儿科护士同情心疲乏现状及其对儿科护理质量的影响

目的分析儿科护士同情心疲乏现状及其对儿科护理质量的影响。方法 2016年1-12月便利抽样选取黄石市2所综合性医院、1所专科医院的262名儿科护士为研究对象,采用Stamm设计的专业生活品质量表(professional quality of life,Pro QOL)中文版调查儿科护士的同情心疲乏现状;通过参阅病历和现场调查的方法,对262名护士进行儿科护理质量评估。结果儿科护士同情心疲乏各维度得分为:二次创伤(22.84±4.04)分、倦怠(22.72±3.62)分和同情心满足(32.46±5.15)分;不同年龄、职称、学历、工作年限护士间各同情心疲乏维度得分差异有统计学意义(P0.05或P0.01);儿科护理质量得分为要素质量(31.22±2.24)分、环节质量(26.17±2.58)分、终末质量(31.41±2.38)分;护士同情心疲乏中的二次创伤和倦怠维度与儿科护理质量各指标评分呈负相关(P0.05),同情心满足与儿科护理质量各指标评分呈正相关(P0.05)。结论儿科护士存在明显的同情心疲乏,其中二次创伤、倦怠维度与儿科护理质量呈负相关,同情心满足维度与护理质量呈正相关。     

肿瘤科护士工作满意度和同情心负荷的相关性研究

目的探讨肿瘤科护士工作满意度与同情心负荷状况,并分析二者的相关性。方法采用卡劳斯克与米勒满意度量表和同情心负荷量表对424名肿瘤科护士进行调查。结果肿瘤科护士工作满意度总分为(100.57±15.07)分;同情心满足感得分为(34.20±5.33)分,同情心疲乏得分为(20.09±4.53)分,工作倦怠得分为(18.15±4.20)分。工作满意度与同情心负荷呈正相关(P0.01),与同情心疲乏、工作倦怠呈负相关(P0.01或P0.05)。结论通过提高护士工作满意度可激发其同情心满足感,缓解同情心疲乏,促进护士身心健康,保证临床护理质量。     

ICU 护士同情心疲乏对其职业认同的影响

目的：探讨重症监护室（ICU）护士同情心疲乏对其职业认同的影响。方法：对山东省6家三级甲等综合医院的193名ICU护士进行问卷调查,了解ICU护士同情心疲乏及其职业认同现状,并探讨两者的关系。结果：同情心疲乏中同情心满足和继发性创伤应激与职业认同呈正相关（P〈0．05）,与工作倦怠呈负相关（P〈0．01）。职业认同总分为（98．29±16．20）分。分层回归分析显示,控制人口学变量后,继发性创伤应激、同情心满足和工作倦怠可独立预测职业认同的31．9％。结论：护理管理者应提高护士的工作满意度,缓解其同情心疲乏,从而提高护士职业认同,促进护理事业的发展。     

临床一线护士心理健康与同情心疲乏现状调查

目的:探讨临床一线护士心理健康与同情心疲乏的状况及其相关性。方法:采用症状自评量表(SCL-90)和职业生活质量量表(Pro QOL)对300名临床一线护士进行问卷调查,分析其心理健康与同情心疲乏现状及相关性。结果:本组护士SCL-90总分评分明显高于国内常模(P0.01);Pro QOL中同情心满足量表总分、继发性创伤应激量表及身心耗竭量表总分均处于中等水平;相关分析显示,Pro QOL与SCL-90呈显著相关性(P0.05,P0.01)。结论:临床一线护士心理健康和同情心疲乏不容乐观,应引起医院管理者的重视,并采取相应的干预措施,以提高其心理健康,降低同情心疲乏。     

神经外科护士同情心疲乏的影响因素分析

目的调查神经外科护士道德困境、同情心疲乏现状及两者间的相关性,并分析同情心疲乏的影响因素。方法采用一般资料问卷、中文版护士道德困境量表、医护人员同情心疲劳量表对2省共23所医院的360名神经外科护士开展调查。结果神经外科护士道德困境总分为(36.43±30.87)分,发生频率(0.98±0.57)分,困扰程度(0.97±0.65)分,处于轻度水平;同情心疲乏总分为(76.72±17.52)分,处于中等偏下水平。神经外科护士道德困境总分、职务、对工作收入满意情况、对所在科室晚夜班安排的满意程度、认为自己能否胜任护理工作、是否定期参加体育锻炼、身体状况对同情心疲乏有影响(P0.001)。结论职务为护士、从不做体育锻炼、身体状况不好、认为自己不能胜任护理工作的护士同情心疲乏得分高,对所在科室晚夜班安排满意、对自己工作收入满意的护士同情心疲乏得分低,护士经历道德困境更易产生同情心疲乏,两者均对护士的身心健康产生诸多负面影响。故应采取有效措施减轻护士道德困境及同情心疲乏水平,以提高护理工作质量。     

重症监护病房护士同情心疲乏现状及影响因素分析

[目的]探讨重症监护病房(ICU)护士同情心疲乏现状及影响因素。[方法]采用专业生活品质量表对济南地区6所三级甲等综合医院193名ICU护士进行调查。[结果]ICU护士同情心疲乏条目得分中继发性创伤应激得分最高,职业倦怠得分最低。多元回归分析显示,工作满意度和再次选择护理是影响同情心疲乏的主要因素,共解释46.3%的变异量。[结论]管理者可通过提高护士工作满意度,以降低护士同情心疲乏的发生率。     

急诊科护士同情心疲乏与心理弹性的相关性研究

目的调查急诊科护士心理弹性与同情心疲乏的现状,并分析二者的相关性。方法抽取182名急诊科护士,采用护士一般资料问卷、专业生活质量量表、心理弹性量表进行调查。结果急诊科护士同情心疲乏总分(93.27±13.64)分,心理弹性总分为(66.88±11.92)分。急诊科护士同情心疲乏及各维度与心理弹性水平及各维度呈负相关(P<0.01或P<0.05)。结论护理管理者应加强管理筛查与培训,以提升急诊科护士的自我预防与应对同情心疲乏的能力。     

急诊科护士同情心疲乏现状及影响因素研究

目的 了解急诊科护士同情心疲乏现状,并分析其影响因素。方法 选取浙江省宁波市16所医院急诊科268名在岗护士为研究对象。应用一般资料问卷、同情心疲乏量表、护士工作压力源量表及护士版NASA任务负荷指数量表进行问卷调查。结果 268名急诊科护士同情心疲乏得分（103.56±11.79）分;工作压力得分（87.68±17.85）分;心理负荷得分（82.97±14.68）分;急诊科护士工作压力与心理负荷总分及各维度评分均与同情心疲乏评分呈正相关（P<0.01）;急诊科护士工作年限、工作压力及心理负荷是其同情心疲乏的主要影响因素（P<0.01）。结论 急诊科护士同情心疲乏处于中等水平,护士工作年限、工作压力及心理负荷影响其同情心疲乏,提示护理管理者可以通过护士情绪管理与缓解护士工作压力等方法,改善急诊科护士同情心疲乏程度。     

重症监护病房医生与护士同情心疲乏现状调查

[目的]了解重症监护病房(ICU)医生与护士同情心疲乏水平。[方法]采用医护同情心疲乏量表对188名ICU医护人员进行调查。[结果]医生职业倦怠总分为(28.00±3.44)分,护士职业倦怠总分为(29.86±2.11)分,医生和护士的同情心疲乏为中等水平,护士的疲乏水平略高于医生(P0.05)。[结论]管理者应根据同情心疲乏的影响因素采取针对性措施,以降低医护人员的同情心疲乏水平,从而提高医疗质量。     

护士同情心疲乏对从事生活护理行为意愿的影响

目的了解临床一线护士同情心疲乏对从事生活护理行为意愿的影响情况。方法 2015年1-3月,采用随机数字表法抽取某市三所三级甲等医院临床一线护士660名为研究对象,采用同情心疲乏和从事生活护理的行为意愿量表对其进行调查。结果临床护士同情心疲乏得分为(100.15±11.29)分,其中情感淡漠评分最高、精神紧张评分最低;从事生活护理行为意愿的得分为(36.23±8.42)分,其中得分最低的条目为协助床上用便器,最高的为更换床单;热情丧失、精神紧张和情感淡漠为从事生活护理行为意愿的主要影响因素(均P0.05)。结论医院护理管理者应关注护士的同情心疲乏情况,一线护士从事生活护理的行为意愿,以进一步提升护理服务质量。     

Compassion fatigue and nursing work: Can we accurately capture the consequences of caring work?

Health outcomes and, in particular, patient health outcomes have become a driving force within health-care delivery. Little emphasis has been placed on the potential health consequences for nurses providing care and caring within the health-care system. Compassion fatigue (or secondary traumatic stress) has emerged as a natural consequence of caring for clients who are in pain, suffering or traumatized. This paper sheds light on how nursing work might impact the health of nurses by exploring the concept of compassion fatigue. Limitations of current instruments to measure compassion fatigue are highlighted, and suggestions for future direction are presented.     

Compassion fatigue and satisfaction: A cross‐sectional survey among US healthcare workers

Professional quality of life among healthcare providers can impact the quality and safety of patient care. The purpose of this research was to investigate compassion satisfaction and compassion fatigue levels as measured by the Professional Quality of Life Scale self‐report instrument in a community hospital in the United States. A cross‐sectional survey study examined differences among 139 RNs, physicians, and nursing assistants. Relationships among individual and organizational variables were explored. Caregivers for critical patients scored significantly lower on the Professional Quality of Life subscale of burnout when compared with those working in a noncritical care unit. Linear regression results indicate that high sleep levels and employment in critical care areas are associated with less burnout. Identification of predictors can be used to design interventions that address modifiable risks.     

肿瘤护理人员职业情感体验的质性研究

目的深入了解肿瘤护理人员职业情感体验,为帮助其正确认识和应对职业情感应激提供参考。方法采用现象学研究方法,对上海市一、二、三级医院的10名肿瘤护理人员进行深入访谈,并运用Colaizzi法对访谈内容进行资料分析。结果提炼出有关肿瘤护理人员情感体验的四大主题：大量的情感投入与付出,正性的同情心满足感,负性情感应激和同情心疲乏。结论要重视肿瘤护理人员的职业情感压力,从各方面加强对该群体心理调适的支持,并寻求心理咨询辅导等专业人员的介入,以帮助其更好地胜任肿瘤护理的工作。     

Personal characteristics,coping strategies,and resilience impact on compassion fatigue in critical care nurses: A cross‐sectional study

Compassion fatigue is known to impact the well‐being of nurses and patient safety outcomes. Currently, there is limited academic understanding of the role of demographic factors in contributing to compassion fatigue in critical care nurses. The aim of this study was to examine the relationship between nurse demographic characteristics and the development of compassion fatigue, as indicated by level of burnout and compassion satisfaction in critical care nurses in Saudi Arabia. The cross‐sectional study design included administering three surveys to critical care nurses (n = 321) in four Saudi public hospitals to examine the nurse demographic variables in relation to compassion fatigue, the compassion fatigue coping strategies of nurses, and nurse resilience. The results show both demographic and workplace structural elements, such as length of work shift, education level, and nationality, were all significant factors in resilience to compassion fatigue among Saudi critical care nurses, whereas factors of age and sex were not significant. This study concludes that the demographic characteristics of critical care nurses enable the identification of levels of compassion fatigue and compassion satisfaction, and their resilience to the effects of compassion fatigue.     

Toward a comprehensive,theoretical model of compassion fatigue: An integrative literature review

This study was an integrative literature review in relation to compassion fatigue models, appraising these models, and developing a comprehensive theoretical model of compassion fatigue. A systematic search on PubMed, EbscoHost (Academic Search Premier, E‐Journals, Medline, PsycINFO, Health Source Nursing/Academic Edition, CINAHL, MasterFILE Premier and Health Source Consumer Edition), gray literature, and manual searches of included reference lists was conducted in 2016. The studies (n = 11) were analyzed, and the strengths and limitations of the compassion fatigue models identified. We further built on these models through the application of the conservation of resources theory and the social neuroscience of empathy. The compassion fatigue model shows that it is not empathy that puts nurses at risk of developing compassion fatigue, but rather a lack of resources, inadequate positive feedback, and the nurse’s response to personal distress. By acting on these three aspects, the risk of developing compassion fatigue can be addressed, which could improve the retention of a compassionate and committed nurse workforce.