Objectives

This study aimed to evaluate the effects of the Compassion Fatigue Resiliency Program applied to oncology-hematology nurses on the professional quality of life and stress levels of nurses, on the satisfaction of cancer patients, and on the perspectives of nurse managers.

Data Sources

An experimental embedded mixed-methods design was conducted between December 20, 2022, and February 20, 2023. The study included 15 oncology-hematology nurses, 19 cancer patients, and 6 nurse managers. Qualitative interviews were conducted with patients and pre-tests were applied to patients and nurses. The Compassion Fatigue Resiliency Program was implemented for the nurses. Then qualitative interviews were repeated with the same patients; focus group interviews were conducted with the nurse managers; post-tests were applied to patients and nurses who participated in the training; and narrative feedback was collected. Quantitative data analysis was carried out using the Wilcoxon signed-rank test. Qualitative data were processed using an inductive approach to thematic analysis.

Conclusion

Compassion satisfaction decreased after the Compassion Fatigue Resiliency Program. Qualitative results showed that the training program improved nurses' effective communication skills and ability to cope with stress. The program improved nurses’ approach to patients and communication, and patients' care satisfaction levels increased.

Implications for Nursing Practice

The Compassion Fatigue Resiliency Program should be included in hospital in-service training programs and implemented and sustained. With this, compassion fatigue of nurses can be reduced or prevented, which will help to avoid the nurse shortages that already existing and increasing.

中文翻译：

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同情疲劳弹性计划对肿瘤血液科护士的专业生活质量、压力水平和患者护理满意度的影响：护士、护士经理和患者的观点，一项混合方法研究

目标

本研究旨在评估应用于肿瘤血液科护士的同情疲劳弹性计划对护士的专业生活质量和压力水平、癌症患者的满意度以及护士管理者的观点的影响。

数据源

2022年12月20日至2023年2月20日期间进行了一项实验性嵌入式混合方法设计。该研究包括15名肿瘤-血液科护士、19名癌症患者和6名护士长。对患者进行定性访谈，并对患者和护士进行预测试。为护士实施了同情疲劳恢复计划。然后对相同的患者重复进行定性访谈；与护士长进行焦点小组访谈；对参加培训的患者和护士进行事后测试；并收集叙述性反馈。使用 Wilcoxon 符号秩检验进行定量数据分析。使用归纳方法进行主题分析来处理定性数据。

结论

同情疲劳弹性计划后，同情满意度下降。定性结果表明，培训项目提高了护士的有效沟通技巧和应对压力的能力。该计划改善了护士对患者的态度和沟通，患者的护理满意度也有所提高。

对护理实践的影响

同情疲劳恢复计划应纳入医院在职培训计划并实施和维持。这样，可以减少或防止护士的同情疲劳，这将有助于避免已经存在和日益加剧的护士短缺。