This study examined the impact on psychotherapists who are repeatedly empathically exposed to their client’s traumatic content. Psychotherapists were asked to complete survey packets which included quantitative measures of Secondary Traumatic Stress (STS) and Vicarious Traumatization (VT), which are both theorized to be negative conditions which may develop after being exposed to other’s traumatic content. Some respondents were then interviewed, and the transcribed interviews were analyzed utilizing the qualitative technique of grounded theory. The results of this study suggested psychotherapists mediate the impact of traumatic exposure through a variety of factors, including personal characteristics, external support systems, and the use of a variety of self-care skills. These factors, along with psychotherapist’s responses to barriers interfering with accessing these factors, appear to change over time as therapists gain experience. Additionally, rather than developing negative symptoms as a result of their work, many therapists appear to develop positive outlooks, a deep respect for their client’s and human resiliency, and a sense of confidence that they can help their clients. / Department of Counseling Psychology and Guidance Services

Thesis (Ph. D.)--Liberty University Counseling Department, 2008. / Includes bibliographical references.

Thesis (Ph.D.)--Virginia Commonwealth University, 2010. / Prepared for: Dept.of Educational Studies. Title from title-page of electronic thesis. Bibliography: leaves 133-144

Background: Compassion Fatigue (CF) describes the emotional, spiritual, intellectual and physical exhaustion that results from untreated distress among nurses, stemming from exposure to traumatic events and work environment stressors. Comprised of Burnout (BO), Secondary Traumatic Stress (STS) and Compassion Satisfaction (CS), CF results when BO and STS outweigh CS. CF leads to physical and emotional problems including fatigue, hopelessness, anger, and an increased use of sick days. For hospitals, this means poor morale, increased medication errors and higher turnover. Objective: The purpose of this study was to determine the prevalence and severity of CF risk among the nursing staff at Maricopa Medical Center (MMC).Design: Descriptive study completed to determine: 1) What is the prevalence and severity of CF risk among nurses at MMC; and 2) compared to nurses with low CF risk, do nurses with high CF risk have differences in demographic and workplace characteristics? Setting: Maricopa Medical Center between April 14, 2015 and May 26, 2015 Participants: 315 full-time nurses at MMC in Phoenix. Measurements: Nurses were surveyed using the Professional Quality of Life Scale-5 (ProQOL-5) measuring the three components of CF: BO, STS and CS. Results: 46% of nurses reported moderate to high risk of CF. Nurses who worked in Labor and Delivery, Psychiatric Annex/Desert Vista, Emergency Departments, Intensive Care Units and Rapid Response units reported the highest risk. Risk increased significantly after their first year working at MMC. More frequent job changes outside of MMC correlated with lower risk profiles. Lower risk was seen in nurses with advanced degrees. Trends indicated that younger nurses, Clinical Resource Leaders, and nurses who had taken nine or more sick days in the previous six months were more at risk. Conclusion: Almost half of nurses were at moderate to high risk of CF. Unique findings were reported, including possible links between CF risk and job changes, and years working at a single facility. These links were previously unstudied. It was determined that the focus of interventions should be on nurses who work in the units most at risk and on new hire nurses, regardless of their years of nursing experience.

Purpose: To describe an educational workshop delivered to travel nurses, with analysis of the shared discussion. Background: Travel nurses work beyond the realm of traditional nursing positions as they typically are contracted for short periods of time, fill positions created by nursing shortages, and are willing to work in various capacities. As currently conceptualized, compassion fatigue is comprised of compassion satisfaction, burnout, and secondary traumatic stress. Travel nurses are at risk for compassion fatigue as they often work on high acuity units such as emergency room and ICU. Additionally, travel nurses lack natural support systems as they often work far from usual supports such as family, which may increase the risk of compassion fatigue. Method: A two-part educational workshop was developed to reduce the risk of compassion fatigue among travel nurses (N=3). Workshops included education and skills training. Participants discussed their experiences, symptoms, and strategies they used to cope with the negative constructs of compassion fatigue. They journaled and make notations of personal and professional experiences including symptoms, triggers, and self-reflection of compassion fatigue and skills learned. Findings: Commonalities included symptoms of fatigue, isolation, disassociation, second-hand grief, physical pain, dysfunctional communication, and questioning role as a nurse. Triggers to compassion fatigue included limited resources, patient complexity, length of shift, patient influences such as gratitude for nursing service, and witnessing loss. Outcomes included self-medicating with alcohol, self-isolating, working extra shifts, and not debriefing with clinical professionals. Implications: Travel nurses experience symptoms of compassion fatigue including burnout and secondary traumatic stress that is consistent with other nursing professionals. The participants did not understand the phenomenon and had no knowledge of how to protect against compassion fatigue. Travel nurses would benefit from incorporating skills and strategies to address the phenomenon of compassion fatigue, burnout and secondary traumatic stress. The data from this educational intervention project magnify the knowledge currently known about the impact and experience of compassion fatigue in nursing populations, specifically travel nurse populations. It provides insight into the possible benefit of focus group discussions and self-care strategies in lessening the impact of compassion fatigue in travel nurse populations.

The success of mental health counseling partially depends on the professionals who are providing these services, also on the quality of services they provide. To maximize their efficacy, counselors must achieve and maintain their own personal wellness. However, for counselors who work with people who have experienced trauma, there is an increased chance that these counselors will experience adverse effects from this work. In fact, the impact of trauma on counseling professionals is similar to actually experiencing the traumatic event themselves. Native Americans are more likely than any other racial group in the United States to experience chronic traumatization and victimization. As a result of this, Native Americans suffer disproportionate health disparities, including mental health conditions like depression, anxiety, and addiction. The research question of this phenomenological study is, “What are the lived experiences of Native American counselors working in the trauma-intense environment of a Native American reservation?”. In this study, three participants took part in a semi-structured, open-ended, individual interview. Through data analysis, four themes were identified about the participants’ shared experiences: the worth and weight of working on a reservation, the impact of culture and community on counseling, four forms of trauma impacting the counselor and their work, and the effects of personal and professional wellness on counselors. The discussion of these findings are presented, along with implications for future research and policy change. In short, the goal of this study is to assist Native American counselors in maintaining their wellness, so they may continue providing counseling services to a population of people who experience significant trauma.

A group of suburban/rural general and special education teachers (n = 260) responded to an electronic survey. The survey was designed to measure the prevalence of an under researched area of compassion fatigue and compassion satisfaction among teachers working in suburban/rural public schools. The current study hypothesized that the relationship among compassion fatigue, compassion satisfaction, demographic variables, and teacher stress factors (time management, discipline, motivation, professional distress, and professional investment) would correlate with an increase in compassion fatigue (burnout and secondary traumatic stress) for general and special education teachers working in suburban/rural public schools; furthermore, it predicted a positive correlation among burnout, compassion fatigue, and compassion satisfaction. Findings indicate that both burnout and compassion fatigue have a negative impact on general education or special education teachers (Billingsley & Cross, 1992; Koenig, Rodger, & Specht, 2018; Kokkinos, 2007). The results also indicate a positive correlation between compassion fatigue and teacher burnout, which are negatively related to compassion satisfaction. Implications and future research are discussed.

While it is commonly known that combat-related posttraumatic stress disorder (PTSD) has profound, long-term effects on soldiers, its effects on spouses of affected soldiers are less understood. Some spouses who provide care for soldiers with PTSD develop symptoms that are similar in nature. These symptoms include but are not limited to depression, anxiety, isolation, hypervigilance, and a strong startle effect. This study explored the lived experiences of 8 spouses of Army Reservists who returned from deployment in either Iraq or Afghanistan with combat-related PTSD. This study used the couple adaptation to traumatic stress model to explore the couple's response to traumatic stress. The study also includes a discussion of the history of PTSD, including changes in criteria with the revisions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), including the most recent change in the latest version (DSM 5). Although secondary traumatic stress is not recognized in the DSM 5, an increase in awareness may result in a better understanding of mental health needs within the military culture. The study consisted of 8 semi-structured interviews among 8 female spouses of Army Reserve soldiers, using Colaizzi's method of data analysis. The results of this study identified psychological distress in all participants in connection with relationship changes, psychological distress, and lack of available mental health services. The results of this study may assist mental health professionals understand that the mental health needs of spouses of Reservists often differ from those of active duty spouses. This study may support social change by promoting the need for additional training for counselors who work with this population.

Compassion fatigue and work-related burnout are harmful reactions to patient situations and work environments that negatively affect nurses' well-being and ability to provide safe, effective patient care. However, research is needed to understand how reflection as a self-care response to patient situations is related to nurses' development of work burnout, compassion fatigue, and secondary traumatic stress, a type of compassion fatigue. The purpose of this correlational, cross-sectional quantitative study was to determine the relationship between hospital-based acute care nurses' levels of reflection and their levels of compassion fatigue, secondary traumatic stress, and work burnout. The study was based on Hentz and Lauterbach's model for reflective practice and Kearney, Weininger, Vachon, Harrison, and Mount's self-awareness-based model of self-care. Internet-based surveys consisting of demographic items, the Groningen Reflective Ability Scale, and the Compassion Fatigue-Short Scale were distributed to a randomly selected sample of 2,000 registered nurses in the southeastern United States. Spearman correlation, Pearson correlation, and binary linear regression analyses revealed no significant relationship between the variable of reflection and the variables of compassion fatigue, secondary traumatic stress, and work burnout among hospital-based acute care nurses. Incidental findings revealed significant positive correlations among compassion fatigue, secondary traumatic stress, and work burnout. The study findings can be used to effect positive social change and inform future research within the nursing profession by highlighting reflective nursing practice and providing awareness of the positive relationships among compassion fatigue, secondary traumatic stress, and work burnout in nurses.

Student Number : 0102295F - MA research dissertation - School of Psychology - Faculty of Arts / A review of trauma literature indicated that in comparison to PTSD there is very little research into the effects of secondary trauma, especially with regards to trauma workers. The present study explored the psychological impact of trauma workers who work with victims of violent crimes. Both Figley’s (1995) trauma transmission model and Dutton and Rubenstein (1995) ecological model were used to develop a refined trauma model for trauma workers in South Africa, which formed the theoretical basis for the current research. This model looked at the relationships between specific key variables (level of exposure to traumatic material, empathy, and level of perceived social support) and secondary traumatic stress, and their interrelationship. In the present study relevant information was gathered from volunteer trauma workers (N=64) using self-report measures. Data was analysed using the following statistical techniques: Descriptive statistics, Pearson’s Correlation Coefficients, Two Independent Sample T-Test, and a Moderated Multiple Regression. Results indicated that the trauma workers, to some extent, experienced symptoms of secondary traumatic stress. In addition, it was found that previous exposure to traumatic material, level of empathy, and level of perceived social support have a significant relationship with secondary traumatic stress. Social support was not found to have a moderating effect, but empathy emerged as a consistent moderator between the trauma workers previous exposure to traumatic material and secondary traumatic stress. Results also revealed that ones qualification made no difference in the development of secondary traumatic stress. In summary, this study expanded on knowledge into the effects of criminal violence in South Africa, particularly with concern to trauma workers, a population often ignored. This study was considered to be a contribution to trauma literature as it provides much needed empirical evidence.