Compassion and Compassion Fatigue of Hemodialysis Nurses: Basis for an Action Plan
Ronalyn M. Melo | Rose Marie O. Go | Bea Andrea A. Moraleja | Stephanie Ingrid Salonga | Girlie Mannphy A. Lacambra | Marc Lester F. Quintana
Discipline: nursing (non-specific)
Abstract:
Compassion is essential in nursing practice, particularly in highdemand
settings such as hemodialysis units, where prolonged patient
interaction may predispose nurses to compassion fatigue. This study aimed to
determine the levels of compassion and compassion fatigue and examine their
relationship with selected demographic variables among hemodialysis nurses
in the Third District of Laguna. A descriptive correlational design was
employed involving 65 hemodialysis nurses. Data were collected using adopted
and standardized questionnaires, including a 16-item compassion scale and a
30-item compassion fatigue scale. The instruments were validated by four
experts using an authorized validation tool and pilot-tested prior to data
collection. Data were analyzed using frequency and percentage distribution,
median, Spearman’s rho, and chi-square tests. Results showed that a majority
of respondents reported low (68%) or moderate (32%) levels of burnout. In
terms of secondary traumatic stress, 40% of the nurses experienced low levels,
while 60% reported moderate levels, indicating a notable presence of
compassion fatigue among the respondents. Compassion satisfaction was
significantly associated with selected demographic factors, including age, years
of service, and marital status, with older, more experienced nurses reporting
higher levels of satisfaction. However, no statistically significant relationships
were found between demographic variables and overall compassion levels.
These findings suggest that compassion fatigue among hemodialysis nurses is
influenced more by work-related demands and professional exposure than by
demographic characteristics alone. The study highlights the need for targeted
interventions that promote nurses’ well-being, support emotional resilience,
and help sustain compassion to ensure the continued delivery of high-quality
patient care.
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