Compassion satisfaction and compassion fatigue in frontline nurses during the COVID-19 pandemic in Wuhan, China.

Wang Xia, Wu Defang, Guan Xiaoli, Cui Jinrui, Wang Weidi, Liu Junya, Hu Luhong, Wang Hui
Author Information
  1. Wang Xia: Department of Digestive Endoscopy Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. ORCID
  2. Wu Defang: Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  3. Guan Xiaoli: Department of Otorhinolaryngology Head and Neck Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  4. Cui Jinrui: Department of Nephrology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  5. Wang Weidi: Department of Surgery Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. ORCID
  6. Liu Junya: Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  7. Hu Luhong: Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  8. Wang Hui: Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Abstract

AIM: The aim of this study is to investigate the compassion satisfaction and compassion fatigue among Chinese frontline nurses during the COVID-19 pandemic in Wuhan, China and to explore the related factors.
BACKGROUND: Frontline nurses undertake a huge nursing workload with a risk of infection, causing great pressure on them and making them face a risk of compassion fatigue during the pandemic.
METHODS: A cross-sectional online survey was conducted from 9 March to 15 March 2020. A total of 1582 nurses caring for critical patients with COVID-19 participated. Compassion satisfaction and compassion fatigue (comprising burnout and secondary traumatic stress) were assessed with the Professional Quality of Life Scale, and resilience was measured with the Chinese 10-item Connor-Davidson Resilience Scale.
RESULTS: Moderate levels of compassion satisfaction (36.99 ± 6.71), burnout (24.14 ± 5.33) and secondary traumatic stress (24.53 ± 5.24) were experienced by frontline nurses. Resilience and perceived work pressure were the main predictors.
CONCLUSIONS: Frontline nurses demonstrated a moderate level of compassion satisfaction and compassion fatigue.
IMPLICATIONS FOR NURSING MANAGEMENT: The compassion fatigue of frontline nurses should be considered. Strategies aiming to reduce stress and enhance resilience, such as training about psychological adjustment, developing professional skills and creating a supportive workplace environment, are several options. The trial is not registered. This study is a cross-sectional study, and according to China's clinical trial registration standards, such studies are not required to be registered. So the trial is not registered. However, oral consent was obtained from the ethics committee of the hospital before this study was conducted.

Keywords

References

  1. Alharbi, J., Jackson, D., & Usher, K. (2020a). Personal characteristics coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross-sectional study. Nursing & Health Sciences, 22(1), 20-27. https://doi.org/10.1111/nhs.12650
  2. Alharbi, J., Jackson, D., & Usher, K. (2020b). The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. Journal of Clinical Nursing, 29(15-16), 2762-2764. https://doi.org/10.1111/jocn.15314
  3. Ang, S. Y., Hemsworth, D., Uthaman, T., Ayre, T. C., Mordiffi, S. Z., Ang, E., & Lopez, V. (2018). Understanding the influence of resilience on psychological outcomes-Comparing results from acute care nurses in Canada and Singapore. Applied Nursing Research, 43, 105-113. https://doi.org/10.1016/j.apnr.2018.07.007
  4. Babanataj, R., Mazdarani, S., Hesamzadeh, A., Gorji, M. H., & Cherati, J. Y. (2019). Resilience training: Effects on occupational stress and resilience of critical care nurses. International Journal of Nursing Practice, 25(1), e12697. https://doi.org/10.1111/ijn.12697
  5. Burnett, H. J. Jr. (2017). Revisiting the compassion fatigue, burnout, compassion satisfaction, and resilience connection among CISM responders. SAGE Open, 7(3), 2158244017730857. https://doi.org/10.1177/2158244017730857
  6. Chen, Y. P., Tsai, J. M., Lu, M. H., Lin, L. M., Lu, C. H., & Wang, K. K. (2018). The influence of personality traits and socio-demographic characteristics on paediatric nurses' compassion satisfaction and fatigue. Journal of Advanced Nursing, 74(5), 1180-1188. https://doi.org/10.1111/jan.13516
  7. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates.
  8. Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
  9. Delaney, M. C., & Soundy, A. (2018). Caring for the caregivers: Evaluation of the effect of an eight-week pilot mindful self-compassion (MSC) training program on nurses' compassion fatigue and resilience. PLoS ONE, 13(11), e0207261. https://doi.org/10.1371/journal.pone.0207261
  10. Dosil, M., Ozamiz-Etxebarria, N., Redondo, I., Picaza, M., & Jaureguizar, J. (2020). Psychological symptoms in health professionals in Spain after the first wave of the COVID-19 pandemic. Frontiers in Psychology, 11, 606121. https://doi.org/10.3389/fpsyg.2020.606121
  11. Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26(1), 399-419. https://doi.org/10.1146/annurev.publhealth.26.021304.144357
  12. Gorbalenya, A. E., Baker, S. C., & Baric, R. S. (2020). The species severe acute respiratory syndrome-related coronavirus: Classifying 2019-nCoV and naming it SARS-CoV-2. Nature Microbiology, 5(4), 536-544. https://doi.org/10.1038/s41564-020-0695-z
  13. Graystone, R. (2019). Prevent compassion fatigue and burnout with a magnet culture. The Journal of Nursing Administration, 49(5), 231-233. https://doi.org/10.1097/NNA.0000000000000743
  14. Guo, Y. F., Luo, Y. H., Lam, L., Cross, W., Plummer, V., & Zhang, J. P. (2018). Burnout and its association with resilience in nurses: A cross-sectional study. Journal of Clinical Nursing, 27(1-2), 441-449. https://doi.org/10.1111/jocn.13952
  15. Henley, R. (2010). Resilience enhancing psychosocial programmes for youth in different cultural contexts: Evaluation and research. Progress in Development Studies, 10(4), 295-307. https://doi.org/10.1177/146499340901000403
  16. Jakimowicz, S., Perry, L., & Lewis, J. (2018). Compassion satisfaction and fatigue: A cross-sectional survey of Australian intensive care nurses. Australian Critical Care, 31(6), 396-405. https://doi.org/10.1016/j.aucc.2017.10.003
  17. Jiang, W., Zhao, X., Jiang, J., Zhou, Q., Yang, J., Chen, Y., Goldsamt, L., Williams, A. B., & Li, X. (2021). Hospital ethical climate associated with the professional quality of life among nurses during the early stage of COVID-19 pandemic in Wuhan, China: A cross-sectional study. International Journal of Nursing Sciences, 8(3), 310-317. https://doi.org/10.1016/j.ijnss.2021.05.002
  18. Kelly, L. (2020). Burnout, compassion fatigue, and secondary trauma in nurses: Recognizing the occupational phenomenon and personal consequences of caregiving. Critical Care Nursing Quarterly, 43(1), 73-80. https://doi.org/10.1097/CNQ.0000000000000293
  19. Kelly, L., Runge, J., & Spencer, C. (2015). Predictors of compassion fatigue and compassion satisfaction in acute care nurses. Journal of Nursing Scholarship, 47(6), 522-528. https://doi.org/10.1111/jnu.12162
  20. Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
  21. MacKusick, C. I., & Minick, P. (2010). Why are nurses leaving? Findings from an initial qualitative study on nursing attrition. Medsurg Nursing, 19(6), 335-340.
  22. Malkina-Pykh, I. G. (2017). Associations of burnout, secondary traumatic stress and individual differences among correctional psychologists. Journal of Forensic Science and Research, 1, 18-34. https://doi.org/10.29328/journal.jfsr.1001003
  23. Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103-111. https://doi.org/10.1002/wps.20311
  24. Mason, V. M., Leslie, G., Clark, K., Lyons, P., Walke, E., Butler, C., & Griffin, M. (2014). Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: A pilot study. Dimensions of Critical Care Nursing, 33(4), 215-225. https://doi.org/10.1097/DCC.0000000000000056
  25. Matos, P. S., Neushotz, L. A., Quinn Griffin, M. T., & Fitzpatrick, J. J. (2010). An exploratory study of resilience and job satisfaction among psychiatric nurses working in inpatient units. International Journal of Mental Health Nursing, 19(5), 307-312. https://doi.org/10.1111/j.1447-0349.2010.00690.x
  26. Mealer, M., Jones, J., Newman, J., McFann, K. K., Rothbaum, B., & Moss, M. (2012). The presence of resilience is associated with a healthier psychological profile in the intensive care unit (ICU) nurses. Results of a national survey. International Journal of Nursing Studies, 49(3), 292-299. https://doi.org/10.1016/j.ijnurstu.2011.09.015
  27. Peters, E. (2018). Compassion fatigue in nursing: A concept analysis. Nursing Forum, 53(4), 466-480. https://doi.org/10.1111/nuf.12274
  28. Rossi, S., Cosentino, C., Bettinaglio, G. C., Giovanelli, F., Prandi, C., Pedrotti, P., Preda, D., D'Ercole, A., Sarli, L., & Artioli, G. (2021). Nurse's identity role during Covid-19. Acta Bio-Medica: Atenei Parmensis, 92(S2), e2021036. https://doi.org/10.23750/abm.v92iS2.11959
  29. Ruiz-Fernández, M. D., Ramos-Pichardo, J. D., Ibáñez-Masero, O., Carmona-Rega, M. I., Sánchez-Ruiz, M. J., & Ortega-Galán, Á. M. (2021). Professional quality of life, self-compassion, resilience, and empathy in healthcare professionals during COVID-19 crisis in Spain. Research in Nursing & Health, 44(4), 620-632. https://doi.org/10.1002/nur.22158
  30. Rushton, C. H., Batcheller, J., Schroeder, K., & Donohue, P. (2015). Burnout and resilience among nurses practicing in high-intensity settings. American Association of Critical-Care Nurses, 24(5), 412-420. https://doi.org/10.4037/ajcc2015291
  31. Rutter M. (2008). Developing concepts in developmental psychopathology. In Developmental Psychopathology and Wellness: Genetic and Environmental Influences. American Psychiatric Publishing.
  32. Sacco, T. L., & Copel, L. C. (2018). Compassion satisfaction: A concept analysis in nursing. Nursing Forum, 53(1), 76-83. https://doi.org/10.1111/nuf.12213
  33. Sadeeka, A. M., Nika, C., Melody, K., Merideth, F., & Cyril, R. (2018). Assessing the degree of compassion satisfaction and compassion fatigue among critical care, oncology, and charge nurses. The Journal of Nursing Administration, 48(6), 310-315. https://doi.org/10.1097/NNA.0000000000000620
  34. Siu, O. L., Hui, C. H., Phillips, D. R., Lin, L., Wong, T. W., & Shi, K. (2009). A study of resiliency among Chinese health care workers: Capacity to cope with workplace stress. Journal of Research in Personality, 43(5), 770-776. https://doi.org/10.1016/j.jrp.2009.06.008
  35. Sodeke-Gregson, E. A., Holttum, S., & Billings, J. (2013). Compassion satisfaction, burnout, and secondary traumatic stress in UK therapists who work with adult trauma clients. European Journal of Psychotraumatology, 4(4), 649-654. https://doi.org/10.3402/ejpt.v4i0.21869
  36. Stamm, B. H. (2010). The Concise ProQOL Manual (2nd ed.). ProQOL.org.
  37. Tabachnick, B. G., & Fidell, L. S. (2012). Using Multivariate Statistics (6th ed.). Harper and Row.
  38. Tugade, M., & Fredrickson, B. (2004). Resilience individuals use emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86(2), 320-333. https://doi.org/10.1037/0022-3514.86.2.320
  39. Wahl, C., Hultquist, T. B., Struwe, L., & Moore, J. (2018). Implementing a peer support network to promote compassion without fatigue. The Journal of Nursing Administration, 48(12), 615-621. https://doi.org/10.1097/NNA.0000000000000691
  40. Wang, J., Okoli, C. T., He, H., Feng, F., Li, J., Zhuang, L., & Lin, M. (2020). Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. International Journal of Nursing Studies, 102, 103472. https://doi.org/10.1016/j.ijnurstu.2019.103472
  41. Wei, H., Roberts, P., Strickler, J., & Corbett, R. W. (2019). Nurse leaders' strategies to foster nurse resilience. Journal of Nursing Management, 27(4), 681-687. https://doi.org/10.1111/jonm.12736
  42. World Health Organization. (2022). WHO Coronavirus (COVID-19) global situation[EB/OL]. Retrieved from https://covid19.who.int/
  43. Wu, S., Singh-Carlson, S., Odell, A., Reynolds, G., & Su, Y. (2016). Compassion fatigue, burnout, and compassion satisfaction among oncology nurses in the United States and Canada. Oncology Nursing Forum, 43(4), E161-E169. https://doi.org/10.1188/16.ONF.E161-E169
  44. Ye, Z. J., Ruan, X. L., Zeng, Z., Xie, Q., Cheng, M. H., Peng, C. H., Lu, Y. M., & Qiu, H. Z. (2016). Reliability and validity of Chinese version of 10 item psychological resilience scale in nursing students. Journal of Nursing, 23(21), 9-13. https://doi.org/10.16460/j.issn1008-9969.2016.21.009
  45. Yu, H., Jiang, A., & Shen, J. (2016). Prevalence and predictors of compassion fatigue, burnout and compassion satisfaction among oncology nurses: A cross-sectional survey. International Journal of Nursing Studies, 57, 28-38. https://doi.org/10.1016/j.ijnurstu.2016.01.012
  46. Zhang, Q. Q. (2016). Investigation on the Current Situation and Its Influencing Factors of Pediatric Nurses' Compassion Fatigue. Jilin University.
  47. Zhang, Y. Y., Zhang, C., Han, X. R., Li, W., & Wang, Y. L. (2018). Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative meta-analysis. Medicine, 97(26), e11086. https://doi.org/10.1097/MD.0000000000011086
  48. Zheng, X., Yang, M., Gao, W., & Chen, F. F. (2013). Reliability and validity of nurses' professional quality of life scale. The Journal of Nursing, 28(5), 13-15.

MeSH Term

Humans
Compassion Fatigue
COVID-19
Pandemics
Cross-Sectional Studies
Personal Satisfaction
Empathy
Quality of Life
Job Satisfaction
Burnout, Professional
China
Surveys and Questionnaires
Nurses

Word Cloud

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