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En litteraturöversikt om compassion fatigue hos sjuksköterskor
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
A litterature review of compassion fatigue in nurses (English)
Abstract [sv]

Bakgrund:  Compassion fatigue hos sjuksköterskor beskrivs som en minskad förmåga att känna empati till följd av att ha levt sig in i andra människors trauman, samtidigt ses empati som en av kärnorna i omvårdnaden. Många sjuksköterskor saknar kunskap i ämnet men drabbade sjuksköterskor beskriver det som en överväldigande känsla av att något är fel. Detta kan leda till att många sjuksköterskor funderar på att lämna yrket.

Syfte: Syftet var att kartlägga faktorer till uppkomsten av compassion fatigue hos sjuksköterskor.

Metod: En litteraturöversikt enligt Fribergs metod som baserades på elva kvantitativa och en kvalitativ artikel.

Resultat: Resultatet presenterades utifrån fyra teman: empati, skuldkänslor och moralisk stress, personliga och sociala faktorer, arbetsrelaterade och organisatoriska faktorer samt ålder, arbetslivserfarenhet och professionalism. Några faktorer som orsakar compassion fatigue var hög grad av empatisk förmåga och hanteringsstrategier.

Diskussion: Watsons teori om mänsklig omsorg och Conti O´Hares theory of the nurse as a wounded healer användes som teoretiska referensramar. Watson beskriver empati som en av kärnorna i hennes teori. Samtidigt som litteraturöversiktens resultat visade att högre grad av empati hos sjuksköterskan ger större risk att drabbas av compassion fatigue. Detta kan ses som motsägelsefullt då empati är en förutsättning för god omsorg. Conti O´Hares teori och resultatet stämmer överens i det avseende att om trauman hanteras på ett negativt sätt leder det till ohälsa.

Abstract [en]

Background: Compassion fatigue among nurses is described as a reduced ability to feel empathy due to being exposed to other peoples trauma, at the same time empathy is seen as one of the core values in nursing. Many nurses lack knowledge about the subject but affected nurses describes it as an overwhelmingly feeling that something is wrong. This may lead to a lot of nurses thinking about leaving the profession.

Aim: The purpose was to identify the factors that lead to compassion fatigue in nurses.

Method: A literature review according to Friberg´s method that is based on eleven quantitative articles and one qualitative article.

Results: The results were presented on the basis of four themes: empathy, feelings of guilt and morol distress, personal and social factors, work related and organizational factors and also age, work experience and professionalism. Some of the factors that cause compassion fatigue were degree of empathetic ability and personal coping strategies.

Discussion: Watson´s theory of human caring and Conti O´Hare´s theory of the nurse as a wounded healer was used as theoretical frame of reference. Watson describes empathy as one of the core values in her theory of human caring, at the same time the results of the literature review showed that nurses with a higher degree of empathy were at higher risk to develop compassion fatigue. This can be seen as contradictory when empathy is a condition in caring. Conti O´Hare´s theory and the result agree in the regard that if trauma is not handled in a positive way it may lead to illness.

Place, publisher, year, edition, pages
2017. , p. 38
Keywords [en]
Compassion fatigue, Vicarious traumatization, Secondary traumatic stress, Burnout, Empathy, Nurses, Watson, Conti O´Hare, ProQOL
Keywords [sv]
Compassion fatigue, Vicarious traumatization, Secondary traumatic stress, Utbrändhet, Empati, Sjuksköterskor, Watson, Conti O´Hare, ProQOL
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6618OAI: oai:DiVA.org:esh-6618DiVA, id: diva2:1181905
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2018-02-12 Created: 2018-02-10 Last updated: 2018-02-12Bibliographically approved

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