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Concept Analysis Outline

Ian Lagman, BSN, RN, CCRN, PCCN

Mount Saint Mary’s University

NURS 201: Theoretical and Conceptual Foundations of Nursing

Dr. Tori Canillas-Dufau

October 17, 2020

Concept Analysis Outline

I. Identification of the nursing problem: How does compassion fatigue affect nurses and

patient satisfaction and outcomes?

II. Introduction of concept using analysis model: Walker and Avant

A. Concept: Compassion Fatigue

B. Aims and purpose of the analysis

1. To give a clear definition of compassion fatigue

2. Identify the effects of compassion fatigue on nurses and patients

C. Identification of all uses of concept

1. Compassion Fatigue

i. Meriam Webster Dictionary definitions of “compassion” and “fatigue”

ii. New York Times definition of compassion fatigue

iii. Dictionary.com’s definition of compassion fatigue

2. Uses of compassion fatigue in literature

i. Joinson (1992) and Figley’s (1995) definition of compassion fatigue

ii. Zhang et al (2018) definition of compassion fatigue and burnout

iii. Nolte et al (2017) definition of compassion fatigue

D. Defining attributes

1. Anxiety at work

2. Reduced ability to feel empathy

3. Helplessness

4. Emotional exhaustion

E. Model case
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F. Construct borderline, related, contrary, invented, and illegitimate cases

G. Antecedents and consequences

1. Antecedents

i. Prolonged exposure to emotional stress

ii. Low manager support

iii. Exposure to suffering and trauma

2. Consequences

i. Decrease in compassion satisfaction

ii. Apathy

iii. Absenteeism

iv. Decrease in quality of patient care

F. Empirical referents

1. Assessment tool

i. Professional Quality of Life Scale (ProQOL)

2. Mental and physical manifestations

i. Verbalization of inability to concentrate

ii. Verbalization of loss of sleep

iii. Visualization or verbalization of emotional exhaustion

iv. Poor professional appearance

III. Stated relationship between concept and the problem

A. Compassion fatigue can lead to high turnover rate

B. Can reduce patient satisfaction and outcomes

C. Decrease in job satisfaction

1. Concept mapping with links to strategies for problem resolution

IV. Identification of theoretical framework

A. Jean Watson’s Theory of Human caring

B. Dorothea Orem’s Self-care Theory

V. Identification of evidence-based practice research to support strategies for problem

resolution

A. Berg et al. (2016)

B. Cocker & Joss (2016)

C. Hunsaker et al. (2015)

D. Zhang et al. (2017)

VI. Analysis with summary of effect on the nursing profession

A. Education

1. Focus on educating nurses about signs and symptoms and coping strategies to

combat compassion fatigue

2. Introduce the use ProQOL tool to assess for compassion fatigue

B. Practice

1. Early interventions to combat compassion fatigue

2. Self-care strategies to combat compassion fatigue to increase compassion and

patient satisfaction

C. Research

1. Further research regarding effective interventions that will help prevent the

manifestation of compassion fatigue

D. Health care organization

1. Creation of trauma programs to support employees who are suffering from

compassion fatigue

2. Creating a healthy and supportive work environment

3. Rotation of high acuity patients

VII. Reference List

References
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Adimando, A. (2017). Preventing and alleviating compassion fatigue through self-care: An

educational workshop for nurses. Journal of Holistic Nursing, 36(4), 304–317.

https://doi.org/10.1177/0898010117721581

Al Barmawi, M. A., Subih, M., Salameh, O., Sayyah Yousef Sayyah, N., Shoqirat, N., & Abdel‐

Azeez Eid Abu Jebbeh, R. (2019). Coping strategies as moderating factors to compassion

fatigue among critical care nurses. Brain and Behavior, 9(4), e01264.

https://doi.org/10.1002/brb3.1264

Berg, G. M., Harshbarger, J. L., Ahlers-Schmidt, C. R., & Lippoldt, D. (2016). Exposing

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Burnout Vs Compassion Fatigue. (2016, October 18). Transitional support.

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Caring Science & Theory. (2020, September 8). Watson caring science institute.

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Clarkson, M., Heads, G., Hodgson, D., & Probst, H. (2019). Does the intervention of

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October 5, 2020, from https://www.dictionary.com/browse/compassion-fatigue?s=t

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Fatigue. (n.d.). The Merriam-Webster.Com Dictionary. Retrieved October 5, 2020, from

https://www.merriam-webster.com/dictionary/fatigue

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