Compassion fatigue hits front-line health care workers

It can startwithfatigue, an exhaustion so crippling the sufferer hastrouble functioning and which no amount of sleep will cure.

That's how Wendy Austin describes compassion fatigue, an affliction that she says affectshealth care professionals across the country.

Austin,a registered nurse and professor emeritaat the University of Alberta,has studied the problem and her research has been published in the bookLying Down in the Ever-Falling Snow: Canadian Health Professionals' Experience of Compassion Fatigue.

National conference in Charlottetown

Austin, in Charlottetown for a national conference that brings together nurses, researchersand students, says compassion fatigue can be compared to hypothermia, "in the sense that, the person doesn't realize what's happening to them ... it's often someone with them that will figure it out. It affects their judgement."

I think we're going to lose some of our best practitioners if we don't watch this.- Wendy Austin, registered nurse

The driveforefficiencies in the health care system can have an impact on staffing, making itdifficult for thosewho work with patients in crisis, as well as their families, have adequate time to regroup and recover before more on to the next patient.

"We had people in one study tell us that they've had no time after a patient death, for example. Within three minutes [of a death occurring] the bed has another patient in it," said Austin.

No time for emotions

When this keeps happening again and again, said Austin, the nurses and other health care workers have no time to reflect or deal with their emotions.

"Compassion, actually, the wordliterally means 'with suffering,' so how do you do that well so you can sustain it and go on to the next person?"

Austin says she and her researchers are exploring ways to prevent compassion fatigue from taking hold, because once it does, some people choose to leave the medical profession.

"It's a fairly serious phenomenon in the sense that we don't want people to think that being a compassionate health care professional is risky for your health. We don't want some of the best practitioners leaving their jobs," Austin said.

Find time to debrief

One way of helping, Austin suggests, is to allow time for something such as a debriefing period after a patient dies. She said it's important to ensure there is enough staff to allow for that to happen.

Health care workers need time to process and reflect after especiallydifficult situations. In order to provide the best care and support for their patients, Austin says professionals need support, too.

"I think we're going to lose some of our best practitioners if we don't watch this."

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