Rural health care worker wellness during COVID-19: Compassion fatigue, compassion satisfaction & utilization of wellness resources

PLoS One. 2023 Dec 8;18(12):e0295020. doi: 10.1371/journal.pone.0295020. eCollection 2023.

Abstract

Objective: The goal of this study was to identify factors associated with compassion fatigue (CF) and compassion satisfaction (CS) among rural health care workers (HCWs) during the COVID-19 pandemic. The secondary purpose was to assess utilization of wellness resources and preferences for new resources.

Methods: A survey was distributed (October-December 2020) and completed by faculty, clinicians and staff (n = 406) at a rural university. Measures included a modified version of the Professional Quality of Life Scale (PROQOL-21), the Patient Health Questionnaire-4 and the Brief Resilience Coping Scale. Respondents reported their use of wellness resources and their preferences for new resources.

Results: The mean CF score was 21.1, the mean CS score was 26.8 and 42.0% screened positive for depression or anxiety. Few of the existing wellness resources were utilized and respondents' preferences for new wellness resources included time off (70.7%), onsite food trucks (43.0%) and support animals (36.5%). Younger age, depression and anxiety were associated with higher CF. Older age, better mental health and resilience were associated with higher CS.

Conclusions: Rural HCWs have high CF, yet few utilize wellness resources. Rural health care organizations may foster wellness by providing time off for self-care, expanding mental health services and building resilience.

MeSH terms

  • Burnout, Professional* / psychology
  • COVID-19* / epidemiology
  • Compassion Fatigue* / epidemiology
  • Empathy
  • Health Personnel / psychology
  • Humans
  • Job Satisfaction
  • Pandemics
  • Personal Satisfaction
  • Quality of Life
  • Surveys and Questionnaires

Grants and funding

the author(s) did not receive funding to support this work.