References

Abendroth M, Flannery J. Predicting the risk of compassion fatigue. J Hosp Palliat Nurs. 2006; 8:(6)346-356 https://doi.org/10.1097/00129191-200611000-00007

Amin AA, Vankar JR, Nimbalkar SM, Phatak AG. Perceived stress and professional quality of life in neonatal intensive care unit nurses in Gujarat, India. Indian J Pediatr. 2015; 82:(11)1001-1005 https://doi.org/10.1007/s12098-015-1794-3

Bianchi R, Schonfeld IS, Laurent E. Burnout–depression overlap: A review. Clin Psychol Rev. 2015; 36:28-41 https://doi.org/10.1016/j.cpr.2015.01.004

Brannick EM, DeWilde CA, Frey E Taking stock and making strides toward wellness in the veterinary workplace. J Am Vet Med Assoc. 2015; 247:(7)739-742 https://doi.org/10.2460/javma.247.7.739

Bride BE, Radey M, Figley CR. Measuring compassion fatigue. Clin Soc Work J. 2007; 35:(3)155-163 https://doi.org/10.1007/s10615-007-0091-7

Cartlidge H. Collecting data and designing experiments. The Veterinary Nurse. 2012; 3:(6)330-337 https://doi.org/10.12968/vetn.2012.3.6.330

Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: A concept analysis. Nursing & Health Sciences. 2010; 12:(2)235-243 https://doi.org/10.1111/j.1442-2018.2010.00526.x

Crowe L. Identifying the risk of compassion fatigue, improving compassion satisfaction and building resilience in emergency medicine. Emerg Med Australas. 2016; 28:(1)106-108 https://doi.org/10.1111/1742-6723.12535

Daly M, Robinson E. Psychological distress and adaptation to the COVID-19 crisis in the United States. J Psychiatr Res. 2020; 136:603-609 https://doi.org/10.1016/j.jpsychires.2020.10.035

The Good Research Guide: For Small-Scale Social Research Projects. 2017. https://mhebooklibrary.com/doi/book/10.1036/9780335226870 (accessed 4 January 2021)

Dobbs K. Compassion Fatigue: Healing with a Heart In: Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care.Chichester, UK: John Wiley & Sons, Ltd; 2014 https://doi.org/https://doi.wiley.com/10.1002/9781118997246.ch65

Frank DI, Adkinson LF. A developmental perspective on risk for compassion fatigue in middle-aged nurses caring for hurricane victims in Florida. Holist Nurs Pract. 2007; 21:(2)55-62 https://doi.org/10.1097/01.HNP.0000262018.49550.5a

Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020; 368 https://doi.org/10.1136/bmj.m1211

Harvey LC, Cameron KE. Stress and compassion fatigue in veterinary nurses in New Zealand. The Veterinary Nurse. 2020; 11:(1)42-46 https://doi.org/10.12968/vetn.2020.11.1.42

Health Promotion Agency 2020. Mental Health in Aotearoa. 2020. https://www.hpa.org.nz/sites/default/files/Mental_Health_Aotearoa_Insight_2020.pdf (accessed 7 November 2021)

When the Caring Gets Tough: Compassion fatigue and veterinary care. 2008. https://www.researchgate.net/publication/242237127 (accessed 4 November 2021)

Hurn S, Stone E, Eason F A Preliminary Assessment of the Impacts of C-19 on Animal Welfare and Human-Animal Interactions in the UK and Beyond. SSRN Electronic Journal. 2020; https://doi.org/10.2139/ssrn.3608580

Jackson C. Healing ourselves, healing others: third in a series. Holist Nurs Pract. 2004; 18:(4)199-210 https://doi.org/10.1097/00004650-200407000-00006

Jefferies S, French N, Gilkison C COVID-19 in New Zealand and the impact of the national response: a descriptive epidemiological study. Lancet Public Health. 2020; 5:(11)e612-e623 https://doi.org/10.1016/S2468-2667(20)30225-5

Joinson C. Coping with compassion fatigue. Nursing. 1992; 22:(4)116-121 https://doi.org/10.1097/00152193-199204000-00035

Kashani M, Eliasson A, Chrosniak L, Vernalis M. Taking aim at nurse stress: a call to action. Mil Med. 2010; 175:(2)96-100 https://doi.org/10.7205/MILMED-D-09-00092

Leung GM, Lam TH, Ho LM The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong. J Epidemiol Community Health. 2003; 57:(11)857-863 https://doi.org/10.1136/jech.57.11.857

Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981; 2:(2)99-113 https://doi.org/10.1002/job.4030020205

McArthur ML, Andrews JR, Brand C, Hazel SJ. The prevalence of compassion fatigue among veterinary students in Australia and the associated psychological factors. J Vet Med Educ. 2017; 44:(1)9-21 https://doi.org/10.3138/jvme.0116-016R3

Pfefferbaum B, Schonfeld D, Flynn BW The H1N1 crisis: a case study of the integration of mental and behavioral health in public health crises. Disaster Med Public Health Prep. 2012; 6:(1)67-71 https://doi.org/10.1001/dmp.2012.2

Potter P, Deshields T, Divanbeigi J Compassion fatigue and burnout: prevalence among oncology nurses. Clin J Oncol Nurs. 2010; 14:(5)E56-E62 https://doi.org/10.1188/10.CJON.E56-E62

Rank MG, Zaparanick TL, Gentry JE. Nonhuman-Animal Care Compassion Fatigue: training as Treatment. Best Practices Ment Health. 2009; 5:(2)40-61

Rimmer A. How can I break bad news remotely?. BMJ. 2020; 369 https://doi.org/10.1136/bmj.m1876

Rizzo JR, House RJ, Lirtzman SI. Role Conflict and Ambiguity in Complex Organizations. Adm Sci Q. 1970; 15:(2) https://doi.org/10.2307/2391486

Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020; 109 https://doi.org/10.1016/j.jaut.2020.102433

Ruiz-Fernández MD, Ramos-Pichardo JD, Ibáñez-Masero O, Cabrera-Troya J, Carmona-Rega MI, Ortega-Galán ÁM. Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID-19 health crisis in Spain. J Clin Nurs. 2020; 29:(21-22)4321-4330 https://doi.org/10.1111/jocn.15469

Scotney RL, McLaughlin D, Keates HL. An investigation of the prevalence of compassion fatigue, compassion satisfaction and burnout in those working in animal-related occupations using the Professional Quality of Life (ProQoL) Scale. The Veterinary Nurse. 2019; 10:(5)276-284 https://doi.org/10.12968/vetn.2019.10.5.276

Sinclair S, Beamer K, Hack TF Sympathy, empathy, and compassion: A grounded theory study of palliative care patients' understandings, experiences, and preferences. Palliat Med. 2017; 31:(5)437-447 https://doi.org/10.1177/0269216316663499

Smith N. A questionnaire based study to assess compassion fatigue in UK practising veterinary nurses. The Veterinary Nurse. 2016; 7:(7)418-425 https://doi.org/10.12968/vetn.2016.7.7.418

Stamm B. Measuring compassion satisfaction as well as fatigue: Developmental history of the compassion satisfaction and fatigue test. In: Figley C (ed). New York: Brunner Routledge; 2002

Stamm BH. The Concise ProQOL Manual, 2nd Edition. : Pocatello; 2010

A Comprehensive Bibliography of Documents Specifically Using the ProQOL Measure. 2016. https://proqol.org/uploads/ProQOL_Measure_Bibliography_1-7-2016.pdf (accessed 4 January 2021)

Professional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (ProQOL). 2019. https://proqol.org/ProQol_Test.html (accessed 4 January 2021)

Statistics NZ. Occupation – 2018 - census [Data file]. 2018. https://www.stats.govt.nz/large-datasets/csv-files-for-download/

Truzzi A, Valente L, Ulstein I, Engelhardt E, Laks J, Engedal K. Burnout in familial caregivers of patients with dementia. Rev Bras Psiquiatr. 2012; 34:(4)405-412 https://doi.org/10.1016/j.rbp.2012.02.006

World Health Organization. WHO | Nursing and midwifery. 2021. https://www.who.int/hrh/nursing_midwifery/en/ (accessed 4 January 2021)

World Small Animal Veterinary Association. WSAVA Advice for Animal Welfare Organisations during the COVID-19 Pandemic. 2020. https://wsava.org/wp-content/uploads/2020/05/Organisations_WSAVA-Animal-Welfare-Advice-during-COVID-19.pdf (accessed 21 April 2021)

Zhang YY, Zhang C, Han XR, Li W, Wang YL. Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative meta-analysis. Medicine. 2018; 97:(26) https://doi.org/10.1097/MD.0000000000011086

Zoho Corporation Pvt. Ltd Secure Surveys - Password Protected, SSL & More. 2020. https://www.zoho.com/survey/secure-surveys.html (accessed 4 January 2021)

Compassion fatigue, compassion satisfaction and burnout during a pandemic

02 November 2021
18 mins read
Volume 12 · Issue 9
Table 1. The mean, standard deviation, standard error, range, and percentage and number of scores within each of the three dimensions of the ProQOL. Also included is the alpha reliability value measuring internal consistency

Abstract

Background:

Work-related mental health issues in New Zealand are increasing yearly and impact on how employees are able to cope with day-to-day pressures and work productivity. Work-related mental health issues are especially prevalent during times of great stress such as the coronavirus pandemic.

Aim:

In this study, the prevalence of compassion fatigue, burnout and compassion satisfaction were assessed using the Professional Quality of Life (ProQOL) scale and a range of demographic and descriptive questions.

Methods:

The ProQOL is a Likert-style survey for those in human- or animal care roles, such as veterinary nurses. It measures compassion fatigue, burnout, and compassion satisfaction, rating the scores as low, moderate, or high risk. The survey was hosted via an online survey website for 6 weeks.

Results:

The survey received 166 usable responses. The average scores indicated moderate risk for most respondents for compassion fatigue, burnout, and compassion satisfaction.

Conclusion:

This research indicates that New Zealand's veterinary nurses show similar levels of compassion fatigue, burnout, and compassion satisfaction to international results in veterinary nurses assessed prior to the coronavirus pandemic, indicating that New Zealand veterinary nurses coped remarkably well during the global catastrophe.

Compassion is defined as the awareness of the suffering of others and the desire to act to relieve it (Sinclair et al, 2017). Compassion is at the centre of many care-related fields, be it human or animal, and there is an expectation that workers within these fields will provide their clients with care that is compassionate (Smith, 2016). A paradox lies in how the provision of these empathetic services can render individuals more vulnerable to the effects of ‘compassion fatigue’. A term first used by Joinson (1992) described a specific type of stress known as ‘burnout’, typically experienced by emergency department nurses. In later studies, it was also referred to as ‘vicarious trauma’ or ‘secondary traumatic stress’ (Bride et al, 2007), and as the loss of the ability to ‘nurture’ (Coetzee and Klopper, 2010). Recognition of compassion fatigue within healthcare related fields is of particular importance as it can impact the care received by the most vulnerable in our communities, and can lead to clinical mistakes in judgment (Jackson, 2004). Other symptoms can include, but are not limited to, generalised depression, disordered sleep, hypertension, feelings of helplessness, anger, anxiety, and intrusive thoughts (Bride et al, 2007; Kashani et al, 2010).

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