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The levels, prevalence and related factors of compassion fatigue among oncology nurses: a systematic review and meta‐analysis

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Listed:
  • Wanqing Xie
  • Jialin Wang
  • Yonggang Zhang
  • Min Zuo
  • Hua Kang
  • Ping Tang
  • Li Zeng
  • Man Jin
  • Wanying Ni
  • Chun Ma

Abstract

Background Compassion fatigue is described as the phenomenon of exhaustion and dysfunction in healthcare workers resulting from prolonged exposure to work‐related stress and compassion stress. Oncology nurses are at high risk for compassion fatigue. Aims Our study aims to estimate the levels, prevalence and related factors of compassion fatigue dimension in oncology nurses. Design Systematic review and meta‐analysis. Method Ten electronic databases were conducted in the systematic review and meta‐analysis. Time frame of the searches is from inception up to 31 January 2020. The research team independently conducted study selection, quality assessments, data extractions and analysis of all included studies. The means, standard deviations and prevalence of three dimensions of compassion fatigue were pooled using random‐effects meta‐analysis. The PRISMA guideline was used to report the systematic review and meta‐analysis. PROSPERO registration number: CRD42020205521. Results The systematic review included 21 studies, involving 6533 oncology nurses across 6 different countries. In our studies, the pooled mean scores of compassion satisfaction (CS), burnout (BO) and secondary traumatic stress (STS) were 35.47 (95% CI: 33.54–37.41), 24.94 (95% CI: 23.47–26.41) and 24.48 (95% CI: 23.36–25.60), respectively; the pooled prevalence of “low” rates of CS, “high” rates of BO and STS were 20% (CI 13%–28%), 22% (CI 18%–26%) and 22% (CI 17%–28%), respectively; furthermore, geographical regions (Asia) significantly affect the prevalence of compassion fatigue among oncology nurses. The compassion fatigue variables considered were demographic (age, marital status, education background, health condition and gender), work‐related (job satisfaction, income satisfaction, years of working experience, professional title, position and work environment) and other variables (social support, coping strategy, self‐compassion, professional cognition and psychological training). Conclusion Oncology nurses were at “moderate” level of compassion satisfaction, burnout and secondary traumatic stress, and 22% of oncology nurses suffered from “high” risk of compassion fatigue. Hospital administrators should develop interventions to address compassion fatigue phenomenon, and enhance the mental health of oncology nurses and nursing care results. Relevance to clinical practice Oncology unit warrants special attention, and oncology nurses are at high risk for compassion fatigue. However, the reported prevalence rates and oncology nurses with different characteristics vary considerably. The review provides a preliminary framework for nursing administrators to develop interventions to address compassion fatigue phenomenon, and enhance the psychological health of oncology nurses.

Suggested Citation

  • Wanqing Xie & Jialin Wang & Yonggang Zhang & Min Zuo & Hua Kang & Ping Tang & Li Zeng & Man Jin & Wanying Ni & Chun Ma, 2021. "The levels, prevalence and related factors of compassion fatigue among oncology nurses: a systematic review and meta‐analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(5-6), pages 615-632, March.
    • Handle: RePEc:wly:jocnur:v:30:y:2021:i:5-6:p:615-632
    DOI: 10.1111/jocn.15565
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    References listed on IDEAS

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    1. Insil Jang & Yuna Kim & Kyunghee Kim, 2016. "Professionalism and professional quality of life for oncology nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(19-20), pages 2835-2845, October.
    2. Yujeong Kim & Eunmi Lee & Haeyoung Lee, 2019. "Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-13, December.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    4. Jalal Alharbi & Debra Jackson & Kim Usher, 2020. "Personal characteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(1), pages 20-27, March.
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