Ignite Creation Date:
2024-05-06 @ 4:13 PM
Last Modification Date:
2024-10-26 @ 2:06 PM
Study NCT ID:
NCT04911504
Status:
COMPLETED
Last Update Posted:
2021-06-03
First Post:
2021-05-27
Brief Title:
The Effects of Resilience and Self-efficacy on Nurses Compassion Fatigue
Sponsor:
Central South University
Organization:
Central South University
Study Overview
Official Title:
The Effects of Resilience and Self-efficacy on Nurses Compassion Fatigue A Cross-sectional Study
Status:
COMPLETED
Status Verified Date:
2021-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Among healthcare providers nursing is a stressful and compassionate profession Nurses empathetically support patients with pain loneliness disease and even confronted with death in line with their critically physical mental emotional and spiritual needs and provide comfort help presence for them Because nurses are frequently exposed to highly stressful and emotional situations they suffer compassion fatigue CF over time under repeated exposures CF will have a series of physiological social emotional spiritual and cognitive effects on nurses threatening the existential integrity of them The effects include high rates of anxiety and depressive disorders decreased productivity increased clinical errors decreased quality of care and level of job satisfaction Therefore it is particularly important to pay attention to compassion fatigue to maintain mental health of nurses
Compassion fatigue refers to that in the process of providing assistance the helper bears the pain of the recipient due to empathy which reduces the helpers own energy or interestBased on a widespread conceptual model CF consists of two constructs burnout and secondary traumatic stress Nurses are at a great risk of compassion fatigue CF is gradually becoming a serious problem which can affect nurses physical and psychological health performance job satisfaction and quality of care Thus investigating the prevalence of CF among nurses and its related factors are warranted to prevent CF among nursing population
Research has studied the influencing factors of CF Some studies have found that the demographic characteristics worked related factors the degree of exposure to traumatic events and psychological factors are important factors affecting nurses compassion fatigue Some studies suggest that resilience social support sense of control and meaningful recognition are negatively correlated with CF Among them resilience and self-efficacy are considered as important psychological factors affecting the individuals mental health and they play an important role in the occurrence of CF
The working pressure of clinical nurses comes from the situations that they are exposed to patients traumatic events and give excessive empathy for a long-term CF among nurses is an undesirable outcome caused by maladaptation to this pressure Whats more resilience and self-efficacy play an important role in individual coping and psychological adjustment in face of stressful events Therefore it is necessary to explore the roles of resilience and self-efficacy in the process of CF
According to the theoretical path analysis of professional caregivers quality of life work environment client environment and person environment factors have an influence on the development of compassion fatigue Regarding to the psychological stress system When confronted with stressful events the individuals will have a stress response as a joint result of environmental factors and personnel factors Thus in accordance with the above two theories being exposed to traumatic events is considered as a stressor which could lead to CF During this process several external factors work-related environmental factors and internal factors personality social support have effects on CF In this study resilience and self-efficacy will be recognized as individual psychological characteristics and CF will be treated as a psychological change Although there have been several studies on the predictors of CF in nurses around the world limited knowledge exists in considering both internal factors resilience and self-efficacy and external predictive factors demographic work-related factors of CF among nurses especially in mainland China
The study aims to investigate the level of compassion fatigue among Chinese nurses and test the influences of demographic characteristics work-related factors resilience and self-efficacy on compassion fatigue
Compassion fatigue refers to that in the process of providing assistance the helper bears the pain of the recipient due to empathy which reduces the helpers own energy or interestBased on a widespread conceptual model CF consists of two constructs burnout and secondary traumatic stress Nurses are at a great risk of compassion fatigue CF is gradually becoming a serious problem which can affect nurses physical and psychological health performance job satisfaction and quality of care Thus investigating the prevalence of CF among nurses and its related factors are warranted to prevent CF among nursing population
Research has studied the influencing factors of CF Some studies have found that the demographic characteristics worked related factors the degree of exposure to traumatic events and psychological factors are important factors affecting nurses compassion fatigue Some studies suggest that resilience social support sense of control and meaningful recognition are negatively correlated with CF Among them resilience and self-efficacy are considered as important psychological factors affecting the individuals mental health and they play an important role in the occurrence of CF
The working pressure of clinical nurses comes from the situations that they are exposed to patients traumatic events and give excessive empathy for a long-term CF among nurses is an undesirable outcome caused by maladaptation to this pressure Whats more resilience and self-efficacy play an important role in individual coping and psychological adjustment in face of stressful events Therefore it is necessary to explore the roles of resilience and self-efficacy in the process of CF
According to the theoretical path analysis of professional caregivers quality of life work environment client environment and person environment factors have an influence on the development of compassion fatigue Regarding to the psychological stress system When confronted with stressful events the individuals will have a stress response as a joint result of environmental factors and personnel factors Thus in accordance with the above two theories being exposed to traumatic events is considered as a stressor which could lead to CF During this process several external factors work-related environmental factors and internal factors personality social support have effects on CF In this study resilience and self-efficacy will be recognized as individual psychological characteristics and CF will be treated as a psychological change Although there have been several studies on the predictors of CF in nurses around the world limited knowledge exists in considering both internal factors resilience and self-efficacy and external predictive factors demographic work-related factors of CF among nurses especially in mainland China
The study aims to investigate the level of compassion fatigue among Chinese nurses and test the influences of demographic characteristics work-related factors resilience and self-efficacy on compassion fatigue
Detailed Description:
This study adopted a cross-sectional design It was executed in accordance with STROBE Statement guidelines for reporting observational studies
Through convenience sampling clinical nurses from different departments were recruited from three tertiary hospitals in central China
According to the calculation method of the sample size regarding to the linear multiple regression fixed model in G power software 31 was used In this calculation effect size f2015 α 005 1-β095 the study included 13 demographic variables resilience and self-efficacy 15 independent variables in total The sample size calculated by G power software 31 is 199 Considering the 20 loss to follow-up rate and sampling error the sample size was expanded to 239
Measurement The general information questionnaire The social-demographic questionnaire was self-compiled and aimed to collect participants demographic characteristics such as age gender educational level marital status working department years of nursing experience professional title monthly income shift work and physical conditions and so on
Professional quality of life scale Chinese version ProQOL-CN The Professional quality of life scale was used to evaluate the level of compassion fatigue The original version was developed and then translated to Chinese The scale has 30 items with three subscales including compassion satisfactory burnout and secondary traumatic stress Together these latter two subscales measure compassion fatigue A five-point Likert scale was used 1 never to 5 very often A higher score of the compassion satisfaction subscale represents a higher level of compassion satisfaction while a higher score of the burnout and secondary traumatic stress subscale indicates a higher risk of burnout and secondary traumatic stress The score of each subscale lower than 22 represents a low level of compassion satisfaction burnout and secondary traumatic stress score between 23 - 41 indicates an average level and more than 42 suggests a high level The Cronbachs alpha of the scale in this study was 0722
Connor-Davidson resilience scale Chinese version CD-RISC The CD-RISC aimed to measure participants resilience The Chinese version of CD-RISC consists of three dimensions tenacity strength and optimism with 25 items A five-point Likert scale was used 0 never to 4 almost always The scale can effectively measure the resilience among clinical nurses and has good reliability and validity The reliability of the CD-RISC among Chinese residents was 091 and the Cronbachs alpha of the scale in this study was 0966
General Perceived Self-Efficacy Scale Chinese version GSES The GSES was used to measured participants self-efficacy The Chinese version consists of 10 items assessed by a four-point Likert scale 1incorrect to 4correct The total scores range from 10 to 40 with higher total scores indicating higher levels of self-efficacy The Cronbachs alpha of the scale in this study was 0941
Procedures Data were collected from 3rd October 2019 to 15th December 2019 and the data collection was completed by a researcher and two research assistants First the researchers informed the directors and head nurses from each hospital of the studys purpose and got their permission to recruit nurses Then researchers introduced the contents of the questionnaires to research assistants in the hospital and explained how to complete it Lastly researchers distributed a Wenjuanxing link an online crowdsourcing platform in China involved the electronic research questionnaires by scanning a Quick Response code to research assistants According to the inclusion criteria nurses who had interests could contact the researchers and research assistants in hospital to participate in the study Wenjuanxing is a relatively secure platform and there is no risk of any data breach and leakage by a third-party
Through convenience sampling clinical nurses from different departments were recruited from three tertiary hospitals in central China
According to the calculation method of the sample size regarding to the linear multiple regression fixed model in G power software 31 was used In this calculation effect size f2015 α 005 1-β095 the study included 13 demographic variables resilience and self-efficacy 15 independent variables in total The sample size calculated by G power software 31 is 199 Considering the 20 loss to follow-up rate and sampling error the sample size was expanded to 239
Measurement The general information questionnaire The social-demographic questionnaire was self-compiled and aimed to collect participants demographic characteristics such as age gender educational level marital status working department years of nursing experience professional title monthly income shift work and physical conditions and so on
Professional quality of life scale Chinese version ProQOL-CN The Professional quality of life scale was used to evaluate the level of compassion fatigue The original version was developed and then translated to Chinese The scale has 30 items with three subscales including compassion satisfactory burnout and secondary traumatic stress Together these latter two subscales measure compassion fatigue A five-point Likert scale was used 1 never to 5 very often A higher score of the compassion satisfaction subscale represents a higher level of compassion satisfaction while a higher score of the burnout and secondary traumatic stress subscale indicates a higher risk of burnout and secondary traumatic stress The score of each subscale lower than 22 represents a low level of compassion satisfaction burnout and secondary traumatic stress score between 23 - 41 indicates an average level and more than 42 suggests a high level The Cronbachs alpha of the scale in this study was 0722
Connor-Davidson resilience scale Chinese version CD-RISC The CD-RISC aimed to measure participants resilience The Chinese version of CD-RISC consists of three dimensions tenacity strength and optimism with 25 items A five-point Likert scale was used 0 never to 4 almost always The scale can effectively measure the resilience among clinical nurses and has good reliability and validity The reliability of the CD-RISC among Chinese residents was 091 and the Cronbachs alpha of the scale in this study was 0966
General Perceived Self-Efficacy Scale Chinese version GSES The GSES was used to measured participants self-efficacy The Chinese version consists of 10 items assessed by a four-point Likert scale 1incorrect to 4correct The total scores range from 10 to 40 with higher total scores indicating higher levels of self-efficacy The Cronbachs alpha of the scale in this study was 0941
Procedures Data were collected from 3rd October 2019 to 15th December 2019 and the data collection was completed by a researcher and two research assistants First the researchers informed the directors and head nurses from each hospital of the studys purpose and got their permission to recruit nurses Then researchers introduced the contents of the questionnaires to research assistants in the hospital and explained how to complete it Lastly researchers distributed a Wenjuanxing link an online crowdsourcing platform in China involved the electronic research questionnaires by scanning a Quick Response code to research assistants According to the inclusion criteria nurses who had interests could contact the researchers and research assistants in hospital to participate in the study Wenjuanxing is a relatively secure platform and there is no risk of any data breach and leakage by a third-party
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None