An Integrative Review of Effective Strategies to Prevent and Treat Compassion Fatigue in Oncology Nurses
Abstract
Compassion fatigue, understood more clearly as the combination of burnout and secondary traumatic stress, is a workplace hazard in oncology nursing. Despite being identified as a high-risk group, findings from this study reveal a concerning lack of awareness and understanding of compassion fatigue in oncology nurses. Strategies such as self-care, mindfulness, and resiliency-based interventions for individual nurses against compassion fatigue were found and reviewed in this study. However, findings vary on the effectiveness of the interventions, suggesting that prevention focused interventions may be more effective than treatment focused for addressing compassion fatigue. The responsibility for protecting the health of oncology nurses is vital and must be shared by organizations, administrations, educational institutions, and individual nurses to be successful.
Keywords: compassion fatigue, secondary traumatic stress, vicarious trauma, burnout, oncology, nurse
Full Text:
PDFReferences
References
American Psychiatric Association (2023). What is Posttraumatic Stress Disorder (PTSD)? https://www.psychiatry.org/patients-families/ptsd/what-is-ptsd
Anderson, L., & Gustavson, C. (2016). The impact of a knitting intervention on compassion fatigue in oncology nurses. Clinical Journal of Oncology Nursing, 20(1), 102–104. https://doi.org/10.1188/16.CJON.102-104
Arnold, T. (2020). An evolutionary concept analysis of secondary traumatic stress in nurses. Nursing Forum, 55(2), 149–156. https://doi.org/10.1111/nuf.12409
Blackburn, L., Thompson, K., Frankenfield, R., Harding, A., & Lindsey, A. (2020). The THRIVE© Program: Building oncology nurse resilience through self-care strategies. Oncology Nursing Forum, 47(1), 25–34. https://doi.org/10.1188/20.ONF.E25-E34
Delaney, M. (2018). Caring for the caregivers: Evaluation of the effect of an eight-week pilot mindful self-compassion (MSC) training program on nurses’ compassion fatigue and resilience. Public Library of Science One, 13(11), 1–20. https://doi.org/10.1371/journal.pone.0207261
Duarte, J., & Pinto-Gouveia, J. (2016). Effectiveness of a mindfulness-based intervention on oncology nurses’ burnout and compassion fatigue symptoms: A non-randomized study. International Journal of Nursing Studies, 64, 98–107. http://dx.doi.org/10.1016/j.ijnurstu.2016.10.002
Esplen, M., Wong, J., Vachon, M., & Leung, Y. (2022). A continuing educational program supporting health professionals to manage grief and loss. Current Oncology, 29(3), 1461–1474. https://doi.org/10.3390/curroncol29030123
Figley, C. (Ed.). (2002). Treating compassion fatigue. Brunner-Routledge. https://doi-org.cyber.usask.ca/10.4324/9780203890318
Hand, M., Margolis, J., & Staffileno, B. (2019). Massage chair sessions: Favorable effects on ambulatory cancer center nurses’ perceived level of stress, blood pressure, and heart rate. Clinical Journal of Oncology Nursing, 23(4), 375–381. https://doi.org/10.1188/19.CJON.375-381
Hevezi, J. (2016). Evaluation of a mediation intervention to reduce the effects of stressors associated with compassion fatigue among nurses. Journal of Holistic Nursing, 34(4), 343–350. https://doi.org/10.1177/0898010115615981
International Council of Nurses. (2022). The Global Nursing Shortage and Nurse Retention. https://www.icn.ch/sites/default/files/inline-files/ICN%20Policy%20Brief_Nurse%20Shortage%20and%20Retention_0.pdf
Jakel, P., Kenney, J., Ludan, N., Miller, P., McNair, N., & Matesic, E. (2016). Effects of the use of the provider resilience mobile application in reducing compassion fatigue in oncology nursing. Clinical Journal of Oncology Nursing, 20(6), 611–616. https://doi.org/10.1188/16.CJON.611-616
Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22(4), 116.
Klein, C., Riggenback-Hays, J., Sollenberger, L., Harney, D., & McGarvey, J. (2018). Quality of life and compassion satisfaction in clinicians: A pilot intervention study for reducing compassion fatigue. American Journal of Hospice & Palliative Medicine, 35(6), 882–888. https://doi.org/10.1177/1049909117740848
McEwen, M. (2019). Theory analysis and evaluation. In M. McEwen & E.M. Wills (Eds.), Theoretical basis for nursing, (5th ed. pp. 94–113). Lippincott, Williams, & Wilkins.
Merriam-Webster. (2020). Resiliency. Merriam-Webster.com dictionary. https://www.merriam-webster.com/dictionary/resiliency
Pehlivan, T., & Guner, P. (2020). Effect of a compassion fatigue resiliency program on nurses’ professional quality of life, perceived stress, resilience: A randomized controlled trial. Journal of Advanced Nursing, 76(12), 3584–3596. https://doi.org/10.1111/jan.14568
Peters, E. (2018). Compassion fatigue in nursing: A concept analysis. Nursing Forum, 53(4), 466–480. https://doi.org/10.1111/nuf.12274
Pfaff, K., Freeman-Gibb, L., Patrick, L., DiBiase, R., & Moretti, O. (2017). Reducing the “cost of caring†in cancer care: Evaluation of a pilot interprofessional compassion fatigue resiliency programme. Journal of Interprofessional Care, 31(4), 512–519. http://dx.doi.org/10.1080/13561820.2017.1309364
Phillips, C., Volker, D., Davidson, K., & Becker, H. (2020). Storytelling through music: A multidimensional expressive arts intervention to improve emotional well-being of oncology nurses. Journal of Clinical Oncology, 16(4), 405–413. https://doi.org/10.1200/JOP.19.00748
Potter, P., Deshields, T., Berger, J., Clarke, M., Olsen, S., & Chen, L. (2013). Evaluation of a compassion fatigue resiliency program for oncology nurses. Oncology Nursing Forum, 40(2), 180–187. https://doi.org/10.1188/13.ONF.180-187
Qualls, B., Payton, E., Aikens, L., & Carey, M. (2022). Mindfulness for outpatient oncology nurses: A pilot study. Holistic Nursing Practice, 36(1), 28–36. https://doi.org/10.1097/HNP.0000000000000487
Schuster, M. (2021). Creating the hematology/oncology/stem cell transplant advancing resiliency team: A nurse-led support program for hematology/oncology/stem cell transplant staff. Journal of Pediatric Oncology Nursing, 38(5), 331–341. https://doi.org/10.1177/10434542211011046
Sinclair, S., Raffin-Bouchal, S., Venturato, L., Mijovic-Kondejewski, J., & Smith-MacDonald, L. (2017). Compassion fatigue: A meta-narrative review of healthcare literature. International Journal of Nursing Studies, 69,9–24. http://dx.doi.org/10.1016/j.ijnurstu.2017.01.003
Stamm, B. (2010). The concise ProQOL manual. https://ProQOL.org
Sullivan, C., King, A., Holdiness, J., Durrell, J., Roberts, K., Spencer, C., Roberts, J., Ogg, S., Moreland, M., Browne, E., Cartwright, C., Crabtree, V., Baker, J., Brown, M., Sykes, A., & Mandrell, B. (2019). Reducing compassion fatigue in pediatric oncology nurses. Oncology Nursing Forum, 46(3), 338–347. http://doi.org/10.1188/19.ONF.338-347
Todaro-Franceschi, V. (2019). Compassion fatigue and burnout in nursing: Enhancing professional quality of life. (2nd ed.). Springer Publishing Company.
Whittemore, R. & Knafl, K. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546–553. http://doi.org/10.1111/j.13652648.2005.03621.x/pdf
Yilmaz, G., Ustun, B., & Gunusen, N. (2018). Effect of a nurse-led intervention programme on professional quality of life and post-traumatic growth in oncology nurses. International Journal of Nursing Practice, 24(6), 1–7. https://doi.org/10.1111/ijn.12687
Zajac, L., Moran, K., & Groh, C. (2017). Confronting compassion fatigue: Assessment and intervention in inpatient oncology. Clinical Journal of Oncology Nursing, 21(4), 446–453. https://doi.org/10.1188/17.CJON.446-453
Refbacks
- There are currently no refbacks.