Joanne Goldbort, PhD, RN. Burnout, Compassion Fatigue, STSD. Intrapartum Setting. General belief of “this is a happy place to work.” Bringing life into the world is a miraculous event, met with joy and awe However, there are risks and challenges. Inherent Challenges:.
Burnout, Compassion Fatigue, STSD
I really think part of it was the position, all these people in there, and the total lack of connection that there was a human being on the table going through this! It’s like, I was a body, I was a piece of meat that needed to have a procedure done to get this child out and when that was over then it’s fine, and it’s done. But to me who was going through it, nobody was talking to me. It’s not a natural position to be laid, filleted opened naked in front of all these men and people that didn’t, that really don’t even know your name.
(Aycock & Boyle, 2009)
includes a senses of helplessness and
confusion (Potter, et al 2010)
(Boyle, 2010; Lester, 2010)
(Lombardo, 2011; Douglas, 2010; Potter et al, 2010)
(Lombardo, 2011; Douglas, 2010)
More than one symptom must be present plus an assessment of the RN to include:
and working conditions
The natural consequent behaviors and emotions resulting from knowing about a traumatizing event experience by a significant other [or] the stress resulting from helping or wanting to help a traumatized or suffering person (Figley, 1995)
(Devilly, et al 2009)
Makes you want to withdraw. Makes you not want to deal with things. I can remember how we all kept talking . . . to try to find out, ‘is there anything else
we could have done? Could we have done anything differently? Could we have had a different outcome?’ But as a woman, as a nurse, it still makes you feel like you failed.
(Potter et al, 2010)
The expectation that we can be immersed in suffering and loss daily and not be touched by it is as unrealistic as expecting to be able to walk on water without getting wet.
Provision 5 of the ANA Code of Conduct states:
The nurse owes the same duties to self as to others.
(Grafton et al, 2010)
Work setting strategies:
Afterwards, the nurses that were involved, I think were really effected by the situation because it was a bad outcome. And luckily I was on a unit where we could all talk together, cry together, debrief together and get through it together and it was really supportive.”
Develop Nurse Residency Program