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Development and Application of an Overcoming Compassion Fatigue Program for Emergency Nurses

Journal of Korean Academy of Nursing 2016³â 46±Ç 2È£ p.260 ~ 270
KMID : 0806120160460020260
±è¿µ¾Æ:Kim,Yeong-Ah
¹ÚÁ¤¼÷:Park Jeong-Sook

Abstract

Purpose: This study was conducted to develop a program to help emergency nurses overcome compassion fatigue, and to analyzethe effects of the program.

Methods: A nonequivalent control group pretest-posttest design was used. There were 14 participants inthe experimental group and 18 subjects in the control group. The program was comprised of five, weekly 80-minute sessions includingunderstanding and assessment of compassion fatigue, enhancing positive affect, balancing work-life, planning self care, trainingin relaxation techniques and cognitive restructuring, and getting social support. Research variables were ego-resiliency, compassionsatisfaction and compassion fatigue of the ProQOL 5, and salivary cortisol. Data were analyzed using Chi-square test, independentt-test, and paired t-test.

Results: The first hypothesis, ¡°There will be a difference in scores for ego resiliency between the experimentalgroup and the control group¡±. was not supported. The second hypothesis, ¡°There will be a difference in scores for compassionsatisfaction between the experimental group and the control group¡± was supported (t=2.15, p =.046). The third hypothesis,¡°There will be a difference in scores for compassion fatigue between the experimental group and the control group¡± was not supported.

Conclusion: The first program for emergency nurses to overcome compassion fatigue in Korea was effective in increasingemergency nurses¡¯ compassion satisfaction and decreasing salivary cortisol level in the experimental group. Therefore, this programfor overcoming compassion fatigue is useful to increase emergency nurses¡¯ compassion satisfaction. However replication studies ofshort-term intensive program reflecting emergency nurses¡¯ opinion are needed.
KeyWords
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Nurses, Compassion fatigue, Psychological resilience, Stress, Cortisol
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