Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to...

19
Compassion Fatigue in HealthCare Providers and Caregivers Stacey Rice, BSN, RN, CRRN March 1, 2018

Transcript of Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to...

Page 1: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Compassion Fatigue in HealthCare Providers and Caregivers

Stacey Rice, BSN, RN, CRRN March 1, 2018

Page 2: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Objectives

• Define Compassion Fatigue

• Differentiate Compassion Fatigue and Burnout

• Identify risk factors for Compassion Fatigue

• How to recognize Compassion Fatigue

• Identify tips and strategies to reduce Compassion Fatigue

Page 3: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5
Page 4: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Statistics on Caregiving

• In 2015, Approximately 43.5 million caregivers have provided unpaid care to an

adult or child

• In 2013, Economic value of care provided by informal caregivers was $470 billion

• 65% of care recipients are female, with an average age of 69.4

• Average age of caregiver is 49.2

• Family caregivers spend and average of 24.4 hours/week providing care

• Average duration of a caregivers role is 4 years

• Vast majority of caregivers (85%) care for a relative or loved one

• Caregiving Tasks include ADLs, IADLs, nursing tasks

FAMILY CAREGIVER ALLIANCE National Center on Caregiving; Published on Family Caregiver Alliance (https://www.caregiver.org)

Page 5: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

What is Compassion Fatigue?

"Compassion Fatigue is a state experienced by those helping people or animals in distress; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it can create a secondary traumatic stress for the helper."

Dr. Charles FigleyProfessor, Paul Henry Kurzweg Distinguished Chair

Director, Tulane Traumatology InstituteTulane University, New Orleans, LA

Page 6: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Separate but Similar

Page 7: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

http://www.proqol.org/ProQol_Test.html

Measuring Compassion Fatigue

Page 8: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Share your results- Compassion Satisfaction

Compassion satisfaction is about the pleasure you derive from being able to do your work well.

• You may feel like it is a pleasure to help others through your work. • You may feel positively about your colleagues or your ability to

contribute to the work setting or even the greater good of society.

• If you are in the higher range (>50), you probably derive a good deal of professional satisfaction from your position.

© B. Hudnall Stamm, 2009-2012. Professional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (ProQOL). www.proqol.org. This test may be freely copied as long as (a) author is credited, (b) no changes are made, and (c) it is not sold. Those interested in using the test should visit www.proqol.org to verify that the copy they are using is the most current version of the test. 2

Page 9: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Share your results- Burnout

Associated with feelings of hopelessness and difficulties in dealing with work or in doing your job effectively.

• These negative feelings usually have a gradual onset. • They can reflect the feeling that your efforts make no difference, or

they can be associated with a very high workload or a non-supportive work environment.

• Higher scores on this scale mean that you are at higher risk for burnout.

© B. Hudnall Stamm, 2009-2012. Professional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (ProQOL). www.proqol.org. This test may be freely copied as long as (a) author is credited, (b) no changes are made, and (c) it is not sold. Those interested in using the test should visit www.proqol.org to verify that the copy they are using is the most current version of the test. 2

Page 10: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Share your results- Secondary Traumatic Stress

The second component of Compassion Fatigue (CF) is secondary traumatic stress (STS). It is about your work related, secondary exposure to extremely or traumatically stressful events.

• Developing problems due to exposure to other’s trauma is somewhat rare but does happen to many people who care for those who have experienced extremely or traumatically stressful events.

• The symptoms of STS are usually rapid in onset and associated with a particular event.

© B. Hudnall Stamm, 2009-2012. Professional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (ProQOL). www.proqol.org. This test may be freely copied as long as (a) author is credited, (b) no changes are made, and (c) it is not sold. Those interested in using the test should visit www.proqol.org to verify that the copy they are using is the most current version of the test. 2

Page 11: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Risk Factors

• Personal attributes • Overly conscientious, perfectionist, self-giving

• Low level of social support

• High level of stress

• Previous histories of trauma that lead to negative coping skills

• Organizational attributes • Healthcare

• ‘Culture of silence’ –stressful events not discussed after event

• Between 16% and 85% of health care workers in various fields develop CF

• Lack of awareness of symptoms

• Poor training in the risks associated with high stress jobs

Page 12: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Recognizing Compassion Fatigue

Lombardo, B., & Caryl, E. (2011). Compassion fatigue: a nurse's primer. The Online Journal of Issues in Nursing, 1-8.

Table. Symptoms of Compassion Fatigue

WORK RELATED EMOTIONAL:

•Avoidance or dread of working with certain patients •Reduced ability to feel empathy towards patients or families •Frequent use of sick days •Lack of joyfulness

•Mood swings •Restlessness •Irritability •Oversensitivity •Anxiety •Excessive use of substances: nicotine, alcohol, illicit drugs •Depression •Anger and resentment •Loss of objectivity •Memory issues •Poor concentration, focus, and judgment,

PHYSICAL:

•Headaches •Digestive problems: diarrhea, constipation, upset stomach •Muscle tension •Sleep disturbances: inability to sleep, insomnia, too much sleep •Fatigue •Cardiac symptoms: chest pain/pressure, palpitations, tachycardia

Page 13: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Tips to Reduce and Prevent Compassion Fatigue

Page 14: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5
Page 15: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

•Mental Health Days •Employee Assistance Programs (EAP) •Engage with colleagues

Page 16: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Make a connection through humor with colleagues

Page 17: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Remember your ABC’s

Awareness Balance Connections

Page 18: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

Questions

Page 19: Compassion Fatigue in Healthcare Providers and Caregivers · • Identify tips and strategies to reduce Compassion Fatigue Statistics on Caregiving • In 2015, Approximately 43.5

References

Pfifferling, J.H. 2000. Overcoming compassion fatigue. Family Practice Management, 4:39-44

Boyle, D. (2011). Countering compassion fatigue: a requisite nursing agenda. Online Journal of Issues In Nursing, 1-13.

Lombardo, B., & Caryl, E. (2011). Compassion fatigue: a nurse's primer. The Online Journal of Issues in Nursing, 1-8.

Mendes, A. (2014). Recognising and combating compassion fatigue in nursing. Psychology In Nursing, 23(21), 1146.

Sheppard, K. (2016). Compassion fatigue: are you at risk? American Nurse Today, 11(1), 1-4.

The American Institue of Stress. (2017). https://www.stress.org/military/for-practitionersleaders/compassion-fatigue/. Retrieved from The American Institute of Stress:

https://www.stress.org/military/for-practitionersleaders/compassion-fatigue/

Good Therapy.org Staff (2016, February 9). The Cost of Caring: 10 Ways to Prevent Compassion Fatigue. Retrieved from https://www.goodtherapy.org/blog/the-cost-of-

caring-10-ways-to-prevent-compassion-fatigue-0209167

Hodgson, H. (2015, June 22). What is Compassion Fatigue? Retrieved from https://thecaregiverspace.org/what-is-compassion-fatigue/

Ianzito, Christina. (2016, November). The Cost of Family Caregiving: Out-of-Pocket Spending Surprisingly High. Retrieved from https://www.aarp.org/caregiving/financial-

legal/info-2017/out-of-pocket-cost-report.html

Pew Research Center. (2015, November 18). 5 Facts About Family Caregivers. Retrieved from http://www.pewresearch.org/fact-tank/2015/11/18/5-facts-about-family-

caregivers/

Wikipedia contributors. (2018, January 28). Compassion fatigue. In Wikipedia, The Free Encyclopedia. Retrieved from https://en.Wikipedia.org/w/index.php?

title=Compassion_fatigue&oldid=822815269

Stamm, B.H.  (2016, January). Comprehensive Bibliography of Documents Specifically Using the ProQOL Measure. Retrieved from  www.proqol.org.