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Abstract

Background:

Effective self-care in hospice is anecdotally proclaimed to reduce burnout risk. Yet, the topic has received little empirical attention.

Purpose:

This study developed a model for predicting burnout risk from compassion satisfaction (CS), secondary traumatic stress (STS), and mindful self-care.

Participants:

Hospice care professionals (n = 324).

Design:

Cross-sectional self-report survey.

Results:

Mindful self-care was correlated with CS (r = 0.497, p < .01), Burnout (r = −0.726, p < .01), and STS (r = −0.276, p < .01). A multiple regression model indicated that the combined effect of CS, STS, and mindful self-care explained 73.7% of the variance in Burnout. Mindful self-care and STS mediated a relationship between CS and Burnout. Each self-care category was statistically significant protective factors against burnout risk (p < .01). Associations with Burnout in order of strength were self-compassion and purpose (SC; r = −0.673), supportive structure (SS; r = −0.650), mindful self-awareness (MS; r = −0.642), mindful relaxation (MR; r = −0.531), supportive relationships (SR; r = −0.503), and physical care (PC; r = −0.435). However, for STS, only SS (r = −0.407, p < .01) and MR (r = −0.285, p < .05) were statistically significant protective factors.

Conclusion:

Hospice care professional had higher self-care, CS, lower STS, and Burnout compared to published norms. Those who engaged in multiple and frequent self-care strategies experienced higher professional quality of life. Implications for hospice providers and suggestions for future research are discussed.

Keywords

self-care burnout hospice compassion satisfaction secondary traumatic stress

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References

Stamm

. Measuring compassion satisfaction as well as fatigue: developmental history of the compassion satisfaction and fatigue test. In: Figley

, ed. Treating Compassion Fatigue. New York, NY: Brunner-Routledge; 2002:107–119.

Craig

Sprang

. Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety Stress Coping. 2010;23(3):319–339.

Figley

. Treating Compassion Fatigue. New York, NY: Brunner-Routledge; 2002.

Harr

. Promoting workplace health by diminishing the negative impact of compassion fatigue and increasing compassion satisfaction. Soc Work Chris. 2013;40(1):71–88.

Huggard

. Compassion fatigue: how much can I give? Med Educ. 2003;37(2):163–164.

Figley

. Compassion Fatigue: Coping With Secondary Traumatic Stress Disorder in Those Who Treat the Traumatized. New York, NY: Routledge; 1995.

Doman

. Compassion Fatigue, Burnout, Compassion Satisfaction and Subjective Happiness in Mental Health Providers. (Doctoral dissertation). Available from ProQuest Dissertations and Theses database. (UMI No: 3430251) 2010.

Vachon

. Motivation and stress experienced by staff working with the terminally ill. Death Educ. 1978;2(1-2):113–122.

Vachon

. Caring for the caregiver in oncology and palliative care. Semin Oncol Nurs. 1998;14(2):152–157.

10.

Vachon

. Staff stress in hospice/palliative care: a review. Palliat Med. 1995;9(2):91–122.

11.

Vachon

. Targeted intervention for family and professional caregivers: attachment, empathy, and compassion. Palliat Med. 2016;30(2):101–103.

12.

Alkema

Linton

Davies

. A Study of the relationship between self-care, compassion satisfaction, compassion fatigue, and burnout among hospice professionals. J Soc Work End-Life Palliat Care. 2008;4(2):101–119.

13.

Slocum-Gori

Hemsworth

Chan

Carson

Kazanjian

. Understanding compassion satisfaction, compassion fatigue and burnout: a survey of the hospice palliative care workforce. Palliat Med. 2011;27(2):172–178.

14.

Abendroth

Flannery

. Predicting the risk of compassion fatigue: a study of hospice nurses. J Hospice Palliat Nursing. 2006;8(6):346–356.

15.

Stamm

. The Concise ProQOL Manual (2nd ed.). 2010; http://www.proqol.org/uploads/ProQOL_Concise_2ndEd_12-2010.pdf. accessed November 2017.

16.

Garfield

Spring

Ober

. Sometimes My Heart Goes Numb: Love and Caring in a Time of AIDS. San Francisco, CA: Jossey-Bass; 1995.

17.

Benson

Dundis

. Understanding and motivating healthcare employees: integrating Maslow’s hierarchy of needs, training and technology. J Nurs Manag. 2003;11(5):315–320.

18.

Cook-Cottone

Guyker

. The development and validation of the mindful self-care scale (MSCS): an assessment of practices that support positive embodiment. Mindfulness. 2018;9(1):161–175.

19.

Parker

. Nursing Theories and Nursing Practice, 2nd ed. Philadelphia, PA: Davis; 2006.

20.

Maslow

. Deficiency motivation and growth motivation. In: McClelland

, ed. Toward a Psychology of Being, 2nd ed. New York, NY: D. Van Nostrand; 1968:21–43.

21.

Cook-Cottone

. Incorporating positive body image into the treatment of eating disorders: a model for attunement and mindful self-care. Body Image. 2015;14:158–167.

22.

Norcross

Guy

. Leaving it at the Office: A Guide to Psychotherapist Self-Care. New York, NY: The Guildford Press; 2007.

23.

Richard

Shea

. Delineation of self-care and associated concepts. J Nurs Scholarsh. 2011;43(3):255–264.

24.

Linehan

. DBT Skills Training Handouts and Worksheets, 2nd ed. New York, NY: The Guilford Press; 2015.

25.

Linehan

. Skills Training Manual for Treating Borderline Personality Disorder. New York, NY: The Guildford Press; 1993.

26.

Riegel

Jaarsma

Stromberg

. A middle-range theory of self-care of chronic illness. ANS Adv Nurs Sci. 2012;35:194–204.

27.

Homan

Tylka

. Appearance-based exercise motivation moderates the relationship between exercise frequency and positive body image. Body Image. 2014;11(2):101–108.

28.

Jenkins

Baird

. Secondary traumatic stress and vicarious trauma: a validation study. J Trauma Stress. 2002;15(5):423–432.

29.

Kelley

Clark

Brown

Sitzia

. Good practice in the conduct and reporting of survey research. Int J Qual Heath Care. 2003;15(3):261–266.

30.

deVaus

. Analyzing Social Science Data: 50 Key Problems in Data Analysis. Thousand Oaks, CA: Sage Publications; 2002.

31.

Hayes

Rockwood

. Regression-based statistical mediation and moderation analysis in clinical research: observations, recommendations, and implementation. Behav Res Ther. 2017;98:39–57.

32.

Hunsaker

Chen

H-C

Maughan

Heaston

. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nurs Scholarsh. 2015;47(2):186–194.

33.

Smart

English

James

. Compassion fatigue and satisfaction: a cross-sectional survey among US healthcare workers. Nurs Health Sci. 2014;16(1):3–10.

34.

Leiter

Harvie

Frizzell

. The correspondence of patient satisfaction and nurse burnout. Soc Sci Med. 1998;47(10):1611–1617.

35.

Tzeng

Ketefian

Redman

. Relationship of nurses’ assessment of organizational culture, job satisfaction, and patient satisfaction with nursing care. Int J Nurs Stud. 2002;39(1):79.

36.

Whitebird

Asche

Thompson

Rossom

Heinrich

. Stress, burnout, compassion fatigue, and mental health in hospice workers in Minnesota. J Palliat Med. 2013;16(12):1534–1539.

37.

Jones

. A self-care plan for hospice workers. Am J Hosp Palliat Care. 2005;22(2):125–128.

Mindful Self-Care and Secondary Traumatic Stress Mediate a Relationship Between Compassion Satisfaction and Burnout Risk Among Hospice Care Professionals

Abstract

Background:

Purpose:

Participants:

Design:

Results:

Conclusion:

Keywords

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References