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Upplevelser av compassion fatigue hos vårdpersonal i palliativ vård: En litteraturöversikt
Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Sophiahemmet högskola.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Sophiahemmet högskola.
2022 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Kunskapen om compassion fatigue behöver belysas i den palliativa vårdens kliniska vardag. Att arbeta med palliativ vård innebär komplexa relationer med patienter och närstående samt dagliga möten med lidande, död och sorg. Vårdpersonal inom vårdgivande yrken har stor risk att drabbas av compassion fatigue.

Syfte: Syftet var att beskriva upplevelsen av compassion fatigue hos vårdpersonal som utför palliativ vård.

Metod: En systematisk litteraturöversikt har genomförts av vetenskapliga forskningsresultat genom användandet av reflexiv tematisk analys. Fynden i resultatet har relaterats till det vårdvetenskapliga teoretiska ramverket Compassion Fatigue Model.

Resultat: Fyra teman framkom: upplevelser av bristande resurser, upplevelser av svåra relationer i vårdandet, upplevelser av existentiell stress och bristande palliativt sammanhang samt upplevelser av otillräcklig coping och egenvård. Vårdpersonalens upplevelser av compassion fatigue grundades i de känslor som blev ohanterliga i samband med vårdandet av svårt sjuka patienter och närstående. Hög arbetsbelastning och bristen på återhämtning bidrog till att dränera vårdpersonalen på energi, vilket gav dem obalans mellan deras professionella och privata liv. För att minska risken att drabbas av compassion fatigue blev det palliativa sammanhanget, coping och egenvård betydelsefullt.

Slutsats: Compassion fatigue kunde påverka vårdpersonalens hela livsvärld. Vårdpersonal är självmedvetna, men behöver bli bättre på att förstå hur betydelsefullt egenvård och positiv coping är för att bibehålla sin hälsa. Arbetsmiljöns betydelse för vårdpersonalens upplevelser av compassion fatigue är väsentlig. Arbetsgivare behöver uppmärksamma och prioritera resurser som förstärker vårdpersonalens hälsa. Palliativ vård är en vårdform som är resurskrävande och det behövs empatisk vårdpersonal som orkar vara närvarande i den vårdande relationen.

Abstract [en]

Background: Compassion fatigue is a concept that needs to be further established in the line of palliative care praxis. The concept compassion fatigue is well studied within scientific research. Compassion fatigue occurs as physical, mental, and emotional damage through work-related stress. Healthcare professionals are at high risk of suffering from compassion fatigue. Working in palliative care involves daily encounters with suffering, death, and grief through relationships with patients and relatives. Awareness of compassion fatigue needs to be highlighted and studied within the work field of palliative care.

Aim: The purpose of this study was to describe experiences of compassion fatigue in healthcare professionals who work within palliative care settings.

Method: A systematic literature review has been conducted on scientific research papers using reflexive thematic analysis. The findings in the results have been related to the theoretical framework Compassion Fatigue Model.

Results: Four themes were identified: experience with lack of resources, experiences of difficult relationships in care, experience of existential stress and lack of palliative context, as well as the experience of insufficient self-care and coping. The care staff's experiences of compassion fatigue were based on the emotions that became unmanageable in connection with the care of seriously ill patients and relatives. High workload and lack of recovery contributed to draining healthcare staff of energy, giving them an imbalance between professional and private life. To reduce the risk of suffering from compassion fatigue, the palliative context, coping and self-care became important.

Conclusion: Compassion fatigue could affect the entire lifeworld of healthcare professionals. Healthcare professionals do have self-awareness but need to improve their knowledge about the importance of self-care and positive coping strategies to maintain their health. A healthy work environment is essential for the healthcare professionals’ experiences of compassion fatigue. Employers need to pay attention and prioritize resources that strengthen the health of healthcare professionals. Palliative care requires resources and empathic healthcare professionals who can be present when caring for patients and their relatives.

Place, publisher, year, edition, pages
2022. , p. 51
Keywords [en]
Compassion fatigue, Palliative care, Health care providers, Coping, Emotions
Keywords [sv]
Compassion fatigue, Palliativ vård, Vårdpersonal, Coping, Känslor
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-9448OAI: oai:DiVA.org:esh-9448DiVA, id: diva2:1650200
Educational program
Postgraduate Diploma in Specialist Nursing - Palliative Care, 60 ECTS, second cycle (Coordinated by Ersta Sköndal Bräcke University College and Sophiahemmet University College)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2022-04-07 Created: 2022-04-06 Last updated: 2022-04-07Bibliographically approved

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