Reducing Compassion Fatigue in Inpatient Pediatric Oncology Nurses

Oncol Nurs Forum. 2019 May 1;46(3):338-347. doi: 10.1188/19.ONF.338-347.

Abstract

Objectives: To develop an evidence-based compassion fatigue program and evaluate its impact on nurse-reported burnout, secondary traumatic stress, and compassion satisfaction, as well as correlated factors of resilience and coping behaviors.

Sample & setting: The quality improvement pilot program was conducted with 59 nurses on a 20-bed subspecialty pediatric oncology unit at the St. Jude Children's Research Hospital in Memphis, Tennessee.

Methods & variables: Validated measures of compassion fatigue and satisfaction (Professional Quality of Life Scale V [ProQOLV]), coping (Brief COPE), and resilience (Connor-Davidson Resilience Scale-2) were evaluated preprogram and at two, four, and six months postprogram, with resilience and coping style measured at baseline and at six months postprogram.

Results: Secondary traumatic stress scores significantly improved from baseline to four months. Select coping characteristics were significantly correlated with ProQOLV subscale scores.

Implications for nursing: Ongoing organizational support and intervention can reduce compassion fatigue and foster compassion satisfaction among pediatric oncology nurses.

Keywords: burnout; compassion fatigue; compassion satisfaction; secondary traumatic stress.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Bereavement
  • Burnout, Professional / etiology
  • Burnout, Professional / prevention & control*
  • Burnout, Professional / psychology
  • Compassion Fatigue / etiology
  • Compassion Fatigue / prevention & control*
  • Depression / etiology
  • Education, Nursing, Continuing
  • Female
  • Follow-Up Studies
  • Grief
  • Health Behavior
  • Humans
  • Job Satisfaction
  • Male
  • Nurse-Patient Relations
  • Nurses, Pediatric / education
  • Nurses, Pediatric / psychology*
  • Nutritional Support
  • Oncology Nursing*
  • Pediatric Nursing*
  • Pilot Projects
  • Resilience, Psychological
  • Young Adult