the cost of caring compassion fatigue - massey university of sciences... · sidran press. maslach,...

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Those that work with animals are “caring” individuals. It is likely that the characteristic of caring increases the risk as a professional to the condition of compassion fatigue. Professionals who work with people or animal, particularly those who are suffering, must not only cope with the normal stress or dissatisfaction of work but also with their personal feelings and emotional response to that suffering. Compassion fatigue or the “cost of caring” (Figley, 1985) is common amongst nonhuman-animal care professional (NACP) staff. It has been linked not just to the impact of euthanasia, but also by other common occupational stressors such as pet/animal loss and death, chronic illnesses and end of life care. Compassion fatigue should not be confused with “burnout” but appears to feel the same. Compassion fatigue (Figley, 1985) is “a condition that is a result of a depletion of our internal emotional resources”. This depletion occurs when carers provide care to clients who are experiencing an emotional situation. When a staff member is exposed to one or many of these critical incidents, compassion fatigue is experienced” (Mitchener & Ogilvie, 2002, p. 308). References Elpern, E.H., Covert, B., & Kleinpell, R. (2005). Moral distress of staff nurses in a medical intensive care unit. American journal of Critical Care, 14(6), 523-529. Figley, C.R. (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 (pp. 3-28). Lutherville, MD: Sidran Press. Maslach, C., Schaufeli, W.B., & Leiter, M.P. (2001). Job burnout. Annual Review of Psychology, 52., 397-422. Sabo, B.M. (2006). Compassion fatigue and nursing work: Can we accurately capture the consequences of caring work? International Journal of Nursing Practice, 12(3), 136=142. CONCLUSION Burnout: A prolonged response to chronic physical or emotional stressors resulting in exhaustion and ineffectiveness (Maslach et al., 2001) Compassion Fatigue: A severe malaise as a result of caring for patients who are in pain or suffering (Sabo, 2006) Moral Distress: Encountered when a person knowing the ethically appropriate course is unable to act on it (Elpern et al., 2005) Secondary Traumatic Disorder: Encountered by those who care for people who are directly experiencing a traumatic experience; also may be referred to as vicarious trauma, indicating secondary distress imposed by witnessing trauma (Figley, 1995) Self Care Strategies to Mitigate Burnout and Compassion Fatigue and Promote Wellbeing Regularly appraise and regulate six areas of work life: workload, control, reward, community, fairness and values. Create a network of peers and co-workers and stay connected with them on an on-going basis. Avoid depersonalisation such as distancing from work both emotionally and cognitively. Balance empathy and compassion with objectivity, utilising formalised structures, policies, and procedures to provide guidance. Strive to have increased self-awareness, share feelings and responsibilities, set limits to avoid overload of work. Adopt healthy lifestyle and self care activities that are meaningful to you including mindfulness and meditation, exercise & vacations. Practice meaning-based coping by sharing personal and professional sources of meaning and incorporating into daily practice. Prioritise personal relationships such as family and close friends. Hyper- vigilance over patients and co-workers Lowered tolerance for frustration Insensitive or hypersensitive to emotional material Literally cant think outside the box Stress = sterotypical thinking Person becomes hard to work with Sweating, rapid heartbeat, breathing difficulty, aches and pains Questioning life’s meaning, pervasive hopelessness, loss of purpose Spiritual Behavioural Emotional Cognitive Somatic IMPACTS OF COMPASSION FATIGUE Compassion fatigue can impact many areas of a persons life. Interpersonal The Cost of Caring – Compassion Fatigue Bridey White 1 , Dr Polly Yeung 2 , Dr Louise Chilvers 1 1 IVABS, Wildbase, Massey University, New Zealand. 1 School of Social Work, Massey University, New Zealand. INTRODUCTION – WHAT IS COMPASSION FATIGUE AND WHY DOES IT MATTER?

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Page 1: The Cost of Caring Compassion Fatigue - Massey University of Sciences... · Sidran Press. Maslach, C., Schaufeli, W.B., & Leiter, M.P. (2001). Job burnout. Annual Review of Psychology,

Those that work with animals are “caring” individuals. It is likely that the

characteristic of caring increases the risk as a professional to the condition of

compassion fatigue. Professionals who work with people or animal, particularly

those who are suffering, must not only cope with the normal stress or

dissatisfaction of work but also with their personal feelings and emotional

response to that suffering. Compassion fatigue or the “cost of caring” (Figley, 1985)

is common amongst nonhuman-animal care professional (NACP) staff. It has been

linked not just to the impact of euthanasia, but also by other common occupational

stressors such as pet/animal loss and death, chronic illnesses and end of life care.

Compassion fatigue should not be confused with “burnout” but appears to feel the

same. Compassion fatigue (Figley, 1985) is “a condition that is a result of a

depletion of our internal emotional resources”. This depletion occurs when carers

provide care to clients who are experiencing an emotional situation. When a staff

member is exposed to one or many of these critical incidents, compassion fatigue

is experienced” (Mitchener & Ogilvie, 2002, p. 308).

References

Elpern, E.H., Covert, B., & Kleinpell, R. (2005). Moral distress of staff nurses in a medical intensive care unit. American journal of Critical Care, 14(6), 523-529.

Figley, C.R. (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 (pp. 3-28). Lutherville, MD:

Sidran Press.

Maslach, C., Schaufeli, W.B., & Leiter, M.P. (2001). Job burnout. Annual Review of Psychology, 52., 397-422.

Sabo, B.M. (2006). Compassion fatigue and nursing work: Can we accurately capture the consequences of caring work? International Journal of Nursing Practice, 12(3), 136=142.

CONCLUSION

Burnout: A prolonged response to chronic physical or

emotional stressors resulting in exhaustion and

ineffectiveness (Maslach et al., 2001)

Compassion Fatigue: A severe malaise as a result of caring for patients

who are in pain or suffering (Sabo, 2006)

Moral Distress: Encountered when a person knowing the ethically

appropriate course is unable to act on it (Elpern et al.,

2005)

Secondary Traumatic

Disorder:

Encountered by those who care for people who are

directly experiencing a traumatic experience; also

may be referred to as vicarious trauma, indicating

secondary distress imposed by witnessing trauma

(Figley, 1995)

Self Care Strategies to Mitigate Burnout and Compassion Fatigue and Promote Wellbeing

• Regularly appraise and regulate six areas of work life: workload, control, reward, community, fairness and values.

• Create a network of peers and co-workers and stay connected with them on an on-going basis.

• Avoid depersonalisation such as distancing from work both emotionally and cognitively.

• Balance empathy and compassion with objectivity, utilising formalised structures, policies, and procedures to provide guidance.

• Strive to have increased self-awareness, share feelings and responsibilities, set limits to avoid overload of work.

• Adopt healthy lifestyle and self care activities that are meaningful to you including mindfulness and meditation, exercise & vacations.

• Practice meaning-based coping by sharing personal and professional sources of meaning and incorporating into daily practice.

• Prioritise personal relationships such as family and close friends.

Hyper-vigilance over patients and co-workers

Lowered tolerance for frustration

Insensitive or hypersensitive to emotional material

Literally cant think outside the box

Stress = sterotypical thinking

Person becomes hard to work with

Sweating, rapid heartbeat, breathing difficulty, aches and pains

Questioning life’s meaning, pervasive hopelessness, loss of purpose

Spiritual

Behavioural Emotional

Cognitive

Somatic

IMPACTS OF COMPASSION FATIGUE

Compassion fatigue can impact many areas of a persons life.

Interpersonal

The Cost of Caring – Compassion Fatigue

Bridey White1, Dr Polly Yeung2, Dr Louise Chilvers1 1IVABS, Wildbase, Massey University, New Zealand.

1School of Social Work, Massey University, New Zealand.

INTRODUCTION – WHAT IS COMPASSION FATIGUE AND WHY DOES IT MATTER?