title: [Development and Application of an Overcoming Compassion Fatigue Program for Emergency Nurses].
abstract: OBJECTIVE
  This study was conducted to develop a program to help emergency nurses overcome compassion fatigue, and to analyze the effects of the program.
  
  
  METHODS
  A nonequivalent control group pretest-posttest design was used. There were 14 participants in the experimental group and 18 subjects in the control group. The program was comprised of five, weekly 80-minute sessions including understanding and assessment of compassion fatigue, enhancing positive affect, balancing work-life, planning self care, training in relaxation techniques and cognitive restructuring, and getting social support. Research variables were ego-resiliency, compassion satisfaction and compassion fatigue of the ProQOL 5, and salivary cortisol. Data were analyzed using Chi-square test, independent t-test, and paired t-test.
  
  
  RESULTS
  The first hypothesis, "There will be a difference in scores for ego resiliency between the experimental group and the control group". was not supported. The second hypothesis, "There will be a difference in scores for compassion satisfaction between the experimental group and the control group" was supported (t=2.15, p=.046). The third hypothesis, "There will be a difference in scores for compassion fatigue between the experimental group and the control group" was not supported.
  
  
  CONCLUSIONS
  The first program for emergency nurses to overcome compassion fatigue in Korea was effective in increasing emergency nurses' compassion satisfaction and decreasing salivary cortisol level in the experimental group. Therefore, this program for overcoming compassion fatigue is useful to increase emergency nurses' compassion satisfaction. However replication studies of short-term intensive program reflecting emergency nurses' opinion are needed.
authors.affiliation: Department of Nursing, Suseong College, Daegu, Korea.
authors.forename: Yeong Ah
authors.initials: YA
authors.lastname: Kim
authors.affiliation: College of Nursing, Keimyung University, Daegu, Korea. jsp544@gw.kmu.ac.kr.
authors.forename: Jeong Sook
authors.initials: JS
authors.lastname: Park
mesh_terms: D000328:Adult; D002055:Burnout, Professional; D000068376:Compassion Fatigue / Q000517:prevention & control*; D004532:Ego; D004636:Emergency Service, Hospital; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000032:analysis; D008297:Male; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010549:Personal Satisfaction; D016730:Program Development; D015397:Program Evaluation; D011788:Quality of Life; D055500:Resilience, Psychological; D012463:Saliva / Q000378:metabolism; D012648:Self Care; D012944:Social Support; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D006854:Hydrocortisone
keywords: Compassion fatigue; Cortisol; Nurses; Psychological resilience; Stress