Identifying the risk of compassion fatigue, improving compassion satisfaction and building resilience in emergency medicine
Identifying the risk of compassion fatigue, improving compassion satisfaction and building resilience in emergency medicine
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DOI：
10.1111/1742-6723.12535
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发表时间：
2016-02-01
影响因子：
2.3
通讯作者：
Crowe, Liz
中科院分区：
文献类型：
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作者：
Crowe, Liz
对于在急诊医学(EM)工作的卫生专业人员来说，同情疲劳(CF)是一种风险，因为工作人员每天面临的速度、期望、患者负荷和敏锐度。1，2CF可以被概念化为情感、精神和身体上的痛苦，这是由于关心和见证他人的痛苦而发生的。3-5这是作为一名护理卫生专业人员的成本，因为他们护理的病人暴露在创伤、痛苦、挫折、暴力、复苏和死亡中。4、6、7受CF影响的EM员工可能仍然能够向他们的同事传递同情心，即使这种护理的个人损失可能会在身体和情感上感受到自我保护能力的降低。同情心疲劳与个人认为他们能够以关怀的性质与患者互动和接触的方式有关。重要的是，CF是一种本质上不同于倦怠的结构。职业倦怠与组织环境、幻想破灭、情绪衰竭、个人成就感和去人格化密切相关。与倦怠相比，2、8、9CF与替代性或继发性创伤有更多的共同特征。4.职业倦怠与职业倦怠的一个显著区别是，职业倦怠通常是缓慢和渐进的，而职业倦怠可能是在照顾病人的过程中积累起来的。尽管这是阴险的
Compassion fatigue (CF) is a risk for health professionals working in emergency medicine (EM) because of the pace, expectations, patient load and acuity that confront staff daily. 1, 2 CF can be conceptualised as the emotional, moral and physical distress, which occurs as a consequence of caring and bearing witness to the suffering of others. 3–5 It is the cost of being a caring health professional, as a result of exposure to trauma, distress, frustrations, violence, resuscitations and death of patients in their care. 4, 6, 7 EM staff impacted by CF may still be able to deliver compassion to those they work with, even though the personal toll of this care may be felt physically and emotionally with a reduced ability for self-protection.Compassion fatigue relates to the way an individual feels they are able to interact and engage with patients in a caring nature. Importantly, CF is an inherently different construct to burnout. Burnout is strongly associated with organisational environment, disillusionment, emotional exhaustion, personal accomplishment and depersonalisation. 2, 8, 9 CF has more features in common with vicarious or secondary trauma than burnout. 4 A significant feature distinguishing CF from burnout is that burnout usually has a slow and gradual onset, whereas CF may be cumulative in the grief absorbed from caring for patients. Despite this insidious