title: Understanding Compassion Satisfaction, Compassion Fatigue and Burnout: a survey of the hospice palliative care workforce.
abstract: BACKGROUND
  Despite the increasingly crucial role of the healthcare workforce and volunteers working in hospice and palliative care (HPC), very little is known about factors that promote or limit the positive outcomes associated with practicing compassion.
  
  
  OBJECTIVE
  The purpose of this study was to: 1) understand the complex relationships among Compassion Satisfaction, Compassion Fatigue and Burnout within the hospice and palliative care workforce and 2) explore how key practice characteristics - practice status, professional affiliation, and principal institution - interact with the measured constructs of Compassion Satisfaction, Compassion Fatigue and Burnout.
  
  
  METHODS
  Self-reported measures of Compassion Satisfaction, Compassion Fatigue and Burnout, using validated scales, as well as questions to describe socio-demographic profiles and key practice characteristics were obtained.
  
  
  METHODS
  A national survey of HPC workers, comprising clinical, administrative, allied health workers and volunteers, was completed. Respondents from hospital, community-based and care homes informed the results of our study (n = 630).
  
  
  RESULTS
  Our results indicate a significant negative correlation between Compassion Satisfaction and Burnout (r = -0.531, p < 0.001) and between Compassion Satisfaction and Compassion Fatigue (r = -0.208, p < 0.001), and a significant positive correlation between Burnout and Compassion Fatigue (r = 0.532, p < 0.001). Variations in self-reported levels of the above constructs were noted by key practice characteristics. Levels of all three constructs are significantly, but differentially, affected by type of service provided, principal institution, practice status and professional affiliation. Results indicate that health care systems could increase the prevalence of Compassion Satisfaction through both policy and institutional level programs to support HPC professionals in their jurisdictions.
authors.affiliation: University of British Columbia, School of Population and Public Health, Faculty of Medicine, Vancouver, Canada.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Slocum-Gori
authors.forename: David
authors.initials: D
authors.lastname: Hemsworth
authors.forename: Winnie W Y
authors.initials: WW
authors.lastname: Chan
authors.forename: Anna
authors.initials: A
authors.lastname: Carson
authors.forename: Arminee
authors.initials: A
authors.lastname: Kazanjian
mesh_terms: D002055:Burnout, Professional / Q000523:psychology*; D004645:Empathy; D005260:Female; D017051:Hospice Care; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D005222:Mental Fatigue / Q000523:psychology; D008875:Middle Aged; D010166:Palliative Care; D017060:Patient Satisfaction; D011361:Professional Competence; D011788:Quality of Life