389035913 Concept Analysis

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Nursing

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Nov 24, 2024

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Concept Analysis Name: Definition/Explanation of the selected nursing concept : Compassion affects how care is given because it determines a healthcare professional’s capacity to attend to patients based on respect, dignity, and empathy. Compassion fatigue in nursing refers to the emotional and physical exhaustion, depersonalization, and reduced ability to empathize and provide compassionate care that healthcare providers can experience when they are exposed to prolonged stress and trauma (Cavanagh et al., 2019; Bouchard, 2019). It is a form of burnout that results from the cumulative effects of providing care to patients who are suffering or in distress. Jean Watson's Theory of Human Caring emphasizes the importance of cultivating caring relationships between healthcare providers and their patients, recognizing patients' unique needs and experiences, and providing care that is tailored to meet their individual needs (Gunawan et al., 2022). According to Watson's theory, the practice of caring involves a deep commitment to the welfare of others, and the cultivation of caring relationships is critical to providing high-quality care. However, the demands of caring can take a toll on healthcare providers, leading to emotional exhaustion, burnout, and compassion fatigue (Cavanagh et al., 2019). Watson's theory suggests that to prevent or mitigate compassion fatigue, healthcare providers must engage in self-care and develop strategies to replenish their resources (Gunawan et al., 2022). Overall, by 1119 KAK

recognizing and addressing compassion fatigue, healthcare providers can take steps to prevent burnout and provide compassionate care to their patients. Three defining attributes: 1. Emotional Exhaustion: This refers to the feelings of depletion and fatigue that healthcare providers experience as a result of their work with patients who are suffering (Best et al., 2020). Emotional exhaustion can manifest as feelings of physical and emotional fatigue, cynicism, and a sense of detachment or depersonalization. 2. Decreased Empathy: Healthcare providers experiencing compassion fatigue may find that they have a decreased ability to empathize with patients and their families (Best et al., 2020). This can lead to a reduced ability to provide compassionate care and may manifest as a lack of interest or engagement in patients' care or a sense of emotional distance. 3. Reduced Job Satisfaction: Compassion fatigue can also result in reduced job satisfaction, which can further exacerbate the emotional exhaustion and decreased empathy experienced by healthcare providers (Glover-Stief et al., 2020). This can lead to decreased motivation and commitment to the work and may result in burnout and turnover. 1 Antecedent and 1 Consequence of the concept: 1119 KAK

 One antecedent of compassion fatigue is exposure to chronic stress and trauma, which can occur as a result of working in a healthcare environment where patients are frequently suffering and in distress (Chachula, 2020). This exposure to stress and trauma can lead to emotional exhaustion and reduced ability to empathize with patients, which are defining attributes of compassion fatigue.  One consequence of compassion fatigue is reduced job satisfaction and increased risk of burnout, which can have a significant impact on healthcare providers' well-being and ability to provide high-quality care to their patients (Chachula, 2020). Compassion fatigue can also lead to decreased motivation and commitment to the work, which can result in turnover and staffing shortages in healthcare organizations. Model Case: Case: Samantha is a nurse who works in the ICU department of a busy hospital. She has been working long hours and has been exposed to a lot of patients who are critically ill and suffering. Samantha finds herself feeling emotionally exhausted, detached, and cynical toward her patients. She is having difficulty empathizing with their pain and feels like she is going through the motions of providing care without really feeling connected to her patients. Samantha is experiencing a decrease in job satisfaction and finds that she is becoming increasingly disengaged from her work. 1119 KAK

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Definition and Attributes : Samantha's case demonstrates the concept of compassion fatigue, which refers to the emotional and physical exhaustion, depersonalization, and reduced ability to empathize and provide compassionate care that healthcare providers can experience when they are exposed to prolonged stress and trauma (Glover-Stief et al., 2020). 1. Emotional Exhaustion: Samantha is feeling emotionally exhausted as a result of her work in the ICU department. She is experiencing physical and emotional fatigue, and her energy levels are depleted. This is a defining attribute of compassion fatigue. 2. Decreased Empathy: Samantha is having difficulty empathizing with her patients and is feeling detached and cynical toward them. This reduced ability to empathize is a characteristic of compassion fatigue. 3. Reduced Job Satisfaction: Samantha is experiencing a decrease in job satisfaction as a result of her work in the ICU department. She is becoming disengaged from her work and feels like she is going through the motions of providing care without really feeling connected to her patients. This reduced job satisfaction is a consequence of compassion fatigue. Theoretical Applications of the Concept: 1119 KAK

Jean Watson's nursing theory, known as the Theory of Human Caring, emphasizes the importance of caring relationships between healthcare providers and patients. Watson believes that nurses must cultivate a deep understanding of patients' experiences and engage in authentic, empathetic relationships with them to provide effective care (Gunawan et al., 2022). Compassion fatigue directly contradicts Watson's theory, as it can lead to a decreased ability to empathize with patients and provide compassionate care. The emotional exhaustion and detachment that characterize compassion fatigue can make it difficult for nurses to connect with patients in meaningful ways, which can harm the therapeutic relationship between the nurse and the patient. To apply Watson's nursing theory to the concept of compassion fatigue, nurses need to recognize the potential for compassion fatigue to occur and take steps to prevent it – practicing mindfulness and reflective techniques to maintain a connection with the purpose and meaning of their work (Best et al., 2020). By recognizing the importance of empathetic, caring relationships with patients and addressing the potential for compassion fatigue, nurses can uphold the principles of Watson's nursing theory and provide effective, compassionate care to their patients. Reflection: As a Nurse Practitioner (NP), it is important to recognize and address compassion fatigue to ensure the provision of high-quality, compassionate care to patients. The concept analysis findings highlight the defining attributes of compassion fatigue, which include emotional exhaustion, decreased empathy, and reduced job 1119 KAK

satisfaction (Bouchard, 2019). One way NPs can address compassion fatigue is by practicing self-care through engaging in regular exercise, mindfulness, and other stress- reducing activities, as well as setting boundaries between work and personal life to prevent burnout (Best et al., 2020). Additionally, seeking support from colleagues and supervisors can help NPs process the emotional toll of their work and maintain a sense of purpose and meaning in their roles. Another important aspect of addressing compassion fatigue is recognizing the potential impact on the therapeutic relationship between NPs and their patients. Decreased empathy and detachment can negatively impact patient care and outcomes, making it important for NPs to take steps to maintain their ability to connect with patients in meaningful ways (Gunawan et al., 2022). Overall, the concept analysis findings of compassion fatigue are relevant to advanced nursing practice as NPs must be aware of the potential for compassion fatigue to occur and take proactive steps to address it. 1119 KAK

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References Best, N. I., Durham, C. F., Woods-Giscombe, C., & Waldrop, J. (2020). Combating compassion fatigue with mindfulness practice in military nurse practitioners. The Journal for Nurse Practitioners , 16 (5). https://doi.org/10.1016/j.nurpra.2020.02.023 Bouchard, L. (2019). Compassion Fatigue in advanced practice registered nurses. Nursing Clinics of North America , 54 (4), 625–637. https://doi.org/10.1016/j.cnur.2019.08.002 Cavanagh, N., Cockett, G., Heinrich, C., Doig, L., Fiest, K., Guichon, J. R., Page, S., Mitchell, I., & Doig, C. J. (2019). Compassion Fatigue in healthcare providers: A systematic review and meta-analysis. Nursing Ethics , 27 (3), 639–665. https://doi.org/10.1177/0969733019889400 Chachula, K. M. (2020). A comprehensive review of Compassion Fatigue in pre- licensure health students: Antecedents, attributes, and consequences. Current Psychology , 41 (9), 6275–6287. https://doi.org/10.1007/s12144-020-01122-3 Glover-Stief, M., Jannen, S., & Cohn, T. (2020). An exploratory descriptive study of Compassion Fatigue and compassion satisfaction: Examining potential risk and protective factors in advanced nurse practitioners. Journal of the American Association of Nurse Practitioners , 33 (2), 143–149. https://doi.org/10.1097/jxx.0000000000000357 1119 KAK

Gunawan, J., Aungsuroch, Y., Watson, J., & Marzilli, C. (2022). Nursing administration: Watson’s theory of human caring. Nursing Science Quarterly , 35 (2), 235–243. https://doi.org/10.1177/08943184211070582 1119 KAK

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