Determinants of compassion satisfaction, compassion fatigue and burn out in nursing
Determinants of compassion satisfaction, compassion fatigue and burn out in nursing
复制标题
护理中同情心满意度、同情心疲劳和倦怠的决定因素
作者：
Ying;Cheng Zhang;Xiao Han;Wei Li;Ying
背景资料：复合护理对于更好的临床和患者结果至关重要，但在医疗保健提供过程中，它可能会受到几个因素的影响。本研究旨在评估影响护理工作中的同情满意度、同情疲劳和职业倦怠的因素。方法：在电子数据库中检索文献，然后进行数据提取、转换和随机效应模型下的荟萃分析。首先将单个研究报告的相关系数（r）转换为荟萃分析的z评分，然后将总体效应量转换回r。结果如下：11项研究（4054名受访者; 64.34 [95%置信区间：38.82，89.86] %应答率;年龄39.81 [31.36，48.27]岁; 87.11 [79.48，94.73] %女性）用于荟萃分析。同情疲劳与倦怠之间存在强正相关（r = 0.59），而同情满意度与同情疲劳之间存在弱负相关（r =-0.226），但与倦怠之间存在中度相关（r =-0.446）。 压力和负性情绪与同情疲劳呈中度正相关（r = 0.405），但与倦怠呈弱相关（r = 0.119）。 积极情感和个人/社会因素与倦怠呈弱负相关（r =-0.197）。 积极情感与同情心满意度呈中度正相关（r = 0.396）。 人口统计学或专业因素与同情满意度，同情疲劳或倦怠没有显着相关。结论：在护理工作中，各种压力因素和负性情感会促进同情疲劳和倦怠，而积极情感则有助于实现同情满足。
Background: Compassionate care is essential for better clinical and patient outcomes, but during healthcare provision it can be compromised by several factors. This study evaluates factors affecting compassion satisfaction, compassion fatigue and burnout in nursing. Methods: Literature search in electronic databases was followed by data extraction, conversion, and meta-analyses under random effect model. Correlation coefficients (r) reported by individual studies were first converted to z-scores for meta-analyses and the overall effect sizes were then back-transformed into r. Results: Eleven studies (4054 respondents; 64.34 [95% confidence interval: 38.82, 89.86] % response rate; age 39.81 [31.36, 48.27] years; 87.11 [79.48, 94.73] % females) were used for meta-analysis. There was a strong positive correlation between compassion fatigue and burnout (r = 0.59), whereas compassion satisfaction had weak negative correlation with compassion fatigue (r = −0.226) but moderate with burnout (r = −0.446). Stress and negative affect were moderately positively associated with compassion fatigue (r = 0.405) but weakly correlated with burnout (r = 0.119). Positive affect and personal/social factors had weak inverse relationship with burnout (r = −0.197). Positive affect also had a moderately positive relationship with compassion satisfaction (r = 0.396). Demographic or professional factors were not significantly related to compassion satisfaction, compassion fatigue, or burnout. Conclusion: In nursing, a variety of stressful factors and negative affect promote compassion fatigue and burnout whereas positive affect is helpful in achieving compassion satisfaction.