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The Influence of Nursing Practice Environment, Compassion Fatigue and Compassion Satisfaction on Burnout among Clinical Nurses

간호근무환경, 공감피로 및 공감만족이 간호사의 소진에 미치는 영향

  • Kim, Jui (Department of Nursing, Samsung Medical Center, College of Nursing, Graduate School, Yonsei University) ;
  • Lee, Tae Wha (College of Nursing, Yonsei University)
  • 김주이 (삼성서울병원.연세대학교 간호대학) ;
  • 이태화 (연세대학교 간호대학)
  • Received : 2016.04.11
  • Accepted : 2016.06.24
  • Published : 2016.08.31

Abstract

Purpose: The purpose of this study was to identify the influence of nursing practice environment, compassion fatigue and compassion satisfaction on burnout among clinical nurses in Korea. Methods: A descriptive crosssectional study was conducted. The sample consisted of 210 clinical nurses from three tertiary hospitals located in Seoul. Measurement instruments included the Korean version of the Practice Environment Scale of Nursing Work Index (K-PES-NWI) and Stamm's professional quality of life (ProQOL). Descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression were used to analyze the data. Results: Nursing practice environment had moderate negative influence on burnout (r=-.38, p<.001). Compassion fatigue had strong positive influence on burnout (r=.50, p<.001), while compassion satisfaction had strong negative influence on burnout (r=-.61, p<.001). The regression model explained 63% of variance of burnout and the compassion satisfaction was the most influencing factor for nurses' burnout. Conclusion: This study identified nursing practice environment, compassion fatigue and compassion satisfaction as influencing factors for nurses' burnout. Strategies to decrease compassion fatigue, enhance compassion satisfaction and create better nursing practice environment are recommended to decrease nurses' burnout.

References

  1. Kim YO. A study of factors predicting burnout in hospital staff nurses. Korean Journal of Adult Nursing. 2002;14(4):591-600.
  2. McCranie EW, Lambert VA, Lambert CE Jr. Work stress, hardiness, and burnout among hospital staff nurses. Nursing Research. 1987;36(6):374-378.
  3. Gardner D, Parzen ZD, Stewart N. The nurse's dilemma: Mediating stress in critical care units. Heart & Lung. 1980;9(1):103-106.
  4. Kwon JO, Kim EY. Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Journal of Korean Academy of Nursing Administration. 2012;18(4):414-423. http://dx.doi.org/10.11111/jkana.2012.18.4.414 https://doi.org/10.11111/jkana.2012.18.4.414
  5. Kim JK, Kim MJ, Kim SY, Yu M, Lee KA. Effects of general hospital nurses' work environment on job embeddedness and burnout. Journal of Korean Academy of Nursing Administration. 2014;20(1):69-81. http://dx.doi.org/10.11111/jkana.2014.20.1.69 https://doi.org/10.11111/jkana.2014.20.1.69
  6. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration. 2008;38(5):223-229. http://dx.doi.org/10.1097/NNA.0b013e3181aeb4cf https://doi.org/10.1097/01.NNA.0000312773.42352.d7
  7. Lee JM, Yom YH. Effects of work stress, compassion fatigue, and compassion satisfaction on burnout in clinical nurses. Journal of Korean Academy of Nursing Administration. 2013;19(5):689-697. http://dx.doi.org/10.11111/jkana.2013.19.5.689 https://doi.org/10.11111/jkana.2013.19.5.689
  8. Figley CR. Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel; 1995.
  9. Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: A concept analysis. Nursing and Health Sciences. 2010;12:235-243. http://dx.doi.org/10.1111/j.1442-2018.2010.00526.x https://doi.org/10.1111/j.1442-2018.2010.00526.x
  10. Crabbe JM, Bowley DM, Boffard KD, Alexander DA, Klein S. Are health professionals getting caught in the crossfire? The personal implications of caring for trauma victims. Emergency Medicine Journal. 2004;21(5):568-572. https://doi.org/10.1136/emj.2003.008540
  11. Gow KM, Marek CJ. Way finding through life's challenges: Coping and survival. New York, NY: Nova Science Publishers; 2011. p. 385-402.
  12. Stamm BH. The Concise ProQOL Manual [Internet]. Pocatello: ProQOL.org; 2010[cited 2014 October 18]. Available from: http://proqol.org/uploads/ProQOL_Concise_2ndEd_12-2010.pdf.
  13. Lake ET. Development of the practice environment scale of the Nursing Work Index. Research in Nursing & Health. 2002;25(3):176-188. https://doi.org/10.1002/nur.10032
  14. Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Korean Journal of Adult Nursing. 2011;41(3):325-332. http://dx.doi.org/10.4040/jkan.2011.41.3.325 https://doi.org/10.4040/jkan.2011.41.3.325
  15. Lake ET, Friese CR. Variations in nursing practice environments: Relation to staffing and hospital characteristics. Nursing Research. 2006;55(1):1-9. https://doi.org/10.1097/00006199-200601000-00001
  16. Kim HJ, Yom YH. Structural equation modeling on burnout in clinical nurses based on CS-CF model. Korean Journal of Adult Nursing. 2014;44(3):259-269. http://dx.doi.org/10.4040/jkan.2014.44.3.259 https://doi.org/10.4040/jkan.2014.44.3.259
  17. Kim SR, Kim HY, Kang JH. Effects of type D personality on compassion fatigue, burnout, compassion satisfaction, and job stress in clinical nurses. Korean Journal of Adult Nursing. 2014;20(3):272-280. http://dx.doi.org/10.11111/jkana.2014.20.3.272
  18. Ko CM, Lee AY. The mediating effect of emotional dissonance in the relationship between emotional labor and burnout among clinical nurses. Journal of Korean Academy of Nursing Administration. 2013;19(5):647-657. http://dx.doi.org/10.11111/jkana.2013.19.5.647 https://doi.org/10.11111/jkana.2013.19.5.647
  19. Robins PM, Meltzer L, Zelikovsky N. The experience of secondary traumatic stress upon care providers working within a children's hospital. Journal of Pediatric Nursing. 2009;24(4):270-279. http://dx.doi.org/10.1016/j.pedn.2008.03.007 https://doi.org/10.1016/j.pedn.2008.03.007
  20. Slocum-Gori S, Hemsworth D, Chan WW, Carson A, Kazanjian A. Understanding compassion satisfaction, compassion fatigue and burnout: A survey of the hospice palliative care workforce. Palliative Medicine. 2013;27(2):172-178. http://dx.doi.org/10.1177/0269216311431311 https://doi.org/10.1177/0269216311431311