Writer’s choice
The first is my response
The second is me responding to 2 discussions.
Module 9, Week 1 Discussion #4
Review the meta-synthesis: Nolte, A., Downing, C., Temane, A., & Hastings-Tolsma, M. (2017). Compassion fatigue in nurses: A metasynthesis. Journal of Clinical Nursing, 26, 1-17.
Review the qualitative study: Ward-Griffin, C., St-Amant, O., & Brown, J. B. (2011). , 16(1), 10913734 Article Link (scroll down past the abstract to see the full article):
http://libraryproxy.quinnipiac.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104894927&site=ehost-live&scope=site
Answer the following questions in Discussion Board:
1. Describe the inclusion criteria met by the Ward-Griffin et al. (2011) study that made it appropriate for inclusion in the Nolte et al. (2017) meta-synthesis.
2. Explain how the Ward-Griffin et al. (2011) study contributed to these results of the Nolte et al. (2017) meta-sythesis. Provide specific examples.
3. Describe similarities and differences between how the Ward-Griffin et al. (2011) study and the Nolte et al. (2017) meta-synthesis discuss application of their respective results.
4. Describe how the Ward-Griffin et al. (2011) study identifies implications for future research align or do not align with the Nolte et al. (2017) metasynthesis implications for future research.
Initial post due Thursday, 12/9/21. Responses to two classmates due Sunday, 12/12/21. Include at least one additional reference of scientific evidence to support your answer.
Here are the 2 responses
#1 –
Nolte et al., (2017) attempted to interpret previous qualitative studies on compassion fatigue in their meta-synthesis. Ward-Griffin et al., (2011) investigated compassion fatigue in nurse daughters who also cared for elderly parents in one of the studies used. Ward-Griffin et al., (2011) met the inclusion criteria for the Nolte et al., (2017) meta-synthesis because the study was qualitative, the focus was compassion fatigue, and nurses were the population of interest.
The study aided in the identification of central themes such as physical symptoms, emotional symptoms, and factors triggering compassion fatigue in the Nolte et al. (2017) meta-synthesis. Participants identified fatigue symptoms because of blurred boundaries, prolonged participation in intense events, a lack of resources, increased expectations from family, friends, and self, and a sense of obligation while experiencing powerlessness, sleep disturbances, feelings of helplessness, exhaustion, and vulnerability.
Both Ward-Griffin et al., 2011 and Nolte et al., 2017 recognize the importance of reducing compassion fatigue. Both studies identified a lack of support as a cause of compassion fatigue. Ward-Griffin discussed how when nurses took on too much responsibility, they felt guilty and exhausted. Nolte et al., 2017 discussed nurses who have unreasonable expectations from their families and children. According to Ward-Griffin et al., 2011, insufficient resources combined with unrealistic expectations can lead to anger and compassion fatigue.
While Ward-Griffin et al., 2011 recognize the need for future research to go beyond a medical approach to compassion fatigue and examine the social-political context of compassion fatigue. According to Nolte et al., 2017 compassion fatigue involves multiple domains of human experience. Information about one’s culture is relevant in relation to individual traits and practice settings. Compensatory factors and strategies to reduce compassion fatigue and emotional stress include exercising, being mindful, adhering to a healthy lifestyle, journaling, and seeking professional help. An assessment, implementation, and management of compassion fatigue that is a normal reaction to the abnormal exposure to trauma is paramount. Hospital administrators must collaborate to assess, implement, and mitigate compassion fatigue (Chatmon & Rooney, 2021).
References:
Chatmon, B. N., & Rooney, E. (2021). Taking care of the caretaker: Navigating compassion fatigue through a pandemic. Australian Journal of Advanced Nursing, 38(3). https://doi.org/10.37464/2020.383.603
Nolte, A. G. W., Downing, C., Temane, A., & Hastings-Tolsma, M. (2017). Compassion fatigue in nurses: A meta-synthesis. Journal of Clinical Nursing, 26(23-24), 4364–4378. https://doi.org/10.1111/jocn.13766
Ward-Griffin, C., St-Amant, O., & Brown, J. B. (2011). Compassion Fatigue Within Double Duty Caregiving: Nurse-Daughters Caring for Elderly Parents. OJIN: The Online Journal of Issues in Nursing, 22(3). https://doi.org/10.3912/ojin.vol22no03m
#2 The three criteria for inclusion into the Nolte et al. (2017) meta-synthesis was (i) the method was qualitative, and (ii) the focus was compassion fatigue, and (iii) nurses were the population of interest. Ward-Griffin et al. (2011) studied compassion fatigue within double duty caregiving, defined here as the provision of care to elderly relatives by practicing nurses using qualitative data. The purpose was to critically examine compassion fatigue among nurse-daughter caregivers who were categorized as “living on the edge.”
The Ward-Griffin et al. (2011) study contributed to these results of the Nolte et al. (2017) meta-sythesis by arguing that being both a nurse and a daughter leads to the blurring of boundaries between professional and personal care work, which ultimately predisposed these caregivers to compassion fatigue. Ward-Griffin et al. (2011) found that in the context of double duty caregiving, specifically the lack of personal and professional resources along with increasing familial care expectations, shaped the development of compassion fatigue.
Both Ward-Griffin et a. (2011) and Nolte et al. (2017) recognized the need to reduce compassion fatigue and the lack of support and resources was a main contributor to compassion fatigue. Ward-Griffin suggested that availability of hospital, home, and community care services is essential to decreasing the incidence of compassion fatigue among double duty caregivers. Nolte suggested that when present, compassion fatigue involves multiple domains of human experience, triggered by prolonged professional burdens and a lack of support. Both studies also mentioned unrealistic expectations placed on the nurses by their profession and by themselves.
Ward-Griffin et al, (2011) identifies the urgent need for healthcare providers, mangers, and policy makers to consider the unique social position of double duty caregivers and to address the socio-political factors that predispose nurse-daughters and other double duty caregivers to developing compassion fatigue. Evidence from the Nolte et al. (2017) research is clear in detailing the symptoms which identify early signs of compassion fatigue, as well as strategies subsequently needed for both prevention and reduction. The challenge is to present the findings for use with diverse audiences.
Nolte, A., Downing, C., Temane, A., & Hastings-Tolsma, M. (2017). Compassion fatigue in nurses: A metasynthesis. Journal of Clinical Nursing, 4364-4378.
Ward-Griffin, C., St-Amant, O., & Brown, J. B. (2011). Compassion fatigue within double duty caregiving: Nurse-daughters caring for elderly parents. Online Journal of Issues in Nursing, 16(1), 1-1.
