Prevalence and predictors for compassion fatigue and compassion satisfaction in nursing students during clinical placement |
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| Affiliation: | 1. Department of Methodology for the Behavioral Sciences, University of Valencia, Valencia, Spain;2. Department of Nursing and Physiotherapy, University of Balearic Islands, Palma, Spain;3. Balearic Islands Health Research Institute (IDISBA), Palma, Spain;4. Hospital Virgen de la Salud, Toledo, Spain;5. Department of Nursing, University of Valencia, Valencia, Spain;6. Chair of Palliative Care Nursing, Palliative and Supportive Care Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland;1. College of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Road, Wenjiang District, Chengdu, Sichuan, 611137, China;2. University of Kentucky College of Nursing, 517 College of Nursing Building, Lexington, KY 40536-0232, USA;3. College of Nursing, Hubei University of Chinese Medicine, No. 1 Huangjiahu Lake Road, Hongshan District, Wuhan, Hubei 430065, China;4. Hospital of Chengdu University of Traditional Chinese Medicine, No.39 Shi-er-qiao Road, Chengdu, Sichuan 610072, China;5. Chengdu First People''s Hospital/Chengdu Integrated TCM & Western Medicine Hospital Department of Nursing, NO. 18 Wanxiang North Road, High-tech Zone, Chengdu, Sichuan 610041, China |
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| Abstract: | BackgroundCompassion fatigue and compassion satisfaction affect clients' care satisfaction and nurses’ well-being. However, little attention is paid to compassion fatigue and satisfaction in nursing students during clinical placement.ObjectivesTo explore the relationships between social support, empathy, resilience, coping strategies, and compassion fatigue and satisfaction in nursing students during clinical placement in China.DesignA cross-sectional study was performed from May 1 to May 31, 2020.Settingsand participants: A total of 972 nursing students from 15 universities or colleges in Sichuan province, who received clinical training for at least 10 months were investigated.MethodsThe instruments included Perceived Social Support Scale, Jefferson Scale of Empathy, Connor-Davidson Resilience Scale, Simple Coping Style Questionnaire and Professional Quality of Life Scale. Descriptive, correlation and regression analyses of these variables were conducted.ResultsThe prevalence of low, moderate and high risk of burnout were 1.3%, 97.8% and 0.9%, respectively. The prevalence of low, average and high levels of secondary traumatic stress were 43.6%, 55.3% and 1.1%. Moreover, 9 (0.9%), 316 (32.5%) and 647 (66.6%) respondents reported low, moderate and high levels of compassion satisfaction. Cognitive empathy and resilience were significant protectors from compassion fatigue, and significant contributors to compassion satisfaction. Less compassionate care and more passive coping were significant risk factors for compassion fatigue. Adaptive coping predicted burnout significantly and negatively, and predicted compassion satisfaction significantly and positively. Family support was a significant contributor to compassion satisfaction.ConclusionIt is essential to develop strategies to increase empathy and resilience, avoid passive coping and enhance adaptive coping, and improve family support in order to reduce compassion fatigue and facilitate compassion satisfaction in nursing students during clinical clerkship. |
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| Keywords: | Clinical placement Compassion fatigue Compassion satisfaction Coping strategies Empathy Nursing students Resilience Social support |
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