Managing Compassion Fatigue in Intensive Care Unit Nurses: A Systematic Review.

IF 1.4 Q3 NURSING
Angela Yee, Zorica Kauric-Klein
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引用次数: 0

Abstract

Background: Compassion fatigue is the accumulation of negative feelings from long-term exposure to human suffering, which leads to emotional, physical, and spiritual exhaustion. Intensive care unit nurses are especially prone to this due to the unique stressors of their work environment, such as high patient mortality and caring for medically unstable patients. There is currently a gap in literature appraising the effectiveness of interventions that help manage compassion fatigue in intensive care unit nurses.

Objectives: This systematic review evaluates the efficacy of compassion fatigue interventions for intensive care unit nurses.

Methods: This systematic review was conducted following guidelines from the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Literature published between 2005 and 2024 was obtained from Cochrane Library, CINAHL, and PsycINFO databases. Studies were included if they met the following inclusion criteria: quantitative study design, involved an intervention to prevent or manage compassion fatigue, evaluation of compassion fatigue or one of its components (burnout and secondary traumatic stress), an intervention involving intensive care unit nurses, and articles published in the English language.These data were appraised by 2 independent reviewers using the Joanna Briggs Institute Critical Appraisal tool.

Results: A total of 17 studies were included. This review found moderate and high strength of evidence for interventions to reduce compassion fatigue in intensive care unit nurses. The most effective interventions were mind-body interventions that were accessible, portable, brief, and adaptable to nurses' work settings.

Discussion: This review has several limitations. Many studies included in this review had small sample sizes, were conducted at 1 hospital setting or unit, and used weak study designs. Several studies also used different interventions and measurement approaches, making it difficult to compare and synthesize findings and outcomes. Thus, the heterogeneity of studies limited our ability to draw strong conclusions about different types of interventions. Additional and more rigorous studies examining interventions to decrease and manage compassion fatigue in intensive care unit nurses are needed. There is also a need to foster better generalizability of research findings.

管理同情疲劳在重症监护室护士:一个系统的回顾。
背景:同情疲劳是由于长期遭受人类苦难而积累的负面情绪,会导致情感、身体和精神上的疲惫。由于工作环境的独特压力源,例如病人死亡率高和照顾身体不稳定的病人,重症监护室护士特别容易出现这种情况。目前在文献评价干预措施的有效性,帮助管理同情疲劳在重症监护病房护士的差距。目的:本系统回顾评估同情疲劳干预对重症监护室护士的效果。方法:本系统评价遵循PRISMA(系统评价和荟萃分析首选报告项目)声明的指导方针进行。2005年至2024年间发表的文献来自Cochrane图书馆、CINAHL和PsycINFO数据库。符合以下纳入标准的研究被纳入:定量研究设计,涉及预防或管理同情疲劳的干预,对同情疲劳或其组成部分之一(倦怠和继发性创伤压力)的评估,涉及重症监护病房护士的干预,以及以英语发表的文章。这些数据由2个独立的评论者使用乔安娜布里格斯研究所的关键评估工具进行评估。结果:共纳入17项研究。本综述发现中度和高强度的证据干预,以减少同情疲劳在重症监护病房护士。最有效的干预措施是身心干预措施,这些干预措施易于获得,便携,简短,适合护士的工作环境。讨论:本综述有几个局限性。本综述中纳入的许多研究样本量小,在一个医院环境或单位进行,并且使用了弱研究设计。几项研究还使用了不同的干预措施和测量方法,因此难以比较和综合研究结果和结果。因此,研究的异质性限制了我们对不同类型干预得出强有力结论的能力。需要更多和更严格的研究来检查干预措施,以减少和管理重症监护室护士的同情疲劳。还需要促进研究结果的更好的普遍性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
5.90%
发文量
102
期刊介绍: The primary purpose of Dimensions of Critical Care Nursing™ is to provide nurses with accurate, current, and relevant information and services to excel in critical care practice.
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