Compassion Fatigue in Pediatric Oncology Nurses Essay

Nurses play many roles in today’s society; they have to balance family, life, and their job. Nursing is a very demanding profession; you are caring for the sick with limited resources causing nurses to create unrealistic expectations (Bush, 2009). Nurses create a tireless arrangement and emotional connections with patients, shouldering a huge supporting role. Supporting this role causes nurses to feel emotional exhaustion and the weight of care for patients can become overwhelming. Signs of emotional exhaustion can cause nurse to become hostile, isolated, start crying for no reason, and getting upset (Bush, 2009).

Health providers suffer from an emotional problem called compassion fatigue. Often times compassion fatigue occurs do to the situations encountered by health care professionals and the pain they feel for the patients they care for. One of the essential components of health care is providing care is compassion

Compassion fatigue is widely known in the health care profession. Nurses working overtime and long working days to provide care for the patient and the patient’s families are a continuous stress on a nurse’s emotional and physical well-being especially if the nurse is providing the patient with end of life care as this contributes to both physical and mental work. Vital

The incidence of compassion fatigue is increasing due to the heavy responsibilities placed on nurses and other providers, physically, mentally, and spiritually. Compassion can be a limited resource, our system is rooted in cognitive networks that tire and need refueling (Carey, 2011). Healthcare workers spend more time charting than

. This exploratory study used a cross sectional survey method (Hopper, Craig, Janvir, Wetsel, Reimels, Anderson, Greenvilee & Clemson, 2010, p. 422). Compassion satisfaction and fatigue subscales were measured using the Professional Quality of Life, using ProQOL R-IV instrument (Hopper, et al. 2010, p. 423). Despite study limitations which were small sample size, authors concluded that recognising the signs and symptoms, and identifying best practice interventions and raising awareness, will lead to the development of ongoing support programs for hospital nurses (Hopper, et al., 2010, p. 427).

When choosing to pursue a career in the health care field, most enter the workplace with the desire to help and provide care for patients who are critically ill (Lombardo & Eyre, 2011). Far too often, these health professionals who were once sympathetic and caring become victims of compassion fatigue (Lombardo & Eyre, 2011). As a working health professional it is ones duty to compassionately care for the sick, wounded and traumatized patients, which involves being exposed daily to the patient’s pain, suffering and trauma (Coetzee & Klopper, 2010). Experiencing this type of trauma first hand is an un-recognized side effect of being a health care professional (Briscoe, 2014). It is easy to get wrapped up in patients, their

Compassion fatigue is a huge reality and according to Potter et al. (2013), long-term effects of compassion fatigue have negative impact on the health, well-being and performance of nurses involved. Jean Watson’s theory of caring said, true healing cannot be realized without caring therefore, compassion fatigue is a problem that does not only affect nurses, but goes a notch higher by also affecting the quality of care offered by compassion fatigue victims. Boyle (2011) observed that there is need for nurses to be compassionate and caring especially when providing care to patients, families or relatives. Slatten et al. (2011) noted that compassion fatigue is an occupational hazard among nurses involved (that is, professionals involved in helping others). Compassion fatigue is therefore, a significant problem affecting professional practice in nursing because Rosa (2014) stated that, being a successful caregiver requires a nurse to be in a position to find the meaning in what they do, remain committed and immersed in order to gain a sense of purpose. However, compassion fatigue stands as a barrier to realization of sense of purpose among

A fatigued nurse can lead to many errors and compromise the care given to a patient. Nurse fatigue has been found to increase depression. If a nurse has an altered mindset to begin with, they will not be able to take care of anyone else adequately. Nurse fatigue can also increase irritability. A nurse with increased irritability could lead the nurse to make irrational decisions. The nurse with sleep deprivation has an increased risk for error. A nurse is responsible for administering drugs. When a nurse is extremely tired, it could lead them to mess up the medications prescribed for the patient or to overlook reactions that the patient may experience from the medications. The nurse is also responsible for focusing on the care provided to the patient. A fatigued nurse could be too tired to notice crucial changes in the patient. The fatigued nurse will be affected in his or her performance. Nurse fatigue could also result in the nurses injuring themselves. Nurse fatigue could influence a nurse to make shortcuts and that can also endanger the nurse. For example, if a nurse has to lift a patient using a hoyer lift, but misjudges the situation because of lack of energy, the nurse could end up lifting the patient by herself and hurting her back. This is how nurse fatigue relates to the safety of the practicing nurse and patient

According to Coetzee and Hester (2010) compassion fatigue was adopted as a synonym for secondary traumatic stress disorder. The aim of their 2010 concept analysis of the topic was to further define compassion fatigue as it applies to the nursing practice. They describe the process of compassion fatigue from just simply discomfort to compassion stress and finally fatigue. (p.1) Their analysis describes how damaging compassion fatigue can be on a nurse’s ability to provide compassionate care. The information is vital to the field of nursing and the outcomes of our patients. Specifically, it plays an important role in my personal practice. It’s a nurse responsibility to provide compassion care for the ill. In the process nurses are exposed daily to their patient’s pain trauma, and their struggles. This and other factors such as unsafe work conditions can take a toll on nurses and their functionality.

I always knew I want to work with pediatric population. During my clinical rotations, I always requested to work with pediatric patients if available. Unfortunately, my nursing instructor who understood this passion and extracurricular activities passed away shortly before graduation. However, that adds to motivation to help continue to help children and their communities. In the first month of clinical rotation at Seattle Children’s, there was a patient’s family who was getting frustrated. After

if they had been successful in coping with the work stress or if they felt that the

Compassion represents an “acknowledgement of another’s suffering and is accompanied by the expression of a desire to ease or end that suffering.” (Van der Cingal, 2009, p. 124) This is a fundamental characteristic usually found in health care workers and nurses especially. In one twelve hour shift, a nurse’s job can change from taking vitals and administering medications to performing life saving measures

Compassion fatigue seems to be an epidemic in the health care profession. Since nursing, more specifically, can be high paced and full of stress, there is high risk for compassion fatigue. Kelly, Runge, & Spencer (2015) argue that compassion fatigue is “the combination of burnout and secondary traumatic stress” (p.523). Hunsaker, Chen, Maughan, & Heaston (2014) describe compassion fatigue as “feelings of hopelessness and apathy” (p. 187), which interferes with the ability to perform

Pediatric Care Nurses have a demanding job that is often overlooked by most. People do not take into account how much a nurse will give to his or her patient, especially considering that patient is most likely a child between the ages of infancy to eighteen (“How Nurses”). The patients, being very young, can attribute to the amount of stress the nurse feels to do his or her best which can in some form bring an emotional factor into the mix, especially if the nurse has children himself/herself (Izumi 203). While being a pediatric care nurse, emotions play a large role in the way these professionals do their job. A step back is needed to see the emotional and physical stress these pediatric care nurses face when doing their job.

This essay examines compassion fatigue, including its causes and symptoms. The essay also considers the needs of caregivers and explores coping strategies and resources available to caregivers.