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Aust Crit Care ; 2020 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-32265099


AIM: To examine the previously untested relationship between the level of compassion fatigue (CF) in critical care nurses and the rates of three nurse-sensitive indicators in four critical care units in hospitals in Saudi Arabia. BACKGROUND: CF can manifest in nurses who provide direct, intimate care to patients with different levels of illness including nurses working in specialty areas such as critical care where they care for patients experiencing challenging illnesses. Pressure injuries, patient falls, and medication errors are key nurse-sensitive indicators that identify critical care nurses as the primary causal agent. These indicators also correlate with burnout and poor multidisciplinary team communication, both factors that govern CF. METHODS: A multisite survey was conducted to collate and examine the number of reported pressure injuries, falls, and medication errors over 3 months at four hospitals in two Saudi Arabian cities during 2018 to determine the relationship between the occurrence of these nurse-sensitive indicators and the level of CF in critical care (intensive care unit [ICU]) nurses. A survey of 516 critical care nurses was undertaken; analysis was performed using the Professional Quality of Life Scale, version 5 (ProQol-5), and results were further analysed using Pearson's correlations and three-way analysis of variance. RESULTS: The results of the regression analysis indicated resilience as a predictor explained 66% of the compassion satisfaction (CS) variance (B = 0.318, R2 = 0.436, F(2, 12.495) = 123.013, p < 0.001) and 26% of the burnout (BO) variance (B = 0.152, R2 = 0.067, F(2, 11.500) = 3.279, p < 0.001). In addition, the level of resilience as a predictor explained 15.4% of the secondary traumatic stress (STS) variance (B = 0.063, R2 = 0.024, F(2, 7.758) = 2.785, p = 0.006). Conversely, coping strategies did not predict CS, BO, or STS (p > 0.05) at a statistically significant level. The concurrent measure of CF, BO, and STS found that almost 20% of the critical care nurse participants reported having very low CS, indicating increased potential for the development of CF. In addition, male nurses reported experiencing higher levels of stress and BO than female nurses. This study also found that neither the number of patients being treated nor the number of beds in the care setting affected the rate of the nominated nurse-sensitive indicators. The results for rates of pressure injuries did vary among the hospitals, with the worst performing hospital reporting pressure injury rates of one in every 40 patients and the better performing hospital reporting no cases of pressure injuries after treating more than 100 patients. Patient falls and medication errors were rare occurrences and did not vary between hospitals. SIGNIFICANCE: This study indicates that there is a possible issue contributing to the differential level of care between hospitals. The mode and length of time nurses spend on handover may also reflect communication issues that increase both the rate of nurse-sensitive indicators and the level of CF reported by nurses. Therefore, the implications of this study, in terms of improving nursing practice, occurs in handover to ensure that information on aspects of nonpatient critical care are fully covered, such as time of patient turning to avoid pressure injuries.

Nurs Health Sci ; 22(1): 20-27, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31670474


Compassion fatigue is known to impact the well-being of nurses and patient safety outcomes. Currently, there is limited academic understanding of the role of demographic factors in contributing to compassion fatigue in critical care nurses. The aim of this study was to examine the relationship between nurse demographic characteristics and the development of compassion fatigue, as indicated by level of burnout and compassion satisfaction in critical care nurses in Saudi Arabia. The cross-sectional study design included administering three surveys to critical care nurses (n = 321) in four Saudi public hospitals to examine the nurse demographic variables in relation to compassion fatigue, the compassion fatigue coping strategies of nurses, and nurse resilience. The results show both demographic and workplace structural elements, such as length of work shift, education level, and nationality, were all significant factors in resilience to compassion fatigue among Saudi critical care nurses, whereas factors of age and sex were not significant. This study concludes that the demographic characteristics of critical care nurses enable the identification of levels of compassion fatigue and compassion satisfaction, and their resilience to the effects of compassion fatigue.

Saudi Med J ; 40(11): 1087-1097, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31707404


OBJECTIVES: To provides a critical evaluation of current empirical evidence related to the prevalence, causes and outcomes of compassion fatigue among critical care nurses. Compassion fatigue is characterized the development of emotional, physical, and/or spiritual exhaustion as a result of working with traumatized individuals. METHODS: Data was collected using an integrated review framework via an advanced search of healthcare databases; namely, ProQuest, Science Direct, and CINAHL for research articles on compassion fatigue among nurses in critical care settings. Analysis was performed on the articles which met the inclusion criteria for this review (n=10) to identify the key themes and issues related to the compassion fatigue in critical care situations. Articles were assessed for quality and rigor using the Critical Appraisal Checklist for Analytical Cross-Sectional Studies. The search was limited to research studies undertaken from 2000 to 2018. RESULTS: The main findings to emerge from this integrative review was that the prevalence of compassion fatigue among nurses varied across the range of critical care settings. In terms of the causes and consequences of compassion fatigue, this review found work environment and nurse demographics such as age and years of experience, were predictors of compassion fatigue, and the factors mitigating compassion fatigue affects among critical nurse included leader and administrative support within the clinical setting and the coping strategies employed by the nurses. CONCLUSION: There is inconclusive evidence to identify unequivocal predictors of compassion fatigue among critical nurses. However, it is likely the onset of compassion fatigue among critical care nurses may be reduced with close monitoring of physical and emotional wellbeing in the critical care environment as well as through the provision of education to nurses to assist with the development of coping strategies to avoid compassion fatigue.

J Clin Nurs ; 28(7-8): 1354-1358, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30516863


AIMS: To explore the concept of compassion as represented in Islamic virtues and how it influences the practice of nurses. BACKGROUND: Islam is one of the world's major religions. Yet, an Islamic perspective of compassion is not well understood in the Western nursing literature. Current understandings of compassion are largely drawn from a Western or Buddhist perspective. DESIGN: Discursive paper. METHODS: This is a review of literature and Islamic texts on the presence, meaning and practices of compassion that are relevant to our understanding of compassion in the contemporary nursing practice. CONCLUSIONS: A compassionate Muslim nurse is a person who gives without asking for something in return, a person who cares without conditions and a person who seeks to achieve the happiness of others. Therefore, Islam, like many other religions, endorses compassionate care in all aspects, and this is particularly emphasised in nurses. RELEVANCE TO CLINICAL PRACTICE: This paper also provides an insight into how a Muslim patient perceives different experiences of health and illness, supported by quotes from the Islamic contextual heritage, and how a nurse within this culture is expected to behave.

Empatia , Islamismo , Relações Enfermeiro-Paciente , Humanos , Cuidados de Enfermagem
J Nurs Manag ; 24(6): 708-17, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27189515


AIM: The aim of the study was to explore the prevalence of burnout and job satisfaction among Saudi national critical care nurses. BACKGROUND: Burnout is caused by a number of factors, including personal, organisational and professional issues. Previous literature reports a strong relationship between burnout and job satisfaction among critical care nurses. Little is known about this phenomenon among Saudi national critical care nurses. METHODS: A convenience sample of 150 Saudi national critical care nurses from three hospitals in Hail, Saudi Arabia were included in a cross-sectional survey. RESULTS: Saudi national critical care registered nurses reported moderate to high levels of burnout in the areas of emotional exhaustion and depersonalisation. Participants also reported a feeling of ambivalence and dissatisfaction with their jobs but were satisfied with the nature of their work. CONCLUSIONS: Saudi national critical care nurses experience moderate to high levels of burnout and low levels of job satisfaction. Burnout is a predictor of job satisfaction for Saudi national critical care nurses. IMPLICATIONS FOR NURSING AND HEALTH POLICY: These results provide clear evidence of the need for nurse managers and policy makers to devise strategies to help nurses better cope with a stressful work environment, thereby also improving job satisfaction among Saudi national critical care nurses.

Esgotamento Profissional/etiologia , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Local de Trabalho/psicologia , Adulto , Enfermagem de Cuidados Críticos/estatística & dados numéricos , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Arábia Saudita , Estresse Psicológico/complicações , Estresse Psicológico/etiologia , Inquéritos e Questionários , Recursos Humanos , Local de Trabalho/normas , Local de Trabalho/estatística & dados numéricos