Title

Compassion Fatigue in Pediatric Emergency Department Staff.

Document Type

Article

Publication Date

11-2019

Identifier

DOI: 10.1097/PEC.0000000000001244

Abstract

INTRODUCTION: Compassion fatigue, a product of burnout (BO), secondary traumatic stress (STS), and compassion satisfaction (CS), is reduced capacity and interest in being empathetic for suffering individuals. Our objective was to determine prevalence of compassion fatigue in the pediatric emergency department.

METHODS: We administered the Professional Quality of Life instrument, including BO, STS, and CS scales, to a convenience sample of pediatric emergency department staff (physicians, nurses, technicians, social workers, child life specialists). We categorized participants as having BO (high BO, low CS, moderate-low STS scores), STS (high STS, moderate-low BO, low CS), compassion fatigue (high STS and BO, low CS), and high-risk fatigue (high STS, moderate-low BO, low CS) and low risk (moderate-high CS, moderate-low BO, low STS) of compassion fatigue.

RESULTS: One hundred seventy-seven staff (50% response rate) participated. The majority were white (90%) and female (88%), with participation highest among physicians (97%). Twenty-six percent had low CS scores, 26% had high BO scores, and 20% had high STS scores. Five percent met criteria for categorization as compassion fatigue, 24% for BO, and 24% for low risk of compassion fatigue. Current personal stress was associated with higher BO scores (P = 0.008) and secondary categorization as BO (P = 0.05). Recent work stress was associated with high STS scores (P = 0.03).

DISCUSSION: Five percent of participants met criteria for compassion fatigue; a significant proportion had BO, STS, or CS scores, placing them at risk of compassion fatigue. Future studies should explore factors contributing to and interventions to minimize compassion fatigue.

Journal Title

Pediatric emergency care

Volume

35

Issue

11

First Page

777

Last Page

781

MeSH Keywords

Adult; Burnout, Professional; Compassion Fatigue; Cross-Sectional Studies; Emergency Service, Hospital; Female; Humans; Job Satisfaction; Male; Middle Aged; Pediatric Emergency Medicine; Personnel, Hospital; Quality of Life; Severity of Illness Index; Surveys and Questionnaires

Keywords

Professional Burnout; Compassion Fatigue; Emergency Service; Job Satisfaction; Pediatric Emergency Medicine; Hospital Personnel; Quality of Life; Severity of Illness Index

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