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Article contents
Compassion fatigue and psychological resilience levels of nursing final students: A descriptive, cross-sectional, and relational study
Published online by Cambridge University Press: 13 November 2023
Abstract
Objectives
Nursing students often encounter real-life trauma situations during their clinical experience and similar workplace environment and climate as professional nurses. This research was carried out to determine the reflections of the compassion fatigue levels of nursing final year students on their psychological resilience levels.
Methods
This research was conducted as descriptive and cross-sectional. The sample of the study consists of 250 final year nursing students. Data were collected using Personal Information Form, Compassion Fatigue Scale, and Resilience Scale. It was determined that the compassion fatigue and psychological resilience levels of nursing final year students were moderate.
Results
It was determined that as the levels of compassion fatigue increased, psychological resilience decreased. A highly negative and significant correlation was found between the total and sub-dimension mean scores of compassion fatigue and psychological resilience (p = 0.001).
Significance of results
It was found that there was a negative and high level relationship between nursing students’ compassion fatigue levels and all its sub-dimensions and psychological resilience. Resilience can improve psychosocial functioning and professional performance, including for nursing students facing stressful clinical experiences. It is important to determine the compassion fatigue and psychological resilience levels of nursing students, to determine the existing problems, and to take initiatives for this.
- Type
- Original Article
- Information
- Copyright
- © The Author(s), 2023. Published by Cambridge University Press.
References
Adams, RE, Boscarino, JA and Figley, CR (2006) Compassion Fatigue--Short Scale. American Journal of Orthopsychiatry. doi:10.1037/t30396-000Google Scholar
Adimando, A (2018) Preventing and alleviating compassion fatigue through self-care: An educational workshop for nurses. Journal of Holistic Nursing 36(4), 304–317. doi:10.1177/0898011117721581CrossRefGoogle ScholarPubMed
Admi, H, Moshe-Eilon, Y, Sharon, D, et al. (2018) Nursing students’ stress and satisfaction in clinical practice along different stages: A cross-sectional study. Nurse Education Today 68, 86–92. doi:10.1016/j.nedt.2018.05.027CrossRefGoogle ScholarPubMed
American Association of Colleges of Nursing (2020) https://www.aacnnursing.org/ (accessed 15 December 2022).Google Scholar
Babaei, S and Haratian, M (2020) Compassion satisfaction and fatigue in cardiovascular nurses: A cross-sectional descriptive study. Iranian Journal of Nursing and Midwifery Research 25(3), . doi:10.4103/ijnmr.IJNMR_112_19CrossRefGoogle ScholarPubMed
Balinbin, CBV, Balatbat, KTR, Balayan, ANB, et al. (2020) Occupational determinants of compassion satisfaction and compassion fatigue among Filipino registered nurses. Journal of Clinical Nursing 29(5–6), 955–963. doi:10.1111/jocn.15163CrossRefGoogle ScholarPubMed
Basim, HN and Cetin, F (2011) The reliability and validity of the Resilience Scale for Adults Turkish Version. Turk Psikiyatri Derg 22(2), .Google ScholarPubMed
Çapan, BE and Arıcıoğlu, A (2014) Forgiveness as predictor of psychological resiliency. e-International Journal of Educational Research 5(4), 70–82. doi:10.19160/e-ijer.05325Google Scholar
Cavanagh, N, Cockett, G, Heinrich, C, et al. (2020) Compassion fatigue in healthcare providers: A systematic review and meta-analysis. Nursing Ethics 27(3), 639–665. doi:10.1177/0969733019889400CrossRefGoogle ScholarPubMed
Chernomas, WM and Shapiro, C (2013) Stress, depression, and anxiety among undergraduate nursing students. International Journal of Nursing Education Scholarship 10(1), 255–266. doi:10.1515/ijnes-2012-0032CrossRefGoogle ScholarPubMed
Cimiotti, JP, Aiken, LH, Sloane, DM, et al. (2012) Nurse staffing, burnout, and health care–associated infection. American Journal of Infection Control 40(6), 486–490. doi:10.1016/j.ajic.2012.02.029CrossRefGoogle ScholarPubMed
Clauss-Ehlers, SC (2008) Support for a culturally sensitive measure of resilience. Journal of Applied Developmental Psychology 29, 197–212. doi: 10.1016/j.appdev.2008.02.004CrossRefGoogle Scholar
Dinç, S and Ekinci, M (2019) Turkish adaptation, validity and reliability of compassion fatigue short scale. Psikiyatride Güncel Yaklasimlar 11, 192–202. doi:10.18863/pgy.590616CrossRefGoogle Scholar
Doggrell, SA and Schaffer, S (2016) Attrition and success rates of accelerated students in nursing courses: A systematic review. BMC Nursing 15(1), 1–8. doi:10.1186/s12912-016-0145-7CrossRefGoogle ScholarPubMed
Drury, V, Craigie, M, Francis, K, et al. (2014) Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Phase 2 results. Journal of Nursing Management 22(4), 519–531. doi:10.1111/jonm.12168CrossRefGoogle ScholarPubMed
Edwards, D, Burnard, P, Bennett, K, et al. (2010) A longitudinal study of stress and self-esteem in student nurses. Nurse Education Today 30(1), 78–84. doi:10.1016/j.nedt.2009.06.008CrossRefGoogle ScholarPubMed
Evans, J, Boxer, E and Sanber, S (2008) The strengths and weaknesses of transitional support programs for newly registered nurses. The Australian Journal of Advanced Nursing 25(4), 16–22. doi:10.3316/ielapa.209540115792748Google Scholar
Friborg, O, Hjemdal, O, Rosenvinge, JH, et al. (2003) A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment? International Journal of Methods in Psychiatric Research 12(2), 65–76. doi:10.1002/mpr.143CrossRefGoogle ScholarPubMed
Gerard, N (2017) Rethinking compassion fatigue. Journal of Health Organization and Management 31(3), 363–368. doi:10.1108/JHOM-02-2017-0037CrossRefGoogle ScholarPubMed
Gibbons, C, Dempster, M and Moutray, M (2009) Index of sources of stress in nursing students: A confirmatory factor analysis. Journal of Advanced Nursing 65(5), 1095–1102. doi:10.1111/j.1365-2648.2009.04972.xCrossRefGoogle ScholarPubMed
Goff, AM (2011) Stressors, academic performance, and learned resourcefulness in baccalaureate nursing students. International Journal of Nursing Education Scholarship 8(1). doi:10.2202/1548-923X.2114CrossRefGoogle ScholarPubMed
Grobecker, PA (2016) A sense of belonging and perceived stress among baccalaureate nursing students in clinical placements. Nurse Education Today 36, 178–183. doi:10.1016/j.nedt.2015.09.015CrossRefGoogle ScholarPubMed
Harris, C and Griffin, MTQ (2015) Nursing on empty: Compassion fatigue signs, symptoms, and system interventions. Journal of Christian Nursing 32(2), 80–87. doi:10.1097/CNJ.000000000000000155CrossRefGoogle ScholarPubMed
Hunter, AJ (2001) A cross-cultural comparison of resilience in adolescents. Journal of Pediatric Nursing 16, 172–179. doi: 10.1053/jpdn.2001.24180CrossRefGoogle ScholarPubMed
Jarrad, RA and Hammad, S (2020) Oncology nurses’ compassion fatigue, burn out and compassion satisfaction. Annals of General Psychiatry 19(1), 1–8. doi:10.1186/s12991-020-00272-9CrossRefGoogle ScholarPubMed
Karabey, T (2021) Palliative care and nursing, palliative care nursing. In Özveren, H and Gülnar, E (eds), Academician Bookstore. Turkish: Scientific Book, 73–77.Google Scholar
Kelly, LA and Adams, JM (2018) Nurse leader burnout: How to find your joy. Nurse Leader 16(1), 24–28. doi:10.1016/j.mnl.2017.10.006CrossRefGoogle Scholar
Ko, W and Kiser-Larson, N (2016) Stress levels of nurses in oncology outpatient units. Clinical Journal of Oncology Nursing 20(2), 158–164. doi:10.1188/16.CJON.158-164CrossRefGoogle ScholarPubMed
Lee, YE, Kim, E and Park, SY (2017) Effect of self-esteem, emotional intelligence and psychological well-being on resilience in nursing students. Child Health Nursing Research 23(3), . doi:10.4094/chnr.2017.23.3.385CrossRefGoogle Scholar
Liang, HF, Wu, KM, Hung, CC, et al. (2019) Resilience enhancement among student nurses during clinical practices: A participatory action research study. Nurse Education Today 75, 22–27. doi:10.1016/j.nedt.2019.01.004CrossRefGoogle ScholarPubMed
Li, Y, Cao, F, Cao, D, et al. (2015) Posttraumatic growth, emotional intelligence, and psychological resilience of nursing students. Journal of Psychiatry and Mental Health Nursing 22(5), 326–332. doi:10.1111/jpm.12192CrossRefGoogle ScholarPubMed
Mangoulia, P, Koukia, E, Alevizopoulos, G, et al. (2015) Prevalence of secondary traumatic stress among psychiatric nurses in Greece. Archives of Psychiatric Nursing 29(5), 333–338. doi:10.1016/j.apnu.2015.06.001CrossRefGoogle ScholarPubMed
Manzano-García, G, Montañés, P and Megías, JL (2017) Perception of economic crisis among Spanish nursing students: Its relation to burnout and engagement. Nurse Education Today 52, 116–120. doi:10.1016/j.nedt.2017.02.020CrossRefGoogle ScholarPubMed
McDonald, G, Jackson, D, Wilkes, L, et al. (2012) A work-based educational intervention to support the development of personal resilience in nurses and midwives. Nurse Education Today 32, 378–384. doi: 10.1016/j.nedt.2011.04.012CrossRefGoogle ScholarPubMed
McGarry, S, Girdler, S, McDonald, A, et al. (2013) Paediatric health‐ care professionals: Relationships between psychological distress, resilience and coping skills. Journal of Paediatrics and Child Health 49(9), 725–732. doi:10.1111/jpc.12260CrossRefGoogle ScholarPubMed
McKenna, L and Rolls, C (2011) Undergraduate midwifery students’ first experiences with stillbirth and neonatal death. Contemporary Nurse 38(1–2), 76–83. doi:10.5172/conu.2011.38.1-2.76CrossRefGoogle ScholarPubMed
Michalec, B, Diefenbeck, C and Mahoney, M (2013) The calm before the storm? Burnout and compassion fatigue among undergraduate nursing students. Nurse Education Today 33(4), 314–320. doi:10.1016/j.nedt.2013.01.026CrossRefGoogle ScholarPubMed
Mizuno, M, Kinefuchi, E, Kimura, R, et al. (2013) Professional quality of life of Japanese nurses/midwives providing abortion/childbirth care. Nursing Ethics 20(5), 539–550. doi:10.1177/0969733012463723CrossRefGoogle ScholarPubMed
Mussi, FC, Pires, CGDS, Silva, RMD, et al. (2020) Stress level among undergraduate nursing students related to the training phase and sociodemographic factors. Revista Latino-Americana de Enfermagem 28, . doi:10.1590/1518-8345.3036.3209Google Scholar
Nibbelink, CW and Brewer, BB (2018) Decision‐making in nursing practice: An integrative literature review. Journal of Clinical Nursing 27(5–6), 917–928. doi:10.1111/jocn.14151CrossRefGoogle ScholarPubMed
Nimmo, A and Innzna Huggard, P (2013) A systematic review of the measurement of compassion fatigue, vicarious trauma, and secondary traumatic stress in physicians. Australasian Journal of Disaster and Trauma Studies 2013(1), 37–44.Google Scholar
Oliveira-Bosso, L, Marques-da Silva, R and Siqueira-Costa, AL (2017) Biosocial-academic profile and stress in first-and fourth-year nursing students. Investigacion Y Educacion En Enfermeria 35(2), 131–138. doi:10.17533/udea.iee.v35n2a02CrossRefGoogle ScholarPubMed
Onan, N, Karaca, S and Unsal Barlas, G (2019) Evaluation of a stress coping course for psychological resilience among a group of university nursing students. Perspectives in psychiatric care 55(2), 233–238.10.1111/ppc.12340CrossRefGoogle ScholarPubMed
Oner Altiok, H and Üstün, B (2013) The stress sources of nursing students. Educational Sciences: Theory and Practice 13(2), 760–766.Google Scholar
Peng, L, Zuo, X, Miao, Y, et al. (2014) Application of the Pennsylvania resilience training program on medical students. Personality and Individual Differences 61(62), 47–51. doi:10.1016/j.paid.2014.01.006CrossRefGoogle Scholar
Pryjmachuk, S, Easton, K and Littlewood, A (2009) Nurse education: Factors associated with attrition. Journal of Advanced Nursing 65(1), 149–160. doi:10.1111/j.1365-2648.2008.04852.xCrossRefGoogle ScholarPubMed
Ratanasiripong, P and Wang, CCD (2011) Psychological well-being of Thai nursing students. Nurse Education Today 31(4), 412–416. doi:10.1016/j.nedt.2010.08.002CrossRefGoogle ScholarPubMed
Rees, CS, Breen, LJ, Cusack, L, et al. (2015) Understanding individual resilience in the workplace: The international collaboration of workforce resilience model. Frontiers in Psychology 6, . doi:10.3389/fpsyg.2015.00073CrossRefGoogle ScholarPubMed
Reeve, KL, Shumaker, CJ, Yearwood, EL, et al. (2013) Perceived stress and social support in undergraduate nursing students’ educational experiences. Nurse Education Today 33(4), 419–424. doi:10.1016/j.nedt.2012.11.009CrossRefGoogle ScholarPubMed
Ríos-Risquez, MI, García-Izquierdo, M, Sabuco-Tebar, EDLA, et al. (2016) An exploratory study of the relationship between resilience, academic burnout and psychological health in nursing students. Contemporary Nurse 52(4), 430–439. doi:10.1080/10376178.2016.1213648CrossRefGoogle ScholarPubMed
Robertson, IT, Cooper, CL, Sarkar, M, et al. (2015) Resilience training in the workplace from 2003 to 2014: A systematic review. Journal of Occupational and Organizational Psychology 88(3), 533–562. doi:10.1111/joop.12120CrossRefGoogle Scholar
Rudman, A and Gustavsson, JP (2011) Early-career burnout among new graduate nurses: A prospective observational study of intra-individual change trajectories. International Journal of Nursing Studies 48(3), 292–306. doi:10.1016/j.ijnurstu.2010.07.012CrossRefGoogle ScholarPubMed
Ruiz‐ Fernández, MD, Ramos‐ Pichardo, JD, Ibáñez‐ Masero, O, et al. (2020) Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID‐ 19 health crisis in Spain. Journal of Clinical Nursing 29(21–22), 4321–4330. doi:10.1111/jocn.15469CrossRefGoogle ScholarPubMed
Sabo, B (2011) Reflecting on the concept of compassion fatigue. Online Journal of Issues in Nursing 16(1). doi:10.3912/OJIN.Vol16No01Man01Google ScholarPubMed
Sigalit, W, Sivia, B and Michal, I (2016) Factors associated wıth nursing students’ resilience: Communıcation skills course, use of social media and satisfaction wıth clinical placement. Professional Nursing 33(2), 153–161. doi:10.1016/j.profnurs.2016.08.006CrossRefGoogle ScholarPubMed
Sinclair, S, Raffin-Bouchal, S, Venturato, L, et al. (2017) Compassion fatigue: A meta-narrative review of the healthcare literature. International Journal of Nursing Studies 69, 9–24. doi:10.1016/j.ijnurstu.2017.01.003CrossRefGoogle ScholarPubMed
Şirin, M and Yurttaş, A (2015) The cost of nursing care: Compassion fatigue. Dokuz Eylul University Faculty of Nursing Electronic Journal 8(2), 123–130.Google Scholar
Smith, GD and Yang, F (2017) Stress, resilience and psychological well-being in Chinese undergraduate nursing students. Nurse Education Today 49, 90–95. doi:10.1016/j.nedt.2016.10.004CrossRefGoogle ScholarPubMed
Sorenson, C, Bolick, B, Wright, K, et al. (2017) An evolutionary concept analysis of compassion fatigue. Journal of Nursing Scholarship 49(5), 557–563. doi:10.1111/jnu.12229CrossRefGoogle ScholarPubMed
Southwick, SM, Bonanno, GA, Masten, AS, et al. (2014) Resilience definitions, theory, and challenges: Interdisciplinary perspectives. European Journal of Psychotraumatology 5(1), . doi:10.3402/ejpt.v5.25338CrossRefGoogle ScholarPubMed
Stewart, DW (2009) Casualties of war: Compassion fatigue and health care providers. Medsurg Nursing 18(2), 91–94.Google ScholarPubMed
Thomas, LJ and Asselin, M (2018) Promoting resilience among nursing students in clinical education. Nurse Education in Practice 28, 231–234. doi:10.1016/j.nepr.2017.10.001CrossRefGoogle ScholarPubMed
Thomas, LJ and Revell, SH (2016) Resilience in nursing students: An integrative review. Nurse Education Today 36, 457–462. doi:10.1016/j.nedt.2015.10.016CrossRefGoogle ScholarPubMed
Tsai, SY (2020) The nursing profession in a globalizing world. Hu Li Za Zhi 67(2), 4–5. doi:10.6224/JN.202004_67(2).01Google Scholar
Tung, Y-J, Lo, KKH, Ho, RCM, et al. (2018) Prevalence of depression among nursing students: A systematic review and meta-analysis. Nurse Education Today 63, 119–129. doi:10.1016/j.nedt.2018.01.009CrossRefGoogle ScholarPubMed
Ural, A and Kılıç, İ (2011) Scientific Research Process and Data Analysis with SPSS. Ankara: Detay Publishing.Google Scholar
Valero-Chillerón, MJ, González-Chordá, VM, López-Peña, N, et al. (2019) Burnout syndrome in nursing students: An 18 observational study. Nurse Education Today 76, 38–43. doi:10.1016/j.nedt.2019.01.014CrossRefGoogle Scholar
Walker, M and Mann, RA (2016) Exploration of mindfulness in relation to compassion, empathy and reflection within nursing education. Nurse Education Today 40, 188–1190. doi:10.1016/j.nedt.2016.03.005CrossRefGoogle ScholarPubMed
Wentzel, DL and Brysiewicz, P (2018) 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 8, 82–86. doi:10.1016/j.ijans.2018.03.004CrossRefGoogle Scholar
Wilks, SE and Spivey, CA (2010) Resilience in undergraduate social work students: Social support and adjustment to academic stress. Social Work Education 29(3), 276–288. doi:10.1080/02615470902912243CrossRefGoogle Scholar
Woo, MWJ and Li, W (2020) Nursing students’ views and satisfaction of their clinical learning environment in Singapore. Nursing Open 7(6), 1909–1919. doi:10.1002/nop2.581CrossRefGoogle ScholarPubMed
Yıldırım, N, Karaca, A, Cangur, S, et al. (2017) The relationship between educational stress, stress coping, self-esteem, social support, and health status among nursing students in Turkey: A structural equation modeling approach. Nurse Education Today 48, 33–39. doi:10.1016/j.nedt.2016.09.014CrossRefGoogle Scholar
Yılmaz, G and Üstün, B (2018) Professional quality of life in nurses: Compassion satisfaction and compassion fatigue. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi 9(3), 205–211. doi:10.14744/phd.2018.86648Google Scholar
Zhang, YY, Zhang, C, Han, XR, et al. (2018) Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative metaanalysis. Medicine 97(26), . doi:10.1097/MD.0000000000011086Google Scholar
Zhao, XG, Cai, M, Wang, J, et al. (2015) Objective determination of crack initiation stress of brittle rocks under compression using AE measurement. Rock Mechanics and Rock Engineering 48(6), 2473–2484. doi:10.1007/s00603-014-0703-9CrossRefGoogle Scholar