Traumatic Events Among Cancer Patients That Lead to Compassion Fatigue in Nurses: A Qualitative Study
Traumatic Events Among Cancer Patients That Lead to Compassion Fatigue in Nurses: A Qualitative Study
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DOI：
10.1016/j.jpainsymman.2019.09.026
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发表时间：
2020-02-01
影响因子：
4.7
通讯作者：
Asai, Mariko
中科院分区：
文献类型：
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作者：
Fukumori, Takaki;Miyazaki, Atsuko;Asai, Mariko
上下文癌症护理护士经常接触病人的创伤经历，并处于同情疲劳的高风险中。描述癌症患者经历的创伤性事件的成分和频率，导致护士同情疲劳。本研究是对先前定性研究数据的补充分析。半结构化的采访进行了30名日本护士，至少有两年的经验，在癌症护理和同情疲劳的历史。内容分析和不断的比较被用来确定相关的子类别和类别。然后评估这些子类别和类别的频率。确定了11个亚类和4个类别。由两名独立评分员确定的这些子类别的Kappa系数为0.89。参与者中频率最高的子类别如下：有癌症进展的症状（n = 20; 67%），由于疼痛控制不足而遭受痛苦（n = 11; 37%），以及被告知患有癌症（n = 10; 33%）。其中，身体状况恶化20例（67%），医生的坏消息19例（63%），治疗困难18例（60%），与家人的情绪冲突6例（20%）。本研究确定了癌症患者中导致护士同情疲劳发作的创伤事件的成分和频率。这些信息将有助于理解同情疲劳的触发因素，从而为减少这种职业危害的风险做好准备。(C)2019年美国临终关怀和姑息医学学院。爱思唯尔公司出版All rights reserved.
Context. Cancer care nurses are frequently exposed to patients' traumatic experiences and are at high risk of compassion fatigue.Objectives. To describe the components and frequencies of traumatic events experienced by patients with cancer, which give rise to nurse compassion fatigue.Methods. This study is a supplementary analysis of data from a previous qualitative study. Semistructured interviews were conducted with 30 Japanese nurses, with at least two years of experience in cancer care and a history of compassion fatigue. Content analysis and constant comparison was used to identify relevant subcategories and categories. The frequencies of these subcategories and categories were then evaluated.Results. Eleven subcategories and four categories were identified. The kappa coefficient of these subcategories, determined by two independent raters, was 0.89. Subcategories with the highest frequencies among participants were as follows: having symptoms of cancer progression (n = 20; 67%), suffering because of insufficient pain control (n = 11; 37%), and being informed about getting cancer (n = 10; 33%). The four categories were as follows: worsening of physical condition (n = 20; 67%), bad news from doctors (n = 19; 63%), difficulty in treatment (n = 18; 60%), and emotional conflict with family (n = 6; 20%).Conclusion. This study identified the components and frequencies of traumatic events among patients with cancer that lead to the onset of nurse compassion fatigue. Such information will aid in understanding the triggers of compassion fatigue, allowing for possible preparation to reduce the risk of this occupational hazard. (C) 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.