Determination of Compassion Fatigue and Brain Fog Levels and Associated Factors Among Hemodialysis Unit Professionals: A Descriptive and Analytical Study

Abstract

Introduction

Hemodialysis professionals are particularly at risk due to the chronic nature of patient care and the intense emotional burden it entails. The aim of this study is to determine the levels of compassion fatigue and brain fog among healthcare professionals working in these units, to examine the relationship between them, and to identify their predictive factors.

Methods

This study employed a descriptive and analytical design, with data collected between February 16 and June 16, 2024. Reporting followed the STROBE checklist. The study population consisted of healthcare professionals working in private and public hemodialysis centers in Turkey. A non-probability snowball sampling method was used. Data were collected using a Descriptive Information Form, the Compassion Fatigue–Short Scale, and the Brain Fog Scale.

Results

Of the participants, 82.0% were female, and 33.6% were between 36 and 45 years of age. Participants reported moderate levels of compassion fatigue (59.67 ± 21.25) and high levels of brain fog (80.01 ± 26.53). A strong positive correlation was observed between compassion fatigue and brain fog (r = 0.744, p < 0.001). Compassion fatigue levels were significantly predicted by gender, profession, and brain fog (p < 0.005). Conversely, brain fog levels were significantly predicted by the institution of employment, profession, and compassion fatigue (p < 0.005).

Discussion

Healthcare professionals experienced moderate levels of compassion fatigue and high levels of brain fog, both of which can impair well-being and job performance. Early recognition and management of these conditions are crucial. Nursing practice and health policy should emphasize supportive interventions such as mental health programs, resilience training, and workload management to protect staff well-being and sustain quality patient care.