Interventions to Reduce Compassion Fatigue in Nursing: A Systematic Review and Meta-Analysis of Controlled Studies

IF 3.8 3区医学 Q1 NURSING

International Nursing Review Pub Date : 2025-04-17 DOI:10.1111/inr.70023

Marta Manzanedo-Moreno, Concepción Salcedo-Sampedro, Rebeca Abajas-Bustillo, Roberto Martin-Melón, Rosario Fernández Peña, Carmen Ortego-Maté

{"title":"Interventions to Reduce Compassion Fatigue in Nursing: A Systematic Review and Meta-Analysis of Controlled Studies","authors":"Marta Manzanedo-Moreno, Concepción Salcedo-Sampedro, Rebeca Abajas-Bustillo, Roberto Martin-Melón, Rosario Fernández Peña, Carmen Ortego-Maté","doi":"10.1111/inr.70023","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Compassion fatigue is the emotional response generated by continuous exposure to human suffering and is especially common among nursing professionals. This phenomenon can lead to decreased empathy and increased emotional exhaustion while affecting the quality of care.</p>\n </section>\n \n <section>\n \n <h3> Aim</h3>\n \n <p>To synthesize information from primary studies that have used and evaluated interventions aimed at managing compassion fatigue in nursing professionals.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A systematic review with meta-analysis of studies with randomized and nonrandomized control groups.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Medline, CINAHL, Scopus, and Web of Science databases were searched for studies published between 2013 and 2023. The search was conducted in January 2024 to identify control group studies that provided quantitative pre–post data on both groups of compassion fatigue assessed with the Professional Quality of Life Scale (ProQol). Quality was assessed using the RoB2 and ROBINS-I scales. The protocol was registered in the International Prospective Register of Systematic Reviews (CRD42024537935).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The search strategy yielded a total of 1006 records, of which 11 studies were selected; these provided a total of 763 participants. Most of the interventions consisted of providing knowledge and skills to increase resilience, emotional well-being, and stress coping. The interventions had an average duration of 6 weeks distributed in 9 sessions with an average of 90 minutes. After the intervention, a statistically significant increase in satisfaction was obtained and a statistically significant reduction in fatigue and burnout.</p>\n </section>\n \n <section>\n \n <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\n \n <p>Interventions aimed at reducing compassion fatigue are effective among nursing professionals. In the future, further high-quality research with prospective follow-up designs is required.</p>\n </section>\n </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8000,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Nursing Review","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/inr.70023","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Compassion fatigue is the emotional response generated by continuous exposure to human suffering and is especially common among nursing professionals. This phenomenon can lead to decreased empathy and increased emotional exhaustion while affecting the quality of care.

Aim

To synthesize information from primary studies that have used and evaluated interventions aimed at managing compassion fatigue in nursing professionals.

Design

A systematic review with meta-analysis of studies with randomized and nonrandomized control groups.

Methods

Medline, CINAHL, Scopus, and Web of Science databases were searched for studies published between 2013 and 2023. The search was conducted in January 2024 to identify control group studies that provided quantitative pre–post data on both groups of compassion fatigue assessed with the Professional Quality of Life Scale (ProQol). Quality was assessed using the RoB2 and ROBINS-I scales. The protocol was registered in the International Prospective Register of Systematic Reviews (CRD42024537935).

Results

The search strategy yielded a total of 1006 records, of which 11 studies were selected; these provided a total of 763 participants. Most of the interventions consisted of providing knowledge and skills to increase resilience, emotional well-being, and stress coping. The interventions had an average duration of 6 weeks distributed in 9 sessions with an average of 90 minutes. After the intervention, a statistically significant increase in satisfaction was obtained and a statistically significant reduction in fatigue and burnout.

Conclusion and Implications for Nursing and/or Health Policy

Interventions aimed at reducing compassion fatigue are effective among nursing professionals. In the future, further high-quality research with prospective follow-up designs is required.

查看原文本刊更多论文

减少护理同情疲劳的干预措施：对照研究的系统回顾与元分析

同情疲劳是由于持续接触人类痛苦而产生的情绪反应，在护理专业人员中尤其常见。这种现象会导致移情能力下降，情绪耗竭增加，同时影响护理质量。目的：综合利用和评估护理专业人员同情疲劳干预措施的初步研究信息。设计对随机对照组和非随机对照组的研究进行系统评价和荟萃分析。方法检索Medline、CINAHL、Scopus和Web of Science数据库2013 - 2023年间发表的相关研究。这项研究是在2024年1月进行的，目的是确定对照组研究，这些研究提供了用专业生活质量量表（ProQol）评估两组同情疲劳的定量前后数据。采用RoB2和ROBINS-I量表评估质量。该方案已在国际前瞻性系统评价注册（CRD42024537935）中注册。结果检索策略共获得1006条记录，从中筛选出11篇研究；总共有763名参与者。大多数干预措施包括提供知识和技能，以提高适应力、情绪健康和应对压力。干预措施的平均持续时间为6周，分为9次，每次平均90分钟。干预后，满意度有统计学上的显著提高，疲劳和倦怠有统计学上的显著减少。护理和/或卫生政策干预旨在减少同情疲劳在护理专业人员中是有效的。在未来，需要进一步的高质量研究和前瞻性随访设计。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.