Factors That Influence the Development of Compassion Fatigue, Burnout, and Compassion Satisfaction in Emergency Department Nurses
Abstract
Purpose: The purpose of this study was twofold: (a) to determine the prevalence of compassion satisfaction, compassion fatigue, and burnout in emergency department nurses throughout the United States and (b) to examine which demographic and work‐related components affect the development of compassion satisfaction, compassion fatigue, and burnout in this nursing specialty. Design and Methods: This was a nonexperimental, descriptive, and predictive study using a self‐administered survey. Survey packets including a demographic questionnaire and the Professional Quality of Life Scale version 5 (ProQOL 5) were mailed to 1,000 selected emergency nurses throughout the United States. The ProQOL 5 scale was used to measure the prevalence of compassion satisfaction, compassion fatigue, and burnout among emergency department nurses. Multiple regression using stepwise solution was employed to determine which variables of demographics and work‐related characteristics predicted the prevalence of compassion satisfaction, compassion fatigue, and burnout. The α level was set at .05 for statistical significance. Findings: The results revealed overall low to average levels of compassion fatigue and burnout and generally average to high levels of compassion satisfaction among this group of emergency department nurses. The low level of manager support was a significant predictor of higher levels of burnout and compassion fatigue among emergency department nurses, while a high level of manager support contributed to a higher level of compassion satisfaction. Conclusions: The results may serve to help distinguish elements in emergency department nurses’ work and life that are related to compassion satisfaction and may identify factors associated with higher levels of compassion fatigue and burnout. Clinical Relevance: Improving recognition and awareness of compassion satisfaction, compassion fatigue, and burnout among emergency department nurses may prevent emotional exhaustion and help identify interventions that will help nurses remain empathetic and compassionate professionals.
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Organisational support can raise feelings of compassion satisfaction and act as a buffer against compassion fatigue, secondary traumatic stress, and burnout.
“Organisational support can also raise feelings of compassion satisfaction where the focus rests on the benefits rather than costs of the job, and positive feelings are experienced when helping someone who has been traumatised (Brady, 2017; Hunsaker et al., 2015). This can act as a buffer against compassion fatigue, STS and burnout (Brady, 2017; Conrad & Kellar-Guenther, 2006).”
From The psychological impacts of content moderation on content moderators: A qualitative study (2023) · cites this paper as Hunsaker et al., 2015
One study used the burnout subscale of the Professional Quality of Life Measure (ProQoL5).
“Two studies used the Malach-Pines Scale [24], and one used the burnout subscale of the Professional Quality of Life Measure (ProQoL5) scale, which posits burnout as an element of compassion fatigue [25].”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [25]
Shorter shifts were protective of burnout when burnout was measured with the ProQoL5 scale.
“A study using the ProQoL5 burnout scale found that shorter shifts were protective of burnout [25]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [25]
The number of hours worked per week was not a significant predictor of burnout according to two studies.
“The number of hours worked per week was not a significant predictor of burnout according to two studies [25, 53]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [25]
Manager support is associated with reduced burnout in two studies using different burnout scales.
“Two studies using different burnout scales found an association between manager support and reduced burnout [25, 67]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [25]
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“Organisational support can also raise feelings of compassion satisfaction where the focus rests on the benefits rather than costs of the job, and positive feelings are experienced when helping someone who has been traumatised (Brady, 2017; Hunsaker et al., 2015).”
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- Authors
- Hunsaker, S., Chen, H., Maughan, D., & Heaston, S.
- Affiliations
- Brigham Young University (US)
- Utah Valley University (US)
- Venue
- Journal of Nursing Scholarship
- Publisher
- Wiley
- Published
- 2015-01-20
- Volume
- 47
- Issue
- 2
- Pages
- 186-194
- ISSN
- 0363-2792 (ISSN-L)
- 1527-6546
- 1547-5069
- OpenAlex
- W1689293838
- Cited by
- 592
- References
- 2
- Citations by year
- 2026: 43 · 2025: 51 · 2024: 53 · 2023: 78 · 2022: 80 · 2021: 65 · 2020: 69 · 2019: 48 · 2018: 32 · 2017: 36 · 2016: 25 · 2015: 9 · 2014: 2 · 2012: 1
- FWCI
- 11.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Nursing Scholarship (publishedVersion)
- PubMed (publishedVersion)
- ScholarsArchive (Brigham Young University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- compassion fatigue, burnout, compassion satisfaction, emergency department nurses, manager support, emotional exhaustion, professional quality of life, nurse well-being, demographic predictors
- MeSH terms
- Adult, Aged, Burnout, Professional, Cross-Sectional Studies, Emergency Service, Hospital, Empathy, Fatigue, Female, Humans, Male, Middle Aged, Nursing Staff, Hospital, Personal Satisfaction, Quality of Life, Surveys and Questionnaires, Regression Analysis, Risk Factors, United States, Prevalence, Emergency Nursing, Young Adult
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