Volume 11, Issue 1 (Winter 2022)                   J Occup Health Epidemiol 2022, 11(1): 83-90 | Back to browse issues page

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1- Assistant Prof., Clinical Research Development Unit, Ali-Ibn Abi-Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2- Assistant Prof., Dept. of Family Medicine, School of Medicine; Clinical Research Development Unit, Ali-Ibn Abi-Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3- MSc in Physiology, Dept. of Physiology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
4- MSc in Internal Surgery Nursing, Ali-Ibn Abi-Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
5- BSN in Nursing, Registered Nurses, Ali-Ibn Abi-Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
6- Assistant Prof., of Gastroenterology and Hepatology Research Center, Kerman University of Medical Science, Kerman, Iran.
7- MSc in Nursing, Social Determinants of Health Research Centre, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. , mazakeri@rums.ac.ir
Article history
Received: 2022/04/30
Accepted: 2022/05/14
ePublished: 2022/01/30
Abstract:   (1526 Views)
Background: The professional quality of life (ProQOL) and occupational burnout are two central factors related to nurses' job performance. Nurses' job performance might be affected by work stress and compassion. In the present study, the association of ProQOL of nurses with burnout, depression, anxiety, and stress was investigated.
Materials and Methods: In this descriptive study, 282 nurses were invited to help with the survey. Demographics Scale, Maslach Burnout Questionnaire, Depression, Anxiety and Stress Scale (DASS-21), and ProQOL Questionnaire were used to collect the data.
Results: Most participants have an average degree of compassion satisfaction (CS) (63.2%) and compassion fatigue (CF) (57.1%). Also, most nurses had low scores for occupational burnout (39.3%). A significant negative correlation was found between CS with CF (p < 0.001). Occupational burnout (p = 0.019), anxiety (p = 0.015), and depression (p < 0.008) subscales had a significant negative correlation with CS. There was a significant correlation between the CF and subscales of occupational burnout, anxiety, stress, and depression (p < 0.001). The CF predicted 18% of variance in CS (R2 = 18%) (p < 0.001). The CS, depression, and occupational burnout predicted 25% of variance in CF (R2 = 25%) (p < 0.001).
Conclusion: In this study, the CS, depression, and occupational burnout were important variables affecting the level of CF. Healthcare service leaders and nurse managers should make efforts promoting emotional wellbeing among nurses. Therefore, future studies need to pay more attention to the CF and its associated factors.

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1. Spinhoven P, Penninx BW, van Hemert AM, de Rooij M, Elzinga BM. Comorbidity of PTSD in anxiety and depressive disorders: Prevalence and shared risk factors. Child Abuse Negl 2014; 38(8):1320-30. [DOI] [PMID]
2. Farhadi P, Sharifian R, Feili A, Shokrpour N. The effects of supervisors’ supportive role, job stress, and work-family conflicts on the nurses’ attitudes. . Health Care Manag (Frederick) 2013; 32(2):107-22. [DOI] [PMID]
3. Hossini Rafsanjanipoor SM, Zakeri MA, Dehghan M, Kahnooji M, Zakeri M. Psychological Consequences of the COVID-19 Disease among Physicians and Medical Students: A Survey in Kerman Province, Iran, in 2020. J Occup Health Epidemiol 2021; 10(4):274-81. [DOI]
4. Zakeri MA, Dehghan M, Ghaedi Heidari F, Pakdaman H, Mehdizadeh M, Ganjeh H, et al. Mental health outcomes among health-care workers during the COVID-19 outbreak in Iran. Ment Health Rev J 2021; 26(2):152-60. [DOI]
5. Zakeri MA, Hossini Rafsanjanipoor SM, Sedri N, Kahnooji M, Sanji Rafsanjani M, Zakeri M, et al. Psychosocial status during the prevalence of COVID-19 disease: the comparison between healthcare workers and general population. Curr Psychol 2021; 40(12):6324-32. [DOI] [PMID] [PMCID]
6. Sygit-Kowalkowska E. Chronic fatigue of nurses in view of the challenges of contemporary psychiatric care. Do temperament and work environment matter? Psychiatr Pol 2021; 55(5):1047-64. [DOI] [PMID]
7. Schonfeld IS, Bianchi R, Palazzi S. What is the difference between depression and burnout? An ongoing debate. Riv Psichiatr 2018; 53(4):218-9. [DOI] [PMID]
8. Molina-Praena J, Ramirez-Baena L, Gómez-Urquiza JL, Cañadas GR, De la Fuente EI, Cañadas-De la Fuente GA. Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study. Int J Environ Res Public Health 2018;15(12):2800. [DOI] [PMID] [PMCID]
9. Zakeri MA, Rahiminezhad E, Salehi F, Ganjeh H, Dehghan M. Burnout, Anxiety, Stress, and Depression among Iranian Nurses: Before and During the First Wave of the Covid-19 Pandemic. Front Psychol 2021; 12:789737. [DOI] [PMID] [PMCID]
10. Zakeri MA, Bazmandegan G, Ganjeh H, Zakeri M, Mollaahmadi S, Anbariyan A, et al. Is nurses’ clinical competence associated with their compassion satisfaction, burnout and secondary traumatic stress? A cross‐sectional study. Nurs Open 2020; 8(1):354-63. [DOI] [PMID] [PMCID]
11. Hosseininejad SM, Aminiahidashti H, Montazer SH, Elyasi F, Moosazadeh M, Ahmadi N. Job Burnout among the Emergency Department Nurses of Medical Training Centers Affiliated to Mazandaran University of Medical Sciences. Iran J Emerg Med 2016; 3(4):125-31. [Article]
12. Tavan A, Chehrzad M, Kazemnejad Leili E, Sedri N. Relationship between emotional intelligence and occupational exhaustion on nurses. J Holist Nurs Midwifery 2016; 26(2):49-58. [Article]
13. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Ann Rev Psychol 2001; 52:397-422. [DOI] [PMID]
14. Wu S, Singh-Carlson S, Odell A, Reynolds G, Su Y. Compassion Fatigue, Burnout, and Compassion Satisfaction among Oncology Nurses in the United States and Canada. Oncol Nurs Forum 2016; 43(4):E161-9. [DOI] [PMID]
15. White EM, Aiken LH, Sloane DM, McHugh MD. Nursing home work environment, care quality, registered nurse burnout and job dissatisfaction. Geriatr Nurs 2020; 41(2):158-64. [DOI] [PMID] [PMCID]
16. Pashib M, Abbaspour S, Tadayon H, Khalafi A. Quality of Professional Life among Nurses of Hospitals in Torbat Heydariyeh City in 2016. J Torbat Heydariyeh Uni Med Sci 2016; 4(1):36-41. [Article]
17. Stamm BH. The Concise ProQOL Manual. 2nd ed. Pocatello, ID: ProQOL.org; 2010.
18. Zhang YY, Han WL, Qin W, Yin HX, Zhang CF, Kong C, et al. Extent of compassion satisfaction, compassion fatigue and burnout in nursing: A meta‐analysis. J Nurs Manag 2018; 26(7):810-9. [DOI] [PMID]
19. Wang J, Okoli CT, He H, Feng F, Li J, Zhuang L, et al. Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. Int J Nurs Stud 2020; 102:103472. [DOI] [PMID]
20. Barr P. Compassion fatigue and compassion satisfaction in neonatal intensive care unit nurses: Relationships with work stress and perceived social support. Traumatology 2017; 23(2):214-22. [DOI]
21. Szczygiel DD, Mikolajczak M. Emotional Intelligence Buffers the Effects of Negative Emotions on Job Burnout in Nursing. Front Psychol 2018; 9:2649. [DOI] [PMID] [PMCID]
22. Tremblay MA, Messervey D. The Job Demands-Resources model: Further evidence for the buffering effect of personal resources. SA J Ind Psychol 2011; 37(2):a876. [DOI]
23. Durkin M, Beaumont E, Hollins Martin CJ, Carson J. A pilot study exploring the relationship between self-compassion, self-judgement, self-kindness, compassion, professional quality of life and wellbeing among UK community nurses. Nurse Educ Today 2016; 46:109-14. [DOI] [PMID]
24. Habibi H, Mooghali A, Bagheri Lankarani K, Habibi F. Relationship between Nurses' Job Satisfaction and Burnout with Patients Satisfaction in Shiraz, 2012. Hayat 2014; 20(3):30-42. [Article]
25. Akbari R, Ghafar Samar R, Kiany GR, Eghtesadi AR. Factorial Validity and Psychometric Properties of Maslach Burnout Inventory–The Persian Version. Knowledge Health 2011;6(3):1-8. [DOI]
26. Abdi masooleh F, Kaviani H, Khaghanizade M, Momeni Araghi A. The relationship between burnout and mental health among nurses. Tehran Univ Med J 2007; 65(6):65-75. [Article]
27. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther 1995; 33(3):335-43. [DOI] [PMID]
28. Craigie M, Osseiran-Moisson R, Hemsworth D, Aoun S, Francis K, Brown J, et al. The influence of trait-negative affect and compassion satisfaction on compassion fatigue in Australian nurses. Psychol Trauma 2016; 8(1):88-97. [DOI] [PMID]
29. Ray SL, Wong C, White D, Heaslip K. Compassion satisfaction, compassion fatigue, work life conditions, and burnout among frontline mental health care professionals. Traumatology 2013; 19(4):255-67. [DOI]
30. Beaumont E, Durkin M, Hollins Martin CJ, Carson J. Compassion for others, self-compassion, quality of life and mental well-being measures and their association with compassion fatigue and burnout in student midwives: A quantitative survey. Midwifery 2016; 34:239-44. [DOI] [PMID]
31. Hegney DG, Rees CS, Eley R, Osseiran-Moisson R, Francis K. The contribution of individual psychological resilience in determining the professional quality of life of Australian nurses. Front Psychol 2015; 6:1613. [DOI] [PMID] [PMCID]
32. Heritage B, Rees CS, Hegney DG. The ProQOL-21: A revised version of the Professional Quality of Life (ProQOL) scale based on Rasch analysis. PloS One 2018; 13(2):e0193478. [DOI] [PMID] [PMCID]
33. Sansó N, Galiana L, Oliver A, Pascual A, Sinclair S, Benito E. Palliative Care Professionals' Inner Life: Exploring the Relationships among Awareness, Self-Care, and Compassion Satisfaction and Fatigue, Burnout, and Coping with Death. J Pain Symptom Manage 2015; 50(2):200-7. [DOI] [PMID]
34. Gentry JE, Baranowsky AB, Dunning K. The Accelerated Recovery Program (ARP) for compassion fatigue. In: Figley CR, Ed, Treating compassion fatigue. New York: Routledge; 2002.
35. Duarte J, Pinto-Gouveia J, Cruz B. Relationships between nurses’ empathy, self-compassion and dimensions of professional quality of life: A cross-sectional study. Int J Nurs Stud 2016; 60:1-11. [DOI] [PMID]
36. Lynch SH, Shuster G, Lobo ML. The family caregiver experience–examining the positive and negative aspects of compassion satisfaction and compassion fatigue as caregiving outcomes. Aging Ment Health 2018; 22(11):1424-31. [DOI] [PMID]
37. Ruiz‐Fernández MD, Ramos‐Pichardo JD, Ibáñez‐Masero O, Cabrera‐Troya J, Carmona‐Rega MI, Ortega‐Galán ÁM. Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID‐19 health crisis in Spain. J Clin Nurs 2020; 29(21-22):4321-30. [DOI] [PMID]
38. Alharbi J, Jackson D, Usher K. The potential for COVID‐19 to contribute to compassion fatigue in critical care nurses. J Clin Nurs 2020; 29(15-16):2762-4. [DOI] [PMID] [PMCID]
39. Kim C, Lee Y. Effects of compassion competence on missed nursing care, professional quality of life and quality of life among Korean nurses. J Nurs Manag 2020; 28(8):2118-27. [DOI] [PMID]
40. Trumello C, Bramanti SM, Ballarotto G, Candelori C, Cerniglia L, Cimino S, et al. Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. Int J Environ Res Public Health 2020; 17(22):8358. [DOI] [PMID] [PMCID]
41. Maben J, Cornwell J, Sweeney K. In praise of compassion. J Res Nurs 2009; 15(1):9-13. [Article]
42. Zakeri MA, Dehghan M. The Role of Continuing Education in Protecting Nurses against COVID-19 Infection. J Occup Health Epidemiol 2021; 10(2):64-6. [DOI]
43. Zakeri MA, Dehghan M, Ghaedi-Heidari F, Zakeri M, Bazmandegan G. Chronic Patients’ Activation and Its Association with Stress, Anxiety, Depression, and Quality of Life: A Survey in Southeast Iran. Biomed Res Int 2021; 2021:6614566. [DOI] [PMID] [PMCID]
44. Hegney DG, Craigie M, Hemsworth D, Osseiran‐Moisson R, Aoun S, Francis K, et al. Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: study 1 results. J Nurs Manag 2014; 22(4):506-18. [DOI] [PMID]
45. Koutsimani P, Montgomery A, Georganta K. The Relationship between Burnout, Depression and Anxiety: A Systematic Review and Meta-Analysis. Front Psychol 2019; 10:284. [DOI] [PMID] [PMCID]
46. Aumayr-Pintar C, Cerf C, Parent-Thirion A. Burnout in the workplace: A review of the data and policy responses in the EU. Luxembourg: Publications Office of the European :union:; 2018. [Report]
47. Iacovides A, Fountoulakis K, Kaprinis S, Kaprinis G. The relationship between job stress, burnout and clinical depression. J Affect Disord 2003; 75(3):209-21. [DOI] [PMID]

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