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ABSTRACT Introduction Aim Methods Results Discussion Implications for Practice Relevance Statement In Asia, many caregivers are culturally obliged to assume the role of taking care of individuals experiencing chronic schizophrenia, even as they grapple with stigma and compassion fatigue. Despite the significance of this phenomenon, the collective experiences of Asian caregivers remain poorly understood.To synthesise qualitative evidence on the experiences of informal caregivers when caring for individuals with chronic schizophrenia in Asia.A search was conducted on seven databases for studies published between 2013 and 2023. The included studies were appraised using the Critical Appraisal Skills Program tool. Data extraction was based on the Joanna Briggs Institute (JBI) Qualitative Extraction Form. The data synthesis was based on the framework by Sandelowski and Barroso.Our review included the experiences of 1345 informal caregivers from 57 included studies. The analysis yielded the overarching theme of ‘Navigating Challenges, Forging Resilience’. Three themes were identified: (i) challenges in caregiving, (ii) lack of support and (iii) coping and resilience.Our findings highlighted the Asian caregivers' stressors, particularly cultural and traditional factors, a facet often overlooked in the literature.Mental healthcare practitioners must provide caregivers with comprehensive information. Anticipatory guidance is essential during the initial stages of the diagnosis. To negate geographical limitations, caregiver‐training sessions can be pre‐recorded and posted to online platforms. Finally, cultural and spiritual beliefs can be integrated into the treatment plans for individuals with schizophrenia in the community.Within the institutional setting, mental healthcare practitioners are encouraged to provide caregivers with comprehensible information or training in person and through written or online platforms, which can transcend geographical limitations. Anticipatory guidance is essential, especially during the initial stages of the diagnosis, when confusion and uncertainties are prevalent. Periodic home visits by mental healthcare practitioners can help ease caregivers' concerns and enhance their caregiving confidence. Finally, cultural and spiritual beliefs should be integrated into the treatment plans for individuals with schizophrenia in the community as it promotes cultural acceptability, encourages referrals to appropriate institutions and reduces the stigma of mental healthcare. [ABSTRACT FROM AUTHOR]

Introduction: Poor nursing performance is considered a threat to patient safety, affecting the quality of care provided and ultimately impacting patient outcomes. Objectives: The main aim of this study was to identify the predictors of nursing performance. Methods: A cross-sectional predictive design was used. A convenient sampling technique was used to recruit 251 emergency nurses in three health sectors. They were assessed using the secondary traumatic stress scale and the nursing performance scale. Data were collected between June and August 2022. Results: Nurses experienced severe levels of secondary traumatic stress (M = 57.9, SD = 14.94). The nursing performance level was below average (M = 27.48, SD = 9.36), and the mental performance subscale received the lowest rating (M = 5.82, SD = 2.69). There was a strong negative association between the secondary traumatic stress total score and the total score of nursing performance (r = −.77). Additionally, factors such as high body mass index, smoking, the presence of chronic diseases, working overtime, and high levels of secondary traumatic stress were identified as significant predictors of nursing performance. Conclusion: It is recommended that emergency nurses be provided with treatment programs and interventions to reduce their secondary traumatic stress to improve their performance, thereby ensuring high-quality patient care. [ABSTRACT FROM AUTHOR]

This mixed-methods study explores the incidence, manifestations, and drivers of secondary traumatic stress among service providers who work with Syrian refugees in Istanbul, Turkey. A survey of 104 social workers and other providers working in 17 public and civil society agencies in Istanbul in 2018 demonstrates that 54.81% had Secondary Traumatic Stress Scale scores indicating mild to severe secondary traumatic stress. In total, 28 qualitative interviews showed manifestations and possible drivers of secondary traumatic stress including weak supervision, heavy caseloads, and insecure working conditions. The findings suggest supervision and peer-support should be strengthened to address secondary traumatic stress among providers serving refugees. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic brought abrupt changes to teaching that caused increased stress amid an already difficult time. Whether teaching remote, hybrid, or in-person, university faculty were expected to continue teaching throughout the pandemic, despite personal challenges at home. In addition, there were expectations that faculty show greater levels of compassion towards their students. Multiple articles brought attention to these struggles and questioned whether university faculty might be experiencing compassion fatigue—a state of emotional exhaustion brought on by secondary traumatic stress and characterized by a reduced capacity for empathy. Using data from a larger, longitudinal qualitative study of faculty members' experiences during the pandemic, the present study aims to understand faculty experiences of emotional labor and compassion fatigue during this time. Unsurprisingly, most participants reported an increase in emotional labor during the early pandemic; however, roughly one in four described their emotional labor loads as unchanged or even decreased. In those cases, participants often described active disengagement practices in the workplace, or methods of "guarding one's time." Overall, compassion fatigue was less evident than anticipated, but there were identifiable signs of burnout among participants. This finding alone suggests a need for additional research to better conceptualize and operationalize the two terms. [ABSTRACT FROM AUTHOR]

High levels of stress have a detrimental impact on veterinary staff, negatively influencing their mental health and contributing to high rates of suicide. Veterinary social workers are tasked with providing interventions to reverse these consequences and support the professional's health and well-being. Twenty-one veterinary staff participated in a study to evaluate the impact of animal-assisted support. Over three months, participants attended one or two therapy dog visits per month, interacting with therapy dogs for a minimum of 10 minutes each session. Pre- and postmeasures of blood pressure, heart rate, and self-reported stress were taken at each session. A measure to assess compassion fatigue and satisfaction was administered at the end of each session, and at the conclusion of the study participants' thoughts about the visits from the therapy dogs were assessed. Significant reductions in systolic and diastolic blood pressure were found as well as significantly lower ratings of self-reported stress. Additionally, participants looked forward to these visits stating they made them happy, helped them feel better, and took their mind off their troubles. Considering the growing utilization of therapy dogs, this timely study adds to the body of evidence, highlighting the benefits of animal-assisted interventions with veterinarian staff. [ABSTRACT FROM AUTHOR]

Background: Compassion and moral intelligence occupy a very significant place in ensuring quality in health care services, increasing patient satisfaction, reducing side effects, increasing patient safety and accelerating the healing process. Aim: This study was conducted to determine the relationship between moral intelligence and compassion fatigue in nurses working in intensive care units. Study Design: In this descriptive and cross‐sectional study, 180 nurses working in intensive care units of a hospital comprised the population of the study. Of them, 114 who agreed to participate in the study were included in the study sample. The Personal Information Form, Yakut Moral Intelligence Scale (YMIS) and Compassion Fatigue‐Short Scale were used as data collection tools. The scales and forms used in the study were created on Google Form. Nurses were visited in intensive care units, and the forms were given to them. Then the participating nurses filled in the forms. Results: Of the nurses participating in the study, 69.3% were women and 65.4% had a bachelor's degree. The analysis of the correlation between the scores obtained from the sub‐dimensions of the YMIS by the nurses participating in the study demonstrated that there was a negative, low‐level significant relationship between the self‐control and kindness sub‐dimensions of the YMIS. As the nurses' compassion fatigue levels increased, their self‐control and kindness levels decreased. Conclusions: It can be said that as compassion fatigue levels increase in nurses, their moral intelligence levels decrease. Therefore, diagnosing compassion fatigue in nurses and taking precautions to prevent them from suffering from fatigue are of significant importance. Relevance to Clinical Practice: By determining the healthy intelligence and compensation spending levels of health workers, organizing maid training will increase the service and care provided. [ABSTRACT FROM AUTHOR]

Background: Since the outbreak of COVID‐19, researchers worldwide have focused more on the issue of secondary traumatic stress (STS) experienced by nurses. This stress has an adverse effect on the health of nurses and the quality of nursing care, potentially undermining the stability of the nursing team and hindering the ability to meet the growing demand for nursing services. The impact of the COVID‐19 pandemic, and the rise in global demand for ICU nursing, has placed a significant strain on ICU nurses, severely damaging their mental and physical health. Notably, ICU nurses also face high levels of moral distress, and moral resilience can effectively alleviate this distress and improve the quality of care. Aim: This study aimed to examine the levels of moral resilience and STS among ICU nurses, to explore their relationship and identify the factors influencing STS. Study Design: This cross‐sectional study involved 229 ICU nurses from two tertiary hospitals in Xi'an, China, who participated between November and December 2023. The data were collected through email using anonymous electronic questionnaires, encompassing a self‐designed demographic‐ and work–life‐related characteristic questionnaire; the Rushton Moral Resilience Scale; and the Secondary Traumatic Stress Scale. Descriptive statistics, t‐tests, analysis of variance and hierarchical regression analysis were performed to analyse the data. Results: The findings of the study indicated that ICU nurses' moral resilience and STS scores were at an intermediate level. Hierarchical regression analysis indicated that STS was negatively correlated with the subscales of the Rushton Moral Resilience Scale, specifically moral adversity coping (β, −0.156; 95% CI, −1.241 to −0.039) and relational integrity (β, −0.245; 95% CI, −1.453 to −0.388), which are significant predictors of STS. Additionally, good sleep quality (β, −.396; 95% CI, −14.948 to −7.117) and seeking psychological counselling because of work difficulties (β,.107; 95% CI, 0.237–9.624) emerged as significant predictors of STS among ICU nurses, with the model's explanation of the variance in STS increasing to 45.5%, △R2 =.167, F = 16.482 (p <.001). Conclusion: This study found that ICU nurses have moderate levels of moral resilience and STS, which are negatively correlated. This suggests that improving the moral resilience of ICU nurses may help reduce their STS levels. Relevance to Clinical Practice: The study revealed that ICU nurses' moral resilience and secondary traumatic stress levels were at a moderate level, indicative of the need to take measures to enhance their moral resilience and reduce their secondary traumatic stress, as their presence not only affects the health of ICU nurses but also diminishes the quality of care and increases turnover rates. [ABSTRACT FROM AUTHOR]

Background: The COVID‐19 pandemic has caused some individuals to experience vicarious traumatization (VT), an adverse psychological reaction to those who are primarily traumatized, which may negatively impact one's mental health and well‐being and has been demonstrated to vary with personal trauma history. The neural mechanism of VT and how past trauma history affects current VT remain largely unknown. This study aimed to identify neurobiological markers that track individual differences in VT and reveal the neural link between childhood cumulative trauma (CCT) and VT. Methods: We used structural and resting‐state functional magnetic resonance imaging before the pandemic to identify prospective brain markers for COVID‐related VT by correlating individuals' VT levels during the pandemic with the gray matter volume (GMV) and seed‐based resting‐state functional connectivity (RSFC) and examined how these brain markers linked CCT to VT in a sample of general young adults (N = 115/100). Results: Whole‐brain GMV–behavior correlation analysis showed that VT was positively associated with GMV in the right dorsolateral prefrontal gyrus (DLPFC). Using the cluster derived from the GMV–behavior correlation analysis as the seed region, we further revealed that the RSFC between the right DLPFC and right precuneus was negatively associated with VT. Importantly, the right DLPFC volume and DLPFC‐precuneus RSFC mediated the effect of CCT on VT. These findings remained unaffected by factors such as family socioeconomic status, other stressful life events, and general mental health. Conclusions: Overall, our study presents structural and functional brain markers for VT and highlights these brain‐based markers as a potential neural mechanism linking CCT to COVID‐related VT, which has implications for treating and preventing the development of trauma‐related mental disorders. [ABSTRACT FROM AUTHOR]

Heightened stress levels are experienced and reported by social work practitioners worldwide and issues such as secondary traumatic stress, burnout and compassion fatigue are terms increasingly being used in the context of social work practice. This study sought to investigate factors that influence compassion fatigue as well as compassion satisfaction in social workers. It was conducted in two cities in south India with a sample of 73 social workers. Standardized instruments were administered to assess compassion fatigue as well as compassion satisfaction besides measures to identify the manifestation of stress and resilience in the respondents. Findings indicate high levels of stress and resilience and significant manifestation of compassion fatigue and burnout levels in the sample studied. It was also observed that the interaction effect between resilience and stress significantly explained the manifestation of compassion fatigue but not that of compassion satisfaction. Implications of these findings have been discussed in terms of influencing individual and organizational factors to enhance resilience, deal more effectively with work-related stress, and reduce burnout and compassion fatigue. This will in the long run bode well for the wellbeing of social workers besides potentially impacting the quality-of-service provision. Practice Points: Social work organizations need to promote measures to ensure manageable workloads, role clarity, adequate resources, and workplace support to employees. The importance of self-care measures and timely help-seeking is a message that needs to be unequivocally conveyed. Stress management and resilience-building measures need to be incorporated within the work culture of organizations that employ social workers. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to explore the relationship between ethical attitudes and compassion fatigue experienced by nurses in surgical intensive care units. Methods: It is mixed-design research. The studywas conductedwith 38 nursesworking in the surgical intensive care units of a university hospitalwho agreed to participate in the study. Quantitative data were collected using the Nurse Information Form, the Ethical Attitude Scale for Nursing Care, and the Compassion Fatigue-Short Scale. Qualitative data were collected using a semistructured questionnaire, through individual interviews with 9 volunteer nurses in surgical intensive care units. Results: The study revealed that nurses exhibited high levels of ethical attitudes in nursing care along with high levels of compassion fatigue. During the qualitative data analysis, 4 key themes emerged: ethical approaches in surgical intensive care units, professional quality of life in nurses, the reflections of compassion fatigue on ethical behavior, and nurses' well-being. Conclusions: It was concluded that when compassion fatigue increased in nurses in surgical intensive care units, ethical attitudes in nursing care decreased. Therefore, compassion fatigue can be addressed by programs that support nurses' wellbeing, such as meditation, deep breathing, self-compassion exercises, and so on. It can be reduced. [ABSTRACT FROM AUTHOR]

The article offers guidance to radiologic technologists to thrive in level one trauma centers. Challenges faced by radiologic technologists include exposure to traumatic situations, ethical dilemmas, compassion fatigue and burnout, while coping mechanisms for mental well-being include transparent communication, physical work environment management , peer support, professional counseling, mindfulness, self-care, education and professional development.

This qualitative research explores rape victim advocates' secondary traumatic stress (STS), burnout, and coping strategies. Data reveal that the hardest parts of advocates' work include feeling like they cannot help survivors, hearing survivors' stories, and seeing the failings of the CJ and legal systems. Most advocates (81%) experience STS, evident in emotional and behavioral responses. Most advocates (71%) confirm that #MeToo and coverage of sexual violence in the news, social media, or television contribute to their STS. Fewer advocates (34%) experience burnout, which is attributed to workload. Advocates cope by reaching out to others (colleagues, friends, and family) and exercising. [ABSTRACT FROM AUTHOR]

Frontline homeless service provision is both rewarding and challenging work. Some have raised concerns about elevated burnout risk, traumatic stress, compassion fatigue, and high levels of staff turnover in the sector. Previous research has shown that the COVID-19 pandemic exacerbated existing challenges and added new ones, such as adapting to changing public health guidance, which created particularly stressful conditions for workers and agencies. The aim of this study was to explore to what extent homeless service workers have experienced burnout during the pandemic and the primary work-based contextual factors they believe contribute to burnout. Qualitative interviews were conducted with 21 frontline homeless service workers in Texas. While all participants described some burnout during the pandemic, the severity varied. Participants' burnout experiences aligned with the three dimensions of burnout: energy depletion, mental distancing from work, and reduced professional efficacy. Workers also pointed to multiple organization-level factors as causes of burnout during the pandemic. These included poor communication, top-down decision making, lack of organization support, reduced peer support from co-workers, and inadequate supervision. Recognizing how organizational factors can impact worker well-being, recommendations for strengthening leadership, improving supervision strategies, and creating opportunities for peer support between co-workers are offered. [ABSTRACT FROM AUTHOR]

People experiencing homelessness (PEH) frequently have multiple and complex needs that may contribute to interpersonal difficulties that affect their relationships with services. As a result, professionals working in frontline homelessness services are frequently exposed to primary trauma (e.g. workplace aggression, crisis situations) and secondary trauma (e.g. hearing about service users' traumatic experiences). This cross-sectional study explored organizational and individual factors in relation to three related but distinct facets of work-related distress: posttraumatic stress disorder (PTSD), secondary traumatic stress (STS), and burnout. A sample of 139 frontline workers in UK homelessness services completed an inventory of 15 possible distressing workplace experiences and four psychometric questionnaires. Results clearly evidence that frontline workers are exposed to high levels of potentially traumatic incidents at work and that this is associated with significant distress, with 23% of the sample meeting the threshold for PTSD diagnosis. Hierarchical multiple regression analyses identified trauma exposure and the use of "maladaptive" cognitive coping strategies as strong predictors of PTSD and STS, while organizational culture and compassion satisfaction were protective against burnout. These findings have important service implications, and recommendations are made regarding trauma- and psychologically informed approaches that organizations can implement to effectively support their employees. [ABSTRACT FROM AUTHOR]

Background: Healthcare professionals work in challenging environments with extended working hours and excessive workloads to provide high-quality care. However, they hardly get the time to care for themselves. Online mindfulness-based interventions—which are not restricted by time or location—can be a powerful strategy to help healthcare professionals. Objectives: This scoping review aims to explore the current evidence about online mindfulness-based interventions for healthcare professionals. Design: A scoping review was conducted. Methods: A literature search was conducted to retrieve articles published between October 2016 and March 2023 in seven databases, including backward and forward citation tracking from the included articles. Among 1,278 articles retrieved, 33 met the criteria for review. Results: Two-thirds of the studies utilized commercialized mindfulness programs (n = 22). Duration of the mindfulness interventions varied from 1 week to 4 months, and half of the studies used audio-guided programs. Online mindfulness-based intervention studies were targeted to reduce burnout (n = 26), and the majority reported reduction in burnout (n = 18). Conclusion: Most studies used individual audio-guided programs that warrant the use of diverse delivery methods such as video media, simulation, and virtual reality for interactions in the future. Although the literature has accumulated evidence for commercialized online mindfulness-based interventions, further studies are needed to develop and test tailored interventions for healthcare professionals. [ABSTRACT FROM AUTHOR]

Introduction Methods Results Conclusion Occupational burnout can be associated with negative feelings about the workplace and feeling that a person's efforts are of little consequence. Within a healthcare setting, occupational burnout can be attributed to a high workload or a non‐supportive work environment. Higher levels of burnout are associated with increased absenteeism and turnover, increased medical errors and decreased patient care. The aim of this study was to investigate the levels of occupational burnout within nuclear medicine technologists (NMTs) working in Australia and New Zealand.An online questionnaire was distributed via QuestionPro. The questionnaire consisted of four sections, including the Professional Quality of Life Scale (ProQOL) Version 5 (2009) measuring compassion satisfaction, burnout and secondary traumatic stress in the workplace. For this study, only the burnout component of this scale is reported.There were 162 survey responses. Of the 18 New Zealand participants, 10 (56%) reported moderate levels of burnout. Of the 144 Australian participants, 114 (79%) reported moderate levels of burnout. No NMTs reported high levels of burnout. All states of Australia were represented in the survey, with Queensland, Western Australia and Victoria having the highest number of participants reporting moderate levels of burnout.This study revealed that more than half of New Zealand participants and three quarters of Australian participants reported moderate levels of burnout. It is imperative to address the wellbeing needs of NMTs working in Australia and New Zealand at an individual and organisational level to support NMTs to be more engaged in their work and help organisations retain staff. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Aim Methods Results Discussion Conclusions Pre‐hospital emergency nurses, frequently exposed to high‐stress situations, are at risk for burnout and stress‐related issues, affecting their overall well‐being. The Professional Quality of Life (ProQoL) scale, widely used among hospital nurses, remains untested in pre‐hospital emergency settings.To adapt and validate the ProQoL scale for pre‐hospital emergency contexts and explore the protective role of emotional intelligence in professional well‐being.A mixed‐method study was conducted. The qualitative approach involved semi‐structured interviews to inform the modification of items for adapting the ProQoL to the pre‐hospital emergency setting. A quantitative method was applied to assess the relationship between emotional intelligence and professional well‐being through content and face validity measures.Qualitative interviews suggested refining the ProQoL for pre‐hospital emergency settings, emphasising factors such as job satisfaction and professional conduct. The revised 21‐item Pre‐Hospital Emergency‐Professional Quality of Life (PHE‐ProQoL) scale demonstrated strong content validity (I‐CVI: 0.86‐1, S‐CVI: 0.9) and face validity. Significant correlations were observed between emotional intelligence and professional well‐being, with negative correlations between emotional intelligence and both burnout (Pearson's r = −0.859) and post‐traumatic stress (Pearson's r = −0.792), and a positive correlation with compassion satisfaction (Pearson's r = +0.917). Pre‐hospital nurses displayed moderate levels of compassion satisfaction (27.3 ± 9.81), high emotional intelligence (28.0 ± 9.58), especially in empathy, and substantial levels of burnout (22.5 ± 6.09) and stress (21.2 ± 4.3).The study found that pre‐hospital emergency nurses exhibit moderate compassion satisfaction and above‐average emotional intelligence, particularly in perceiving and managing others' emotions. However, they also experience significant levels of burnout and post‐traumatic stress.Burnout and post‐traumatic stress significantly affect pre‐hospital emergency nurses. Enhancing emotional intelligence is crucial for their well‐being. Nursing managers now have access to a validated and reliable tool to assess this. [ABSTRACT FROM AUTHOR]

Introduction: Our study set out to identify the benefits for veterinary workers of structured daily well-being practices on compassion satisfaction, burnout, and secondary traumatic stress. Suggested origins of high rates of psychological stress and burnout are significant occupational concerns for veterinary workers. Many professional helpers experience an extreme state of tension and preoccupation from exposure to the suffering of those being helped. Veterinary workers are further impacted by negative associations and moral distress experienced due to limitations in the provision of quality medical care for veterinary patients. These negative experiences exist despite veterinary professionals' work being worthwhile and highly valued. Methods: A randomized controlled study was performed over 6 months. Volunteer participants were members of a team of veterinary workers at a 24-h emergency and specialty hospital. Study participants were asked to incorporate daily well-being practice(s) into existing routines whereas control participants were not. Measures of well-being and the negative impacts of serving as veterinary helpers were assessed by having participants complete the Professional Quality of Life (ProQOL) self-assessment at baseline and at 1, 3 and 6 months. Composite scores for compassion satisfaction, burnout and secondary traumatic stress were calculated. Results: Baseline ProQOL scores were similar between study participants and controls. Baseline compassion satisfaction (CS), burnout scores (BS), and secondary traumatic stress (STS) scores for those instituting well-being practices were 37.6 (+/- 3.6), 26 (+/- 5.3), and 26.6 (+/- 5.2). Study participants had higher compassion satisfaction scores at 6 months with mean CS scores (n = 15) of 40.1 (+/- 6.8) and adjusted scores that were on average 3.0 (95% CI 0-6.1) higher than the control group (p = 0.048). Significant differences in BS or STS scores were not seen. Discussion: Improvements were seen in CS but not BO/STS for those caregivers who implemented well-being practices into their daily routines. Factors that likely contributed to successful implementation of well-being practices include educational resources, supportive leadership, accessibility, and consistent acknowledgement and positive rewards. Proposed supportive elements and resources for maintenance of well-being practices within a team of veterinary workers include provision of a psychologically safe community and team support (including formal or informal "buddy systems"). [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to translate the Vicarious Posttraumatic Growth Inventory (VPTGI) into Chinese and to assess its reliability and validity in Nurses, Additionally, it explored the correlations between vicarious posttraumatic growth (VPTG), Secondary Traumatic Stress (STS) and demographic variables. Methods: The Brislin translation model was used to translate the VPTGI into Chinese. Validity analysis involved exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and assessments of convergent validity, discriminant validity, and content validity. Reliability analysis included split-half reliability, internal consistency reliability, and test-retest reliability. Item analysis employed the Critical Ratio Decision Value (CR) method, item-total correlation method, and reliability change method. Single-factor analysis was conducted to examine the relationship between demographic variables and VPTG, while correlation analysis explored the association between STS and VPTG. Results: The Chinese version VPTGI demonstrated robust content validity (I-CVI: 0.83-1, S-CVI: 0.97), supported by EFA (KMO: 0.933) and significant Bartlett's test (p < 0.001). Four factors explained 67.82% variance, CFA confirmed the model fit (χ2/df = 2.255, RMSEA = 0.079, IFI = 0.931, TLI = 0.914, CFI = 0.930, NFI = 0.882). The Chinese version VPTGI demonstrated high internal consistency (Cronbach's α = 0.951), with dimensions' Cronbach's α ranging from 0.806 to 0.912. Overall, nurses demonstrated a moderate to low level of VPTG and a severe level of STS. Furthermore, there was a significant negative correlation between STS and VPTG. Conclusion: The Chinese version of VPTGI demonstrated satisfactory reliability, validity, and factor structure, making it a reliable tool to assess VPTG in Chinese nurses. These findings underscore the importance of promoting VPTG and addressing STS among healthcare professionals. Further research in this area is warranted to better understand and support the psychological well-being of nurses. [ABSTRACT FROM AUTHOR]

Background: Compassion fatigue is common among nurses and can lead to decreased motivation, impaired physical and mental health, and turnover. Nursing interns often face environments the same as professional nurses, yet their compassion fatigue has received less attention. Therefore, this study aims to assess the prevalence and related factors of compassion fatigue among nursing interns. Methods: This was a cross-sectional study involving 221 nursing interns in 2 tertiary-level hospitals in Shanghai, China. A general information questionnaire was formulated to investigate the demographic characteristics and internship-related factors of nursing interns. Compassion fatigue was assessed using the Professional Quality of Life Scale [compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS)]. Psychological resilience, empathy, and perceived stress were evaluated by the Connor-Davidson Resilience Scale, Jefferson Scales of Empathy, and Perceived Stress Scale, respectively. Personality traits were assessed using the extroversion/introversion subscale of the Eysenck Personality Inventory. Descriptive statistics, t-test, one-way analysis of variance (ANOVA), Pearson's correlation analysis, and multiple linear regressions were used to determine the predictors of the main research variables. Results: The prevalence of mild, moderate, and severe compassion fatigue in 221 nursing interns (mean age 21 years, 202 [91.4%] females) was 10.4%, 46.6%, and 43.0%, respectively, and their mean scores for CS, BO, and STS were 29.75 ± 6.39, 28.72 ± 4.78, and 28.51 ± 7.51, respectively. Psychological resilience and empathy were the strongest protective factors for CS and BO, respectively (p < 0.001), and the number of night shifts monthly was the most significant positive independent predictor of STS (p = 0.001). Additionally, male gender negatively predicted CS (p = 0.009). Younger age and extended daily working hours were associated with elevated levels of both BO and STS (p < 0.05). Clinical nursing teachers with intermediate or senior titles, as well as departments of pediatrics and obstetrics had a positive effect on STS (p < 0.05), while internship time had a negative effect on STS (p = 0.005). Furthermore, the variables of perceived stress, personality traits, and choice of nursing profession did not exhibit statistical significance in the multivariate analysis. Related factors predicted 14.2%, 26.2%, and 23.9% of the variance in the model of CS, BO and STS, respectively (all P < 0.001). Conclusion: The compassion fatigue of nursing interns was more serious, especially for nursing interns who were male and younger, and who had shorter internship time, departments of pediatrics and obstetrics, and clinical nursing teachers with intermediate or senior titles. Nursing educators can improve the psychological resilience and empathy of nursing interns by offering relevant psychological courses according to the different stages of internship, as well as rationalizing their daily working hours and the frequency of night shifts to improve the compassion fatigue of nursing interns. Registration Number: ChiCTR2400081968. [ABSTRACT FROM AUTHOR]

Social work professionals experience high levels of burnout, emotional exhaustion, and secondary traumatic stress (STS). This paper reports the findings of a pilot test of the Burn-Not-Out programme that aimed to reduce social workers' burnout, STS, and depressive symptoms and to enhance compassion satisfaction (CS), using the mixed methods evaluation methodology. Hong Kong social workers participated in the programme between December 2023 and March 2024 and completed pre- and post-programme self-administered online surveys including the Professional Quality of Life (ProQOL) and Patient Health Questionnaire (PHQ-9), healthy alongside self-constructed questions on boundary setting, and post-programme online focus group discussions. The results from 94 paired surveys revealed a concerning mental health profile of the participants at baseline, and, after programme participation, there were statistically significant reductions in burnout (Cohen's d = 0.73) and depressive symptoms (Cohen's d = 0.57) among the participants. The participants in the focus group reported that they valued the programme's emphasis on healthy boundaries, one-on-one coaching, and the sense of being cared for, which contributed to their mental health improvement. This study highlights the urgent need for more research on the role of psychological capital in social workers' resilience and calls for more empirical systemic interventions that can promote social workers' mental wellness, with sustainable policies that ensure manageable workloads and adequate workplace support. [ABSTRACT FROM AUTHOR]

Background: Work engagement, professional quality of life (ProQOL), and intent to leave (ITL) significantly impact organizational behaviors and outcomes. Understanding the complex interrelationships among nurse work engagement, ProQOL, and ITL is essential for improving nurse retention, job satisfaction, and patient outcomes. In previous investigations, work engagement, ProQOL, and ITL relationships have primarily been analyzed individually. A more integrated approach is needed to gain a comprehensive understanding of these factors in the nursing profession. Purpose: This study was designed to evaluate the interrelationships among work engagement, ProQOL (compassion satisfaction [CS], burnout, and secondary traumatic stress [STS]), and ITL in nurses using structural equation modeling path analysis. Methods: This was a quantitative descriptive study. Data were collected from registered nurses in the United States (n = 900) using the Utrecht Work Engagement Scale, the ProQOL-5 (CS, burnout, and STS), and a demographics datasheet (including a one-item ITL question). The proposed theoretical model, incorporating major constructs, was tested using structural equation modeling. Results: Level of work engagement in nurses impacts ITL through ProQOL. Among the mediating variables, burnout (0.31) had the largest total effect on ITL, followed by STS (0.12) and CS (−0.12). Burnout and STS were found to correlate with ITL directly, whereas CS was found to correlate with ITL indirectly. Conclusions: Promoting work engagement, addressing burnout and STS, and fostering CS can positively influence nurse retention and job satisfaction, ultimately improving patient care quality. Healthcare leaders and policymakers should implement strategies to enhance nurse engagement, reduce burnout, and cultivate compassion satisfaction to increase nurse retention and improve organizational outcomes. [ABSTRACT FROM AUTHOR]

Objective: To determine the prevalence of compassion fatigue, compassion satisfaction and burnout and identify the socio-demographic and work-related factors associated with compassion fatigue among FCPS Part-II trainees in Pakistan. Method: A cross-sectional study of FCPS-Ⅱ trainees was conducted using stratified sampling at multiple centers over six months. Data was collected through an online, self-administered survey, which consisted of the 30-item ProQOL-V and a socio-demographic and work-related characteristics questionnaire. Informed consent was obtained from all participants. Data was analysed using SPSS 26 for descriptive stats, one-sample t-test, Pearson correlation, and multivariate linear regression at a 95% significance level. Results: Out of 460, only 392 trainees completely filled the online survey (completion rate: 90.74%). The study found that 78.80% of postgraduate trainees experienced moderate levels of compassion fatigue (CF) (Mean = 27.6, SD = 6.3), with moderate burnout (BO) (75.50%, Mean = 26.6, SD = 5.9), while moderately high Compassion satisfaction (CS) (90.60%, Mean = 33.3, SD = 5.5). Compared to normative data, compassion fatigue levels were significantly elevated among post-graduate trainees (p < 0.001). Significant correlations were observed between CF and BO (r =0.59), CF and CS (r = -0.20), and BO and CS (r = -0.63). Factors associated with higher CF included family dependents (p = 0.029), longer working hours (p < 0.001), and inadequate sleep (p < 0.001). Trainees in “Poor” work environments reported higher CF levels than those in “Excellent” environments (p < 0.001). Additionally, engaging in self-care activities such as exercise, prayer, and socialising were associated with lower CF levels (p < 0.05). Conclusion: The study revealed that many postgraduate trainees experience moderate compassion fatigue and burnout, with a strong positive correlation between CF and BO. Compassion satisfaction inversely related to both CF and BO, highlighting the need to boost CS. Factors like longer work hours, poor sleep, family dependents and unfavorable work conditions were linked to higher Compassion Fatigue. Conversely, engaging in self-care practices like prayer, meditation, exercise, and socialising is associated with decreased compassion fatigue levels. These results stress the importance of tailored interventions to enhance trainees’ well-being and ultimately improve patient care quality. [ABSTRACT FROM AUTHOR]

Vicarious trauma (VT) is an occupational challenge incurred through hearing about traumatic experiences of others such as child maltreatment, mass casualties, and others while serving in helping professions. Without sufficient resources and support, long‐term exposure can lead to symptoms such as intrusion, avoidance, arousal, emotional numbing, anxiety, and decline in one's ability to work. Organisations can mitigate VT's impact by addressing the needs of staff through 5 evidence‐informed areas of occupational health. This project explored the impact of VT‐informed practices on organisational responses to the COVID‐19 pandemic. We compared responses from 50 organisations on strengths and weaknesses in core areas of being VT‐informed to how those organisations responded to the COVID‐19 pandemic. Subscales of the VT Organizational Readiness Guide (VT‐ORG) were utilized as the exposure variables and 4 new COVID‐19 questions served as the outcome. We ran a series of multilevel linear regression models with clustering controlled for at the organisational level. Staff ratings on 4 of the 5 pillars of the VT‐ORG were positively associated with the organisation's responsiveness to the pandemic. Various demographic factors of the employees were negatively associated with organisations' responsiveness to the pandemic. While this study contributes to the growing research on VT, it also provides justification for helping organisations to become VT‐informed; it provides evidence that being prepared for VT can also be useful to support workers and their communities during emergencies such as the COVID‐19 pandemic. [ABSTRACT FROM AUTHOR]

The Professional Quality of Life Scale (ProQOL) has an extensive history of use that often relies on inductions of reliability from precedent literature. We completed a systematic of the literature and extracted sample-specific reliability estimates for ProQOL subscale scores. Random effects meta-analytic modeling was implemented to identify mean estimates of reliability. Secondary analyses were completed to depict generalization across samples and possible scores in future studies. Our analyses detected mean internal consistency estimates for the Compassion Satisfaction (.875), Secondary Traumatic Stress (.808), and Burnout (.754) similar to those reported in the ProQOL manual. However, secondary analyses revealed statistical variations associated with the professional identity and proportions of ethnicity represented within samples. ProQOL score reliability has remained fairly stable over time with scores for Compassion Satisfaction and Secondary Traumatic Stress supporting use in basic research, but not clinical decision making, the Burnout scale was associated with more questionable precision. [ABSTRACT FROM AUTHOR]

Background: By the end of 2022, more than 100 million people worldwide fled their homes. Before, during and after their flight, refugees have high risk of experiencing traumatic events. Accordingly, around every third refugee is affected by posttraumatic stress disorder. For adequate mental health care, the service of interpreters is often urgently needed to overcome existing language barriers. However, repeated exposure with details of traumatic narratives, as experienced by interpreters, can be burdensome and can lead to trauma sequela symptoms in terms of secondary traumatic stress. Only few studies have examined the treatment of secondary traumatic stress to date. Based on the recommendations for the treatment of posttraumatic stress disorder with confrontational methods, this study was designed to evaluate the effectiveness of an eye movement desensitization and reprocessing (EMDR) intervention in a sample of interpreters working in refugee care suffering from secondary traumatic stress symptoms. Methods: To evaluate the effectiveness of an EMDR intervention for the treatment of secondary traumatic stress symptoms, a quasi-randomized controlled trial using a waiting group design will be performed. Participants will be treated with a maximum of 6 sessions based on EMDR standard protocol. Primary outcome is the symptom load of secondary traumatic stress, assessed with the Questionnaire for Secondary Traumatization, while secondary outcomes comprise further symptom complexes such as PTSD due to self-experienced traumatic events, depression, anxiety, and somatization as well as quality of life, quality of professional life, and psychological wellbeing that will be assessed with the PDS, PHQ-9, GAD-7, SSD-12, SF-12, PROQOL-5, and WHO-5, respectively. Discussion: Our primary interest is to determine the efficacy of an EMDR intervention in interpreters affected by secondary traumatic stress, especially how many sessions are needed for significant symptom reduction. Change of associated symptom complexes and quality of life will be investigated. Reprocessing one's own stressful experiences may also contribute to this, which is not the focus of the treatment but relevant to the EMDR protocol. This study aims to assess if EMDR could be an acceptable, effective, and time-efficient method for reducing work-related secondary traumatization. Trial registration: German Clinical Trials Register, DRKS00032092, registered 16 June 2023. [ABSTRACT FROM AUTHOR]

Aim: Although relationships among positive psychological capital (PsyCap), compassion fatigue, compassion satisfaction, and burnout have been reported, causal relationships among these variables have not been identified. This study examined the influence of positive PsyCap on burnout and confirmed the mediating effects of compassion fatigue and satisfaction among public hospital nurses. Methods: This study adopted a correlational cross‐sectional design. We recruited 237 nurses working at a public hospital, using convenience sampling. Results: The fit of the hypothetical model was adequate. Positive PsyCap directly affected compassion fatigue and satisfaction, and burnout. It had an indirect effect on burnout. Compassion fatigue and satisfaction directly affect burnout. This finding indicates that compassion fatigue and satisfaction partially mediate between positive PsyCap and burnout. In addition, the mediating effect of compassion fatigue was greater than that of compassion satisfaction on the relationship between positive PsyCap and burnout. Finally, positive PsyCap, compassion fatigue, and compassion satisfaction explained 70.4% of the total variance in burnout scores. The effect size (f2) was 2.38 (large effect size). Conclusions: Burnout should be assessed with positive PsyCap, compassion fatigue, and compassion satisfaction among public hospital nurses. Given that the mediating effect of compassion fatigue was greater than that of compassion satisfaction, interventions for compassion fatigue may be a strategy to reduce burnout, especially among public hospital nurses with low levels of positive PsyCap. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to investigate the relationships among factors affecting compassion fatigue/secondary traumatic stress, burnout, and compassion satisfaction in Japanese nurses, focusing on self‐compassion, fears of compassion, and attachment styles. Methods: This cross‐sectional observational study enrolled 400 clinical nurses (aged ≥20 years) in Japan, registered with an online survey company, from June 6 to June 26, 2021. The subjects completed a web‐based questionnaire that assessed compassion fatigue/secondary traumatic stress, burnout, compassion satisfaction, self‐compassion, fears of compassion for self, anxiety, and avoidance. Additionally, descriptive statistics, correlation analysis, multiple regression analysis and path analysis were performed to examine the relationships among the influencing factors. Results: Compassion fatigue/secondary traumatic stress was influenced by anxiety and fears of compassion for self (R2 =.31). Burnout was affected by compassion fatigue/secondary traumatic stress, compassion satisfaction, self‐compassion, anxiety, and avoidance (R2 =.63). Compassion satisfaction was impacted by self‐compassion, anxiety, and fears of compassion for self (R2 =.31). Additionally, self‐compassion (R2 =.28) and fears of compassion for self (R2 =.55) were influenced by anxiety and avoidance. Conclusions: Compassion fatigue/secondary traumatic stress leads to burnout, whereas compassion satisfaction moderates burnout. Furthermore, there were associations among the factors leading to compassion fatigue/secondary traumatic stress and burnout and compassion satisfaction. Therefore, an approach that enhances self‐compassion and promotes the development of a stable attachment style could mitigate compassion fatigue/secondary traumatic stress and fears of compassion for self while moderately maintaining and improving compassion satisfaction. [ABSTRACT FROM AUTHOR]

Background: Exposure to suffering can lead to compassion fatigue in undergraduate nursing students. Objective: Guided by resilience theory, a cross-sectional, correlational design was used to investigate the potential moderating effect of positive thinking skills on the relationships between views of suffering, compassion fatigue, and compassion satisfaction. Results: In 157 undergraduate nursing students, multiple regressions revealed that views of suffering and positive thinking explained 23.8% of the variance in compassion satisfaction (F 11,145 = 4.121, P <.001), and 21.9% of the variance in burnout (F 11,144 = 3.786, P <.001). The Suffering God view, which stresses the presence of a compassionate deity amid suffering, and positive thinking had significant main effects on compassion satisfaction (β = 0.349, P =.025; and β = 0.309, P <.001, respectively). Positive thinking, the Suffering God view, and the Random view, in which the occurrence of suffering is random and purposeless, had significant main effects on burnout (β = −0.280, P <.001; β = −0.392, P =.014; and β = −0.206, P =.014, respectively). The Unorthodox view, in which a deity exists that allows suffering, had a significant main effect on secondary traumatic stress (β = 0.232, P =.027). Positive thinking did not moderate any of the relationships between the views of suffering and the dependent variables. Conclusions: Knowledge of these relationships can aid in the assessment of nursing students at risk for poor outcomes and guide intervention development to promote professional quality of life. [ABSTRACT FROM AUTHOR]

ABSTRACT Aims Design Methods Results Conclusion Impact Patient or Public Contribution Assess the psychological impact that providing TOP care beyond 12 weeks gestation has on midwives in Australia and New Zealand, improve understanding of TOP care and explore what support midwives have and what they might need to deal with their work experiences.Online survey.A web‐based, self‐reported questionnaire with a total of 63 questions collected data from June to October 2022. Two validated psychometric tools were included to assess emotional well‐being. Numerical data were analysed using descriptive statistics, frequencies, percentages and means. The STROBE guideline was used for reporting.Most midwives felt unsupported and affected by their experiences of providing termination of pregnancy care. Recognition and regular post‐care debriefing with management were minimal. Lack of staff impacted the ability to provide individualised care. Mental health support was not commonly offered to midwives. Psychometric tools showed burnout and high levels of compassion fatigue, but also compassion satisfaction. To feel supported midwives need a fully staffed workforce, the ability to provide one‐on‐one care, recognition from managers and team support.Midwives who deliver termination of pregnancy care are unsupported and at high risk of burnout and compassion fatigue. Providing appropriate support is vital to increase midwives' well‐being and sustain women's access to safe, high‐quality care. Study addresses a knowledge gap about midwives' support needs when caring for women undergoing termination of pregnancy beyond 12 weeks. Findings show the urgent need to recruit and retain midwifery staff, acknowledge the mental health risks of termination of pregnancy care and implement mental health strategies for midwives. Research benefits midwives who provide termination of pregnancy care, midwife managers, healthcare organisations and professional bodies. No patient or public involvement. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Materials and Methods Findings Conclusion In this study, it was aimed to evaluate the secondary traumatic stress and coping experiences of psychiatric nurses who care for people who have experienced psychological trauma with a phenomenological approach.In this study, semi‐structured in‐depth interviews were conducted with 18 psychiatric nurses residing in Turkey using the phenomenological research method. The criterion sampling method was used to reach the sample group. Interviews continued until data saturation was achieved, and all interviews were audio‐recorded and then transcribed. The data were analysed using thematic analysis. The study was conducted and reported using the COREQ checklist.In the analysis of the data, three themes (difficulties in caring for people who have experienced trauma, the effects of caring for people who have experienced trauma on the individual and coping, reflections of secondary trauma on the profession) and seven sub‐themes (mental, physical, social, psychosocial difficulties and coping, quality of care, professional and organisational aspects) were identified.As a result of the study, it was determined that secondary traumatic stress was observed in psychiatric nurses caring for individuals who experienced psychological trauma. It was determined that caring for people who have experienced psychological trauma can negatively affect nurses psychosocially, and individuals have difficulty coping. In line with the results of the study, it is thought that necessary intervention programs should be created for nurses experiencing secondary traumatic stress. [ABSTRACT FROM AUTHOR]

Critical care nursing is a highly dynamic and demanding field, and critical care nurses play a vital role in the US military health care system. Although many critical care nurses are resilient to myriad occupational exposures, for some nurses the job leads to adverse psychological effects, including compassion fatigue and burnout. This article describes the evidence used to develop a psychoeducation program designed to mitigate burnout among health care professionals, particularly critical care nurses. Implementation considerations (including those in the context of disaster response) and future battlefield are discussed. Ultimately, supporting the psychological health of the US military's critical care nurse force is vital to ensure their well-being, the readiness of our armed forces, and the security of our nation. [ABSTRACT FROM AUTHOR]

Staff turnover in youth residential treatment centers (RTC) has immense potential to disrupt the therapeutic environment and prompt an increase in mistrust, aggressive and anti-therapeutic behaviors, and feelings of abandonment and worthlessness among residents. The current study examined factors associated with intent to leave the workplace at an RTC in the southeastern United States, focusing on staff role and identity presentation and their effects on workplace culture and climate. Results suggest that indicated job satisfaction, burnout, and perceptions of culture and climate are the best predictors of turnover and retention. Dimensions of culture and climate were rated lower by specific underrepresented minority groups in the organization, highlighting the importance of the agency's imperative to protect racial, sexual, and gender minority groups to promote retention and a diverse workforce reflecting the demographics of the youth it serves. [ABSTRACT FROM AUTHOR]

The term "dirty work" reflects employment that is distanced from mainstream society. Treating those who commit sex offenses can be a form of dirty work: sex offenders are often persona non grata and reviled by society. The treatment – inpatient and outpatient- tends to be involuntary. It can stigmatize and maligns the clinician even though the work may be required by public policy- as in conditions of probation and parole. Consequently, it can set conditions for moral injury, an overlooked occupational hazard for sex offender treatment providers. Moral injury is distinct from compassion fatigue and burnout. It is painful dissonance a person experiences when they act in ways that transgress deeply held morals and beliefs. Moral injury can be developed when sex offender treatment providers hold a punitive stance toward their clients, that is in direct conflict with professional values to have regard for and not harm their clients. Conversely, moral injury can also arise from helping a population that society tends to loathe. In this paper, we explore some pathways to moral injury and review methods to potentially prevent and mitigate moral injury in the context of sex offender treatment. [ABSTRACT FROM AUTHOR]

Workers who support survivors of intimate partner violence (IPV) witness some of the most traumatic acts of violence in their everyday work life. These experiences may cause distress that has implications for health and their ability to cope. This narrative literature review sought to explore what is known about the health, wellness, and coping strategies of IPV workers in diverse settings. A comprehensive academic literature search of five databases for peer-reviewed journal articles, available in English, published between January 2000 and October 2023 was conducted. A total of 34 articles on workers' experiences in relation to health, wellness, and coping strategies were included in the review. Thematic analysis generated the following themes: (a) diversity of IPV workplace settings and roles; (b) meaningful aspects of IPV support work including purpose and fulfillment, compassion satisfaction, rewarding and valuable work; (c) adverse experiences such as psychological distress and physiological discomfort, interpersonal social challenges, environment and organizational challenges, burnout, compassion fatigue and secondary trauma; and (d) coping strategies that considered coping behaviors and self-care, workplace support and accommodation, and meaningful sacrifice and adaptation. While the review provided important insights regarding the meaningful aspects of IPV support work and coping strategies, the adverse experiences of supporting survivors significantly dominated the literature. Unfortunately, the majority of studies did not clarify the context of workplaces, and this represents a gap in understanding workers' experiences. Future research is needed to understand context-related experiences of IPV support workers in relation to health and coping. The current review provides unique insights on diverse IPV support work settings and roles, work-related issues that may influence workers' wellness, and rewarding aspects of IPV support work. [ABSTRACT FROM AUTHOR]

In this autoethnographic account of my experiences as a parent who discovers and attempts to respond to the abuse of her child, I highlight the ways trauma can remove access to storytelling as a sensemaking and healing tool in a crisis. I narrate how I experienced secondary trauma as a meaning-making black hole that blocked language's healing capacities, blinded me to important sensemaking turning points, and hampered my and my child's ability to ask for help. These experiences caused me to question many foundational assumptions I made as a health communication scholar and to see an interdisciplinary bias toward narrative resiliency. Narrating the inhibiting effects trauma has on emplotment, help-seeking, and meaning-making points to the uniquely communicative nature of trauma which enables narrative theory and health communication research to make strong theoretical contributions to better understand trauma and support appropriate trauma-informed practices. [ABSTRACT FROM AUTHOR]

Compassion fatigue (CF) is a well-researched topic in the fields of mental health and nursing. However, studies on CF in the fields of primary, secondary, and higher education are very recent and scant. Compassion fatigue (CF) can be defined as the empathic strain or general exhaustion experienced by helping professionals such as psychotherapists, nurses, social workers, healthcare workers, family caregivers, and elderly caregivers. In this paper, utilizing the Double ABC-X Stress Model, we explored the antecedents, experiences, and consequences of compassion fatigue among college students and professionals who have previous personal experiences with stress and trauma, work with children and families, and work in higher education to prepare professionals to work in such fields. This study uses an autoethnographic approach, where the five authors of the study were also the participants. Utilizing the lifespan and ecological perspectives, we examined the symptoms preceding compassion fatigue and preventative strategies, as well as risk factors and protective factors. This study covers a breadth of compassion fatigue, from predisposition to onset and recovery, and considers alternative strategies for coping, including creating meaning from difficult experiences. [ABSTRACT FROM AUTHOR]

This study aims to examine the experiences of secondary traumatic stress of Bachelor of Social Work (BSW) students' field education process in Turkey. In the scope of the research, nineteen BSW students, eleven of whom were female and eight of whom were male, who performed field education were interviewed. A semi-structured interview form consisting of twenty-three questions was used to collect the data. The obtained data were analysed using the descriptive analysis approach of qualitative research. The findings express the different experiences of BSW students in challenging cases encountered during the field education process and effects of challenging cases after field education and coping. Based on the research findings, it was concluded that BSW students are at risk of experiencing secondary traumatic stress throughout the entire field education process, and some recommendations were developed in this regard. [ABSTRACT FROM AUTHOR]

Aim Background Methods Finding Conclusion Implications for nursing and health policy To explore the interplay between the perceived nursing work environment, general self‐efficacy, and compassion fatigue among registered nurses in Chinese hospitals.Compassion fatigue emerges as a significant occupational stress response globally, with the nursing work environment being a pivotal influencer. There is a knowledge gap in understanding how the nursing work environment and general self‐efficacy interrelate to affect compassion fatigue, particularly among Chinese nurses.Employing a cross‐sectional, descriptive design, this study utilized validated questionnaires to gather data from 7085 nurses across public and private hospitals in China. The analysis focused on assessing the interrelations among the perceived nursing work environment, general self‐efficacy, and different dimensions of compassion fatigue.More than half (65.67%) of the participants experienced moderate or high burnout levels, with 76.43% experiencing secondary traumatic stress. The lowest rating in the nursing work environment was for nurse/physician collaboration (10 ± 2.07), while general self‐efficacy scored higher (27.54 ± 6.26). A positive relationship existed between the work environment and both general self‐efficacy and compassion satisfaction, with a negative correlation to burnout and traumatic stress. General self‐efficacy was a partial mediator in the link between work environment and compassion fatigue, suggesting that improving the work environment can decrease compassion fatigue by boosting nurses' self‐efficacy.This study underscores the profound impact of the nursing work environment on compassion fatigue, mediated by general self‐efficacy. It highlights the necessity of fostering a supportive work environment to enhance nurses' self‐efficacy and overall well‐being.Healthcare managers and institutions must create supportive work environments to reduce compassion fatigue among nurses. This includes professional development programs to enhance self‐efficacy and job satisfaction. Policies should address high workloads and inadequate support. Nurse leaders should foster environments that promote psychological well‐being, improving outcomes for both nurses and patients. Regular assessments and adjustments of work conditions are essential to maintain a healthy work environment. [ABSTRACT FROM AUTHOR]

ABSTRACT Introduction Aim Method Results Discussion Implications for Practice Psychiatric nurses are at risk of experiencing compassion fatigue. Despite the economic, emotional and physical effects of compassion fatigue, it has not been sufficiently investigated in the field of psychiatric nursing, and the lived experiences of compassion fatigue, in particular, require further investigation using qualitative methods.The aim of this study was to examine the lived compassion fatigue experiences of nurses working in psychiatric clinics using a phenomenological approach.The study was conducted between December 2023 and February 2024 with 22 psychiatric nurses working in acute psychiatric clinics. Data were collected through individual, in‐depth interviews, and analysed using Collaizi's seven‐step descriptive analysis approach.Data analysis revealed four main themes and eight subthemes: (1) being a psychiatric nurse (multifaceted role and benefits), (2) tiredness (from traumatic effects to depersonalisation and emotional isolation), (3) causes of compassion fatigue (patient derived, system and working environment derived) and (4) coping methods (individual and expectations).Due to difficult patient profiles and adverse working conditions, psychiatric nurses experience compassion fatigue and may become desensitised to patient needs over time.Institutional support in the form of training for nurses on recognising and coping with compassion fatigue, as well as a safe and workload‐balanced working environment, is essential. [ABSTRACT FROM AUTHOR]

AbstractThe aim of this study is to determine whether rumination has a mediating role in the relationship between secondary traumatic stress and self-compassion levels of professionals who provide psychosocial assistance to survivors after the earthquake in Turkey on 6 February 2023. The research was organized in accordance with the relational screening model. Within the scope of Turkey Disaster Response Plan, 153 professionals including social workers, psychologists and psychological counselors who provide psychosocial assistance to earthquake survivors participated in the study. The research data were collected through an online survey link using the Secondary Traumatic Stress Scale, Self-Compassion Scale, Ruminative Reaction Scale and Personal Information Form. In the analysis of the data; descriptive statistics, Pearson correlation analysis and PROCESS Macro (Model 4) were used in the mediation test. According to the results of the study, the direct (β = −0.204) and indirect (β = −0.175) effects of self-compassion on secondary traumatic stress are statistically significant and negative. Therefore, it was determined that rumination played a significant mediating role in this interaction. Accordingly, it is understood that increasing self-compassion and regulating rumination reactions are important in reducing the secondary traumatic stress levels of professionals providing psychosocial assistance. There is a need for more research into the factors that influence the secondary traumatic stress of mental health workers who intervene with traumatized people. [ABSTRACT FROM AUTHOR]

Animal protection officers (APOs) fulfill critical community roles but are underrepresented in academic literature. This study explored APOs’ professional identities, professional stressors, positive job aspects, and mental health needs and access. Our mixed-methods design featured a survey followed by interviews. The survey was disseminated to APOs from four local agencies. Results from 18 respondents revealed that seeing a child injured by an animal or an animal injured by a human were the most stressful work situations. Positive job aspects included helping animals, public education, and supporting community safety. Only four respondents had accessed mental health services for job-related issues. Nine respondent interviews yielded themes addressing how APOs make meaning, stressors and resilience factors, and mental health supports. Recommendations based on survey and interview responses are provided. [ABSTRACT FROM AUTHOR]

Systemic theories addressing posttraumatic stress disorder (PTSD) in couples postulate associations between primary trauma survivor functioning, secondary trauma survivor functioning, and couple functioning. However, there is a lack of examination of the association between secondary trauma survivor functioning and couple functioning, which has clinical implications. Objectives of this study include informing clinicians of the evidence base for these associations and providing a synthesized review of research on PTSD in couples to inform future research. A systematic research synthesis screening 150 articles from three databases resulted in the inclusion of 15 quantitative articles to examine the quality of the available research addressing the association between secondary trauma survivor functioning and couple functioning. Correlation matrices in all studies and other partial evidence supported the current theory positing the relevance of secondary traumatic stress in interpersonal functioning for couples. Discussion includes the need for increased quality and diversity of systemic trauma research and treatment for couples. [ABSTRACT FROM AUTHOR]

Background: Nursing interns often faced moral distress in clinical practice, similar to registered nurses, which can lead to compassion fatigue. The roles of moral resilience and professional identity in influencing the psychological well-being of nursing interns are recognized, but the interrelationships among moral distress, moral resilience, professional identity, and compassion fatigue in this group remain unclear. Objectives: This study aimed to investigate the impact of moral distress on compassion fatigue among nursing interns and to explore the mediating role of moral resilience and professional identity. Methods: A quantitative cross-sectional study was conducted with 467 nursing interns. Data were collected using Compassion Fatigue Short Scale, Moral Distress Scale-revised, Rushton Moral Resilience Scale, and Professional Identity Scale. Data analyses were performed using SPSS 22.0 and Amos 21.0, adhering to the STROBE statement. Results: The mean scores for compassion fatigue, moral distress, moral resilience, and professional identity were 35.876, 44.887, 2.578, and 37.610, respectively. Moral distress was positively correlated with compassion fatigue. Structural equation modeling showed that moral resilience and professional identity partially mediated the relationship between moral distress and compassion fatigue (β = 0.448, P < 0.001). Conclusion: The findings suggest that moral distress directly influences compassion fatigue among nursing interns and also exerts an indirect effect through moral resilience and professional identity. Interventions aimed at enhancing moral resilience and fostering a strong professional identity may help mitigate the adverse effects of moral distress on compassion fatigue among nursing interns. [ABSTRACT FROM AUTHOR]

ABSTRACT The professional quality of life (ProQOL) is increasingly applied to nurses and is a measure of the positive and negative aspects of their work. This systematic review and meta‐analysis evaluated the level of compassion satisfaction, burnout and secondary traumatic stress (STS) in empirical studies. Electronic databases Scopus, PubMed and Web of Science were searched on 7th February 2024, and the review followed PRISMA guidelines. The pooled estimate of compassion satisfaction, burnout and secondary traumatic stress mean scores using a random‐effects model for meta‐analyses was undertaken. R statistical software and the dmetar program were used to execute the analysis. Heterogeneity was evaluated with the I2 statistics, while publication bias was evaluated using Egger's regression test. Twenty‐four studies (sample size = 4274) were systematically reviewed and 18 studies (n = 3163) were incorporated into the meta‐analysis. Burnout, secondary traumatic stress and compassion satisfaction are found to be at moderate levels in this research. The qualitative analysis informs that variables such as healthy lifestyle, work environment and psychological resilience contribute towards optimum ProQOL scores. The pooled mean estimate was 32.79 (95% CI = 29.57–36) for compassion satisfaction, 24.99 (95% CI = 23.75–26.23) for burnout and 21.99 (95% CI = 18.93–25.06) for secondary traumatic stress, respectively. Mental health nurse managers need to address the factors in the work environment and promote interventions to enhance coping with burnout and STS. Subgroup analyses of country‐based economies & regions and years revealed significant results. [ABSTRACT FROM AUTHOR]

Background: Workplace violence is a global public health issue and a major occupational hazard cross borders and environments. Nurses are the primary victims of workplace violence due to their frontline roles and continuous interactions. Objective: The present study aimed to investigate the status of workplace violence, turnover intention, compassion fatigue, and psychological resilience among Chinese nurses, and explore the mediating role of compassion fatigue and the moderating role of psychological resilience on relationship between workplace violence and turnover intention among Chinese nurses. Method: A cross-sectional study was conducted among a convenience sample of clinical registered nurses from public hospitals in Changsha, Hunan, China. Data was collected through an online questionnaire, which included a demographic information form, the Workplace Violence Scale (WVS), the Turnover Intention Questionnaire (TIQ), the Compassion Fatigue Scale (CF-CN), and the Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics and correlation analysis were employed to examine the relationships among the main variables. A moderated mediation analysis was further conducted using the PROCESS macro for SPSS (Model 4 and Model 8) to examine the mediating role of compassion fatigue and the moderating role of psychological resilience. Result: The present survey recruited a convenience sample of 1,141 clinical registered nurses, who reported experiencing multiple types of workplace violence during the past year. Correlation analysis revealed significant positive correlations between workplace violence and turnover intention (r = 0.466, P < 0.01) as well as compassion fatigue (r = 0.452, P < 0.01), while negative correlation between workplace violence and psychological resilience (r=-0.414, P < 0.01). Moderated mediation analysis revealed that compassion fatigue mediated, while psychological resilience moderated, the positive relationship between workplace violence and turnover intention (all P < 0.05). Conclusion: This study underscores the mediating effect of compassion fatigue and the moderating role of psychological resilience in the relationship between workplace violence and turnover intention among Chinese nurses. Future efforts should be undertaken to develop effective preventive measures and intervention strategies at individual, organizational, and national levels to mitigate workplace violence and foster supportive work environment. Clinical trial number: Not applicable. [ABSTRACT FROM AUTHOR]

This study examined the mediating role of psychological resilience and gender on mental health workers' perceptions of coping with trauma and secondary traumatic stress. Following the February 6 earthquake, the study group consisted of 212 mental health workers who came from various provinces of Turkey to support the earthquake region. We collected data using the “Perception of Coping with Trauma Scale,” “Secondary Traumatic Stress Scale,” “Brief Psychological Resilience Scale,” and “Personal Information Form.” We conducted analyses using PROCESS Macro Model 4 and Model 8. The results show that the perception of coping with trauma indirectly affects secondary traumatic stress through psychological resilience. The relationship between men's perception of coping with trauma and their psychological resilience appears to be greater than that of women. The direct effect of perceptions of coping with trauma on secondary traumatic stress also varies by gender. As men's perceptions of coping with trauma and psychological resilience decrease, the level of secondary traumatic stress increases. We found no significant relationship between these three variables in women. We found that psychological resilience and gender mediate the relationship between perceptions of coping with trauma and secondary traumatic stress. While this relationship was significant for men, it was not significant for women. [ABSTRACT FROM AUTHOR]

Objective: Individuals who serve as peer mentors within Canadian spinal cord injury (SCI) community service organizations are reporting compassion fatigue from their roles. One psychological resource that has the potential to reduce compassion fatigue and promote overall mental health among peer mentors is self-compassion. However, there is limited knowledge of any self-compassion programs that have been tailored to address the needs of these individuals. To address this limitation, this paper outlines a protocol to examine the feasibility, acceptability, implementation, and effectiveness of a tailored self-compassion program to reduce compassion fatigue and enhance compassion satisfaction, self-compassion, and mental health among peer mentors within Canadian SCI community service organizations. Design: The 6-week online program will be tested among 20 individuals (five separate groups of four) who serve as peer mentors within two Canadian SCI community service organizations. Method: Feasibility and implementation data will be collected throughout the duration of the program and post program while acceptability data will be collected post program. To evaluate the effectiveness of the program, we will follow a single-group quasi-experimental design with surveys (pre/post/follow-up) and semi-structured interviews (post/follow-up). Results: Results from this study are intended to inform the design of a self-compassion program for peer mentors within Canadian SCI community service organizations who experience compassion fatigue and reduced mental health. Conclusion: Providing evidence for the effectiveness of this program could prove useful for Canadian SCI community service organizations who wish to better support and retain their peer mentors and thus improve the quality of support they provide to mentees. [ABSTRACT FROM AUTHOR]

Background Aim Methods Results Conclusions The work of midwives is emotionally challenging. Midwives share moments of joy, when a baby is born, and attend complex events of loss and trauma. Exposure to childbirth complications, emergencies, and loss can affect their professional quality of life and functioning. This aspect of midwives' practice has not been sufficiently researched.To examine the associations between exposures to traumatic events, post‐traumatic symptoms, and personal resilience with professional quality of life and organizational commitment among hospital midwives.Participants in this cross‐sectional study conducted in 2020 included 131 midwives from three large hospitals in central Israel. Data were collected using a structured self‐administered questionnaire that examined socio‐demographic characteristics, exposure to traumatic events during childbirth, personal resilience, post‐traumatic symptoms, professional quality of life, and organizational commitment.The three most traumatic events for midwives were: neonatal death or feared death, maternal death or feared death, and stillbirth. The more frequent the exposure to traumatic events, the more numerous and intense the post‐traumatic symptoms. The more numerous and intense the post‐traumatic symptoms, the higher the level of professional burnout and compassion fatigue and the lower the compassion satisfaction. Higher compassion satisfaction and lower professional burnout were associated with higher organizational commitment. Personal resilience, country of birth, post‐traumatic symptoms, and organizational commitment predicted compassion satisfaction.Midwives' exposure to traumatic events is associated with the onset of post‐traumatic symptoms, impaired professional quality of life, and reduced organizational commitment, and is accompanied by burnout and compassion fatigue. There is a need to address this issue in training programs and to develop organizational support and policies to improve midwives' well‐being and quality of care. [ABSTRACT FROM AUTHOR]

Nurses around the globe have been impacted psychologically and emotionally during and after the COVID-19 pandemic. The purpose of this study was to describe nurses' perspectives on the concepts of compassion fatigue, second victimhood, burnout, and moral injury. Eight nurses were interviewed either individually or in groups of two. Data were analyzed using conventional content analysis. The following themes were identified: waves of compassion fatigue, traumatization within second victimhood, never the same after chronic burnout, moral injury: nurses couldn't do their best, and connections across concepts. Results showed nurses were most familiar with burnout and compassion fatigue, which remain chronic struggles. Second victimhood and moral injury were more distinct experiences related to traumatic or morally distressing events and likely contributed to experiencing burnout or compassion fatigue. Nurses' suffering heightened during the COVID-19 pandemic and remains prominent three years later. Future research and interventions are urgently needed globally to reduce workplace stressors and promote nurse well-being. [ABSTRACT FROM AUTHOR]