık yapma isteği ile becerilerini kullanmaya yönelik yaygın azalmaya sebebiyet veren ruhsal, duygusal, sosyal ve fiziksel olarak kişilerin tükenme durumuna girmesi şeklinde açıklanabilir (Dikmen & Aydın, 2016). Şefkat yorgunluğunda yaşanan travma ikincil bir travmadır. Burada bireyler doğrudan kendileri acı verici travmatik deneyime maruz kalmaz ama acı çeken bireyin acı çekme sürecine tanıklık etmesi nedeniyle travma yaşamaktadır (Figley, 1995; Akt. Korkmaz &Uslu, 2017). Şefkat yorgunluğunun, yardım eden kişilerin empati düzeyine bağlı olarak, travmaya uğramış ya da aşırı stresli olaylar yaşayan bireylerle çalışmanın doğal bir sonucu olarak ortaya çıktığı ifade edilmektedir. Diğer bir görüş, hastalarda iyileşme görmeden, acı çeken bireylere uzun bir süre, yüksek seviyede empati ve şefkat göstermenin sonucu olarak ortaya çıktığıdır (Figley, 2002). Şefkat yorgunluğu duygusal tükenmişlik, duyarsızlaşma ve yetersizlik ile ilgili bir durumdur. Belirtileri çok çeşitli olmakla birlikte travma belirtileri göstermektedir. Üzüntü, depresyon, geçmişe ait kaygı verici görüntüleri düşünme, kaçınma davranışı ve düşük benlik saygısı şefkat yorgunluğunun belirgin belirtileridir (Stamm010). Aynı zamanda konsantrasyon güçlüğü, huzursuzluk, duygusal çöküntü ve izolasyon gibi eşlik eden belirtiler de vardır. Şefkat yorgunluğu bu belirtilerle birlikte bireyin hayatını çok yönde etkiler. Sadece iş doyumu açısından etkilemekle kalmaz ayrıca iş çevresinde verimliliğinin düşmesi, kişilerarası iletişiminde bozulma ve işten ayrılmaya sebep olmaktadır (Korkmaz & Uslu, 2017). Ruh sağlığı çalışanlarının kendi hayatlarının yanısıra danışanları için de şefkat yorgunluğu büyük tehlike oluşturabilir. Danışanların güvenliği ve etkin hizmet almaları açısından risk taşıyabilir. Figley (2002) şefkat yorgunluğunun nedenleri hakkında bir model ileri sürmüştür. Modelin içeriğindeki nedenlerden birkaçı şöyle sıralanmıştır: - Başarı hırsı - Travmatik olaylara sürekli maruz kalma - Fazla empati duygusu Bu nedenlere baktığımızda ruh sağlığı çalışanları için zor bir durum olan şefkat yorgunluğu, empati ve şefkat duygusunu kontrol etmek açısından önemlidir. Duygulara dair farkındalık burada etkin rol oynamaktadır. En başta ilişkili kavramlardan olan bilinçli farkındalık, duyguların yaşandığı ‘an’ da fark edilmesine olanak sağlar. Birey duygusunu fark ederse kendisine dair öz-şefkat düzeyini bilebilir. Böylece işten kalan zamanlarda zihinsel ve fiziksel iyilik hali için kendisine bakmanın önemini kavrar fakat bunun olması için önleyici ve bireysel çalışmalar yaparak bireylere şefkat yorgunluğunun farkındalığı kazandırılabilir. Öz şefkatin önemini anlatmak ve devamlılığını sağlamak destekleyici bir çalışma olabilir. Şefkat yorgunluğuna geniş bir açıdan bakarsak ondan korunmanın en etkili yöntemi kendimize zaman ayırmak ve iyi bakmak diyebiliriz. ‘Kendini sevmek; eşsizliğini yeniden keşfetmek ve sürdürmek için mücadele etmektir.” demiş Leo Buscaglia. Belki de ona kulak vermek şefkat yorgunluğuna karşı bizi güçlü kılabilir. KAYNAKÇA 1. Denk, T. (2018). Bir Üniversite Hastanesinde Çalışan Hemşirelerde Mesleki Yaşam Kalitesi Merhamet Memnuniyeti Merhamet Yorgunluğu. (Yayımlanmamış yüksek lisans tezi). Hasan Kalyoncu Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı, Gaziantep. 2. Dikmen, Y. ve Aydın, Y. (2016). Hemşirelerde Merhamet Yorgunluğu: Ne? Nasıl? Ne Yapmalı?, Journal of Human Rhythm, 2(1), 14-21. 3. Figley, (2002). Figley CR. Compassion fatigue: psychotherapists’ chronic lack of self care. J Clin Psychol, 2002; 58:1433-1441. 4. Korkmaz, F ve Uslu, Y. (2017). Hemşirenin Hissi Tarafı: Şefkat Yorgunluğu. Ege Üniversitesi Hemşirelik Fakültesi Dergisi , 33 (1) , 123-133. 5. Pehlivan, T. ve Güner, P. (2018). Merhamet yorgunluğu: Bilinenler, bilinmeyenler. Psikiyatri Hemşireliği Dergisi, 9(2), 129-134. 6. Stamm, B.H. (2010). The Concise ProQOL Manual. 2nd Edition, Pocatello, ID: ProQOL.org. GÖRSEL KAYNAKÇA https://multiplesclerosis.net/living-with-ms/compassion-fatigue/ https://lungcancer.net/caregiver/compassion-fatigue/ https://locallove.ca/life/is-compassion-fatigue-taking-a-toll-on-your-health/#.XnY7OIgzbIU İdil Sera ŞAHİN Ege Üniversitesi/ Aday Psikolojik Danışman Bugüne Kadar Toplam 2,216 Görüntülenme, (Bugün) 1 Görüntülenme