Asian Oncol Nurs.  2017 Jun;17(2):116-123. 10.5388/aon.2017.17.2.116.

A Study of the Relationships between Compassion Fatigue, Compassion Satisfaction, Depression, Anxiety, and Sleep Disorders among Oncology Nurses

• Kim SJ
• Na H

• KMID: 2386663
• DOI: http://doi.org/10.5388/aon.2017.17.2.116

Abstract

PURPOSE
This study was conducted to identify the relationships between various factors, including compassion fatigue, compassion satisfaction, depression, anxiety, and sleep disorders among oncology nurses.
METHODS
A convenience sample of 140 oncology nurses from 3 university hospitals completed questionnaires. The collected data were analyzed using t-tests, ANOVA, Pearson's correlation coefficients, and Kruskal-Wallis tests.
RESULTS
Compassion fatigue is composed of secondary traumatic stress and burnout. The levels of compassion fatigue showed significant positive correlations with depression, anxiety, and sleep disorder. On the other hand, the levels of compassion satisfaction showed significant negative correlations with compassion fatigue, depression, anxiety, and sleep disorders. The subjects in the at-risk and very distressed group of compassion fatigue and compassion satisfaction risk profile had significantly higher levels of depression, anxiety, and sleep disorders.
CONCLUSION
Such efforts will help reduce the level of depression, anxiety, and sleep disorders in oncology nurses at-risk of developing compassion fatigue. It is also necessary to provide organization support for oncology nurses, and to develop an intervention that is designed to mitigate their compassion fatigue and to promote compassion satisfaction.

Keyword

Compassion Fatigue; Depression; Anxiety; Sleep Disorders

MeSH Terms

Anxiety*
Compassion Fatigue*
Depression*
Empathy*
Hand
Hospitals, University
Sleep Wake Disorders*

Reference

1. Kim S, Kim JH, Park JY, Suh EY, Yang HJ, Lee SY, et al. Oncology nurses’ professional quality of life in a tertiary hospital. J Korean Clin Nurs Res. 2010; 16:145–55.

2. Kim HR, Kwon IS. A phenomenological study on oncology adaptation experiences of new nurses. Asian Oncol Nurs. 2014; 14:127–38.

3. Kim HS. A comparative study regarding health condition and work stress of nurses working in cancer ward and general ward. J Korean Oncol Nurs. 2001; 1:191–203.

4. Lee KO, Yun HJ. Correlation between the self-esteem, spiritual wellbe-ing, depression, and quality of life in nurses caring of cancer patients. Med J Chosun Univ. 2006; 31:85–99.

5. Kim HJ, Ku JI, Byun JH, Kim SM, Choe WS. Nurse's experience of changing role in the hospice unit of medical ward. Korean J Hosp Palliat Care. 2008; 11:30–41.

6. Figley CR. Compassion fatigue: psychotherapists’ chronic lack of self-care. J Clin Psychol. 2002; 58:1433–41.

7. Stamm BH. The ProQOL concise manual, 2nd edition, November 2010 [Internet]. Available from. http://www.proqol.org/ProQOl_Test_Manuals.html. [Accessed September 21, 2016].

8. Beck CT. Secondary traumatic stress in nurses: a systematic review. Arch Psychiatr Nurs. 2011; 25:1–10.

9. Lee HS. Effects of spiritual well-being, compassion fatigue and compassion satisfaction on burnout among nurses working in oncology unit [dissertation]. Busan: Kosin Univ.;2015.

10. Cho HJ, Jung MS. Research trends on compassion fatigue in Korea nurses. J Muscle Joint Health. 2014; 21:255–64.

11. Aycock N, Boyle D. Interventions to manage compassion fatigue in oncology nursing. Clin J Oncol Nurs. 2009; 13:183–91.

12. Showalter SE. Compassion fatigue: what is it? Why does it matter? Rec-ognizing the symptoms, acknowledging the impact, developing the tools to prevent compassion fatigue, and strengthen the professional al-ready suffering from the effects. Am J Hosp Palliat Care. 2010; 27:239–42.

13. Min SK, Kang HJ, Ko KB, Ki SY, Kim KH, Kim DH, et al. Modern psychiatry. 5th ed.Seoul: Ilchokak Publishers;2006.

14. Kong SA, Kim YS. Physical activity and brain disease: focusing mainly on mental health, schizophrenia and sleep disease. Sport Sci Rev. 2007; 1:25–37.

15. Dorrian J, Tolley C, Lamond N, van den Heuvel C, Pincombe J, Rogers AE, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008; 39:605–13.

16. Lee JM, Yom YH. Effects of work stress, compassion fatigue, and compassion satisfaction on burnout in clinical nurses. J Korean Acad Nurs Adm. 2013; 19:689–97.

17. Lee JY, Yu K. Compassion fatigue: implications for counselors. Korean J Couns. 2010; 11:19–36.

18. Kim HJ, Choi HJ. Emergency nurses’ professional quality of life: compassion satisfaction, burnout, and secondary traumatic stress. J Korean Acad Nurs Adm. 2012; 18:320–8.

19. Jun YJ, Sung H. Effects of traumatic events, compassion fatigue, self-es-teem, and compassion satisfaction on burnout of nurses in emergency department (ED). Korean J Occup Health Nurs. 2014; 23:80–8.

20. Choi EJ. The effects of self-efficacy and self-control on compassion fatigue and compassion satisfaction of intensive care unit nurses [dissertation]. Seoul: Seoul National Univ.;2016.

21. Hegney DG, Craigie M, Hemsworth D, Osseiran-Moisson R, Aoun S, Francis K, et al. Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: study 1 results. J Nurs Manag. 2014; 22:506–18.

22. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-re-port version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999; 282:1737–44.

23. Han C, Jo SA, Kwak JH, Pae CU, Steffens D, Jo I, et al. Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study. Compr Psychiatry. 2008; 49:218–23.

24. Spielberger CD. Anxiety as an emotional state. Spielberger CD, editor. Anxiety: current trends in theory and research. New York, NY: Academic Press;1972. p. 23–49.

25. 25. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28:193–213.

26. Cho YW. Sleep questionnaires and sleep hygiene. J Korean Sleep Res Soc. 2004; 1:12–23.

27. Yang HS. Effects of work stress, compassion fatigue and compassion satisfaction on burnout in operating room nurses [dissertation]. Seoul: Chung-Ang Univ.;2013.

28. Hong JY. Relationships between professional self concept and professional quality of life among nurses in ICU [dissertation]. Busan: Kosin Univ.;2015.

29. Bahrami M. Why differences exist? an interpretive approach to nurses’ perceptions of cancer patients’ quality of life. Iran J Nurs Midwifery Res. 2011; 16:117–24.

30. Kim TK. The effect of job stress for depression in clinical nurses; focusing on the mediating effects of coping strategies and social support [dissertation]. Chungju: Chungju Univ.;2012.