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> Disorders > Mental or Behavioral Dysfunction > Compassion Fatigue

Compassion Fatigue

Compassion Fatigue: A state of physical, emotional, and mental exhaustion that can result from providing care to individuals in distress or suffering.
It is characterized by a decreased ability to empathize or feel compassion for others, as well as a diminished sense of personal accomplishment.
Compassion fatigue can affect professionals in a variety of fields, including healthcare, social work, and first responders.
Early recognition and interventions are crucial to prevent burnout and maintain effective caregiving.

Most cited protocols related to «Compassion Fatigue»

1
MESA Cardiovascular Event Adjudication Protocol

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Publication 2008
Angina Pectoris Asymptomatic Diseases Biological Markers Blood Vessel Brain Brain Metastases Cardiovascular System Cerebral Ventriculography Cerebrovascular Accident Chest Pain Clinical Reasoning Compassion Fatigue Congenital Abnormality Coronary Artery Disease Coronary Occlusion Diagnosis Dyspnea Echocardiography Edema Exercise Tests Heart Heart Ventricle Hospitalization Infection Interviewers Left Ventricular Diastolic Dysfunction Myocardial Infarction Myocardial Ischemia Neoplasms Outpatients Patients Physical Examination Physicians Pulmonary Edema Radiography, Thoracic Traumatic Brain Injury Wounds and Injuries
2
Assessing Compassion Satisfaction and Fatigue
The ProQOL consists of three subscales measuring facets of compassion satisfaction and compassion fatigue, targeted at individuals working in caring or helping professions [1 ]. The three subscales are compassion satisfaction, secondary traumatic stress, and burnout, with the latter two subscales reflecting components of the construct of compassion fatigue [1 ]. Stamm ([1 ], [9 ]) has reported evidence of scale validity and reliability. Based on Stamm’s scale structure, we similarly found good alpha reliabilities for the burnout (a = .80), secondary traumatic stress (a = .84), and compassion satisfaction (a = .90) scales.
Heritage B., Rees C.S, & Hegney D.G. (2018). The ProQOL-21: A revised version of the Professional Quality of Life (ProQOL) scale based on Rasch analysis. PLoS ONE, 13(2), e0193478.
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Publication 2018
Burnout, Psychological Compassion Fatigue Satisfaction
3
Dementia Caregiver Intervention Study
Patients with dementia and family caregivers were recruited from March 2006 to June 2008 through media announcements and mailings by social agencies targeting caregivers. Study procedures were explained to interested caregivers contacting the research team (telephone, return postcard), and a brief telephone eligibility screen was administered. Eligible patients had a physician diagnosis of probable dementia (using criteria from NINCDS/ADRDA [National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer’s Disease and Related Disorders Association]) or a Mini-Mental State Examination (MMSE)15 (link) score less than 24; they also were 21 years or older and English speaking, needed help with daily activities or had behavioral symptoms, and lived with or within 5 miles of family caregivers. Eligible caregivers provided oversight or care for 8 or more hours weekly, planned to live in the area for 9 months, were not seeking nursing home placement, and reported difficulty managing patient functional decline or behaviors.
Exclusion criteria for dyads were terminal illnesses with life expectancy of less than 9 months, active treatments for cancer, more than 3 acute hospitalizations in the past year, or involvement in another caregiver trial. Patients were excluded if they had schizophrenia or bipolar disorder, had dementia secondary to probable head trauma, or had an MMSE score of 0 and were bed-bound.
Written informed consent was obtained from caregivers prior to baseline interviews using forms approved by the institutional review board. Caregivers provided proxy patient consent and patient assent was obtained for each patient-related assessment using scripts approved by the institutional review board. Families were compensated $20 at each interview for their participation.
Following baseline interviews, dyads were randomized to the COPE or control group and reassessed by telephone at 4 and 9 months by interviewers masked to participant group. Consistent with other trials,13 (link),16 caregivers of patients placed in nursing homes prior to 4 months (n=7) were reassessed at 4 months (but not 9 months) in areas amenable to reporting. Caregivers of patients who died (n=21) were not reassessed at 4 months (n=9) or 9 months (n=12) nor included in analyses, as outcome measures were not relevant.
Gitlin L.N., Winter L., Dennis M.P., Hodgson N, & Hauck W.W. (2010). A Biobehavioral Home-Based Intervention and the Well-being of Patients With Dementia and Their Caregivers: The COPE Randomized Trial. JAMA : the journal of the American Medical Association, 304(9), 983-991.
Publication 2010
Behavioral Symptoms Bipolar Disorder Cerebrovascular Accident Communicative Disorders Compassion Fatigue Craniocerebral Trauma Dementia Diagnosis Eligibility Determination Ethics Committees, Research Family Caregivers Head Hospitalization Interviewers Malignant Neoplasms Mini Mental State Examination Nervous System Disorder Patients Physicians Schizophrenia
4
Caregiver Support for Dementia Management
Participants were recruited between December 2003 and March 2007 from media announcements and mailings by social agencies. Interested caregivers contacting the research team (telephone or return postcard), were explained study procedures and administered a telephone screen for eligibility. Eligible caregivers were living with individuals with a physician diagnosis of dementia or a Mini-mental State Examination (MMSE) score <24;25 (link) at least >21 years; English speaking; planning to live in area for 6 months, not actively seeking nursing home placement; managing problem behaviors; and reporting upset (>5 on 10 point scale). Dyads were excluded if either had terminal illness with life expectancy <6 months; active treatments for cancer; >3 acute hospitalizations in past year; or involvement in another trial concerning problem behaviors. They were also excluded if patients had schizophrenia or bi-polar disorder, dementia secondary to probable head trauma, or an MMSE=0 and bed-bound. The last criterion excluded patients who were either non-responsive to their environment and thus would not benefit from ACT, or were non-testable.
Written informed caregiver consent and proxy patient consent were obtained at baseline, with patient assent obtained for each patient-related assessment using institutional approved forms. Following baseline assessment, caregivers were randomized to ACT or a no-treatment control group and reassessed at 16 and 24 weeks from baseline by interviewers masked to participants' treatment assignment. Control group participants did not receive any intervention contact. Following completion of all study assessments for the trial at 24 weeks, control group participants were offered a 2 hour in-home workshop involving education and tips for managing problem behaviors.
Gitlin L.N., Winter L., Dennis M.P., Hodgson N, & Hauck W.W. (2010). Targeting and Managing Behavioral Symptoms in Individuals with Dementia: A Randomized Trial of a Nonpharmacologic Intervention. Journal of the American Geriatrics Society, 58(8), 1465-1474.
Publication 2010
Bipolar Disorder Compassion Fatigue Craniocerebral Trauma Dementia Diagnosis Eligibility Determination Head Hospitalization Interviewers Malignant Neoplasms Mini Mental State Examination Patients Physicians Problem Behavior Schizophrenia
5
Assessing Medical Professionals' Well-being
The Professional Quality of Life Scale V (ProQOL) developed by Stamm [20] was administered, which presents 30 items rated on a 1 (never) to 5 (very often) scale to obtain three measures: (a) compassion satisfaction (CS), or the pleasure derived from being able to do performing one’s job well; (b) burnout (BO), one of the elements of compassion fatigue, particularly associated with feelings of hopelessness and difficulties in dealing with work or in performing one’s job effectively; and (c) Secondary Traumatic Stress (STS), which is another component of compassion fatigue, consisting of work-related secondary exposure to extreme or traumatic stressful events. BO and STS are two aspects of compassion fatigue. The ProQoL thus reflects on positive (CS) and negative (BO, STS) aspects of medical practice. Participants were classified into low, average, and high groups for each subdomain based on the cut-off scores established in the original ProQoL [20] , as follows: lo-CS ≤44; 44< avg-CS <57; hi-CS ≥57; lo-BO ≤43; 43< avg-CS <56; hi-CS ≥56; lo-STS ≤42; 42< avg-CS <56; hi-CS ≥56.
Gleichgerrcht E, & Decety J. (2013). Empathy in Clinical Practice: How Individual Dispositions, Gender, and Experience Moderate Empathic Concern, Burnout, and Emotional Distress in Physicians. PLoS ONE, 8(4), e61526.
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Publication 2013
Burnout, Psychological Compassion Fatigue Feelings Pleasure Satisfaction

Most recents protocols related to «Compassion Fatigue»

1
Assessing Nurses' Professional Quality of Life
The ProQol Scale, version 5 (Stamm, 2012 ), a 30-item scale, was used to assess nurses’ ProQOL in terms of CS and CF. It is divided into three dimensions: CS, burnout, and secondary traumatic stress The two later dimensions measured CF. Each dimension is made up of 10 items. The responses were scored on a five-point Likert scale, with “1” being strongly disagree and “5” being strongly agree. Negative statements received a reversed score. The overall score ranged from 30 to 150, with low (a score of 22 or less), moderate (between 23 and 41), and high (a score of more than 42).
Abou Hashish E.A, & Ghanem Atalla A.D. (2023). The Relationship Between Coping Strategies, Compassion Satisfaction, and Compassion Fatigue During the COVID-19 Pandemic. SAGE Open Nursing, 9, 23779608231160463.
Publication 2023
Burnout, Psychological Compassion Fatigue Nurses
2
Comprehensive Management of Primary Canaliculitis
Patients diagnosed with primary canaliculitis according to the clinical manifestations and examinations (such as pouting erythematous punctum, punctal or canalicular swelling, as well as expressible punctal discharge) at the Department of Ophthalmology, Affiliated Wuxi Clinical College of Nantong University (Wuxi, China), between May 2018 and April 2021, were enrolled in the present prospective study (Table I). Patients with canaliculitis secondary to trauma or punctal and canalicular plugs were excluded. All patients underwent slit-lamp examination and lacrimal duct irrigation and exploration. Ultrasound biomicroscopy (UBM) (Quantel Medical, Cournon d'Auvergne Cedex, France) was performed with a 50 MHz probe as an ancillary examination only in patients with severe lacrimal duct dilatation. The protocol of the current prospective study was approved by the Institutional Review Board of the Affiliated Wuxi Clinical College of Nantong University (approval no. 2022-Y-98). Prior to inclusion, written informed consent was obtained from all patients. The present study adhered to the tenets of The Declaration of Helsinki.
Wang Q., Sun S., Lu S., Hu R., Sun H., Gu Y, & Zhang Z. (2023). Clinical diagnosis, treatment and microbiological profiles of primary canaliculitis. Experimental and Therapeutic Medicine, 25(4), 157.
Publication 2023
Canaliculitis Cedax Compassion Fatigue Dilatation Duct, Lacrimal Erythema Ethics Committees, Research Patient Discharge Patients Physical Examination Slit Lamp Examination Ultrasound Biomicroscopy
3
Parkinson's Disease Visuospatial Assessment
We consecutively enrolled patients who visited our study group for PD between November 2021 and September 2022. Eligible patients were those who were diagnosed with PD according to the International Parkinson and Movement Disorder Society (MDS) criteria (Postuma et al., 2015 (link)). Exclusion criteria were any neurological disorder other than PD including parkinsonism secondary to trauma or drugs, metabolic diseases, encephalitis, progressive supranuclear palsy, essential tremor, and hepatolenticular degeneration. All eligible patients underwent assessment via APP tests including DST, VOT, FRT, and VMT in the APP with raw scores recorded, at the same time, CDT, CCT, and MMSE were also evaluated as classic evaluation tools for comparison. Patients with the CDT score of 5 (Spenciere et al., 2017 (link)) and the CCT score ≥ 18 (Bu et al., 2013 (link)) were classified to no visuospatial disorder group, while patients with the CDT score < 5 or CCT score < 18 were classified to visuospatial disorder group. Information on patients’ demographic characteristics and clinical profile were collected from medical records. This study was performed in accordance with the Declaration of Helsinki and approved by the ethics committee of China-Japan friendship Hospital (2020-129-K82). All participants gave their informed consent to participate in the study in written form.
Shao X., Wang K., Zhang Y., Zhen X., Dong F., Tian H, & Yu Y. (2023). Outcome of visuospatial dysfunction assessment in patients with Parkinson’s disease using mobile application software. Frontiers in Aging Neuroscience, 15, 1108166.
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Publication 2023
Compassion Fatigue Encephalitis Essential Tremor Ethics Committees, Clinical Hepatolenticular Degeneration Metabolic Diseases Mini Mental State Examination Movement Disorders Nervous System Disorder Parkinsonian Disorders Patients Pharmaceutical Preparations Progressive Supranuclear Palsy
4
Assessing Nurses' Organizational Support and Work-Family Conflict
The general information questionnaire was designed in consultation with several investigators. It included age, ethnicity, gender, department, technical title, type of position, years of experience, number of night shifts, highest education, marital status, daily commuting time, hobbies, history of chronic diseases, hypertension, diabetes, history of stroke, and sleep condition.
Snulkstein, MD, designed the Family Care Scale in 1978 as a self-assessment APGAR questionnaire (19 (link)) that included five dimensions: Adaptation, Partnership, Growth, Affection, and Resolve (Supplementary Table 1).
Stamm developed the Professional Quality of Life Scale. The scale consists of three dimensions: compassionate satisfaction, job burnout, and secondary trauma, and each dimension contains 10 items, which are assigned a score of 1–5 from “never” to “always.” The sum of the scores of each dimension is low level, 23–41 is medium level, and ≥42 is high level (Supplementary Table 2).
The nurse perception of organizational support questionnaire was developed by Haozen Wang. It has 1 dimension and 15 items, with a Cronbach coefficient of 0.985, a half reliability of 0.909, and a retest reliability of 0.812. The Likert 5-point scale was used, with scores from 1 to 5 representing “strongly disagree” to “strongly agree,” respectively. “The higher the score, the higher the perceived level of organizational support of the nurses (see Supplementary Table 3 for the questionnaire). The Work-Family Conflict Scale (WFCS), developed by Hauk and Chodkiewicz (20 (link)), has 2 dimensions (work-court conflict and family-work conflict) and 10 items on a 5-point Likert scale (Supplementary Table 4).
All the above questionnaires were translated into Chinese in advance (21 ), and the consent and cooperation of the hospital and each department were obtained. A uniformly trained surveyor conducted the survey. The questionnaires were filled out at a uniform time and collected by the surveyor on the spot and checked for content, and if there were any missing items, they were completed on the spot.
In this study, 2,200 questionnaires were distributed, and 2,014 valid questionnaires were returned, with a valid return rate of 91.5%.
Xu S., Ju D., Chen Y., Wu M., Wang L., Xi X, & Zeng T. (2023). Analysis of the correlation between clinical nurses' professional quality of life and family care and organizational support. Frontiers in Public Health, 11, 1108603.
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Publication 2023
Acclimatization Burnout, Psychological Cerebrovascular Accident Chinese Compassion Fatigue Diabetes Mellitus Disease, Chronic Ethnicity Gender High Blood Pressures Nurses Satisfaction Self-Assessment Sleep Disorders
5
BPPV Prevalence After Vestibular Neuritis
A retrospective, descriptive study was performed including all cases of BPPV from January 2017 to June 2020, with or without a history of AUPVP within the previous year. Acute unilateral peripheral vestibulopathy cases were defined as acute onset of dizziness, unsteadiness and/or vertigo, with nystagmus with peripheral features, and nausea and/or vomiting, lasting at least for 24 hours, a clinical presentation compatible with vestibular neuritis. Benign paroxysmal positional vertigo cases secondary to trauma or otoneurological etiologies, cases with AUPVP but lacking confirmatory tests of vestibular hypofunction, and cases with auditory symptoms were excluded. Vestibular hypofunction was defined as unilateral weakness cut-off at 25% side difference on caloric testing and/or video head impulse (VHIT) testing with a gain ≤ 0.8 for the horizontal canal. Benign paroxysmal positional vertigo was diagnosed based on the diagnostic criteria of the Bárány Society.12 (link)In this time period, we identified 1222 cases of BPPV. After eliminating incomplete records and excluding cases according to the aforementioned exclusion criteria, we obtained 242 cases, of which 158 were idiopathic BPPV, and 84 presented AUPVP within the previous year. The clinical records were reviewed to obtain demographic data, history of cardiovascular risk factors, affected SC, and repositioning maneuvers. The study was approved by the local ethics committee, ID 200724005.
Waissbluth S., Becker J., Sepúlveda V., Iribarren J, & García-Huidobro F. (2023). Benign Paroxysmal Positional Vertigo Secondary to Acute Unilateral Peripheral Vestibulopathy: Evaluation of Cardiovascular Risk Factors. The Journal of International Advanced Otology, 19(1), 28-32.
Publication 2023
Acute Peripheral Vestibulopathy Asthenia Benign Paroxysmal Positional Vertigo Compassion Fatigue Diagnosis Head Hearing Nausea Pathologic Nystagmus Pulp Canals Regional Ethics Committees Vertigo Vestibular Labyrinth Vestibular Neuronitis

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More about "Compassion Fatigue"

Compassion fatigue, also known as secondary traumatic stress, is a state of physical, emotional, and mental exhaustion that can result from providing care to individuals in distress or suffering.
This condition is characterized by a decreased ability to empathize or feel compassion for others, as well as a diminished sense of personal accomplishment.
Compassion fatigue can affect professionals in a variety of fields, including healthcare, social work, and first responders.
Early recognition and interventions are crucial to prevent burnout and maintain effective caregiving.
Compassion fatigue is often associated with the use of statistical software like SPSS (Statistical Package for the Social Sciences) and its various versions, such as SPSS 25, SPSS Statistics 21, and SPSS 24.0.
These tools are commonly used in research and data analysis, which can contribute to the stress and emotional toll experienced by caregivers.
Additionally, some related terms and concepts that may be relevant include Rompun (a sedative and anesthetic used in veterinary medicine), SigmaScan Pro (a software for image analysis), and Zoletil (a veterinary anesthetic).
While these may not be directly related to compassion fatigue, they can provide context and a more comprehensive understanding of the topic.
It's important to note that early recognition and intervention are crucial in addressing compassion fatigue.
Seeking support, practicing self-care, and implementing strategies to manage stress and burnout can help professionals maintain their empathy and effectiveness in caregiving roles.