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and the dying process are connected to an increase in psychological distress is also related to the PICO(T) question.Frey, R., Robinson, J., Wong, C., & Gott, M. (2018). Burnout, compassion fatigue, and psychological capital: Findings from a survey of nurses delivering palliative care. Applied Nursing Research, 43, 1-9. doi:10.1016/j.apnr.2018.06.003This article is a research study performed to investigate compassion fatigue and burnout among nurses. Additionally, it is exploring stress among the nurses who are caring for patients with a life-limiting illness such as oncology or palliative patients. They also looked at “potential protective factors,” among this group of nurses. The study addresses how matters related to death and dying lead to compounded stress factors for all healthcare workers, while discussing the medical and psychological problems that can result from high-stress levels for nurses such as, anxiety, depression, decreased job satisfaction, substance abuse, and many other concerns. The data analysisfor this article consisted of “descriptive statistics, multivariate analysis of variance, Pearson correlations, and hierarchical multiple regression.” The article also clearly defines burnout and compassion fatigue for the reader. The PICO(T) question and article are connected because of the clear information regarding the negative health effects for nurses caring for patients who are dying. It also references tools to help this
4-3 MILESTONE THREE - ANNOTATED BIBLIOGRAPHY6population of nurses minimizes the effects of stress, decreasing burnout, or compassion fatigue. Increased education for hospice nurses or others who routinely provide care for patients experiencing death or are dying, is key to decreasing susceptibility to compassion fatigue. Education can assist the nurses in“understanding both the positive and negative factors influencing burnout in nurses perhaps levels of awareness will be raised, and nurses may maintain both the quality of patient care and positive wellbeing.” The study included an online survey which occurred with 256 registered nurses between January 2016 and February 2017, and all were form larger tertiary facilities. The nurses were enlisted through various nursing organizations and a large hospital, and it explorespredictors for burnout, compassion satisfaction, secondary traumatic stress, job stressors, and various other factors. Harris, C., & Quinn Griffin, M. T. (2015). Nursing on Empty. Journal of Christian Nursing,32(2),80-87. doi:10.1097/cnj.0000000000000175This peer-reviewed journal article reviews in depth, the importance of recognizingburnout and compassion fatigue (CF) among nurses, and understanding the two descriptive terms. The author’s analysis was performed through an integrated literature review. In the information, the emphasis is placed on recognizing signs, symptoms, and consequences of compassion fatigue and burnout. The article discusses various interventions from putting CF on every staff meeting agenda, educating on acknowledging and recognizing compassion fatigue in yourself as well as peers, taking a timeout, debriefing about difficult patients, and encouraging meeting outside of work to support one another.