Structural Factors Contributing to Compassion Fatigue, Burnout, and Secondary Traumatic Stress Among Hospital-Based Healthcare Professionals During the COVID-19 Pandemic

Author:

Chatham Ana A.1ORCID,Petruzzi Liana J.2,Patel Snehal23,Brode W. Michael23,Cook Rebecca23,Garza Brenda2,Garay Ricardo2,Mercer Tim23ORCID,Valdez Carmen R.12

Affiliation:

1. Steve Hicks School of Social Work at The University of Texas at Austin, Austin, TX, USA

2. Population Health Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA

3. Internal Medicine Department, Dell Medical School at the University of Texas at Austin, Austin, TX, USA

Abstract

High levels of burnout among healthcare providers (HCPs) have been a widely documented phenomenon, which have been exacerbated during the COVID-19 pandemic. In the United States, qualitative studies that are inclusive of HCPs in diverse professional roles have been limited. Therefore, we utilized a qualitative–quantitative design to examine professional quality of life in terms of compassion fatigue, burnout, and secondary traumatic stress among hospital-based HCPs, including social workers, hospitalists, residents, and palliative care team members during COVID-19. HCPs ( n = 26) participated in virtual semi-structured focus groups or individual interviews and online surveys ( n = 30) including the Professional Quality of Life (ProQOL) Scale. While ProQOL scores indicated low levels of compassion fatigue, burnout, and secondary traumatic stress, thematic analysis of our qualitative data included rich descriptions of compassion fatigue, burnout, and secondary traumatic stress. Safety concerns and value misalignment characterized structural stressors perceived to contribute to HCP compassion fatigue, burnout, and secondary traumatic stress. The discrepancy between our qualitative and quantitative findings may be indication that modifications to current screenings are warranted. These findings also suggest a need to identify and implement structural and policy changes that increase HCPs’ physical and emotional safety and promote better alignment of institutional interests with HCP values.

Funder

Texas Mutual

Michael and Susan Dell Foundation

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

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