Relationship among compassion satisfaction, burnout and traumatic stress with the patient safety
Palavras-chave:
Compassion fatigue, Stress disorders, traumatic, Burnout, professional, Patient safety, Nurses, Transtornos de estresse traumático
Resumo
Objective: to analyze the relationship among compassion satisfaction, burnout, and secondary traumatic stress with the patient safety culture. Method: cross-sectional study with nurses (n = 201) from hospitals in Portugal. The Professional quality scale and the three sections of Hospital survey on patient safety culture were used to data collection. Correlation and regressions tests were implemented. Results: compassion satisfaction was positively related to four of the five patient safety culture dimensions and with the patient safety grade, while burnout had a negative relationship with all the dimensions and with the patient safety grade and secondary traumatic stress had a negative relationship with three patient safety culture dimensions. Conclusions: measures aimed at increasing compassion satisfaction and decreasing burnout and secondary traumatic stress should be implemented to improve the quality of professional life and patient safety.
Descriptors: Compassion fatigue; Stress disorders, traumatic; Burnout, professional; Patient safety; Nurses
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Referências
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3 Stamm BH. The concise ProQOL manual. Pocatello, ID. 2010. Available from: https://img1.wsimg.com/blobby/go/dfc1e1a0-a1db-4456-9391-18746725179b/downloads/ProQOL%20Manual.pdf?ver=1622839353725
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6 Prieto MMN, Fonseca REP, Zem-Mascarenhas SH. Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review. Rev. bras. enferm. 2021;74(6):e20201315. DOI: https://doi.org/10.1590/0034-7167-2020-1315
7 Alves DFB, Lorenzini E, Cavalho KA, Schmidt CR, Dal Pai S, Kolankiewicz ACB. Cultura de segurança do paciente na perspectiva da equipe multiprofissional: uma revisão integrativa. Rev. Pesqui. (Univ. Fed. Estado Rio J., Online). 2021;13:836-42. DOI: https://doi.org/10.9789/2175-5361.rpcfo.v13.9235
8 Olsen E, Leonardsen ACL. Use of the Hospital Survey of Patient Safety Culture in Norwegian Hospitals: a systematic review. Int. j. environ. res. public health (Online). 2021;18:6518. DOI: https://doi.org/10.3390/ijerph18126518
9 Batalha EMSS, Melleiro MM, Borges, EMN. Burnout and its interface with patient safety. Rev. enferm. UFPE on line. 2019;13:e239641. DOI: http://dx.doi.org/10.5205/1981-8963.2019.239641
10 Rodrigues CCFM, Santos VEP, Sousa P. Patient safety and nursing: interface with stress and Burnout Syndrome. Rev. bras. Enferm. 2017;70(5):1083-8. DOI: https://doi.org/10.1590/0034-7167-2016-0194
11 Carvalho PRC. Estudo da Fadiga por Compaixão nos Cuidados paliativos em Portugal: Tradução e Adaptação Cultural da Escala “Professional Quality of Live 5” [dissertação]. Lisboa (PT): Universidade Católica; 2011. Disponível em: https://repositorio.ucp.pt/handle/10400.14/4202
12 Rockville W, Sorra J, Gray L, Streagle S, Famolaro T, Yount N, et al. AHRQ Hospital Survey on Patient Safety Culture: user’s guide. Rockville, MD: Agency for Healthcare Research and Quality, 2016. Available from: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
13 Eiras M. Avaliação da Cultura de Segurança do Doente em meio hospitalar: investigação ação numa Unidade de Radioterapia [dissertação]. Lisboa (PT): Universidade Nova de Lisboa; 2011. Available from: https://run.unl.pt/handle/10362/13667
14 Sacco TL, Copel LC. Compassion satisfaction: A concept analysis in nursing. Nurs. Forum. 2018;53(1):76-83. DOI: https://doi.org/10.1111/nuf.12213
15 Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J. nurs. scholarsh. 2015;47(2):186-94. DOI: https://doi.org/10.1111/jnu.12122
16 Saab MM, Drennan J, Cornally N, Landers M, Hegarty J, Eileen Savage E, et al. Impact of a compassionate care leadership programme. Br. j. nurs. 2019;28(11):708-14. DOI: https://doi.org/10.12968/bjon.2019.28.11.708
17 Duarte J, Pinto-Gouveia J, Cruz B. Relationships between nurses’ empathy, self-compassion, and dimensions of professional quality of life: a cross-sectional study. Int. j. nurs. stud. 2016;60:1-11. DOI: https://doi.org/10.1016/j.ijnurstu.2016.02.015
18. Gustin LW, Wagner L. The butterfly effect of caring – clinical nursing teachers’ understanding of self-compassion as a source to compassionate care. Scand. j. caring sci. 2013;27(1):175-83. DOI: https://doi.org/10.1111/j.1471-6712.2012.01033.x
19 Halbesleben JR, Wakefield BJ, Wakefield DS, Cooper LB. Nurse burnout and patient safety outcomes nurse safety perception versus reporting behaviour. West. j. nursing res. 2008;(5):560-77. DOI: https://doi.org/10.1177/0193945907311322
20 Vifladt A, Simonsen BO, Lydersen S, Farup PG. The association between patient safety culture and burnout and sense of coherence: a cross-sectional study in restructured and not restructured intensive care units. Intensive crit. care nurs. 2016;36:26-34. DOI: https://doi.org/10.1016/j.iccn.2016.03.004
21 Carneiro AS, Dalmolin RAGL, Magalhães AMM, Magnago TSBS, Arrial TS. Occupational stress, burnout and patient safety culture among workersfrom critical care and non-critical care units in a hospital in Brazil. Intensive crit. care nurs. 2021;63:102978. DOI: https://doi.org/10.1016/j.iccn.2020.102978
22. Mansour H, Sharour LA. Results of survey on perception of patient safety culture among emergency nurses in Jordan: influence of burnout, job satisfaction, turnover intention, and workload. J. healthc. qual. res. 2021;26(21):00050-6. DOI: https://doi.org/10.1016/j.jhqr.2021.05.001
23 Maslach C, Leiter MP. New insights into burnout and health care: strategies for improving civility and alleviating burnout. Med. teach. 2017;39(2):160-3. DOI: https://doi.org/10.1080/0142159X.2016.1248918
24 Beck CT, Cusson RM, Gable RK. Secondary Traumatic Stress in NICU Nurses A Mixed-Methods Study. Advances Neonatal Care. 2017;17(6):478-88. DOI: https://doi.org/10.1097/ANC.0000000000000428
25 Figley CR. Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel; 1995.
26 Van der Riet P, Levett-Jones T, Aquino-Russell C. The effectiveness of mindfulness meditation for nurses and nursing students: an integrated literature review. Nurse educ. today. 2018;65:201-11. DOI: https://doi.org/10.1016/j.nedt.2018.03.018
27 Abernathy S, Martin R. Reducing compassion fatigue with self-care and mindfulness. Nurs. crit. care. 2019;14(5):38-44. DOI: https://doi.org/10.1097/01.CCN.0000578852.69314.be
28 Delaney MC. Caring for the caregivers: Evaluation of the effect of an eight-week pilot mindful self-compassion (MSC) training program on nurses' compassion fatigue and resilience. PLos ONE. 2018;13(11):e0207261. DOI: https://doi.org/10.1371/journal.pone.0207261
29 Queirós C, Borges E, Teixeira A, MaioT. Estratégias de prevenção do stress, burnout e bullying no trabalho. In: Borges E (editora). Enfermagem do trabalho: Formação, investigação, estratégias de intervenção. Lisboa: Lidel - Edições Técnicas; 2018. p.139-57.
30 National Patient Safety Foundation. Free from Harm: accelerating patient safety improvement fifteen years after to err is human. Boston, MA: National Patient Safety Foundation, 2015. Available from: http://www.ihi.org/resources/Pages/Publications/Free-from-Harm-Accelerating-Patient-Safety-Improvement.aspx
2 Baldonedo M, Mosteiro P, Queirós C, Borges E, Abreu, M. Stress no trabalho em enfermeiros: estudo comparativo Espanha/Portugal. International Journal on Working Conditions. 2018;15:67-80. Available from: https://ricot.com.pt/artigos/1/IJWC.15_Baldonedo.et.al_p.67.80.pdf
3 Stamm BH. The concise ProQOL manual. Pocatello, ID. 2010. Available from: https://img1.wsimg.com/blobby/go/dfc1e1a0-a1db-4456-9391-18746725179b/downloads/ProQOL%20Manual.pdf?ver=1622839353725
4 Reis CT. Cultura de segurança em organizações de saúde. In: Sousa P, Mendes W, (org). Segurança do Paciente: criando organizações de saúde seguras. Rio de Janeiro: EAD/ENSP; 2019. p. 77-109. DOI: https://doi.org/10.7476/9788575416426
5 Reis CT, Paiva SG, Sousa P. The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions. Int. j. qual. health care. 2018;30(9):660-77. DOI: https://doi.org/10.1093/intqhc/mzy080
6 Prieto MMN, Fonseca REP, Zem-Mascarenhas SH. Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review. Rev. bras. enferm. 2021;74(6):e20201315. DOI: https://doi.org/10.1590/0034-7167-2020-1315
7 Alves DFB, Lorenzini E, Cavalho KA, Schmidt CR, Dal Pai S, Kolankiewicz ACB. Cultura de segurança do paciente na perspectiva da equipe multiprofissional: uma revisão integrativa. Rev. Pesqui. (Univ. Fed. Estado Rio J., Online). 2021;13:836-42. DOI: https://doi.org/10.9789/2175-5361.rpcfo.v13.9235
8 Olsen E, Leonardsen ACL. Use of the Hospital Survey of Patient Safety Culture in Norwegian Hospitals: a systematic review. Int. j. environ. res. public health (Online). 2021;18:6518. DOI: https://doi.org/10.3390/ijerph18126518
9 Batalha EMSS, Melleiro MM, Borges, EMN. Burnout and its interface with patient safety. Rev. enferm. UFPE on line. 2019;13:e239641. DOI: http://dx.doi.org/10.5205/1981-8963.2019.239641
10 Rodrigues CCFM, Santos VEP, Sousa P. Patient safety and nursing: interface with stress and Burnout Syndrome. Rev. bras. Enferm. 2017;70(5):1083-8. DOI: https://doi.org/10.1590/0034-7167-2016-0194
11 Carvalho PRC. Estudo da Fadiga por Compaixão nos Cuidados paliativos em Portugal: Tradução e Adaptação Cultural da Escala “Professional Quality of Live 5” [dissertação]. Lisboa (PT): Universidade Católica; 2011. Disponível em: https://repositorio.ucp.pt/handle/10400.14/4202
12 Rockville W, Sorra J, Gray L, Streagle S, Famolaro T, Yount N, et al. AHRQ Hospital Survey on Patient Safety Culture: user’s guide. Rockville, MD: Agency for Healthcare Research and Quality, 2016. Available from: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
13 Eiras M. Avaliação da Cultura de Segurança do Doente em meio hospitalar: investigação ação numa Unidade de Radioterapia [dissertação]. Lisboa (PT): Universidade Nova de Lisboa; 2011. Available from: https://run.unl.pt/handle/10362/13667
14 Sacco TL, Copel LC. Compassion satisfaction: A concept analysis in nursing. Nurs. Forum. 2018;53(1):76-83. DOI: https://doi.org/10.1111/nuf.12213
15 Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J. nurs. scholarsh. 2015;47(2):186-94. DOI: https://doi.org/10.1111/jnu.12122
16 Saab MM, Drennan J, Cornally N, Landers M, Hegarty J, Eileen Savage E, et al. Impact of a compassionate care leadership programme. Br. j. nurs. 2019;28(11):708-14. DOI: https://doi.org/10.12968/bjon.2019.28.11.708
17 Duarte J, Pinto-Gouveia J, Cruz B. Relationships between nurses’ empathy, self-compassion, and dimensions of professional quality of life: a cross-sectional study. Int. j. nurs. stud. 2016;60:1-11. DOI: https://doi.org/10.1016/j.ijnurstu.2016.02.015
18. Gustin LW, Wagner L. The butterfly effect of caring – clinical nursing teachers’ understanding of self-compassion as a source to compassionate care. Scand. j. caring sci. 2013;27(1):175-83. DOI: https://doi.org/10.1111/j.1471-6712.2012.01033.x
19 Halbesleben JR, Wakefield BJ, Wakefield DS, Cooper LB. Nurse burnout and patient safety outcomes nurse safety perception versus reporting behaviour. West. j. nursing res. 2008;(5):560-77. DOI: https://doi.org/10.1177/0193945907311322
20 Vifladt A, Simonsen BO, Lydersen S, Farup PG. The association between patient safety culture and burnout and sense of coherence: a cross-sectional study in restructured and not restructured intensive care units. Intensive crit. care nurs. 2016;36:26-34. DOI: https://doi.org/10.1016/j.iccn.2016.03.004
21 Carneiro AS, Dalmolin RAGL, Magalhães AMM, Magnago TSBS, Arrial TS. Occupational stress, burnout and patient safety culture among workersfrom critical care and non-critical care units in a hospital in Brazil. Intensive crit. care nurs. 2021;63:102978. DOI: https://doi.org/10.1016/j.iccn.2020.102978
22. Mansour H, Sharour LA. Results of survey on perception of patient safety culture among emergency nurses in Jordan: influence of burnout, job satisfaction, turnover intention, and workload. J. healthc. qual. res. 2021;26(21):00050-6. DOI: https://doi.org/10.1016/j.jhqr.2021.05.001
23 Maslach C, Leiter MP. New insights into burnout and health care: strategies for improving civility and alleviating burnout. Med. teach. 2017;39(2):160-3. DOI: https://doi.org/10.1080/0142159X.2016.1248918
24 Beck CT, Cusson RM, Gable RK. Secondary Traumatic Stress in NICU Nurses A Mixed-Methods Study. Advances Neonatal Care. 2017;17(6):478-88. DOI: https://doi.org/10.1097/ANC.0000000000000428
25 Figley CR. Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel; 1995.
26 Van der Riet P, Levett-Jones T, Aquino-Russell C. The effectiveness of mindfulness meditation for nurses and nursing students: an integrated literature review. Nurse educ. today. 2018;65:201-11. DOI: https://doi.org/10.1016/j.nedt.2018.03.018
27 Abernathy S, Martin R. Reducing compassion fatigue with self-care and mindfulness. Nurs. crit. care. 2019;14(5):38-44. DOI: https://doi.org/10.1097/01.CCN.0000578852.69314.be
28 Delaney MC. Caring for the caregivers: Evaluation of the effect of an eight-week pilot mindful self-compassion (MSC) training program on nurses' compassion fatigue and resilience. PLos ONE. 2018;13(11):e0207261. DOI: https://doi.org/10.1371/journal.pone.0207261
29 Queirós C, Borges E, Teixeira A, MaioT. Estratégias de prevenção do stress, burnout e bullying no trabalho. In: Borges E (editora). Enfermagem do trabalho: Formação, investigação, estratégias de intervenção. Lisboa: Lidel - Edições Técnicas; 2018. p.139-57.
30 National Patient Safety Foundation. Free from Harm: accelerating patient safety improvement fifteen years after to err is human. Boston, MA: National Patient Safety Foundation, 2015. Available from: http://www.ihi.org/resources/Pages/Publications/Free-from-Harm-Accelerating-Patient-Safety-Improvement.aspx
Publicado
2022-10-21
Como Citar
Santos da Silva Batalha, E. M., Melleiro, M. M., & das Neves Borges, E. M. (2022). Relationship among compassion satisfaction, burnout and traumatic stress with the patient safety. Journal of Nursing and Health, 12(2). https://doi.org/10.15210/jonah.v12i2.3340
Seção
Artigos Originais / Original Articles
