Andriani DA, et al.
Belitung Nursing Journal.
2017 October.
:577-584
Received: 31 July 2017 | Revised: 3 August 2017 | Accepted: 2 September 2017 http://belitungraya.
org/BRP/index.
php/bnj/ A 2017 The Author.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.
International License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ORIGINAL RESEARCH
ISSN: 2477-4073
FACTORS RELATED TO NURSEAoS COMPASSION SATISFACTION.
BURNOUT.
AND SECONDARY TRAUMATIC STRESS IN PEDIATRIC CARE UNIT RSUP DR.
SARDJITO YOGYAKARTA
Dwi Aprilina Andriani1*.
Anik Rustiyaningsih2.
Fitri Haryanti2 Master Program in Nursing.
Faculty of Medicine.
Universitas Gadjah Mada.
Indonesia Department of Child and Maternity Nursing.
Faculty of Medicine.
Universitas Gadjah Mada.
Indonesia *Corresponding author:
Dwi Aprilina Andriani Student at Master Program in Nursing.
Faculty of Medicine.
Universitas Gadjah Mada Jl.
Farmako.
Senolowo.
Sekip Utara.
Kec.
Depok.
Kabupaten Sleman.
Daerah Istimewa Yogyakarta 55281.
Indonesia.
E-mail: dwiaprilinaa@gmail.
ABSTRACT
Background: Pediatric nurses are susceptive with stress related to their work.
It happens because they take care children who experience the disease and emotional and psychological pressure, so it can make the risk of negative symptoms related with compassion satisfaction, burnout, secondary traumatic stress.
Compassion satisfaction, burnout, secondary traumatic stress has an impact not only for them, but also for the quality of Objective: To identify related factors to nurseAos compassion satisfaction, burnout, and secondary traumatic stress in pediatric care unit.
Methods: This study was a descriptive analytic study with cross sectional design.
The sample of this study was 107 pediatric nurses of RSUP Dr.
Sardjito Yogyakarta Indonesia.
The sampling techniques used proportional random sampling.
The data were collected from February-March 2017 using the professional quality of life questionnaire fifth version.
The data were analyzed using Chi-square.
Mann-Whitney, and ordinal regression.
Results: 44.
9% nurses had a moderate compassion satisfaction, 52.
3% nurses had a moderate burnout, and 43% had a moderate secondary traumatic stress.
The work unit had p <0.
05 and value 0.
945, indicated that the work unit had a significant correlation to the secondary traumatic stress.
Age, work position, sex, marital status, interpersonal relationships with colleagues and supervisor, pay satisfaction, and average working hours had p > 05, which indicated that these factors had no correlation to compassion satisfaction, burnout, secondary traumatic stress.
Conclusion: The work unit was the only related factor to the nurseAos secondary traumatic stress in the pediatric care unit and there were no factors related to compassion satisfaction and burnout.
Keywords: compassion satisfaction, burnout, secondary traumatic stress, pediatric nurse, work unit Belitung Nursing Journal .
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September-October 2017
INTRODUCTION
Professional quality of life is quality of one's feelings related to their work as a good helper.
Positive aspect of professional quality of life is called compassion satisfaction (CS) and negative aspect is called compassion fatigue (CF), which includes burnout (BO) and secondary traumatic stress (STS).
The picture of professional quality of life on nurses can be seen by assessing aspects of professional quality of life is CS.
BO, and STS.
Nurses in pediatric care unit are at high risk for STS and BO compared to nurses in internal medicine unit and in surgical 2 Study of 239 pediatric nurses in five hospitals in state of America showed 6% of pediatric care nurses felt high levels of CS, 29.
3% of pediatric care nurses had high BO levels and 27.
nurses had STS.
Nurses who provide care to children are at risk for CF because of their routine exposure to traumatic aspects of childhood illness or death, medical treatment or errors, as well as the family's emotional response to childhood illness.
Pediatric nurses often receives pressure from parents due to emotional burden of family, causing a sense of stress on pediatric nurse.
Factors affecting CS.
BO, and STS include personal factors .
ge, gender, marital status, length of work, job positio.
and institutional factors .
ork units, average hours of work in the day, satisfaction on salary, and relationships with coworkers and employers in the Compassion satisfaction, burnout, and secondary traumatic stress experienced by nurses have an impact not only on their own, but will also have an impact on gave the quality of care.
8 The purpose of this research is to know the factors related to CS.
BO, and STS to nurse in the pediatric care unit.
METHODS
Design The study design was descriptive and analytic with cross-sectional design conducted in pediatric care unit of RSUP Dr.
Sardjito Yogyakarta.
Indonesia for 12 days during February-March 2017.
Independent variables included age, gender, marital status, length of work, job interpersonal relationships with coworkers, interpersonal relationships with supervisors, work units, average hours of work in a day.
Dependent variable was CS.
BO, and STS.
Study hypothesis was age, sex, marital status, length of work, job position, satisfaction of salary, interpersonal relationship with colleagues, interpersonal relationship with supervisor, work unit, average hours of work in a day had significant relationship with CS.
BO, and STS.
Sample The number of samples was 107 nurses selected by proportional random sampling Inclusion criteria were nurses who were willing to be respondents and worked in the unit at the time of study lasting at least 3 months.
Exclusion criteria were nursing staff or not working full-time in the current work unit in the Belitung Nursing Journal .
Volume 3.
Issue 5.
September-October 2017 last 1 month of study time and nurses who were currently continuing education.
researcher or research assistant.
The data collection process took approximately 15 minutes for each respondent.
Measurement This study used a questionnaire of respondents data covering age, gender, marital status, work period, job position, satisfaction of salary, interpersonal relationship with co-worker, interpersonal relationship with supervisor, work unit, average hours of work in a day and professional quality of life questionnaire version 5, which has been translated into Indonesian language.
Professional quality of life questionnaire has a Cronbach alpha value of 0.
882 for CS, 0.
798 for BO, and 809 for STS.
Data Analysis Chi-square test was used to determine the relationship between age, length of work, colleagues, interpersonal relationship with supervisor, satisfaction of salary, work unit, and average working hours with CS.
BO.
STS.
Mann-Whitney test was used to determine the relationship of gender, marital status, and job positions with CS.
BO, and STS.
Multivariate test of ordinal regression was used to know the Ethical Consideration This study has received the approval of the ethics committee of the Medical and Health Research Ethics Committee (MHREC) Faculty Medicine Universitas Gadjah Mada.
RSUP Dr.
Sardjito.
Respondents RESULTS The frequency distribution of research variables is described in Table 1- Table 3.
Table 1 Frequency distribution of nurses based on age, gender, marital status, length of work, and job position (N= .
Characteristic Age > 40 years old 18-40 years old Gender Woman Man Marital Status Married Single Length of work >10 years O10 years Job position Head Nurse Educator nurse General Nurse Frequency .
Percentage (%) Belitung Nursing Journal .
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September-October 2017 Table 2 Frequency distribution of nurses based on satisfaction of salary, interpersonal relationship with co-worker and supervisor, work unit and average hours of work (N =.
Characteristics Satisfaction of salary Satisfied Quite satisfied Less satisfied Interpersonal relationship with co-workers Good Average Bad Interpersonal relationship with supervisor Good Average Bad Work unit Inpatient room Intensive pediatric Intensive neonatal and perinatal Average hours of work in a day O8 hours >8 hours Frequency .
Percentage (%) Table 3 NurseAos compassion satisfaction, burnout, and secondary traumatic stress (N= .
Aspect Low .
score Ou .
STS Medium .
score 44-.
Tables 1 and 2 showed respondents were mostly aged 18-40 years .
%), female .
3%), married .
9%), length of work <10 years .
3%).
As a general nurse .
6%), quite satisfied for salary .
1%),
relationships with co-workers .
7%),
High .
score O .
and with supervisor .
3%), .
8%), and work on average more than 8 hours a day .
1%).
Table 3 shows majority of respondents perceived CS in medium level .
9%).
BO in medium level .
3%), and medium STS .
%).
Table 4 The results of chi-square test of factors related to the nurseAos CS.
BO, and STS (N=.
Variable Age >40 years 18-40 years High n(%) Medium n(%) Low n(%) .
Low n(%) Medium n(%) High n(%) .
Low n(%) STS Medium n(%) High n(%) .
Belitung Nursing Journal .
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September-October 2017 High n(%) Medium n(%) Low n(%) .
>8 hours .
*: Significant with p < 0.
Variable Work Period >10 years 0-10 years Satisfaction of Satisfaction Quite Less Satisfaction Low n(%) Medium n(%) High n(%) .
Low n(%) STS Medium n(%) High n(%) .
Interpersonal Relationship with co-workers Good Average Interpersonal Relationship with Supervisor Good Average Work Unit Inpatient Pediatric and Average hours of work O8 hours Table 5 Mann-Whitney test results of factors related with nurses CS.
BO, and STS (N=.
High n(%) Medium n(%) Low n(%) .
*: Significant with p<0.
Variable Gender Woman Man Marital status Married Single Job Position Head nurse Educator nurse General nurse Low n(%) Medium n(%) High n(%) .
Tables 4 and 5 show that a job position was associated with CS, age was associated with BO, and work units was associated with STS.
Besides, the Low n(%) STS Medium n(%) High n(%) .
variables included in the ordinal regression test with p <0.
25 as 6 factors on CS, 4 factors on the BO, and 2 factors on STS.
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IK 95% Variables Coefficient Wald Df p-value Min Max Age Gender Marital status Job position Work period Average hours of work Table 7 Multivariate analysis of factors related to the nurseAos burnout (N=.
IK 95% Variables Coefficient Wald Df p-value Min Max Age Gender Job position Work period Table 8 Multivariate analysis of factors related to the nurseAos secondary traumatic stress (N=.
CI 95% Pseudo R-square Variables Coefficient Wald Df p-value Min Max Age Work unit *Significant with p<0.
Tables 6 and 7 show that there were no factors related to the professional quality of life on CS and BO aspects, while table 8 shows that the work unit was the only factor related to the secondary traumatic stress with a coefficient of 0.
945 (Wald value > 3.
84, p <0.
DISCUSSION