BY CAMILLE WENDEKIER, PhD, CNE and KRISTYN KEGERREIS, BSN, RN. Participants said that they relied on their own personal support systems, including coworkers and family, to help grieve. Nurses who've been trained to uphold holistic care and to support the family members are struggling to carry out what they've understood their role and mission to be.
Compassion fatigue negatively impacts patient outcomes and is associated with decreased quality of care.
As nurses struggle to care for patients under extreme COVID restrictions, what aspects of holistic care may be in danger? One participant said, “I just think I'm slinging meds like I'm slinging hash. Participants reported continual sadness, which they associated with frequent resident deaths as they formed a nurse–resident connection over a prolonged time period becoming emotionally invested (Melvin, 2012; Nolte et al., 2017). & Robb, Y. Koch, T. (1996). Hermeneutic research in nursing: Developing a Gadamerian-based research method. The researcher used a simultaneous process of reflection during interviews and examination of the text, and interpretation was used to accurately illustrate the shared meaning of compassion fatigue (Gadamer, 2004). For example, there may be ways to safely store common care supplies in patient rooms. Interpretation/analysis methods in hermeneutic interpretive phenomenology. This brief background information was requested to gain an understanding of participants' work history and their personal lives. (2003). Data collection and analysis were an iterative process (i.e., between interviews, data analysis included reflection upon field notes and interview transcriptions to formulate understanding of participants' experiences, directing lines of inquiry for subsequent interviews). This information may have created bias within participants or deterred others from participating. This situation can cause frustrating mental conflicts where the RNs worry about their ability to attend to physical versus spiritual needs of their patients. SNF leaders, DONs, and administrators who could help access nurses working in SNFs were contacted by email and telephone. The life-threatening situations these patients experience commonly result in calling a rapid response or code blue. As a new nurse, Ferrell found herself questioning whether caring for this population was truly the root cause of burnout, as many seemed to believe. KRISTYN KEGERREIS is a registered nurse at WellSpan Chambersburg Hospital in Chambersburg, Pennsylvania. This support service could be given through existing employee assistance programs. The first study carried out with Spanish oncology nurses shows Compassion Fatigue is highly prevalent.
Nursing professionals pulse survey: 2020 pandemic. This is a necessary measure to limit COVID-19 exposure to hospital employees, patients and visitors. All participants recalled a time when they felt close to a resident whose health deteriorated or who died, and even became tearful when discussing death.
Although nurses may have felt energized when they provided care during the EOL process, they desired formal grief support and time to grieve. Nurses enter into the lives of their patients during periods of physiological, emotional or spiritual vulnerability and are witness to the stress, pain and suffering accompanying these events. Joinson, C. (1992). This data analysis approach, based on the hermeneutic philosophy, was essential to gaining understanding of the phenomenon. Living with emotional conflict ultimately caused symptoms of compassion fatigue.
& Hastings-Tolsma, M. (2017). Most participants believed that their symptoms of compassion fatigue were a result of recurrent sadness. Delays in the delivery of care also contribute to the mental exhaustion nurses experience when caring for patients infected with COVID-19. Three participants sought employment outside the SNF setting due to compassion fatigue. Nolte, A. G. W., Downing, C., Temane, A.
And it would be nice to have closure. The authors have disclosed no potential conflicts of interest, financial or otherwise. A support system for the family or a patient's loved ones could be developed and serve to educate the family on COVID-19, transmission of the virus and the care their loved one is receiving. One participant described starting the practice of lining the halls with staff to show respect when transporting a deceased resident to the funeral home. Several participants described antecedents and symptoms of compassion fatigue but did not initially self-identify with the term compassion fatigue.
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