NUR 440 Annotatd Bibliography 6.2.19.docx - Running head...

Running head: 4-3 MILESTONE THREE: ANNOTATED BIBLIOGRAPHY 1
4-3 Milestone Three: Annotated Bibliography
NUR 440
Southern New Hampshire University
June 2, 2019
4-3 Milestone Three - Annotated Bibliography

4-3 MILESTONE THREE - ANNOTATED BIBLIOGRAPHY 2
PICO(T) question: Do hospice nurses have a higher burnout rate or compassion fatigue
compared to other nurses who do not encounter death as frequently, and what are the triggers,
effects, interventions, and coping skills utilized for this group of nurses, that may best decrease
burnout and compassion fatigue?
Annotated Bibliography
Baillie, L., (2017). Review: Burnout and its relationship to empathy in nursing: A review of the
literature. Journal of Research in Nursing,22(1-2), 23-24.
doi:10.1177/1744987116679062
The research for this particular article was performed to determine the level of
compassion fatigue or burnout amongst caregivers who care for hospice patients,
and the sources of their work-related stress and specific ways to cope with the
pressure, decreasing burnout, and a better understanding of the relationship
between empathy and burnout. The study reviewed several research studies that
looked at the criteria, all being quantitative design and qualitative studies. The
various studies included in this analysis were from five different countries and
sample size for one particularly interesting study mentioned in this article is
comprised a group of 241 healthcare professionals who were employed by twenty
different hospices, and who had at least six months experience in providing
hospice patient care. A standardized questionnaire was utilized to assess for
burnout, while another survey was used to determine demographic information,
sources of work-related stress, and the various ways of coping with the work-
related stress. In the end, the results of the survey revealed the extent of burnout
amid the hospice healthcare caregivers was low and did not have a significant

4-3 MILESTONE THREE - ANNOTATED BIBLIOGRAPHY 3
correlation upon the demographic factors, the number of years of experience or
the type of hospice care. That said, lesser degrees of burnout was recognized in
6% of the caregivers, while a significant degree of burnout was realized in 28% of
the caregivers. The workers and the questionnaires identified the primary source
of stress to be within those performing administrative work and always being
faced with the suffering of patients and families. Spending time with family was
the single most usual way of coping with the workplace stress and the best
prevention of burnout was to meet their colleagues outside the customary work
hours. Burnout in hospice caregivers could be closely watched to identify
individuals needing more care and encouragement, or support, to minimize the
negative influence from the stress in their work. The connection to this writers
PICOT question is related to the cause of stress or burnout for hospice nurses, as
well as determining the degree of burnout among this group, and closely
observing for caregivers who have a higher need for intervention. As well as