Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Compassion Satisfaction, Burnout and Compassion Fatigue within the Context of the Dimensions of the Professional Quality of Life Scale in Nurses: A Cross-Sectional Study
Hemşirelerde Mesleki Yaşam Kalitesinin Boyutları Bağlamında Merhamet Doyumu, Tükenmişlik ve Merhamet Yorgunluğu: Kesitsel Bir Araştırma
Evrim ÇELEBİa, Hafize ÖZTÜRK CANb
aDepartment of Nursing, Division of Public Health Nursing, Fırat University Faculty of Health Sciences, Elazığ, Türkiye
bDepartment of Midwifery, Ege University Faculty of Health Sciences, İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(1):196-204
doi: 10.5336/nurses.2021-82609
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to determine the prevalence of compassion satisfaction, burnout and compassion fatigue, which are the dimensions of the professional quality of life, among nurses working in a university hospital, and the affecting demographic and occupational factors. Material and Methods: The population of this cross-sectional study included 349 nurses and the study was completed with 253 nurses (72.5%). The data were collected using the personal information form and 'Professional Quality of Life Scale' developed by Stamm. Results: The mean scores obtained by the nurses participating in the study were as follows: 32.08±9.09 for the compassion satisfaction subscale, 25.75±5.87 for the burnout subscale, and 18.50±7.57 for the compassion fatigue subscale. The level of compassion satisfaction was significantly higher among nurses working in surgical clinics. The burnout levels of the participants were affected by the marital status. The married nurses obtained significantly higher mean scores from the burnout subscale. There were not differences between the participants' compassion fatigue levels in terms of the demographic variables. Conclusion: While the participating nurses had low levels of compassion satisfaction, they had moderate levels of burnout, and high levels of compassion fatigue.

Keywords: Nurses; job satisfaction; burnout; compassion fatigue
ÖZET
 Amaç: Bu araştırma, bir üniversite hastanesinde çalışan hemşirelerin profesyonel yaşam kalitesinin boyutları olan merhamet memnuniyeti, tükenmişlik ve merhamet yorgunluğu düzeylerini ve bunu etkileyen demografik ve mesleki faktörleri belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Kesitsel türdeki araştırmanın evrenini 349 hemşire oluşturmuş ve 253 hemşire ile araştırma tamamlanmıştır (%72,5). Veri toplama aracı olarak hemşirelerin demografik ve mesleki özelliklerinin sorgulandığı kişisel bilgi formu ve Stamm tarafından geliştirilen 'Profesyonel Yaşam Kalitesi Ölçeği' kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelerin merhamet memnuniyeti alt ölçeği puan ortalaması 32,08±9,09, tükenmişlik alt ölçeği puan ortalaması 25,75±5,87, merhamet yorgunluğu alt ölçeği puan ortalaması 18,50±7,57 olarak belirlenmiştir. Merhamet memnuniyeti düzeyi cerrahi kliniklerde çalışan hemşirelerde anlamlı düzeyde yüksek bulunmuştur. Tükenmişlik düzeyi medeni duruma göre farklılık göstermiştir. Evli olan hemşirelerin tükenmişlik puan ortalaması anlamlı düzeyde yüksek bulunmuştur. Merhamet yorgunluğu düzeyi demografik değişkenlere göre farklılık göstermemiştir. Sonuç: Araştırmaya katılan hemşirelerin merhamet memnuniyetleri düşük, tükenmişlikleri orta düzeyde, merhamet yorgunlukları ise yüksek düzeyde bulunmuştur.

Anahtar Kelimeler: Hemşireler; mesleki memnuniyet; tükenmişlik; merhamet yorgunluğu
REFERENCES:
  1. Türkay O. Çalışma yaşamı kalitesinin iş memnuniyeti ve bağlılık üzerine etkileri: Seyahat acentaları üzerine bir araştırma [Effects of the quality of work life on job satisfaction and commitment: a research on travel agencies]. Yönetim ve Ekonomi. 2015;22(1):239-56. [Crossref] 
  2. Stamm BH. The concise ProQOL manual. 2nd ed. Pocatello; 2010. [Link] 
  3. Pehlivan T, Güner P. Merhametli bakım: Yararları, engeller ve öneriler [Compassionate care: benefits, barriers and recommendations]. Psiki-yatri Hemşireliği Dergisi. 2020;11(2):148-53. [Link] 
  4. Stamm BH. The ProQOL Manual: The Professional Quality of Life Scale: Compassion Satisfaction, Burnout & Compassion Fatigue. Secondary Trauma Scales. Baltimore MD: Sidran; 2005. [Link] 
  5. Li L, Ruan H, Yuan WJ. The relationship between social support and burnout among ICU nurses in Shanghai: A cross-sectional study. Chinese Nursing Research. 2015;2(2-3):45-50. [Crossref] 
  6. Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Occupational Behaviour. 1981;2(2):99-113. [Crossref] 
  7. Jenkins B, Warren NA. Concept analysis: compassion fatigue and effects upon critical care nurses. Crit Care Nurs Q. 2012;35(4):388-95. [Crossref]  [PubMed] 
  8. Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J Psychiatr Res. 2020;123: 9-20. [Crossref]  [PubMed] 
  9. Hu Z, Wang H, Xie J, Zhang J, Li H, Liu S, et al. Burnout in ICU doctors and nurses in mainland China-A national cross-sectional study. J Crit Care. 2021;62:265-70. [Crossref]  [PubMed] 
  10. McHugh MD, Kutney-Lee A, Cimiotti JP, Sloane DM, Aiken LH. Nurses' widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care. Health Aff (Millwood). 2011;30(2):202-10. [Crossref]  [PubMed]  [PMC] 
  11. Başkale H, Partlak Günüşen N, Serçekuş P. Bir devlet hastanesinde görev yapan hemşirelerin çalışan yaşam kalitesi düzeylerinin ve etkileyen faktörlerin incelenmesi [Investigation of professional quality of life and affecting factors of nurses who are working in a state hospital]. Pamukkale Medical Journal. 2016;9(2):125-33. [Crossref] 
  12. Denk T. Bir üniversite hastanesinde çalışan hemşirelerde mesleki yaşam kalitesi merhamet memnuniyeti merhamet yorgunluğu [Yüksek lisans tezi]. Gaziantep: Hasan Kalyoncu Üniversitesi; 2018. [Erişim tarihi: 19 Nisan 2021]. [Link] 
  13. Hegney DG, Craigie M, Hemsworth D, Osseiran-Moisson R, Aoun S, Francis K, et al. Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Study 1 results. Journal of Nursing Management. 2014;22(4):506-18. [Crossref]  [PubMed] 
  14. Kılıç S. Devlet hastanesinde çalışan hemşirelerde travmatik stres belirtileri, mesleki tatmin tükenmişlik ve eşduyum yorgunluğunun incelenmesi [Yüksek lisans tezi]. Nevşehir: Nevşehir Hacı Bektaş Veli Üniversitesi; 2018. [Erişim tarihi: 19 Nisan 2021]. [Link] 
  15. Gök GA. Merhamet etmenin dayanılmaz ağırlığı: hemşirelerde merhamet yorgunluğu [Unbearable heaviness of compassion: Nurses' compassion fatigue]. Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2015;20(2): 299-313. [Link] 
  16. Polat FN, Erdem R. Merhamet yorgunluğu düzeyinin çalışma yaşam kalitesi ile ilişkisi: Sağlık profesyonelleri örneği [The relationship between the level of compassion fatigue and quality of professional life: the case of medical professionals]. Süleyman Demirel Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2017;(26):291-312. [Link] 
  17. Coşkun S, Şarlak K, Taştan H. Psikiyatri hemşirelerinde öğrenilmiş güçlülük düzeyi ve iş yaşamı kalitesi: Karşılaştırmalı bir çalışma uygulamaları [Effects of decisional ınvolvement of nurses on the quality of work life]. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2015;4(1):84-101. [Link] 
  18. Akyüz İ. Hemşirelerin tükenmişlik ve depresyon düzeylerinin çalışma koşulları ve demografik özellikler açısından incelenmesi [Investigation of level of nurses' burnout and depression in terms of working conditions and demographic characteristics]. İşletme ve İktisat Çalışmaları Dergisi. 2015;3(1):21-34. [Link] 
  19. Erdağı S, Nadiye Ö. Cerrahi kliniklerde çalışan hemşirelerin çalışma ortamlarının, hasta güvenliği kültürü algılarının ve tükenmişlik durumlarının incelenmesi [Examining practice environments, patient safety culture perceptions and burnout status of nurses working in surgical clinics]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2015;18(2):94-106. [Link] 
  20. Can R, Hisar KM. Hemşirelerin profesyonellik davranışları ve tükenmişlik düzeyleri [Nurses' professional behaviors and burnout levels]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2019;6(1):1-9. [Crossref] 
  21. Denk T, Köçkar Ç. Compassion fatigue in nurses working in surgical clinics. Yaşam Becerileri Psikoloji Dergisi. 2018;2(4):237-45. [Crossref] 
  22. Yeşil A, Ergün Ü, Amasyalı C, Er F, Olgun NN, Aker AT. Çalışanlar için Yaşam Kalitesi Ölçeği Türkçe uyarlaması geçerlik ve güvenilirlik çalışması [Validity and reliability of the Turkish version of the Professional Quality of Life Scale]. Archives of Neuropsychiatry. 2010;47(2):111-7. [Link] 
  23. Erat Ş, Korkmaz M, Çimen V, Yahyaoğlu G. Hemşirelerin iş yaşam kalitesinin motivasyona etkisi [The effect of business and life quality of nurses on motivation]. Uluslararası Hakemli Akademik Spor Sağlık ve Tıp Bilimleri Dergisi. 2011;1(1):48-76. [Link] 
  24. Sağlık Bakanlığı [İnternet]. [Erişim tarihi: 20 Nisan 2021]. Sağlık İstatistikleri Yıllığı 2019. [Link] 
  25. Çam MO, Engin E. Hemşirelerde tükenmişlik [Burnout in nurses]. Journal of International Social Research. 2017;10(51):501-7. [Crossref] 
  26. Jakimowicz S, Perry L, Lewis J. Compassion satisfaction and fatigue: A cross-sectional survey of Australian intensive care nurses. Australian Critical Care. 2018;31(6):396-405. [Crossref]  [PubMed] 
  27. Merk T. Compassion fatigue, compassion satisfaction & burnout among pediatric nurses. Air Medical Journal. 2018;37(5):292. [Crossref] 
  28. Kolthoff KL, Hickman SE. Compassion fatigue among nurses working with older adults. Geriatric Nursing. 2017;38(2):106-9. [Crossref]  [PubMed] 
  29. Roney LN, Acri MC. The cost of caring: An exploration of compassion fatigue, compassion satisfaction, and job satisfaction in pediatric nurses. Journal of Pediatric Nursing. 2018:40:74-80. [Crossref]  [PubMed] 
  30. Wentzel DL, Brysiewicz P. A survey of compassion satisfaction, burnout and compassion fatigue in nurses practicing in three oncology departments in Durban, South Africa. International Journal of Africa Nursing Sciences. 2018;8:82-6. [Crossref] 
  31. Mashego TAB, Nesengani DS, Ntuli T, Wyatt G. Burnout, compassion fatigue and compassion satisfaction among nurses in the context of maternal and perinatal deaths. Journal of Psychology in Africa. 2016;26(5):469-72. [Crossref] 
  32. Taycan O, Kutlu L, Çimen S, Aydın N. Bir üniversite hastanesinde çalışan hemşirelerde depresyon ve tükenmişlik düzeyinin sosyodemografik özelliklerle ilişkisi [Relation between sociodemographic characteristics depression and burnout levels of nurse working in university hospital]. Anadolu Psikiyatri Dergisi. 2006;7(2):100-8. [Link] 
  33. Sacco TL, Ciurzynski SM, Harvey ME, Ingersoll GL. Compassion satisfaction and compassion fatigue among critical care nurses. Crit Care Nurse. 2015;35(4):32-43; quiz 1p following 43. [Crossref]  [PubMed] 
  34. Yılmaz G, Üstün B. Onkoloji hemşirelerinin profesyonel yaşam kalitesini ve travma sonrası gelişim düzeylerini etkileyen sosyodemografik ve mesleki faktörler [Sociodemographic and professional factors influencing the professional quality of life and post-traumatic growth of oncology nurses]. Psikiyatri Hemşireliği Dergisi. 2019;10(4):241-50. [Link] 
  35. Wang J, Okoli CTC, He H, Feng F, Li J, Zhuang L, et al. Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. Int J Nurs Stud. 2020;102:103472. [Crossref]  [PubMed] 

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