Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

An Exploration of the Experience of Compassion Fatigue in Nurses Working with Oncology Patients

암환자를 돌보는 병동 간호사의 공감피로 경험 탐색

  • Kim, Soo Hyun (Interdisciplinary Program in Social Welfare Policy, Yonsei University) ;
  • Kim, Min Ah (Department of Social Welfare, Sungkyunkwan University)
  • 김수현 (연세대학교 일반대학원 사회복지정책협동과정) ;
  • 김민아 (성균관대학교 사회복지학과)
  • Received : 2020.09.29
  • Accepted : 2020.11.20
  • Published : 2020.11.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to understand experiences of compassion fatigue reported by nurses providing services to oncology patients and families. We conducted in-depth interviews with 8 nurses currently working in oncology. Three main themes and 13 subthemes were extracted from the thematic analysis suggested by Braun and Clarke. Participants experienced compassion fatigue while feeling the sufferings transferred from patients and caregivers. The stress resulted from unique nature of oncology work added to their compassion fatigue. Participants became running low on empathy towards oncology patients and caregivers because of external work environments and negative perceptions on compassion. The results of the study inform health care professionals about increasing awareness of compassion fatigue of nurses working with oncology patients and families and the importance of providing interventions to promote their individual and professional quality of life.

본 연구의 목적은 암환자 및 가족을 돌보는 암 병동 간호사의 공감피로 경험에 대한 이해로 종합병원 내 암병동에서 근무하는 간호사 8명을 대상으로 공감피로 경험과 관련한 심층면담을 실시하였다. 본 연구는 Braun과 Clarke이 제시한 주제분석 방법을 이용하여 3개의 대주제와 13개의 하위주제가 도출되었다. 모든 연구 참여자들은 암환자 및 보호자와 라포를 형성하고 간호서비스를 제공하는 과정에서 이들의 고통이 전이되며 극심한 공감피로를 경험하였고, 업무적 특성으로 인해 스트레스가 가중되었다. 그러나 시간이 지남에 따라 점차 외부적인 상황과 공감에 대한 부정적인 인식으로 인해 환자와 보호자에 대한 공감의 정도가 낮아졌다고 하였다. 연구결과를 바탕으로 암환자와 가족들을 돌보는 병동 간호사의 공감피로에 대한 인식을 높여 이들의 개인적 삶뿐만 아니라 전문적 삶의 질을 증진시킬 수 있는 실질적 방안이 제도적으로 마련되기를 제언하였다.

Keywords

References

  1. C. R. Figley. (1995). Compassion fatigue: Toward a new understanding of the costs of caring. In B. H. Stamm (Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators, 3-28. MD: The Sidran Press.
  2. N. Najjar, L. W. Davis, K. Beck-Coon & C. Carney Doebbeling. (2009). Compassion fatigue: A review of the research to date and relevance to cancer-care providers. Journal of Health Psychology, 14(2), 267-277. DOI : 10.1177/1359105308100211
  3. T. Pehlivan & P. Guner. (2018). Compassion fatigue: The known and unknown. Journal of Psychiatric Nursing, 9(2), 129-134. DOI : 10.14744/phd.2017.25582
  4. C. Maslach & S. E. Jackson. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99-113. DOI : 10.1002/job.4030020205
  5. D. A. Boyle. (2011). Countering compassion fatigue: A requisite nursing agenda. The Online Journal of Issues in Nursing, 16(1), 2. DOI : 10.3912/OJIN.Vol16No01Man02
  6. I. L. McCann & L. A. Pearlman. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1), 131-149. DOI : 10.1002/jts.2490030110
  7. S. Brint. (2017). Obligated to care: A personal narrative of compassion fatigue in an oncology nurse. Journal of Holistic Nursing, 35(3), 296-309. DOI : 10.1177/0898010116661391
  8. L. Barrett & P. Yates. (2002). Oncology/haematology nurses: A study of job satisfaction, burnout, and intention to leave the specialty. Australian Health Review, 25(3), 109-121. DOI : 10.1071/AH020109
  9. S. Kim et al. (2010). Oncology nurses' professional quality of life in a tertiary hospital. Journal of Korean Clinical Nursing Research. 16(3), 145-155.
  10. A. Girgis, V. Hansen & D. Goldstein. (2009). Are Australian oncology health professionals burning out? A view from the trenches. European Journal of Cancer, 45(3), 393-399. DOI : 10.1016/j.ejca.2008.09.029
  11. J. Berger, B. Polivka, E. A. Smoot & H. Owens. (2015). Compassion fatigue in pediatric nurses. Journal of Pediatric Nursing, 30(6), e11-e17. DOI : 10.1016/j.pedn.2015.02.005
  12. E. Arimon-Pages, J. Torres-Puig-Gros, P. Fernandez-Ortega & J. Canela-Soler. (2019). Emotional impact and compassion fatigue in oncology nurses: Results of a multicentre study. European Journal of Oncology Nursing, 43, 101666. DOI : 10.1016/j.ejon.2019.09.007
  13. G. N. Partlak, B. Ustun, A. P. Sercekus & B. D. Buyukkaya. (2019). Secondary traumatic stress experiences of nurses caring for cancer patients. International Journal of Nursing Practice, 25(1), e12717. DOI : 10.1111/ijn.12717
  14. H. R. Kim & I. S. Kwon. (2014). A phenomenological study on oncology adaptation experiences of new nurses. Asian Oncology Nursing, 14(2), 127-138. DOI : 10.5388/aon.2014.14.2.127
  15. B. A. Finley & K. G. Sheppard. (2017). Compassion fatigue: Exploring early-career oncology nurses' experiences. Clinical Journal of Oncology Nursing, 21(3), E61-E66. DOI : 10.1188/17.CJON.E61-E66
  16. S. Kleiner & J. E. Wallace. (2017). Oncologist burnout and compassion fatigue: Investigating time pressure at work as a predictor and the mediating role of work-family conflict. BMC health Services Research, 17(1), 639. DOI : 10.1186/s12913-017-2581-9
  17. S. J Kim & H. Na. (2017). A study of the relationships between compassion Fatigue, compassion satisfaction,depression, anxiety, and sleep disorders among oncology nurses. Asian Oncology Nursing,17(2), 116-123. DOI : 10.5388/aon.2017.17.2.116
  18. J. Y. No & H-R. Ahn. (2016). Compassion fatigue experience of oncology nurses. Journal of Korea Academia-Industrial Cooperation Society, 17(1), 304-314. DOI : 10.5762/KAIS.2016.17.1.304
  19. D. Wells-English, J. Giese & J. Price. (2019). Compassion fatigue and satisfaction: Influence on turnover among oncology nurses at an urban cancer center. Clinical Journal of Oncology Nursing, 23(5), 487-493. DOI : 10.1188/19.CJON.487-493
  20. J. Y. Seo & M. Yi. (2017). Hermeneutic Phenomenological Study on Caring Experience of Nurses Working in a Chemotherapy Ward in Korea. Asian Oncology Nursing, 17(1), 55-67. DOI : 10.5388/aon.2017.17.1.55
  21. V. Braun & V. Clarke. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. DOI : 10.1191/1478088706qp063oa
  22. E. G. Guba & Y. S. Lincoln. (1981). Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. California: Jossey-Bass.
  23. L. C. Barbour. (2016). Exploring oncology nurses' grief: A self-study. Asia-Pacific Journal of Oncology Nursing, 3(3), 233-240. DOI : 10.4103/2347-5625.189817
  24. J. Wenzel, M. Shaha, R. Klimmek & S. Krumm. (2011). Working through grief and loss: Oncology nurses' perspectives on professional bereavement. Oncology Nursing Forum, 38(4), E272-E282. DOI : 10.1188/11.ONF.E272-E282
  25. Y. S. Lee & Y. S. Tae. (2012). The lived experience of the burnout of nurses working in oncology wards. Asian Oncology Nursing, 12(1), 100-109. https://doi.org/10.5388/aon.2012.12.1.100
  26. K. S. Heo & E-J. Park. (2016). Clinical nurses' perceived or experienced obstacles and supportive behaviors in providing care for terminally ill cancer patients. Asian Oncology Nursing, 16(3), 147-157. DOI : 10.5388/aon.2016.16.3.147
  27. J. Duarte & J. Pinto-Gouveia. (2017). The role of psychological factors in oncology nurses' burnout and compassion fatigue symptoms. European Journal of Oncology Nursing, 28, 114-121. DOI : 10.1016/j.ejon.2017.04.002
  28. P. Nilsson. (2014). Are empathy and compassion bad for the professional social worker? Advances in Social Work, 15(2), 294-305. https://doi.org/10.18060/17679
  29. E. M. Hansen, J. H. Eklund, A. Hallen, C. S. Bjurhager, E. Norrstrom, A. Viman & E. L. Stocks. (2018). Does feeling empathy lead to compassion fatigue or compassion satisfaction? The role of time perspective. The Journal of Psychology, 152(8), 630-645. DOI : 10.1080/00223980.2018.1495170
  30. P. Jakel, J. Kenney, N. Ludan, P. S. Miller, N. McNair & E. Matesic. (2016). Effects of the use of the provider resilience mobile application in reducing compassion fatigue in oncology nursing. Clinical Journal of Oncology Nursing, 20(6), 611-616. DOI : 10.1188/16.CJON.611-616
  31. S. Wu, S. Singh-Carlson, A. Odell, G. Reynolds & Y. Su. (2016). Compassion fatigue, burnout, and compassion satisfaction among oncology nurses in the United States and Canada. Oncology Nursing Forum, 43(4), E161-E169. DOI : 10.1188/16.ONF.E161-E169