Sočutna utrujenost medicinskih sester v onkologiji: pregled literature : diplomsko delo

Vogrin, Katarina (author), Kavčič, Tina (mentor), Bobnar, Albina (reviewer)

Uvod: Medicinske sestre v onkologiji so pogosto v stiku s pacienti, ki so v hudih bolečinah, stiski in se približujejo smrti. Čeprav nudenje pomoči drugim vzpodbuja zadovoljstvo, lahko ob dolgoročni profesionalni vključenosti v proces skrbi medicinske sestre občutijo stisko ali sočutno utrujenost. Sočutna utrujenost je sprememba v obnašanju in čustvovanju, ki izvira iz prisostvovanja travmatičnim izkušnjam drugih in nudenju pomoči ljudem, ki doživijo travmatični dogodek. Namen: Namen diplomskega dela je na podlagi pregleda literature ugotovit pogostost pojavnosti sočutne utrujenosti pri medicinskih sestrah v onkologiji, kakšne so njene posledice, kateri so dejavniki tveganja za njen razvoj in kateri dejavniki in načini učinkovito preprečujejo razvoj sočutne utrujenosti. Metoda: V diplomskem delu smo uporabili deskriptivno metodo s sistematičnim pregledom. Izbor literature za analizo je potekal s pomočjo metodologije PRIZMA. Iskali smo v podatkovnih bazah in iskalnikih: Chinal, Medline, PubMed in ScienceDirect. Uporabili smo članke, ki so bili v celoti prosto dostopni ali z uporabo oddaljenega dostopa Univerze v Ljubljani za študente. Zbrana literatura je v angleškem jeziku od leta 2010, dostopna v obliki celotnega zapisa. Uporabljene ključne besede so bile compassion fatigue AND oncology nurse in compassion fatigue AND oncology nursing. V analizo smo vključili 10 člankov. Rezultati: Medicinske sestre v onkologiji pogosto doživljajo blago do zmerno sočutno utrujenost, kar vpliva tako na njihovo fizično in psihično počutje, kot tudi na kakovost dela, varnost pacientov in zadovoljstvo z delovnim mestom. Za učinkovit način zmanjševanja sočutne utrujenosti so se izkazale metode, ki temeljijo na čuječnosti. Razprava in zaključek: Medicinske sestre se pogosto ne zavedajo obstoja sočutne utrujenosti in njenega vpliva na svoje zdravje. Ker se zaradi občutkov, ki jih doživljajo do pacientov počutijo krive, se o tem ne pogovarjajo. Medicinske sestre, ki že občutijo sočutno utrujenost in se z njo spopadejo tako, da svojih čustev ne izražajo, lahko poslabšajo občutek utrujenosti. Izobraževanje o tem pojavu, preproste intervencije med delovnim časom, komunikacija in dobro, spodbudno vodstvo igrajo ključno vlogo pri preprečevanju sočutne utrujenosti na delovnih mestih.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, stiska, krivda, skrb, onkologija, čuječnost, sočutno zadovoljstvo
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [K. Vogrin]
• Year: 2022
• Number of pages: 31 str., [2] str. pril.
• PID: 20.500.12556/RUL-134869
• UDC: 616-083
• COBISS.SI-ID: 96646915
• Publication date in RUL: 06.02.2022

Secondary language

• Language: English
• Title: Compassion fatigue among oncology nurses: a literature review : diploma work

Abstract

Introduction: Nurses in oncology are often in contact with patients who are in severe pain, distress, and approaching death. Although taking care for others encourages compassion satisfaction, with long-term professional involvement in the process of helping, nurses may feel distress or compassion fatigue. Compassion fatigue is a change in nurses’ behavior and emotions that results from exposure to a traumatic experience of others and from providing help to people experiencing a traumatic event. Purpose: The purpose of this thesis is to determine the frequency of compassion fatigue in nurses in oncology, its consequences, risk factors for its development and factors and ways that are effective in preventing the development of compassion fatigue. Method: In the diploma work we used a descriptive method with a systematic review. The selection of literature for analysis was carried out using the PRIZMA methodology. We searched databases and search engines: Chinal, Medline, PubMed and ScienceDirect. We used articles that were fully accessible freely or using the University of Ljubljana remote access for students. The collected literature has been published in English since 2010 and is available in full format. The keywords used were compassion fatigue AND oncology nurse, and compassion fatigue AND oncology nursing. We included 10 articles in the analysis. Results: Nurses often experience mild to moderate compassionate fatigue, which affects their physical and mental well-being as well as quality of work, patient safety, and job satisfaction. Mindfulness-based methods have been proven to be an effective way to reduce compassion fatigue. Discussion and conclusion: Nurses are often unaware of the existence of compassion fatigue and its impact on their health. Because they feel guilty about the feelings they are experiencing toward patients, they don’t talk about it. Nurses in oncology who already feel compassion fatigue and deal with it by suppressing their feelings can worsen the feeling of fatigue. Education about this phenomenon, simple interventions during working hours, communication and good, encouraging leadership play a key role in preventing compassionate fatigue in the workplace.

• Keywords: diploma theses, nursing care, distress, guilt, care, oncology, mindfulness, compassion satisfaction