...Services/Intensive Care Nurses/Compassion Fatigue Intervention/BESt 173 Best Evidence Statement (BESt) Date: July 17, 2013 Title: Decreasing Compassion Fatigue* among Pediatric Intensive Care Nurses Using Self-Care Skills* and Compassion Fatigue Training* Clinical Question: P (Population/Problem) I (Intervention) C (Comparison) O (Outcome) Among pediatric intensive care nurses does functional knowledge of compassion fatigue and the practice of self-care skills, compared to not, demonstrate less compassion fatigue? Definitions for terms marked with * may be found in the Supporting Information section. Target Population for the Recommendation: Nurses working in pediatric intensive care settings who provide direct patient care Recommendation: It is recommended that nurses working in pediatric intensive care settings receive training that includes compassion fatigue awareness, coping strategies, stress management, relaxation techniques and self-care interventions to decrease the level of compassion fatigue experienced in the work environment (Marine, Ruotsalainen, Serra, & Verbeek (2009) [1a]; Gunusen, & Ustun (2010) [2a]; Kravits, McAllister-Black, Grant, & Kirk (2010) [4a]; Meadors & Lamson (2008) [4a]). Discussion/Synthesis of Evidence related to the recommendation: The evidence referred to a variety of concepts related to the manifestation of compassion fatigue, including burnout, emotional exhaustion, and workplace stress. The concepts were all similar in...
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...Combating Compassion Fatigue Christina Churu Grand Canyon University Spirituality in Health Care HLT 310 V August 12, 2012 Combating Compassion Fatigue (Gilmore, 2012) states that compassion fatigue is not just being overwhelmed by the demands of the job but that it is a behavioral response that usually occurs to people who are constantly helping people who are sick and suffering .Nursing is a caring profession and people are drawn to the profession because they love to care and to be compassionate .There comes a time during the care giving process that the care we give to the patients become personal and start taking a toll on our physical ,psychological and spiritual health.(Bush, 20090 states that in compassion fatigue not only do the environmental factors of work negatively affect care givers but also the physical demands of the patients such as pain and discomfort and emotional needs such as fear and anxiety..Care givers should be able to recognize the signs of compassion fatigue so that help can seek medical treatment early before the symptoms start to take a severe toll on the care giver’s health. (Gilmore, 2012, p. 20) noted that the things that draw nurses to caring such as providing compassion and support to the patients are the very things that cause nurses to suffer from compassion fatigue .I personally feel that compassion fatigue is when we spend time with the patients ,getting to know them more and during the process we love the patients more...
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...Countering Compassion Fatigue: A Requisite Nursing Agenda Deborah A. Boyle, MSN, RN, AOCNS®, FAAN Abstract Nurses have a longstanding history of witnessing the tragedy experienced by patients and families; however, their own reactions to profound loss and premature death have not been systematically addressed. There is a paucity of research describing interventions to prevent or minimize the ramifications of repeated exposure to traumatic events in the clinical workplace. Compassion fatigue is a contemporary label affixed to the concept of personal vicarious exposure to trauma on a regular basis. Yet this phenomenon of compassion fatigue lacks clarity. In this article, the author begins by describing compassion fatigue and distinguishing compassion fatigue from burnout. Next she discusses risk factors for, and the assessment of compassion fatigue. The need to support nurses who witness tragedy and workplace interventions to confront compassion fatigue are described. Citation: Boyle, D., (Jan 31, 2011) "Countering Compassion Fatigue: A Requisite Nursing Agenda" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 2. DOI: 10.3912/OJIN.Vol16No01Man02 Key words: Compassion fatigue, nurse stress, work setting improvements, communication skills Nurses care for ill, wounded, traumatized, and vulnerable patients in their charge. This exposes them to considerable pain, trauma, and suffering on a routine basis (Coetzee & Klopper, 2010; Hooper, Craig, Janvrin, Wetzel...
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...Compassion Fatigue Keri McDuffie Grand Canyon University: HLT 310 May 29, 2013 Introduction Compassion fatigue was first indentified by Jonson in 1992 when she noticed a group of nurses in the Emergency Department who seemed to have lost their ability to nurture. (Coetzee, Klopper 2010) Compassion fatigue, although identified a decade ago, was never really clarified, defined or explored, leaving nurses predominantly disposition to compassion fatigue unaware of how to identify or how to prevent it from happening. Nurses can experience compassion fatigue when they too begin to feel similar fear, pain and suffering their patients are experiencing, indirectly taking on the patients feelings as their own. Symptoms are gradual in the beginning, with the symptoms like weariness and malaises to altering the nurse’s ability to cope with stress ultimately having negative psychological and physical consequences. (Boyle 2011) Boyle (2011) describes those at highest risk for developing compassion fatigue are those who are on the front lines of medicine, those who absorb traumatic stress of those they help. While many first responders like firefighters, police and paramedics readily have complex training and debriefing modules to help them cope with the traumatic situations (Boyle 2011) they encounter every day, nurses do not. Nurses often have an ongoing relationship with their patient care and are responsible for the patient 24 hours a day, daily having to respond to acute care...
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...Compassion Fatigue James Stangle 2.1.2013 Compassion Fatigue This paper will discuss the problem surrounding compassion fatigue as related to health care providers and their causes. Further discussion will include ways to recognize health care provider compassion fatigue by dialoging specific warning signs that are present before compassion fatigue sets in. Concepts regarding the emotional, spiritual, and physical needs of the health care provider will be discussed including the importance of fulfilling the discussed needs. Lastly, coping strategies will be discussed including available resources that can be used by health care providers to help thwart the onset of compassion fatigue. The Problem As cited in an article titled “Program to combat ‘compassion fatigue’” published in 2010 within the Hospice Management Advisor, Coe states, “Compassion fatigue is a stress disorder that was identified in the 1950s, primarily among vocations that provide care for people in crisis” (“Program to combat”, 2010). Coe further related that, “Compassion fatigue is the gradual lessening of a person’s ability to provide compassion” (“Program to combat”, 2010). Coe was cited to say that, “Each nurse, doctor, or other caregiver only has so much compassion” (“Program to combat”, 2010). With the problem defined, discussion may be had to what this problems leads to. When compassion fatigue takes hold of a health care provider suffering becomes mutli-facet. Care provided by the health care provider...
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...NURS 2010 Project Janice Klein Westerns Governors University Nursing is a profession that has been influenced by nursing pioneers, scholars, government agencies and nursing organizations. Nurses need to develop a professional mission statement that defines our understanding of nursing concepts, our professional strengths and our critical thinking abilities. A. Functional Differences A regulatory agency, such as the Virginia Board of Nursing (VBON), is state government agency that exists solely to enforce the laws that regulate nursing practice. The BON protects the public’s safety and welfare by outlining the standards for safe nursing care, issuing licenses to practice nursing and monitoring compliance to state laws (McDaniel, 2013-14). The BON will investigate complaints of nurses not in compliance with the nurse practice act and will take necessary disciplinary action against nurses found in violation. In addition, BONs approve pre-licensure nursing education programs and oversee the licensure examination of nurses. All health care professionals must pay licensure fees in order to practice legally in their state. These activities assure that the public is cared for by qualified individuals (McDaniel, 2013-14). Professional nursing organizations have the same goal as BONs, to protect the public, however the method by which it is accomplished is functionally different. Nursing organizations are nurses working together to develop professional standards and practices...
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...LITERATURE REVIEW Literature Review – Trauma Felt by a Counselor Marie C Klemens Walsh University Abstract The purpose of this research is to identify that a counselor can be a victim of trauma, as well as their client. By taking care of oneself in a physical, mental and spiritual manner, they are preparing for a potentially well maintained professional life as a counselor. Knowledge and acceptance of these traumatic occurrences, is the first part of healing. The literature that I had obtained provided the reader, with great knowledge pertaining to the subject matter of vicarious traumatization and counter transference. By identifying both of these subjects as different forms of trauma, I also learned that they have similar qualities. With the knowledge that I am basing this research on and further exploration of this subject matter, counselors can be more prepared for their future. Literature Review - Trauma Felt by a Counselor The counseling profession is based on the realism as a powerful, but yet private relationship between a counselor and a client, but with ethics being a factor, all efforts are centered on being impartial and having good intentions (Jaffe & Diamond, 2011). Because of the tight relationship between a counselor and his or her client, it is humanly impossible that a client and a counselor will not endure feelings and reactions towards each other (Jaffe & Diamond, 2011). Trauma is the occurrence in which an individual is confronted...
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...Evidence Based Practice: “Stress nurses face caring for palliative care patients?” Regina Nelson Governors State University Abstract Palliative Care Nurses are at risk of experiencing stressful situations related to symptom management and death. The aim of this paper is to critically examine the current stress nurses face caring for Palliative Care patients. Four Nursing Journals and one Psycho-Oncology were reviewed. There was strong evidence to support that nurse’s experience stress caring for Palliative care patients. Common concerns in the first study were caring for a dying patient; personal level, comfort of the patient, and mediating between patient and family. The second study reported physical and emotional health consequences for nurses who provide hospice and palliative care over extended periods of time. The third study of nursesreported job satisfaction, stressors, coping strategies, and support. The fourth study nurses had 10 themes that conceptualize their work that may enable palliative care workers to remain resilient and effectively buffer or moderate stressful effects. The fifth study reported routinization of care, lack of nursing staff’s availability for emotional engagement, frequent interruptions, quiet afternoons, upbeat and positive culture, and a matter of fact attitude surrounding death and dying ,were all the behaviors that “being with” could not create. Although the report showed nurses able to cope by not “being with” the overall impact...
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...Film expresses thought and conversation between images concepts and the viewer. The product is an experience that offers “cavellian mediations” in capturing the ways films think. This “thought” pertains to the mechanism by which film elicits and expresses thought, both within its own means of expression and through the potential of self-reflection amongst the viewers. The film provides voice, animating the effort to find words to describe the experience to film. Essentially, the film invites us to express, experience, and think. In reflection upon the conversation, I must recognize it’s existence as a moment that is situated within a series of instances. Reconcile the fact that genre exists both at once “full-blown” and emerges spontaneously within conversation Genre requires a level of engagement between reader and the text. While “genre exists as a form characterized by features, as an object by its properties; accordingly to emerge to the question is that later members can ‘add’ something to the genre because there is no such thing as ‘all its features’” (315). Cavell establishes two forms of genre: one consisting of genre as a medium and the other consisting of genre as a cycle. The role that criticism plays within these two cases of genre differs. In genre as a cycle, the criticism falls predominantly on the genre rather than the individual object. “Genre as a form characterized by features, as an object by its properties; accordingly to emerge full-blow...
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...Film expresses thought and conversation between images concepts and the viewer. The product is an experience that offers “cavellian mediations” in capturing the ways films think. This “thought” pertains to the mechanism by which film elicits and expresses thought, both within its own means of expression and through the potential of self-reflection amongst the viewers. The film provides voice, animating the effort to find words to describe the experience to film. Essentially, the film invites us to express, experience, and think. In reflection upon the conversation, I must recognize it’s existence as a moment that is situated within a series of instances. Reconcile the fact that genre exists both at once “full-blown” and emerges spontaneously within conversation Genre requires a level of engagement between reader and the text. While “genre exists as a form characterized by features, as an object by its properties; accordingly to emerge to the question is that later members can ‘add’ something to the genre because there is no such thing as ‘all its features’” (315). Cavell establishes two forms of genre: one consisting of genre as a medium and the other consisting of genre as a cycle. The role that criticism plays within these two cases of genre differs. In genre as a cycle, the criticism falls predominantly on the genre rather than the individual object. “Genre as a form characterized by features, as an object by its properties; accordingly to emerge full-blow...
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...Abstract Jean Watson is a nurse theorist who has impacted the modern nursing in a great way. Her publication, research, and books have helped to bring the profession of nursing to the forefront. This paper is aimed at looking who Jean Watson is, her contribution to the nursing field and the impact of her work in the modern nursing. Introduction Dr. Jean Watson is known as a professor, nurse, theorist and a founder director of Watson Caring Science Institute, which is a non- profit organization. She was awarded the American Academy of Nursing award termed as a Living Legend in the year 2013 (Jug, D, 2015). Jean is known because of her Theory of Human Caring and ten Caritas processes which act as a blueprint for the nursing practice. She was born in West Virginia in the year 1940 (Alligood, 2013). She received her Bachelor of Science in Nursing in the year 1964 from the University of Colorado. She continued with her Ph.D. in Education Psychology and Counseling in the same University. Since then, she has earned other ten honorary doctoral degrees and has a diverse experience working in the mental health nursing and caring science. She is doing more research in the area of human caring and loss. She came up with the Theory of Human Caring in the year 1975 (Wang, 2013). Her main aim at that time was to make people understand that nursing science is important and a different entity from medical science (Jug, D, 2015). Her teaching experience played a significant role in her work...
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...The Art of Negotiation Goals & Objectives: To list examples that require successful negotiating skills in your personal and professional life To explain the elements of successful negotiation To describe the barriers to successful negotiation Outline: Elements of Successful Negotiation Preparation Preparation Goals Preparation Limits Communication Skills Active Listening Clarity Body Language Emotional Control Final Negotiations – Closing the Deal Final Tips Traits of a Great Negotiator Successful Techniques Unsuccessful Techniques Summary The Art of Negotiation Objectives: Successful negotiation is an art form that comes naturally to some, but must be learned by most. This module will discuss skills necessary to successfully negotiate goals and objectives in your personal and professional life. Skills will be broken down into specific elements that may enhance or impede any outcome. Introduction If we poll an audience and ask them for the first thought that comes to mind when they think of the term ‘negotiation’, the most often responses will include labor, contract or political negotiations. Yet negotiations play a major role in all aspects of our professional and personal lives.1 In the workplace we negotiate with our patients and their families and friends to obtain their full consent and cooperation. We negotiate with our peers, managers, physician staff and other healthcare workers, state and federal regulators and the list goes...
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...Resultantly, this literature review will explore the role of nurses’ based on the findings of the perspectives that patients, family and health professionals have concerning the issue of dignity in the end of life care. In that regard, the paper follows a systematic approach which involves an introduction that explains the concept of end of life and the types of end of life care available. The paper then proceeds to explore the concept of dignity as viewed from several perspectives through the use of literature on the models of dignity means of measuring dignity and the themes associated with this conception. Consequently, the factors that improve dignity are laid out and discussed at length. Eventually, the paper will achieve its secondary goal which is to determine and expound on the topic of the roles that a nurse plays in end of life care not only for the patient but also for their family. End of life care Before the discussion of the main topic of this literature review which is determining the factors that promote dignity in the end of life in order to determine the role of nurses in the end of life, there is need to understand the meaning of the concepts of end of life and dignity. It is imperative...
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...Work 30 (2008) 311–316 IOS Press 311 Disclosure of mental health Kathy Hatchard∗ Hatchard Rehabilitation, Penticton, British Columbia, Canada Abstract. As today’s workplaces strive toward a climate of inclusiveness for persons with disabilities, much work remains for employers in developing a process to achieve this ideal. While survivors of mental illness are encouraged to disclose related concerns to their employer, such sharing of personal information remains daunting. Similarly, employers attempting to assist the process are often awed by the extent of collaborations involved in integrating employees with mental health issues back to work as well as concern about compliance with human rights legislation. Needed accommodations in terms of approach to the work itself are often simple; however substantiating the need for adjustments is more complex. This case study introduces a model to support the development of shared goals and shared understandings for return to work (RTW) among workers with mental health concerns, employers, co-workers and therapists. The model of occupational competence is used as a basis to guide dialogue, identify challenges and generate solutions that take into consideration a worker’s preferences, sensitivities, culture and capacities in relationship to the occupational demands in a given workplace environment. A case study is used to demonstrate the potential utility of the model in assisting stakeholders to strengthen collaborations and...
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...Table of Contents Title Page Copyright Page Dedication PREFACE TO THE 10TH ANNIVERSARY EDITION Introduction Part I - THE PURPOSE OF LIFE Chapter 1 - THE RIGHT TO HAPPINESS Chapter 2 - THE SOURCES OF HAPPINESS Chapter 3 - TRAINING THE MIND FOR HAPPINESS Chapter 4 - RECLAIMING OUR INNATE STATE OF HAPPINESS Part II - HUMAN WARMTH AND COMPASSION Chapter 5 - A NEW MODEL FOR INTIMACY Chapter 6 - DEEPENING OUR CONNECTION TO OTHERS Chapter 7 - THE VALUE AND BENEFITS OF COMPASSION Part III - TRANSFORMING SUFFERING Chapter 8 - FACING SUFFERING Chapter 9 - SELF-CREATED SUFFERING Chapter 10 - SHIFTING PERSPECTIVE Chapter 11 - FINDING MEANING IN PAIN AND SUFFERING Part IV - OVERCOMING OBSTACLES Chapter 12 - BRINGING ABOUT CHANGE Chapter 13 - DEALING WITH ANGER AND HATRED Chapter 14 - DEALING WITH ANXIETY AND BUILDING SELF-ESTEEM Part V - CLOSING REFLECTIONS ON LIVING A SPIRITUAL LIFE Chapter 15 - BASIC SPIRITUAL VALUES Acknowledgements THE ART OF HAPPINESS BOOK SERIES ABOUT THE AUTHORS RIVERHEAD BOOKS Published by the Penguin Group Penguin Group (USA) Inc., 375 Hudson Street, New York, New York 10014, USA Penguin Group (Canada), 90 Eglinton Avenue East, Suite 700, Toronto, Ontario M4P 2Y3, Canada (a division of Pearson Canada Inc.) Penguin Books Ltd, 80 Strand, London WC2R 0RL, England Penguin Ireland, 25 St Stephen’s Green, Dublin 2, Ireland (a division of Penguin Books Ltd) Penguin Group (Australia), 250 Camberwell...
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