Role of Entrapment in Relation between Fear of Covid-19 and Compassion Fatigue among Nurses

Document Type : Original Article

Authors

Department of Psychology, RCBSR Rajagiri College of Social Sciences (Autonomous), Kerala, India

10.30491/ijbs.2022.288846.1573

Abstract

Introduction: Compassion fatigue is a state of exhaustion and dysfunction biologically, psychologically, and socially, resulting from the change in empathetic ability of the caregiver in reaction to the prolonged and overwhelming stress of caregiving.  Hence, this can go deeper among people who work in caring and giving professions like nursing.  The aim of the present study was to examine the association between fear of Coronavirus Diseases-2019 (Covid-19), entrapment and compassion fatigue among nurses.
Method: For this descriptive-correlational study, 107 nurses working in Hospitals (private/public) that provide service to Covid-19 patients were selected using convenience sampling method in 2020. Data were collected using the Fear of Covid-19 scale, Entrapment Scale and Compassion Fatigue Short Scale. Data were analyzed using the Spearman rank correlation coefficient and hierarchical regression analysis by IBM SPSS software.
Results: Findings revealed that a positive significant relationship exists between the variables fear of Covid-19, entrapment and compassion fatigue. In addition, fear of Covid-19 and entrapment significantly predicted compassion fatigue.
Conclusion: According to the results of this study, it can be concluded that nurses who have higher levels of fear of Covid-19 and higher sense of entrapment, experience a higher level of compassion fatigue.

Keywords


  1. Moukaddam N. Fear, soutbreaks, and pandemics: lessons learned. Psychiatry Times. 2019;36(11).
  2. Rodríguez-Rey R, Garrido-Hernansaiz H, Collado S. Psychological impact and associated factors during the initial stage of the coronavirus (COVID-19) pandemic among the general population in Spain. Frontiers in psychology. 2020;11:1540. doi: 10.3389/fpsyg.2020.01540.
  3. Fawaz M, Samaha A. <? covid19?> The psychosocial effects of being quarantined following exposure to COVID-19: A qualitative study of Lebanese health care workers. International Journal of Social Psychiatry. 2020;66(6):560-565.

       doi: 10.1177/0020764020932202

  1. Jiang L, Broome ME, Ning C. The performance and professionalism of nurses in the fight against the new outbreak of COVID-19 epidemic is laudable. International Journal of Nursing Studies. 2020;107:103578.

       doi: 10.1016/j.ijnurstu.2020.103578.

  1. Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. American journal of infection control. 2020;48(6):592-598. doi:10.1016/j.ajic.2020.03.018.
  2. Papazoglou K, Chopko B. The role of moral suffering (moral distress and moral injury) in police compassion fatigue and PTSD: An unexplored topic. Frontiers in psychology. 2017;8:1999. doi: 10.3389/fpsyg.2017.01999.
  3. Cheung T, Fong TK, Bressington D. COVID‐19 under the SARS cloud: Mental health nursing during the pandemic in Hong Kong. Journal of psychiatric and mental health nursing. 2021;28(2):115-117. doi: 10.1111/jpm.12639.
  4. Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: A concept analysis. Nursing & health sciences. 2010;12(2):235-243. doi: 10.1111/j.1442-2018.2010.00526.x.
  5. Figley CR, editor. Epilogue: the transmission of trauma. In: Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. Oxfordshire: Routledge Taylor & Francis Group; 1995. p. 249-254.
  6. Lynch SH, Lobo ML. Compassion fatigue in family caregivers: a Wilsonian concept analysis. Journal of advanced nursing. 2012;68(9):2125-2134. doi: 10.1111/j.1365-2648.2012.05985.x.
  7. Cocker F, Joss N. Compassion fatigue among healthcare, emergency and community service workers: A systematic review. International journal of environmental research and public health. 2016;13(6):618. doi: 10.3390/ijerph13060618.
  8. Craig CD, Sprang G. Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety, Stress, & Coping. 2010;23(3):319-339.

       doi: 10.1080/10615800903085818.

  1. Arvay MJ. Secondary traumatic stress among trauma counsellors: What does the research say? International Journal for the Advancement of Counselling. 2001;23(4):283-293. doi:10.1023/a:1014496419410.
  2. Sprang G, Clark JJ, Whitt-Woosley A. Compassion fatigue, compassion satisfaction, and burnout: Factors impacting a professional's quality of life. Journal of loss and Trauma. 2007;12(3):259-280. doi:10.1080/15325020701238093.
  3. Kanter J. Compassion fatigue and secondary traumatization: A second look. Clinical Social Work Journal. 2007;35(4):289-293. doi: 10.1007/s10615-007-0125-1.
  4. Sabin-Farrell R, Turpin G. Vicarious traumatization: implications for the mental health of health workers? Clinical psychology review.2003;23(3):449-480.

       doi:10.1016/s0272-7358(03)00030-8.

  1. Radey M, Figley CR. The social psychology of compassion. Clinical Social Work Journal. 2007;35(3):207-214.

       doi: 10.1007/s10615-007-0087-3.

  1. Wells-English D, Giese J, Price J. Compassion fatigue and satisfaction: Influence on turnover among oncology nurses at an urban cancer center. Clinical journal of oncology nursing. 2019;23(5):487-493. doi: 10.1188/19.CJON.487-493.
  2. Harris C, Griffin MTQ. Nursing on empty: compassion fatigue signs, symptoms, and system interventions. Journal of Christian Nursing.2015;32(2):80-87. doi:10.1097/CNJ.0000000000000155.

 

  1. Sheppard K. Compassion fatigue: Are you at risk. American Nurse Today. 2016;11(1):53-55.
  2. Jenkins B, Warren NA. Concept analysis: Compassion fatigue and effects upon critical care nurses. Critical care nursing quarterly. 2012;35(4):388-395.

       doi: 10.1097/CNQ.0b013e318268fe09.

  1. Boyle DA. Compassion fatigue: The cost of caring. Nursing2020. 2015;45(7):48-51.

       doi:10.1097/01.NURSE.0000461857.48809.a1.

  1. Liu Z, Han B, Jiang R, Huang Y, Ma C, Wen J, et al. Mental health status of doctors and nurses during COVID-19 epidemic in China. Available at SSRN 3551329. 2020. doi: 10.2139/ssrn.3551329.
  2. Xiang Y-T, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The lancet psychiatry. 2020;7(3):228-229. doi: 10.1016/S2215-0366(20)30046-8.
  3. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, behavior, and immunity. 2020;88:901-7. doi: 10.1016/j.bbi.2020.05.026.
  4. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical science monitor: international medical journal of experimental and clinical research. 2020;26:e924171-1.

       doi: 10.12659/MSM.924171.

  1. Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical medicine & research. 2016;14(1):7-14. doi:10.3121/cmr.2016.1303. 
  2. Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. bmj. 2020;368.

       doi: 10.1136/bmj.m1211.

  1. Glomb TM, Tews MJ. Emotional labor: A conceptualization and scale development. Journal of Vocational Behavior. 2004;64(1):1-23. doi:10.1016/s0001-8791(03)00038-1.
  2. Huynh T, Alderson M, Thompson M. Emotional labour underlying caring: an evolutionary concept analysis. Journal of advanced nursing. 2008;64(2):195-208.

       doi: 10.1111/j.1365-2648.2008.04780.x.

  1. Stayt LC. Death, empathy and self preservation: the emotional labour of caring for families of the critically ill in adult intensive care. Journal of clinical nursing. 2009;18(9):1267-1275.

       doi: 10.1111/j.1365-2702.2008.02712.x.

  1. Yoon SL, Kim JH. Job‐related stress, emotional labor, and depressive symptoms among Korean nurses. Journal of Nursing Scholarship. 2013;45(2):169-176. doi: 10.1111/jnu.12018.
  2. Labrague LJ, de Los Santos JA. Fear of Covid‐19, psychological distress, work satisfaction and turnover intention among frontline nurses. Journal of nursing management. 2021 ;29(3):395-403. doi:10.21203/rs.3.rs-35366/v1.
  3. Weiss DS, Marmar CR, Metzler TJ, Ronfeldt HM. Predicting symptomatic distress in emergency services personnel. Journal of consulting and clinical psychology. 1995;63(3):361.

     doi: 10.1037//0022-006x.63.3.361.

  1. Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. International journal of mental health and addiction. 2021;19(6):2369-238.

       doi: 10.1007/s11469-020-00331-y.

  1. Cerney MS. Treating the “heroic treaters.”. Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. 1995;23:131-149.
  2. Gilbert P, Allan S. The role of defeat and entrapment (arrested flight) in depression: an exploration of an evolutionary view. Psychological medicine. 1998;28(3):585-598.

       doi: 10.1017/s0033291798006710.

  1. Brown GW, Harris TO, Hepworth C. Loss, humiliation and entrapment among women developing depression: a patient and non-patient comparison. Psychological medicine. 1995;25(1):7-21. doi: 10.1017/s003329170002804x.
  2. Gilbert P, Gilbert J, Sanghera J. A focus group exploration of the impact of izzat, shame, subordination and entrapment on mental health and service use in South Asian women living in Derby. Mental health, religion & culture. 2004;7(2):109-130.

       doi:10.1080/13674670310001602418.

  1. Soewardi H, Kusuma SR. Workload Analysis and Improvement of the Nurses Duty in the Hospital. InIOP Conference Series: Materials Science and Engineering 2019 (Vol.530, No.1, p. 012036).IOP Publishing. doi:10.1088/1757-899X/530/1/012036.
  2. Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. Journal of nursing scholarship. 2015;47(2):186-194.

       doi: 10.1111/jnu.12122.

  1. Kelly L, Runge J, Spencer C. Predictors of compassion fatigue and compassion satisfaction in acute care nurses. Journal of Nursing scholarship. 2015;47(6):522-528.

       doi: 10.1111/jnu.12162.

  1. Zhang Y-y, Zhang C, Han X-R, Li W, Wang Y-l. Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative meta-analysis. Medicine. 2018;97(26). doi: 10.1097/MD.0000000000011086.
  2. Ahorsu DK, Lin C-Y, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. International journal of mental health and addiction. 2020:1-9. doi: 10.1007/s11469-020-00270-8.
  3. Gritsenko V, Skugarevsky O, Konstantinov V, Khamenka N, Marinova T, Reznik A, et al. COVID 19 fear, stress, anxiety, and substance use among Russian and Belarusian university students. International Journal of Mental Health and Addiction. 2021;19(6):2362-2368. doi: 10.1007/s11469-020-00330-z.
  4. Adams RE, Boscarino JA, Figley CR. Compassion fatigue and psychological distress among social workers: A validation study. American Journal of orthopsychiatry. 2006;76(1):103-108. doi: 10.1037/0002-9432.76.1.103.
  5. Ramaci T, Pagliaro S, Teresi M, Barattucci M. Job demands and negative outcomes after the lockdown: the moderating role of stigma towards italian supermarket workers.Sustainability.2021;13(13):7507. doi:10.3390/su13137507.
  6. Tzeng H-M, Yin C-Y. Nurses' fears and professional obligations concerning possible human-to-human avian flu. Nursing Ethics. 2006;13(5):455-470. doi: 10.1191/0969733006nej893oa.
  7. Algunmeeyn A, El-Dahiyat F, Altakhineh MM, Azab M, Babar Z-U-D. Understanding the factors influencing healthcare providers’ burnout during the outbreak of COVID-19 in Jordanian hospitals. Journal of pharmaceutical policy and practice. 2020;13(1):1-8. doi: 10.1186/s40545-020-00262-y.
  8. Alharbi J, Jackson D, Usher K. Compassion fatigue in critical care nurses: An integrative review of the literature. Saudi medical journal. 2019;40(11):1087. doi: 10.15537/smj.2019.11.24569.
  9. Gross CT, Canteras NS. The many paths to fear. Nature Reviews Neuroscience. 2012;13(9):651-658. doi: 10.1038/nrn3301.
  10. Bride BE, Walls E. Secondary traumatic stress in substance abuse treatment. Journal of Teaching in the Addictions. 2006;5(2):5-20. doi:10.1300/j188v05n02_02.
  11. Gilbert P, Gilbert J. Entrapment and arrested fight and flight in depression: An exploration using focus groups. Psychology and Psychotherapy: Theory, Research and Practice. 2003;76(2):173-188. doi: 10.1348/147608303765951203.
  12. Sacco TL, Ciurzynski SM, Harvey ME, Ingersoll GL. Compassion satisfaction and compassion fatigue among critical care nurses. Critical care nurse. 2015;35(4):32-42. doi: 10.4037/ccn2015392.
  13. Griffiths AW, Wood AM, Tai S. The prospective role of defeat and entrapment in caregiver burden and depression amongst formal caregivers. Personality and Individual Differences. 2018;120:24-31. doi: https://doi.org/10.1016/j.paid.2017.08.026.
  14. Lee SM, Cho SH, Kissinger D, Ogle NT. A typology of burnout in professional counselors. Journal of counseling & development. 2010;88(2):131-138. doi:10.1002/j.1556-6678.2010.tb00001.x.
  15. Lambie GW. The contribution of ego development level to burnout in school counselors: Implications for professional school counseling. Journal of Counseling & Development. 2007;85(1):82-88. doi:10.1002/j.1556-678.2007.tb00447.x. 
  16. Steinhardt MA, Smith Jaggars SE, Faulk KE, Gloria CT. Chronic work stress and depressive symptoms: Assessing the mediating role of teacher burnout. Stress and health. 2011;27(5):420-429. doi:10.1002/smi.1394.
  17. Badrfam R, Zandifar A. Stigma over COVID-19; new conception beyond individual sense. Archives of Medical Research. 2020;51(6):593. doi:10.1016/j.arcmed.2020.05.006.
  18. Martin Y, Gilbert P, McEwan K, Irons C. The relation of entrapment, shame and guilt to depression, in carers of people with dementia. Aging and Mental Health. 2006;10(2):101-106. doi: 10.1080/13607860500311953.