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Compassion Fatigue in Palliative Care Nursing: A Concept Analysis
1Lisa A. Cross, MSN, BA, CRRN, CHPN, is doctoral nursing student, University of Massachusetts, Lowell; and is clinical nursing instructor, North Shore Community College, Danvers, MA.
Summary
Compassion fatigue in palliative care nursing is defined as secondary traumatic stress. This review clarifies its symptoms for nurses dealing with patient suffering.
Area of Science:
- Nursing
- Psychology
- Palliative Care
Background:
- Compassion fatigue was initially described as nursing burnout but lacked a full definition.
- Previous analyses linked compassion fatigue to psychological models of secondary traumatic stress disorder.
- Palliative care nurses face frequent exposure to patient pain, trauma, and suffering.
Purpose of the Study:
- To define compassion fatigue specifically within the context of palliative care nursing.
- To clarify compassion fatigue for palliative care nurses to aid in identification and professional direction.
Main Methods:
- A comprehensive literature review was conducted across multiple scientific databases (CINAHL, PubMed, PsycINFO, etc.).
- Subject-specific definitions were examined from dictionaries.
- A concept analysis, following the tradition of Walker and Avant, was employed.
Main Results:
- A proposed concept definition for compassion fatigue in palliative care nursing was developed.
- The review aimed to clarify the understanding and identification of compassion fatigue in this specialized nursing group.
Conclusions:
- Defining compassion fatigue is crucial for recognizing its symptoms among palliative care nurses.
- This clarification supports the well-being and professional development of nurses in end-of-life care settings.
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