Extent of compassion satisfaction, compassion fatigue and burnout in nursing: A meta-analysis

J Nurs Manag. 2018 Oct;26(7):810-819. doi: 10.1111/jonm.12589. Epub 2018 Aug 20.

Abstract

Aims: A meta-analysis was conducted of the prevalence rates of compassion satisfaction, compassion fatigue and burnout to identify the factors influencing these rates.

Background: The extents of compassion fatigue and burnout adversely affect nursing efficiency. However, the reported prevalence rates vary considerably.

Methods: Data were acquired from electronic databases. Random effects meta-analyses were performed to obtain pooled estimates of the prevalence rates of compassion satisfaction, compassion fatigue and burnout and their respective instrumental scores. Meta-regression analyses were performed to identify factors influencing these rates.

Results: Data from 21 studies were used for the meta-analysis. The prevalence rates of compassion satisfaction, compassion fatigue and burnout were 47.55%, 52.55% and 51.98%, respectively. The possession of Bachelor's or Master's degrees by the nurses was significantly inversely associated with the percent prevalence of compassion fatigue (coefficient: -1.187) and burnout (coefficient: -0.810). The compassion fatigue score was also significantly inversely associated with nursing status as registered or licensed practical nurse (coefficient: -0.135).

Conclusion: In nursing, the prevalence rates of compassion fatigue and burnout are high. Better education and training may have a moderating effect on compassion fatigue and burnout and could improve the quality of life of nurses.

Keywords: burnout; compassion fatigue; compassion satisfaction; meta-analysis; nursing.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Burnout, Professional / etiology*
  • Burnout, Professional / psychology
  • Compassion Fatigue / complications
  • Compassion Fatigue / etiology*
  • Compassion Fatigue / psychology
  • Humans
  • Job Satisfaction*
  • Nurses / psychology*
  • Nurses / standards
  • Nursing / standards
  • Prevalence