Compassion satisfaction and fatigue: emotional responses to nursing professionals’ work and health

Maia, Margani Cadore Weis; Kogien, Moisés; Leite, Vanessa Ferraz; Santos, Victor Hugo Martins; Bittencourt, Marina Nolli

doi:10.1590/0034-7167-2024-0615

person Margani Cadore Weis Maia

contributed to the final review with critical · intellectual participation in the manuscript · contributed to the conception or design of the study/research · contributed to the analysis and/or interpretation of data

schoolUniversidade Federal de Mato Grosso. Cuiabá, Mato Grosso, Brazil

0000-0002-5214-5960

person Moisés Kogien

contributed to the final review with critical · intellectual participation in the manuscript · contributed to the conception or design of the study/research · contributed to the analysis and/or interpretation of data

schoolSecretaria de Estado de Saúde de Roraima, Hospital Geral de Roraima. Boa Vista, Roraima, Brazil

0000-0003-4591-6648

person Vanessa Ferraz Leite

contributed to the final review with critical · intellectual participation in the manuscript

schoolUniversidade do Estado de Mato Grosso. Tangará da Serra, Mato Grosso, Brazil

0000-0003-3860-4056

person Victor Hugo Martins Santos

contributed to the final review with critical · intellectual participation in the manuscript

schoolUniversidade Federal de Mato Grosso. Cuiabá, Mato Grosso, Brazil

0000-0002-8828-2377

person Marina Nolli Bittencourt

contributed to the final review with critical · intellectual participation in the manuscript · contributed to the conception or design of the study/research · contributed to the analysis and/or interpretation of data

schoolUniversidade Federal de Mato Grosso. Cuiabá, Mato Grosso, Brazil

0000-0002-1660-3418

EDITOR IN CHIEF:

Dulce Barbosa

ASSOCIATE EDITOR:

Márcia Ferreira

personCorresponding author: Margani Cadore Weis Maia, E-mail:
margani.maia@ufmt.br

ERW	n (%)	Satisfaction through compassion					Compassion fatigue
ERW	n (%)	Mean (SD*)	t/F test†	p value	BCaCI95%^‡	Size effect	Mean (SD*)	t/F test†	p value	BCaCI95%^‡	Size effect
Desire to change profession
Yes	55 (57.9%)	51.42 (5.52)	3.257	0.003	1.50; 5.45	0.68	27.47 (12.86)	-3.283	0.002	-13.50; -3.21	0.68
No	40 (42.1%)	54.92 (4.68)					18.90 (12.15)
Desire to change sectors
Yes	58 (61.1%)	52.30 (5.45)	1.356	0.155	-0.81; 3.80	0.28	26.27 (13.03)	-2.279	0.031	-12.05; -0.54	0.48
No	37 (38.9%)	53.84 (5.35)					20.08 (12.74)
Working conditions affect willingness to care
Yes	67 (70.5%)	52.37 (5.41)	1.454	0.152	-0.68; 4.22	0.33	26.64 (13.50)	-3.790^§	0.001	-14.11; -4.97	0.75
No	28 (29.5%)	54.14 (5.38)					17.21 (9.85)
Skills to intervene in distress
Yes	90 (94.7%)	52.90 (5.52)	-0.040	0.968	-5.08; 4.88	0.02	24.45 (13.16)	-1.880	0.003	-21.29; -3.12	0.86
No	05 (5.3%)	52.80 (4.15)					13.20 (9.60)
Obligation to act to alleviate distress
Yes	91 (95.8%)	53.13 (5.15)	-2.062	0.210	-18.13; 4.85	1.05	24.43 (13.08)	-2.064	0.001	-23.27; -2.70	1.05
No	04 (4.2%)	47.50 (9.47)					10.75 (9.53)
Willingness to act to alleviate distress
Yes	22 (23.2%)	52.32 (5.57)	0.565	0.573	-1.69; 3.22	0.14	25.25 (13.75)	2.215^§	0.030	0.28; 11.27	0.54
No	73 (76.8%)	53.07 (5.43)					19.27 (10.15)
Feels angry when caring
Yes	39 (41.1%)	51.15 (5.26)	2.688	0.003	0.93; 5.19	0.56	25.92 (13.07)	-1.273	0.183	-9.62; 2.16	0.27
No	56 (58.9%)	54.10 (5.26)					22.43 (13.21)
Feel indifference to distress
Yes	26 (27.4%)	50.42 (6.33)	2.817	0.022	0.86; 6.16	0.65	27.46 (15.12)	-1.645	0.128	-11.58; 0.61	0.38
No	69 (72.6%)	53.82 (4.79)					22.50 (12.25)
Difficulty concentrating during work activities
Yes	74 (77.9%)	55.61 (3.66)	2.685	0.004	1.47; 5.43	0.84	24.95 (13.06)	-1.530	0.137	-10.94; 1.10	0.38
No	21 (22.1%)	52.12 (5.63)					20.00 (13.28)
Feel irritable during work activities
Yes	68 (71.6%)	52.28 (5.33)	1.770	0.090	-0.60; 4.53	0.40	26.13 (12.55)	-2.749	0.006	-13.46; -2.04	0.63
No	27 (28.4%)	54.44 (5.50)					18.15 (13.31)
Work gives meaning to life
Yes	31 (32.6%)	50.70 (6.48)	2.824	0.016	0.89; 5.81	0.62	26.39 (14.12)	-1.301	0.196	-9.82; 2.43	0.29
No	64 (67.4%)	53.95 (4.55)					22.64 (12.67)
Taking time off work caused emotional distress
Yes	23 (24.2%)	52.04 (4.53)	1.025†	0.363	-	0.02	31.17 (11.75)^ab	5.253†	0.007^\|\|	-	0.10
No	42 (44.2%)	52.54 (6.62)					22.28 (10.55)^a
Not applicable	30 (31.6%)	54.03 (4.02)					20.46 (15.65)^b

Health cond.	n (%)	Satisfaction through compassion					Compassion fatigue
Health cond.	n (%)	Mean (SD*)	t/F test†	p value	BCaCI 95%^‡	Size effect	Mean (SD*)	t/F test†	p value	BCaCI 95%^‡	Size effect
Health perception
Poor	09 (9.5%)	53.11 (5.08)	1.002†	0.371	-	0.02	31.78 (13.39)	2.493†	0.088	-	0.05
Good	81 (85.3%)	52.67 (5.47)					23.43 (12.99)
Excellent	05 (5.2%)	56.20 (5.54)					16.60 (12.46)
Perform physical activity
Yes	26 (27.4%)	51.21 (3.32)	0.137	0.891	-1.91; 2.08	0.05	25.89 (12.43)	-0.915	0.341	-8.22; 2.84	0.21
No	69 (72.6%)	51.44 (4.51)					23.10 (13.50)
Pre-existing diseases
Yes	47 (49.5%)	52.64 (5.20)	0.453	0.652	-1.79; 2.85	0.09	26.51 (12.57)	-1.963	0.048	-10.31; -0.08	0.40
No	48 (50.5%)	53.14 (5.70)					21.27 (13.42)
Use of medication for insomnia or depression, anxiety or stress
Yes	32 (33.7%)	53.37 (5.48)	-0.611	0.545	-3.05; 1.45	0.13	26.53 (11.01)	-1.411	0.129	-8.81; 0.92	0.31
No	63 (66.3%)	52.65 (5.44)					22.50 (14.07)
Alcohol use
Yes	29 (30.5%)	52.41 (5.45)	0.569	0.562	-1.72; 2.99	0.13	28.82 (13.40)	-2.496	0.021	-12.83; -1.46	0.55
No	66 (69.5%)	53.10 (5.46)					21.70 (12.61)
Sleep changes
0	08 (8.4%)	57.37 (3.06)^ab	3.108†	0.049^§		0.06	14.00 (17.53) ^a	6.789†	0.002^§	-	0.13
1	28 (29.5%)	52.60 (5.32)^a					19.25 (9.02)^b
> 2	59 (62.1%)	52.42 (5.53) ^a					27.39 (13.09)^ab

Variables	Satisfaction through compassion	Compassion fatigue
Compassion satisfaction	1
Compassion fatigue	-0.289^*	1
Depression	-0.341^*	0.492^*
Anxiety	-0.171	0.520^*
Stress	-0.271^*	0.563^*

Variables	B	Standard error		β	95%BCaCI		p value	VIF
Variables	B	Standard error		β	Minimum	Maximum	p value	VIF
Satisfaction through compassion
Intercept	56.988	0.92			55.196	58.781	< 0.001
Depression	-0.120	0.051	-0.227		-0.221	-0.020	0.019	1.103
Wants to change profession (yes)	-2.249	1.045	-0.205		-4.325	-0.174	0.034	1.101
Feels indifferent to distress (yes)	-2.549	1.120	-0.210		-4.773	-0.128	0.025	1.032
Work gives meaning to your life (yes)	-2.260	1.073	-0.196		-4.391	-0.020	0.038	1.047
Compassion fatigue
Intercept	-2.189	4.942			-12.006	7.629	0.659
Stress	0.563	0.091	0.510		0.382	0.744	<0.001	1.092
Alcohol use	6.183	2.263	0.217		1.686	10.680	0.008	1.008
Skills for intervening in distress	11.393	4.674	0.194		2.106	20.679	0.017	1.011
Working conditions affect willingness to care	5.195	2.378	0.180		0.471	9.919	0.032	1.090

[1] ERW - emotional responses to health work;

[TFN1] ^*
standard deviation; †F statistic, when the ANOVA test was used; ‡95% Confidence Interval corrected and accelerated for bias; §non-homogeneous variances detected by the Levene test; ||statistically significant differences between groups identified in the Games-Howell post-hoc test (pairs of identical letters indicate different means); BCaCI - bias-corrected and accelerated confidence interval.

Compassion satisfaction and fatigue: emotional responses to nursing professionals’ work and health

Satisfacción por compasión y fatiga: respuestas emocionales al trabajo y la salud de los profesionales de enfermería