Original Article

The Relationship between Compassion Satisfaction and Fatigue with Shift Nurses’ Patient Safety-Related Activities

Abstract

Background: We examined the relationships of compassion satisfaction and fatigue among shift nurses on nursing engagement activities related to patient safety with the aim of improving shift nurses’ physical and psychological aspects in order to use the findings as a basis to enhance nurses’ engagement in activities related to patient safety.

Methods: The data collection period for this cross-sectional study was from Nov 21, 2019, to Jan 3, 2020. A convenience sample of 280 shift nurses who were working for more than six months at three tertiary hospitals in Korea was used. Collected data comprised general and job-related characteristics of subjects, compassion satisfaction, compassion fatigue, and patient safety nursing activities. SPSS was used for statistical analysis, and multiple regression analysis was used to examine the relationship between shift nurses' compassion satisfaction, compassion fatigue, and patient safety nursing activities

Results: Compassion satisfaction had the greatest impact on engagement in nursing activities related to patient safety (β= .32, P<.001), followed by compassion fatigue. Higher compassion satisfaction and lower compassion fatigue indicates a higher engagement in patient safety-related nursing activities (β= -.15, P<.008).

Conclusion: In order to maximize compassion satisfaction and reduce compassion fatigue among shift nurses, it is important for health policymakers to improve their welfare system and create a supportive environment where negative emotions can be expressed freely and accepted positively.

 

1. World Health Organization (2017). Patient safety: making health care safer. World Health Organization.
2. Donaldson L, Ricciardi W, Sheridan S, et al. (Eds.) (2021). Textbook of patient safety and clinical risk management. Cham, Switzerland: Springer Nature.
3. Patient Safety Statistical Yearbook (2019). https://mdon.co.kr/news/article.html?no=27598 (in Korean).
4. Lee SI(2013). The necessity and direction of enactment of the Patient Safety Act. Health Policy Forum, 11(2):37-42.
5. Garcia CDL, Abreu LCD, Ramos JLS, et al. (2019). Influence of burnout on patient safety: systematic review and meta-analysis. Medicina (Kaunas), 55 (9): 553.
6. Gómez-Salgado J, Navarro-Abal Y, López-López MJ, et al. (2019). Engagement, passion and meaning of work as modu-lating variables in nursing: a theoretical analysis. Int J Environ Res Public Health, 16 (1): 108.
7. Figley CR (1995). Compassion fatigue. coping with secondary traumatic stress disorder in those who treat the traumatized. Brunner/Mazel. New York.
8. Kelly L, Runge J, Spencer C (2015). Predic-tors of compassion fatigue and compas-sion satisfaction in acute care nurses. J Nurs Scholarsh, 47 (6): 522−8.
9. Jin M, Wang J, Zeng L, et al. (2021). Preva-lence and factors of compassion fatigue among nurse in China: a protocol for systematic review and meta-analysis. Medi-cine (Baltimore), 100 (3): e24289.
10. Duarte J, Pinto-Gouveia J (2017). The role of psychological factors in oncology nurses' burnout and compassion fatigue symptoms. Eur J Oncol Nurs, 28: 114−21.
11. Nolte AG, Downing C, Temane A, Has-tings‐Tolsma M (2017). Compassion fa-tigue in nurses: a metasynthesis. J Clin Nurs, 26 (23-24): 4364−78.
12. Alharbi J, Jackson D, Usher K (2020). Per-sonal characteristics, coping strategies, and resilience impact on compassion fa-tigue in critical care nurses: a cross‐sectional study. Nurs Health Sci, 22: 20−7.
13. Peters E (2018). Compassion fatigue in nursing: a concept analysis. Nurs Forum, 53 (4): 466−80.
14. Han MY, Lee MS, Bae JY, Kim YS (2015). Effects of nursing practice environment, compassion fatigue and compassion sat-isfaction on burnout in clinical nurses. J Korean Acad Nurs Adm, 21 (2): 193−202.
15. Lee JM, Yom YH (2013). Effects of work stress, compassion fatigue, and compas-sion satisfaction on burnout in clinical nurses. J Korean Acad Nurs Adm, 19 (5): 689−97.
16. Hunsaker S, Chen HC, Maughan D, Heaston S (2015). Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nurs Scholarsh, 47 (2): 186−94.
17. Sacco T, Ciurzynksi S, Harvey ME, Ingersoll G (2015). Compassion satisfaction and compassion fatigue among critical care nurses. Crit Care Nurs, 35(4):32-43.
18. Hooper C, Craig F, Janvrin D, et al. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other se-lected inpatient specialties. J Emerg Nurs, 36 (5): 420-427.
19. Ausserhofer D, Schubert M, Desmedt M, et al. (2013). The association of patient safe-ty climate and nurse-related organizational factors with selected patient outcomes: A cross-sectional survey. Int J Nurs Stud, 50(2): 240–252.
20. Sacco TL, Copel LC (2018). Compassion satisfaction: a concept analysis in nursing. Nurs Forum, 53: 76−83.
21. Stamm BH (2012). Helping the helpers: compassion satisfaction and compassion fatigue in Self-care, management, and policy. In Resources for Community Suicide Pre-vention. Eds, AD Kirkwood, BH Stamm. Idaho State University, Meridian and Pocatello, ID, pp 1−4.
22. Yoo HN, Lee HY (2014). The initial applica-tion of the patient safety management ac-tivity scale (PSM-A) for nursing students: Brief on reliability and validity. J Korean Data Analysis Society, 16(6):3423-3436.
23. Lee Y.M., Lee H.H, Jung J.H, Yang, JK, et al. (2018). A study about compassion fa-tigue, compassion satisfaction and burn-out in comprehensive nursing care and general ward nurses. J Korean Clin Nurs Res, 24(2):188-196.
24. Salimi S, Pakpour V, Rahmani A, et al. (2020). Compassion satisfaction, burnout, and secondary traumatic stress among critical care nurses in Iran. J Transcult Nurs, 31: 59–66.
25. Lee SS, Choi HR (2019). Convergence influ-ences of nurses' professional autonomy and empathy on patient safety culture. J Digit Converg, 17 (2): 231−41.
26. Park JH, Lee EN (2019). Influencing factors and consequences of near miss experi-ence in nurses' medication error. J Korean Acad Nurs, 49 (5): 631−42.
27. Lee SN, Kim JA (2016). Analysis of research on compassion satisfaction among nurs-es. J Korea Academia-Industrial Cooperation Society, 17 (9): 599−609.
28. Craig CD, Sprang G (2010). Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety Stress Coping, 23 (3): 319−39.
29. Loan, L. (2020). The influence of organiza-tional commitment on employees’ job performance: The mediating role of job satisfaction. Management Science Letters, 10(14):3307-3312.
30. Jeong E, Jung MR (2018). Influences of compassion satisfaction, compassion fa-tigue, and burnout on positive psycho-logical capital of clinical nurses. J Korea Contents Assoc, 18 (3): 246−55.
31. Stacey W, Singh-Carlson S, Odell A, et al. (2016). Compassion fatigue, burnout, and compassion satisfaction among oncology nurses in the United States and Canada. Oncol Nurs Forum, 43 (4): E161−9.
32. Sung KW, Jo KH (2010). Perceived hurts and forgiveness in clinical nurses - the status and influencing variables. J Korean Acad Nurs Adm, 16 (4): 428−36.
33. Matheson A, O'Brien L, Reid JA (2014). The impact of shiftwork on health: a literature review. J Clin Nurs, 23(23-24):3309-3320.
34. Jarrad R, Hammad S, Shawashi T, Mahmoud N (2018). Compassion fatigue and substance use among nurses. Ann Gen Psychiatry, 17:13.
35. Pang Y, Dan Y, Jung H, et al. (2020). De-pressive symptoms, professional quality of life and turnover intention in Korean nurses. Int Nurs Rev, 67 (3): 387−94.
36. Smart D, English A, James J, et al. (2014). Compassion fatigue and satisfaction: cross-sectional survey among US healthcare workers. Nurs Health Sci, 16: 3−10.
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IssueVol 51 No 12 (2022) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v51i12.11463
Keywords
Compassion fatigue Compassion satisfaction Nursing Patient safety

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How to Cite
1.
Ryu IS, Shim J. The Relationship between Compassion Satisfaction and Fatigue with Shift Nurses’ Patient Safety-Related Activities. Iran J Public Health. 2022;51(12):2724-2732.