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Confronting Compassion Fatigue: Assessment and Intervention in Inpatient Oncology .

Lisa M Zajac¹, Katherine J Moran², Carla J Groh²

¹Karmanos Cancer Center.

Clinical Journal of Oncology Nursing

|July 25, 2017

Summary

A study on nursing care found that while an intervention to support staff after patient deaths did not significantly reduce compassion fatigue (CF), it improved patient satisfaction with nursing skills. This highlights the complex factors influencing healthcare experiences.

Keywords:

compassion fatigue debriefing inpatient patient satisfaction quality improvement

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Area of Science:

Nursing
Healthcare Management
Psychology

Background:

Patient satisfaction scores varied significantly, with negative correlations found between unit death rates and patient satisfaction.
Compassion fatigue (CF) was hypothesized as a key factor influencing these variations.

Purpose of the Study:

To develop and evaluate an intervention aimed at mitigating compassion fatigue in registered nurses (RNs) and oncology care associates.
The intervention focused on providing bereavement support to staff following patient deaths.

Main Methods:

A mixed-methods sequential design was employed for the study.
Data were collected using the Professional Quality of Life scale and Press Ganey surveys.
Statistical analyses included univariate descriptive statistics, frequencies, independent t tests, and analysis of covariance.

Main Results:

Preintervention results indicated average compassion satisfaction, secondary traumatic stress, and low burnout scores.
No significant difference in compassion fatigue scores was observed pre- and postintervention.
Patient perceptions of nurses' skills showed a significant improvement in the second quarter of 2015.

Conclusions:

The bereavement support intervention did not significantly reduce compassion fatigue among nursing staff.
Despite the lack of impact on CF, patient satisfaction with nursing skills improved, suggesting a multifactorial influence on patient perception.