{"id":12685,"date":"2023-02-23T14:13:14","date_gmt":"2023-02-23T19:13:14","guid":{"rendered":"https:\/\/mediakit.nurse.com\/?p=12685"},"modified":"2023-02-23T14:13:14","modified_gmt":"2023-02-23T19:13:14","slug":"addressing-compassion-fatigue-burnout-and-moral-injury","status":"publish","type":"post","link":"https:\/\/www.nurse.com\/solutions\/blog\/addressing-compassion-fatigue-burnout-and-moral-injury","title":{"rendered":"Addressing Nursing Compassion Fatigue, Burnout, and Moral Injury"},"content":{"rendered":"<p>As demand on healthcare workers increases, so does the psychological stress on nurses. In fact, many healthcare professionals take pride in their ability to endure long days and high-stress situations. But this attitude often keeps these individuals from engaging in the self-care they need to protect their health. Knowing the difference between compassion fatigue, burnout, and moral injury is key to understanding how to address each issue.<\/p>\n<p><strong>What is compassion fatigue?<\/strong><\/p>\n<p>Compassion fatigue occurs when a person is physically, emotionally, and spiritually exhausted from caring for others. To some degree, it hits almost everyone who cares for people who are suffering or who have experienced trauma.<\/p>\n<p>Specific to healthcare, nursing compassion fatigue\u00a0is a condition in which healthcare workers are no longer able to empathize with patients as a result of burnout and secondary trauma. Nurses experiencing compassion fatigue derive little to no pleasure from their work and often struggle to get through the day. <a href=\"https:\/\/www.nurse.com\/blog\/5-ways-reduce-nurse-compassion-fatigue\/\">Compassion fatigue<\/a> is the opposite of compassion satisfaction, in which nurses find meaning and a sense of self-worth in their work. Like nurse burnout and moral injury, compassion fatigue can directly compromise an individual\u2019s job performance.<\/p>\n<p><strong>What are the causes?<\/strong><\/p>\n<p>Many of the factors that impact an individual\u2019s mental health, including high stress levels, long hours, and secondary trauma, are a normal part of a nurse\u2019s job.<\/p>\n<p>Providing patient care is a demanding role. Many nurses\u00a0spend their days meeting others\u2019 needs and then go home and focus on meeting the needs of their children, parents, significant others, and friends. All of those demands on their time and attention can lead to compassion fatigue.<\/p>\n<p>Compassion fatigue is often cumulative but can also develop as the result of a single traumatic event.\u00a0The COVID-19 pandemic is a particularly good example of how a universal experience can be especially damaging for nurses\u2019 mental health.<\/p>\n<p><strong>Burnout vs. moral injury<\/strong><\/p>\n<p>Understanding the difference between burnout and moral injury is important, as using different terminology reframes the problem and the solutions. Burnout is characterized by symptoms of emotional exhaustion, depersonalization, and reduced personal accomplishment and has been discussed in the healthcare industry for many years.<\/p>\n<p><a href=\"https:\/\/www.relias.com\/blog\/fire-up-burnout-efforts-before-its-too-late\">Burnout<\/a>, an occupational phenomenon (not a medical condition) resulting from chronic workplace stress, is characterized by feelings of exhaustion, increased mental distancing from one\u2019s work or cynicism about work, and reduced professional efficacy. High patient loads, long shifts, complex care protocols, and high-stress, and emotionally taxing situations can all contribute to burnout among healthcare professionals, harming their mental well-being.<\/p>\n<p>What had been frequently confused as burnout has only recently been more accurately identified as\u00a0<a href=\"https:\/\/www.relias.com\/blog\/are-your-nurses-experiencing-moral-injury\">moral injury<\/a>\u00a0\u2014 a relatively new term in healthcare.\u00a0Moral injury has been described as a\u00a0<a href=\"https:\/\/psmag.com\/books-and-culture\/beyond-ptsd-soldiers-have-injured-souls-34293\" target=\"_blank\" rel=\"noopener\">deep soul wound<\/a>\u00a0that occurs when a person feels they must take actions, or witness actions, that violate their deeply held moral beliefs. The term\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6752815\/\" target=\"_blank\" rel=\"noopener\">describes the challenges<\/a> of simultaneously knowing what care patients need but being unable to provide it due to constraints beyond a caregiver\u2019s control.<\/p>\n<p>Moral injury differs significantly from burnout and became more prevalent in nursing during the COVID-19 pandemic, as nurses were (any often still are) unable to care for patients as they traditionally had. These new pressures have forced nurses to confront morally challenging dilemmas. Moral injury can lead to depressive symptoms and contribute to burnout, interfering with a healthcare professional\u2019s ability to perform their duties effectively.<\/p>\n<p><strong>How to help<\/strong><\/p>\n<p>Prevention and understanding the differences between compassion fatigue, burnout, and moral injury is key. If your organization&#8217;s nurses have increased feelings of complacency, disengagement, or hopelessness \u2014 take notice of these signs. Promoting a good work-life balance will create boundaries that allows them to leave work stressors at work, a step that can help with reducing nurse burnout.<\/p>\n<p>In a recent <a href=\"https:\/\/www.nurse.com\/nursing-podcast\">NurseDot podcast<\/a> episode on \u201c<a href=\"https:\/\/open.spotify.com\/show\/6Lm6Yo5tODW3iVYE53PelZ?si=ab28b0d212bb4715&amp;nd=1\">Burnout vs. Moral Injury<\/a>,\u201d Rola Aarmar, PhD, Partner in Behavioral Health Solutions at Relias, discussed what makes these issues complex and why current approaches may need restructuring.<\/p>\n<p>\u201cAddressing burnout and moral injury is not just about retention \u2014 keeping healthcare workers where they are,\u201d said Aamar. \u201cIt should effectively do the opposite \u2014 offering them the opportunity to grow as professionals, as individuals.\u201d<\/p>\n<p>Throughout the podcast episode, Aarmar details her experience with both burnout and moral injury and offers solutions on how to help address both issues from a nurse and nurse leader perspective.<\/p>\n<p>While it\u2019s impossible to completely eradicate the psychological toll of the healthcare profession, its impact can be mitigated through education and stigma reduction. By teaching nurses all about mental health and providing them with resources that encourage self-care and reduce burnout, organizations help retain their top talent and increase patient satisfaction.<\/p>\n<p>Burnout, compassion fatigue, and depression have become an all-to-common occurrence among nurses, directly impacting their ability to perform their job to the fullest extent possible. Healthcare leaders must create a workplace culture that openly addresses mental health wellness and encourages staff to seek support when needed.<\/p>\n<p>To learn more about what matters to nurses in their careers, you can review the findings within the <em><strong><a href=\"https:\/\/mediakit.nurse.com\/nurse-salary-survey\/\">2022 Nurse Salary Research Report<\/a><\/strong><\/em>.<\/p>\n<p><strong><a href=\"https:\/\/mediakit.nurse.com\/nurse-salary-survey\/\" rel=\"noopener\">Download the report here<\/a><\/strong>.<\/p>\n<p><a href=\"https:\/\/mediakit.nurse.com\/nurse-salary-survey\/\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-12505 size-full aligncenter\" src=\"https:\/\/mediakit.nurse.com\/wp-content\/uploads\/2022\/06\/22-NURSE-ACU-3402-Report-NurseSalaryReport_email600x400-REV-for-Wordpress.jpg\" alt=\"\" width=\"600\" height=\"328\" srcset=\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2022\/06\/22-NURSE-ACU-3402-Report-NurseSalaryReport_email600x400-REV-for-Wordpress.jpg 600w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2022\/06\/22-NURSE-ACU-3402-Report-NurseSalaryReport_email600x400-REV-for-Wordpress-300x164.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Knowing the difference between compassion fatigue, burnout, and moral injury is key to understanding how to address each issue.<\/p>\n","protected":false},"author":75,"featured_media":12686,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[28],"tags":[],"coauthors":[1356],"class_list":["post-12685","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nursing-retention"],"acf":[],"yoast_head":"<!-- This site is optimized 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