Fadiga por compaixão no contexto dos profissionais da saúde e estratégias de enfrentamento: <i>scoping review</i>

Jilou, Vivian; Duarte, Joyce Mara Gabriel; Gonçalves, Rosa Helena Aparecida; Vieira, Edson Elias; Simões, Ana Lúcia de Assis

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

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Brasil

Español English

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Sumário

REVISÃO • Rev. Bras. Enferm. 74 (5) • 2021 • https://doi.org/10.1590/0034-7167-2019-0628 copiar

Fadiga por compaixão no contexto dos profissionais da saúde e estratégias de enfrentamento: scoping review

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivos:

identificar o estado atual do conhecimento sobre fadiga por compaixão no contexto do trabalho de profissionais de saúde; e como as estratégias de enfrentamento se estabelecem nesse cenário.

Métodos:

scoping review com busca aplicada nas bases de dados: MEDLINE, LILACS, CINAHL, Scopus. Limite temporal: 2009 a 2019. Os dados foram analisados e sintetizados de forma narrativa.

Resultados:

selecionaram-se 30 artigos, sintetizados em duas categorias: a) Trabalho em saúde e fadiga por compaixão: análise conceitual, contexto e manifestações; b) Estratégias de enfrentamento da fadiga por compaixão.

Conclusões:

o estudo apresentou: um panorama descritivo e geral sobre fadiga por compaixão em profissionais de saúde, identificando uma maior consolidação do conceito entre 2015 e 2018; e algumas estratégias de enfrentamento. Ressalta-se a associação entre saúde e espiritualidade como uma das estratégias nesse cenário, possibilitando que novas pesquisas sejam realizadas diante da importância do tema na vida, no trabalho em saúde.

Descritores:
Fadiga por Compaixão; Pessoal de Saúde; Adaptação Psicológica; Trabalho; Revisão

População (P):

"Health Personnel" [Mesh] OR "Personnel, Health" OR "Health Care" OR "Providers" OR "Health Care Provider" OR "Provider, Health Care" OR "Providers, Health Care" OR "Healthcare Providers" OR "Healthcare Provider" OR "Provider, Healthcare" OR "Providers, Healthcare" OR "Fieldworkers" OR "Fieldworker" OR "Field Workers" OR "Field Worker" OR "Worker, Field" OR "Workers, Field"

Conceito (C):

"Compassion Fatigue" [Mesh] OR "Fatigue, Compassion" OR "Vicarious Trauma" OR "Trauma, Vicarious" OR "Traumas, Vicarious" OR "Vicarious Traumas" OR "Secondary Trauma" OR "Secondary Traumas" OR "Trauma, Secondary" OR "Traumas, Secondary" OR "Secondary Traumatization" OR "Secondary Traumatizations" OR "Traumatization, Secondary" OR "Traumatizations, Secondary" OR "Secondary Traumatic Stress" OR "Stress, Secondary Traumatic" OR "Stresses, Secondary Traumatic" OR "Traumatic Stress, Secondary" OR "Vicarious Traumatization" OR "Traumatization, Vicarious"

Contexto (C):

"Adaptation, Psychological" [Mesh] OR "Adaptation, Psychologic" OR "Psychologic Adaptation" OR "Psychological Adaptation" OR "Coping Behavior" OR "Behavior, Coping" OR "Behaviors, Coping" OR "Coping Behaviors" OR "Coping Skills" OR "Coping Skill" OR "Skill, Coping" OR "Skills, Coping" OR "Behavior, Adaptive" OR "Adaptive Behavior" OR "Adaptive Behaviors" OR "Behaviors, Adaptive"

	Base de dados	Título	Autor	Delineamento metodológico	Ano	País de origem do estudo	Amostra	Instrumento de avaliação de FC	Estratégia de enfrentamento
A1	MEDLINE	Reducing Compassion Fatigue in Inpatient Pediatric Oncology Nurses	Sullivan, King, Holdiness, Durrell, Roberts, Spencer⁽¹⁶16 Sullivan CE, King AR, Holdiness J, Durrell J, Roberts KK, Spencer C, et al. Reducing compassion fatigue in inpatient pediatric oncology nurses. Oncol Nurs Forum.2019; 46(3):338-47. https://doi.org/10.1188/19.ONF.338-347 https://doi.org/10.1188/19.ONF.338-347... ⁾.	Quantitativo - Quase experimental	2019	EUA	59 enfermeiros - unidade de oncologia pediátrica	ProQOL V (STAMM)	Intervenções organizacionais: autocuidado, saúde e bem-estar, assistência espiritual, sala de descanso
A2	MEDLINE	Caring for the caregivers: Evaluation of the effect of an eight-week pilot mindful self-compassion (MSC) training program on nurses' compassion fatigue and resilience	Delaney⁽¹⁷17 Delaney MC. Caring for the caregivers: Evaluation of the effect of an eight-week pilot mindful self-compassion (MSC) training program on nurses' compassion fatigue and resilience. PLoS One. 2018;13(11):e0207261. https://doi.org/10.1371/journal.pone.0207261 https://doi.org/10.1371/journal.pone.020... ⁾.	Método misto - fenomenologia e quantitativo	2018		13 enfermeiros - vários setores do hospital	ProQOL V (STAMM)	Intervenção para melhoramento por autocompaixão
A3	MEDLINE	Compassion fatigue in nursing: A concept analysis	Peters⁽¹⁸18 Peters E. Compassion fatigue in nursing: a concept analysis. Nurs Forum. 2018;53(4):466-80. https://doi.org/10.1111/nuf.12274 https://doi.org/10.1111/nuf.12274... ⁾.	Revisão de literatura - Análise conceitual	2018	EUA	26 artigos selecionados	-	-
A4	MEDLINE	Cognitive reactions of nurses exposed to cancer patients' traumatic experiences: A qualitative study to identify triggers of the onset of compassion fatigue	Fukumor, Miyazaki, Takaba, Taniguchi, Asa ⁽¹⁹19 Fukumori T, Miyazaki A, Takaba C, Taniguchi S, Asai M. Cognitive reactions of nurses exposed to cancer patients' traumatic experiences: a qualitative study to identify triggers of the onset of compassion fatigue. Psycho-Oncology. 2017;27(2):620-5. https://doi.org/10.1002/pon.4555 https://doi.org/10.1002/pon.4555... ⁾.	Qualitativo - Entrevista semiestruturada	2018	Japão	30 enfermeiros de seis hospitais de câncer	-	-
A5	MEDLINE	Integrative Review of Facility Interventions to Manage Compassion Fatigue in Oncology Nurses	Wentzel, Brysiewicz⁽²⁰20 Wentzel D, Brysiewicz P. Integrative review of facility interventions to manage compassion fatigue in oncology Nurses. Oncol Nurs Forum. 2017;44(3):E124-40. https://doi.org/10.1188/17.onf.e124-e140 https://doi.org/10.1188/17.onf.e124-e140... ⁾	Revisão integrativa	2017	África do Sul	-	-	-
A6	MEDLINE	Palliative care professionals' care and compassion for self and others: a narrative review	Mills, Wand, Fraser⁽²¹21 Mills J, Wand T, Fraser JA. Palliative care professionals' care and compassion for self and others: a narrative review. Int J Palliat Nurs. 2017;23(5):219-29. https://doi.org/10.12968/ijpn.2017.23.5.219 https://doi.org/10.12968/ijpn.2017.23.5.... ⁾.	Revisão narrativa	2017	Austrália	-	-	-
A7	MEDLINE	Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review	Cocker, Joss⁽²²22 Cocker F, Joss N. Compassion fatigue among healthcare, emergency and community service workers: a systematic review. Int J Environ Res Public Health. 2016;13(6):E618. https://doi.org/10.3390/ijerph13060618 https://doi.org/10.3390/ijerph13060618... ⁾.	Revisão sistemática	2016	Australia	13 artigos selecionados	-	-
A8	MEDLINE	Perceived Quality of Work Life and Risk for Compassion Fatigue Among Oncology Nurses: A Mixed-Methods Study	Giarelli, Denigris, Fisher, Maley, Nolan⁽²³23 Giarelli E, Denigris J, Fisher K, Maley M, Nolan E. Perceived quality of work life and risk for compassion fatigue among oncology nurses: a mixed-methods study. Oncol Nurs Forum. 2016;43(3):E121-31. https://doi.org/10.1188/16.onf.e121-e131 https://doi.org/10.1188/16.onf.e121-e131... ⁾.	Método misto - Questionário de autorrelato e entrevista	2016	EUA	20 enfermeiros oncologistas		-
A9	MEDLINE	The Prevalence of Compassion Fatigue and Burnout among Healthcare Professionals in Intensive Care Units: A Systematic Review	Van Mol, Kompanje, Benoit, Bakker, Nijkamp⁽²⁴24 Van Mol MMC, Kompanje EJO, Benoit DD, Bakker J, Nijkamp MD. The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: a systematic review. PLoS One. 2015;10(8):e0136955. https://doi.org/10.1371/journal.pone.0136955 https://doi.org/10.1371/journal.pone.013... ⁾.	Revisão sistemática	2015	Holanda/ Bélgica	30 artigos selecionados	-	-
A10	MEDLINE	A pilot study examining the impact of care provider support program on resiliency, coping, and compassion fatigue in military health care providers	Weidlich, Ugarriza⁽²⁵25 Weidlich CP, Ugarriza DN. A pilot study examining the impact of care provider support program on resiliency, coping, and compassion fatigue in military health care providers. Mil Med. 2015;180(3):290-5. https://doi.org/10.7205/MILMED-D-14-00216 https://doi.org/10.7205/MILMED-D-14-0021... ⁾.	Quantitativo - Estudo de coorte prospectivo	2015	EUA	93 enfermeiros militares e civis, e médicos em um Centro Médico do Exército (28 retornaram os questionários)	ProQOL V (STAMM)	Treinamento do grupo de apoio de profissionais do exército na resiliência
A11	MEDLINE	Palliative Care Professionals' Inner Life: Exploring the Relationships Among Awareness, Self-Care, and Compassion Satisfaction and Fatigue, Burnout, and Coping With Death	Sansó, Galiana, Oliver, Pascual, Sinclair, Benito⁽²⁶26 Sansó N, Galiana L, Oliver A, Pascual A, Sinclair S, Benito E. Palliative care professionals' inner life: exploring the relationships among awareness, self-care, and compassion satisfaction and fatigue, burnout, and coping with death. J Pain Symptom Manage. 2015;50(2):200-7. https://doi.org/10.1016/j.jpainsymman.2015.02.013 https://doi.org/10.1016/j.jpainsymman.20... ⁾.	Quantitativo - Estudo transversal com aplicação de questionário	2015	Espanha	385 profissionais (médicos , enfermeiros, psicólogos, assistentes de enfermagem e trabalhadores sociais)	ProQOL IV (STAMM)	-
A12	MEDLINE	Stress, burnout, compassion fatigue, and mental health in hospice workers in Minnesota	Whitebird, Asche, Thompson, Rossom, Heinrich⁽²⁷27 Whitebird RR, Asche SE, Thompson GL, Rossom R, Heinrich R. Stress, Burnout, Compassion Fatigue, and Mental Health in Hospice Workers in Minnesota. J Palliat Med., 2013;16(12):1534-9. https://doi.org/10.1089/jpm.2013.0202 https://doi.org/10.1089/jpm.2013.0202... ⁾.	Quantitativo - Estudo transversal com aplicação de questionário	2013	EUA	557 funcionários de 13 programas de cuidados paliativos	ProQOL RIII (STAMM)	-
A13	MEDLINE	Personal factors related to compassion fatigue in health professionals	Zeidner, Hadar, Matthews, Roberts⁽²⁸28 Zeidner M, Hadar D, Matthews G, Roberts RD. Personal factors related to compassion fatigue in health professionals. Anxiety Stress Coping. 2013;26(6):595-609. https://doi.org/10.1080/10615806.2013.777045 https://doi.org/10.1080/10615806.2013.77... ⁾.	Quantitativo Estudo transversal com aplicação de questionário	2013		182 participantes (89 profissionais de saúde mental e 93 médicos)	ProQOL RIII (STAMM)	-
A14	MEDLINE	Evaluation of a compassion fatigue resiliency program for oncology nurses	Potter, Deshields, Berger, Clarke, Olsen, Chen⁽⁶6 Potter P, Deshields T, Berger JA, Clarke M, Olsen S, Chen L. Evaluation of a compassion fatigue resiliency program for oncology nurses. Oncol Nurs Forum. 2013;40(2):180-7. https://doi.org/10.1188/13.ONF.180-187 https://doi.org/10.1188/13.ONF.180-187... ⁾.	Quantitativo - Quase experimental	2013	EUA	13 enfermeiros de oncologia ambulatorial	ProQOL IV (STAMM)	Enfrentamento por meio da resiliência
A15	MEDLINE	Compassion fatigue in nurses	Yoder⁽²⁹29 Yoder EA. Compassion fatigue in nurses. Appl Nurs Res. 2010;23(4):191-7. https://doi.org/10.1016/j.apnr.2008.09.003 https://doi.org/10.1016/j.apnr.2008.09.0... ⁾.	Método Misto - Entrevista e questionário	2010	EUA	106 enfermeiros de atendimento domiciliar, pronto-socorro, UTI, e oncologia	ProQOL IV (STAMM)	-
A16	MEDLINE	Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties	Hooper, Craig, Janvrin, Wetsel, Reimels⁽³⁰30 Hooper C, Craig J, Janvrin DR, Wetsel MA, Reimels E. Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. J Emerg Nurs. 2010;36(5):420-7. https://doi.org/10.1016/j.jen.2009.11.027 https://doi.org/10.1016/j.jen.2009.11.02... ⁾.	Quantitativo - Transversal	2010	EUA	114 enfermeiros de emergência, oncologia, nefrologia e terapia intensiva	ProQOL IV (STAMM)	-
A17	MEDLINE	Compassion fatigue: a nurse's primer	Lombardo, Eyre⁽³¹31 Lombardo B, Eyre C. Compassion fatigue: a nurse's primer. Online J Issues Nurs. 2011;16(1):3. https://doi.org/10.3912/OJIN.Vol16No01Man03 https://doi.org/10.3912/OJIN.Vol16No01Ma... ⁾.	Qualitativo - Estudo de Caso	2011	EUA	Dois estudos de caso com uma enfermeira reativa e outra proativa	-	-
A18	MEDLINE	The experience of secondary traumatic stress upon care providers working within a children's hospital	Robins, Meltzer, Zelikovsky⁽³²32 Robins PM, Meltzer L, Zelikovsky N. The experience of secondary traumatic stress upon care providers working within a children's hospital. J Pediatr Nurs. 2009;24(4):270-9. https://doi.org/10.1016/j.pedn.2008.03.007 https://doi.org/10.1016/j.pedn.2008.03.0... ⁾.	Quantitativo - Aplicação de questionário	2009	EUA	314 profissionais de saúde (médicos, enfermeiros, psicólogos, assistentes sociais, fonoaudiólogos, terapia ocupacional, fisioterapia)	Escala de FC (FIGLEY; STAMM, 1996	-
A19	CINAHL	Compassion Fatigue in Military Healthcare Teams	Owen, Wanzer⁽³³33 Owen RP, Wanzer L. Compassion fatigue in military healthcare teams. Arch Psychiatr Nurs. 2014;28(1):2-9. https://doi.org/10.1016/j.apnu.2013.09.007 https://doi.org/10.1016/j.apnu.2013.09.0... ⁾.	Revisão sistemática	2014	EUA	25 artigos selecionados	-	-
A20	MEDLINE	Compassion Fatigue Among Palliative Care Clinicians: Findings on Personality Factors and Years of Service	O'Mahony, Ziadni, Hoerger, Levine, Baron, Gerhart⁽³⁴34 O'Mahony S, Ziadni M, Hoerger M, Levine S, Baron A, Gerhart J. Compassion fatigue among palliative care clinicians: findings on personality factors and years of service. Am J Hosp Palliat Care. 2018;35(2):343-7. https://doi.org/10.1177/1049909117701695 https://doi.org/10.1177/1049909117701695... ⁾.	Quantitativo - Aplicação de questionário	2018	EUA	66 profissionais (médicos, enfermeiros, assistentes sociais e capelães e outros profissionais de medicina paliativos)	ProQOL V (STAMM)	-
A21	MEDLINE	Quality of Life and Compassion Satisfaction in Clinicians: A Pilot Intervention Study for Reducing Compassion Fatigue	Klein, Riggenbach-Hays, Sollenberger, Harney, McGarvey⁽³⁵35 Klein CJ, Riggenbach-Hays JJ, Sollenberger LM, Harney DM, McGarvey JS. Quality of life and compassion satisfaction in clinicians: a pilot intervention study for reducing compassion fatigue. Am J Hosp Palliat Care. 2018;35(6):882-8. https://doi.org/10.1177/1049909117740848 https://doi.org/10.1177/1049909117740848... ⁾.	Quantitativo - Quase experimental	2018	EUA	15médicos, enfermeiros e conselheiros	ProQOL V (STAMM)	Programa de treinamento mindfulness para redução de estresse com três sessões de 90 minutos
A22	MEDLINE	An Evolutionary Concept Analysis of Compassion Fatigue	Sorenson, Bolick, Wright, Hamilton⁽³⁶36 Sorenson C, Bolick B, Wright K, Hamilton R. An evolutionary concept analysis of compassion fatigue. J Nurs Scholarsh. 2017;49(5):557-63. https://doi.org/10.1111/jnu.12312 https://doi.org/10.1111/jnu.12312... ⁾.	Revisão de literatura - Modelo Evolucionário de Rodgers	2017	EUA	15 artigos selecionados	-	-
A23	MEDLINE	Reducing the "cost of caring" in cancer care: Evaluation of a pilot interprofessional compassion fatigue resiliency programme	Pfaff, Freeman-Gibb, Patrick, DiBiase, Moretti⁽³⁷37 Pfaff KA, Freeman-Gibb L, Patrick LJ, DiBiase R, Moretti O. Reducing the "cost of caring" in cancer care: evaluation of a pilot interprofessional compassion fatigue resiliency programme. J Interprof Care. 2017;31(4):512-9. https://doi.org/10.1080/13561820.2017.1309364 https://doi.org/10.1080/13561820.2017.13... ⁾.	Método misto	2017	Canadá	Quantitativo (n = 32) e qualitativo (n = 12) de uma equipe interprofissional	ProQOL V (STAMM)	Programa de treinamento para resiliência sobre FC
A24	MEDLINE	Compassion Fatigue and Mindfulness: Comparing Mental Health Professionals and MSW Student Interns	Brown, Ong, Mathers, Decker⁽³⁸38 Brown JLC, Ong J, Mathers JM, Decker JT. Compassion fatigue and mindfulness: comparing mental health professionals and MSW student interns. J Evid-Inf Soc Work. 2017;14(3):119-30. https://doi.org/10.1080/23761407.2017.1302859 https://doi.org/10.1080/23761407.2017.13... ⁾.	Quantitativo - Aplicação de questionário	2017	EUA	40 funcionários da Mental Health America (MHA) e 111 internos do MSW	ProQOL BH (STAMM)	-
A25	MEDLINE	Compassion Satisfaction, Compassion Fatigue, and Burnout in Spain and Brazil: ProQOL Validation and Cross-cultural Diagnosis	Galiana, Arena, Oliver, Sansó, Benito⁽³⁹39 Galiana L, Arena F, Oliver A, Sansó N, Benito E. Compassion satisfaction, compassion fatigue, and burnout in Spain and Brazil: Proqol validation and cross-cultural diagnosis. J Pain Symptom Manage. 2017;53(3):598-604. https://doi.org/10.1016/j.jpainsymman.2016.09.014 https://doi.org/10.1016/j.jpainsymman.20... ⁾.	Quantitativo - Estudo transversal	2017	Brasil/ Espanha	161 profissionais brasileiros e 385 profissionais espanhóis de cuidados paliativos	ProQOL BH (STAMM)	-
A26	MEDLINE	Compassion fatigue: A meta-narrative review of the healthcare literature	Sinclair, Raffin-Bouchal, Venturato, Mijovic-Kondejewski, Smith-MacDonald⁽⁴⁰40 Sinclair S, Raffin-Bouchal S, Venturato L, Mijovic-Kondejewski J, Smith-MacDonald L. Compassion fatigue: a meta-narrative review of the healthcare literature. Int J Nurs Stud. 2017; 69:9-24. https://doi.org/10.1016/j.ijnurstu.2017.01.003 https://doi.org/10.1016/j.ijnurstu.2017.... ⁾.	Revisão metanarrativa	2017	Canadá	90 estudos selecionados	-	-
A27	MEDLINE	The Impact of Combat Deployment on Health Care Provider Burnout in a Military Emergency Department: A Cross-Sectional Professional Quality of Life Scale V Survey Study	Cragun, April; Thaxton⁽⁴¹41 Cragun JN, April D, Thaxton RE. The impact of combat deployment on health care provider burnout in a military emergency department: a cross-sectional professional quality of life scale v survey study. Mil Med. 2016;181(8):730-4. https://doi.org/10.7205/MILMED-D-15-00420 https://doi.org/10.7205/MILMED-D-15-0042... ⁾.	Quantitativo -Estudo transversal	2016	EUA	105 profissionais (técnicos em diagnóstico, enfermeiros) e 33 médicos	ProQOL BH (STAMM)	-
A28	MEDLINE	Understanding Compassion Fatigue in Healthcare Providers: A Review of Current Literature	Sorenson, Bolick, Wright, Hamilton⁽⁴²42 Sorenson C, Bolick B, Wright, Hamilton R. Understanding compassion fatigue in healthcare providers: a review of current literature. J Nurs Scholarsh. 2016;48(5):456-65. https://doi.org/10.1111/jnu.12229 https://doi.org/10.1111/jnu.12229... ⁾.	Revisão integrativa	2016	EUA	43 artigos selecionados	-	-
A29		The Relationship between the Supervision Role and Compassion Fatigue and Burnout in Genetic Counseling	Allsbrook, Atzinger, He, Engelhard, Yager, Wusik⁽⁴³43 Allsbrook K, Atzinger C, He H, Engelhard C, Yager G, Wusik K. The Relationship between the Supervision Role and Compassion Fatigue and Burnout in Genetic Counseling. J Genet Couns. 2016;25(6):1286-97. https://doi.org/10.1007/s10897-016-9970-9 https://doi.org/10.1007/s10897-016-9970-... ⁾.	Quantitativo - Aplicação de questionário	2016	EUA	391 conselheiros genéticos	ProQOL (STAMM)	-
A30	MEDLINE	Who is at risk for compassion fatigue? An investigation of genetic counselor demographics, anxiety, compassion satisfaction, and Burnout	Lee, Veach, MacFarlan, LeRoy⁽⁴⁴44 Lee W, Veach PM, MacFarlane IM, LeRoy BS. Who is at risk for compassion fatigue? An investigation of genetic counselor demographics, anxiety, compassion satisfaction, and burnout. J Genet Couns. 2015; 24(2):358-70. https://doi.org/10.1007/s10897-014-9716-5 https://doi.org/10.1007/s10897-014-9716-... ⁾.	Método Misto - Questionário e entrevista	2015	EUA	402 conselheiros genéticos	ProQOL V (STAMM)	-

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[1] Autor Correspondente: Vivian Jilou. E-mail: vivianjilou@yahoo.com.br