Skip to main content
Top
Published in: BMC Health Services Research 1/2017

Open Access 01-12-2017 | Research article

How are compassion fatigue, burnout, and compassion satisfaction affected by quality of working life? Findings from a survey of mental health staff in Italy

Authors: Gaia Cetrano, Federico Tedeschi, Laura Rabbi, Giorgio Gosetti, Antonio Lora, Dario Lamonaca, Jill Manthorpe, Francesco Amaddeo

Published in: BMC Health Services Research | Issue 1/2017

Login to get access

Abstract

Background

Quality of working life includes elements such as autonomy, trust, ergonomics, participation, job complexity, and work-life balance. The overarching aim of this study was to investigate if and how quality of working life affects Compassion Fatigue, Burnout, and Compassion Satisfaction among mental health practitioners.

Methods

Staff working in three Italian Mental Health Departments completed the Professional Quality of Life Scale, measuring Compassion Fatigue, Burnout, and Compassion Satisfaction, and the Quality of Working Life Questionnaire. The latter was used to collect socio-demographics, occupational characteristics and 13 indicators of quality of working life. Multiple regressions controlling for other variables were undertaken to predict Compassion Fatigue, Burnout, and Compassion Satisfaction.

Results

Four hundred questionnaires were completed. In bivariate analyses, experiencing more ergonomic problems, perceiving risks for the future, a higher impact of work on life, and lower levels of trust and of perceived quality of meetings were associated with poorer outcomes. Multivariate analysis showed that (a) ergonomic problems and impact of work on life predicted higher levels of both Compassion Fatigue and Burnout; (b) impact of life on work was associated with Compassion Fatigue and lower levels of trust and perceiving more risks for the future with Burnout only; (c) perceived quality of meetings, need of training, and perceiving no risks for the future predicted higher levels of Compassion Satisfaction.

Conclusions

In order to provide adequate mental health services, service providers need to give their employees adequate ergonomic conditions, giving special attention to time pressures. Building trustful relationships with management and within the teams is also crucial. Training and meetings are other important targets for potential improvement. Additionally, insecurity about the future should be addressed as it can affect both Burnout and Compassion Satisfaction. Finally, strategies to reduce possible work-life conflicts need to be considered.
Literature
1.
go back to reference Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15(2):103–11.CrossRefPubMedPubMedCentral Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15(2):103–11.CrossRefPubMedPubMedCentral
2.
go back to reference Figley CR. Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner Mazel; 1995. Figley CR. Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner Mazel; 1995.
3.
go back to reference Figley CR. Compassion fatigue: psychotherapists’ chronic lack of self-care. J Clin Psychol. 2002;58:1433–41.CrossRefPubMed Figley CR. Compassion fatigue: psychotherapists’ chronic lack of self-care. J Clin Psychol. 2002;58:1433–41.CrossRefPubMed
4.
go back to reference Dutton MA, Rubinstein FL. Working with people with PTSD: research implications. In: Figley CR, editor. Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel; 1995. p. 82–100. Dutton MA, Rubinstein FL. Working with people with PTSD: research implications. In: Figley CR, editor. Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel; 1995. p. 82–100.
5.
go back to reference Stamm BH, editor. Secondary traumatic stress: self-care issues for clinicians, researchers, and educators. 2nd ed. Lutherville: Sidran; 1999. Stamm BH, editor. Secondary traumatic stress: self-care issues for clinicians, researchers, and educators. 2nd ed. Lutherville: Sidran; 1999.
6.
go back to reference McCann IL, Pearlmann LA. Vicarious traumatization: a framework for understanding the psychological effects of working with victims. J Trauma Stress. 1990b;3:131–49.CrossRef McCann IL, Pearlmann LA. Vicarious traumatization: a framework for understanding the psychological effects of working with victims. J Trauma Stress. 1990b;3:131–49.CrossRef
7.
go back to reference Figley CR. Treating compassion fatigue. New York: Brunner-Routledge; 2002. Figley CR. Treating compassion fatigue. New York: Brunner-Routledge; 2002.
8.
go back to reference Stamm BH. Measuring compassion satisfaction as well as fatigue: developmental history of the compassion fatigue and satisfaction test. In: Figley CR, editor. Treating compassion fatigue. New York: Brunner-Routledge; 2002. p. 107–19. Stamm BH. Measuring compassion satisfaction as well as fatigue: developmental history of the compassion fatigue and satisfaction test. In: Figley CR, editor. Treating compassion fatigue. New York: Brunner-Routledge; 2002. p. 107–19.
9.
go back to reference Rossi A, Cetrano G, Pertile R, Rabbi L, Donisi V, Grigoletti L, Curtolo C, Tansella M, Thornicroft G, Amaddeo F. Burnout, compassion fatigue, and compassion satisfaction among staff in community-based mental health services. Psychiatry Res. 2012;200:933–8.CrossRefPubMed Rossi A, Cetrano G, Pertile R, Rabbi L, Donisi V, Grigoletti L, Curtolo C, Tansella M, Thornicroft G, Amaddeo F. Burnout, compassion fatigue, and compassion satisfaction among staff in community-based mental health services. Psychiatry Res. 2012;200:933–8.CrossRefPubMed
10.
go back to reference Pines AM, Aronson E. Career burnout: causes and cures. New York: Free Press; 1988. Pines AM, Aronson E. Career burnout: causes and cures. New York: Free Press; 1988.
11.
go back to reference Adams RE, Figley CR, Boscarino JA. The compassion fatigue scale: its use with social workers following urban disaster. Res Soc Work Pract. 2008;18:238–50.CrossRefPubMedPubMedCentral Adams RE, Figley CR, Boscarino JA. The compassion fatigue scale: its use with social workers following urban disaster. Res Soc Work Pract. 2008;18:238–50.CrossRefPubMedPubMedCentral
12.
go back to reference Bride BE, Radey M, Figley CR. Measuring compassion fatigue. Clin Soc Work J. 2007;35:155–63.CrossRef Bride BE, Radey M, Figley CR. Measuring compassion fatigue. Clin Soc Work J. 2007;35:155–63.CrossRef
13.
go back to reference Sprang G, Clark JJ, Whitt-Woosley A. Compassion fatigue, compassion satisfaction, and burnout: factors impacting a professional’s quality of life. J Loss Trauma. 2007;12:259–80.CrossRef Sprang G, Clark JJ, Whitt-Woosley A. Compassion fatigue, compassion satisfaction, and burnout: factors impacting a professional’s quality of life. J Loss Trauma. 2007;12:259–80.CrossRef
14.
go back to reference Abu-Bader SH. Work satisfaction, burnout, and turnover among social workers in Israel: a causal diagram. Int J Soc Welf. 2000;9:191–200.CrossRef Abu-Bader SH. Work satisfaction, burnout, and turnover among social workers in Israel: a causal diagram. Int J Soc Welf. 2000;9:191–200.CrossRef
15.
go back to reference Cicognani E, Pietrantoni L, Palestini L, Prati G. Emergency workers’ quality of life: the protective role of sense of community, efficacy beliefs and coping strategies. Soc Indic Res. 2009;94:449–63.CrossRef Cicognani E, Pietrantoni L, Palestini L, Prati G. Emergency workers’ quality of life: the protective role of sense of community, efficacy beliefs and coping strategies. Soc Indic Res. 2009;94:449–63.CrossRef
16.
go back to reference Chrestman KR. Secondary exposure to trauma and self-reported distress among therapists. In: Stamm BH, editor. Secondary traumatic stress: self-care issues for clinicians, researchers, and educators. Lutherville: Sidran Press; 1999. p. 29–36. Chrestman KR. Secondary exposure to trauma and self-reported distress among therapists. In: Stamm BH, editor. Secondary traumatic stress: self-care issues for clinicians, researchers, and educators. Lutherville: Sidran Press; 1999. p. 29–36.
17.
go back to reference Boscarino JA, Figley CR, Adams RE. Compassion fatigue following the September 11 terrorist attacks: a study of secondary trauma among New York social workers. Int J Emerg Ment Health. 2004;6:57–66.PubMedPubMedCentral Boscarino JA, Figley CR, Adams RE. Compassion fatigue following the September 11 terrorist attacks: a study of secondary trauma among New York social workers. Int J Emerg Ment Health. 2004;6:57–66.PubMedPubMedCentral
18.
go back to reference Cunningham M. Impact of trauma work on social work clinicians: empirical findings. Soc Work. 2003;48:451–9.CrossRefPubMed Cunningham M. Impact of trauma work on social work clinicians: empirical findings. Soc Work. 2003;48:451–9.CrossRefPubMed
19.
go back to reference Pearlman LA, MacIan P. Vicarious traumatization: an empirical study of the effects of trauma work on trauma therapists. Prof Psychol Res Pr. 1995;26:558–65.CrossRef Pearlman LA, MacIan P. Vicarious traumatization: an empirical study of the effects of trauma work on trauma therapists. Prof Psychol Res Pr. 1995;26:558–65.CrossRef
23.
go back to reference Gallino L. Informatica e qualità del lavoro. Torino: Einaudi; 1983. Italian Gallino L. Informatica e qualità del lavoro. Torino: Einaudi; 1983. Italian
24.
go back to reference La Rosa M. Qualità della vita e qualità del lavoro. Milano: Franco Angeli; 1983. Italian La Rosa M. Qualità della vita e qualità del lavoro. Milano: Franco Angeli; 1983. Italian
25.
go back to reference Gallie D, Gosetti G, La Rosa M. Qualità del lavoro e della vita lavorativa. Cosa è cambiato e cosa sta cambiando. Milano: Franco Angeli; 2012. Italian Gallie D, Gosetti G, La Rosa M. Qualità del lavoro e della vita lavorativa. Cosa è cambiato e cosa sta cambiando. Milano: Franco Angeli; 2012. Italian
26.
go back to reference Gosetti G. Lavoro frammentato, rischio diffuso. Lavoratori e prevenzione al tempo della flessibilità. Milano: Franco Angeli; 2012. Italian Gosetti G. Lavoro frammentato, rischio diffuso. Lavoratori e prevenzione al tempo della flessibilità. Milano: Franco Angeli; 2012. Italian
27.
28.
go back to reference Gosetti G. Lavorare nell’impresa artigiana. Cultura del lavoro e qualità della vita lavorativa. Milano: Franco Angeli; 2014. Italian Gosetti G. Lavorare nell’impresa artigiana. Cultura del lavoro e qualità della vita lavorativa. Milano: Franco Angeli; 2014. Italian
29.
go back to reference Gosetti G. Lavoratori dell’agricoltura: percorsi, culture, condizioni. Milano: Franco Angeli; 2017. Italian Gosetti G. Lavoratori dell’agricoltura: percorsi, culture, condizioni. Milano: Franco Angeli; 2017. Italian
30.
go back to reference Theil H. Principles of econometrics. New York: Wiley, Inc; 1971. Theil H. Principles of econometrics. New York: Wiley, Inc; 1971.
31.
go back to reference Gosetti G. Qualità della vita lavorativa nelle organizzazioni complesse: il caso dei servizi di salute mentale. Milano: Franco Angeli; 2016. Italian Gosetti G. Qualità della vita lavorativa nelle organizzazioni complesse: il caso dei servizi di salute mentale. Milano: Franco Angeli; 2016. Italian
32.
go back to reference Palestini L, Prati G, Pietrantoni L, Cicognani E. La qualità della vita professionale nel lavoro di soccorso. Un contributo alla validazione italiana della Professional Quality of Life Scale (ProQOL). Psicoterapia Cognitiva e Comportamentale. 2009;15:205–27. Italian Palestini L, Prati G, Pietrantoni L, Cicognani E. La qualità della vita professionale nel lavoro di soccorso. Un contributo alla validazione italiana della Professional Quality of Life Scale (ProQOL). Psicoterapia Cognitiva e Comportamentale. 2009;15:205–27. Italian
33.
go back to reference Galiana L, Arena F, Oliver A, Sansó N, Benito E. Compassion satisfaction, compassion fatigue, and burnout in Spain and Brazil: ProQOL validation and cross-cultural diagnosis. J Pain Symptom Manage. 2017;53:598–604. Galiana L, Arena F, Oliver A, Sansó N, Benito E. Compassion satisfaction, compassion fatigue, and burnout in Spain and Brazil: ProQOL validation and cross-cultural diagnosis. J Pain Symptom Manage. 2017;53:598–604.
34.
go back to reference Stamm BH. The ProQOL manual: the professional quality of life scale: compassion satisfaction, burnout and compassion fatigue/secondary trauma scales. Baltimore: Sidran Press; 2005. Stamm BH. The ProQOL manual: the professional quality of life scale: compassion satisfaction, burnout and compassion fatigue/secondary trauma scales. Baltimore: Sidran Press; 2005.
35.
go back to reference Huisman JME. Item nonresponse: occurrence, causes, and imputation of missing answers to test items. Leiden: DSWO Press; 1999. Huisman JME. Item nonresponse: occurrence, causes, and imputation of missing answers to test items. Leiden: DSWO Press; 1999.
36.
go back to reference Furnival GM, Wilson RW Jr. Regressions by leaps and bounds. Technometrics. 1974;16:499–511.CrossRef Furnival GM, Wilson RW Jr. Regressions by leaps and bounds. Technometrics. 1974;16:499–511.CrossRef
37.
38.
go back to reference StataCorp. Stata statistical software: release 14. College Station: StataCorp LP; 2015. StataCorp. Stata statistical software: release 14. College Station: StataCorp LP; 2015.
39.
go back to reference Hesse AR. Secondary trauma: how working with trauma survivors affects therapists. Clin Soc Work J. 2002;30:293–309.CrossRef Hesse AR. Secondary trauma: how working with trauma survivors affects therapists. Clin Soc Work J. 2002;30:293–309.CrossRef
41.
go back to reference Colichi RMB, Bocchi SCM, Lima SAM, Popim RC. Interactions between quality of life at work and family: integrative review. Int Arch Med. 2016;9:1–17. Colichi RMB, Bocchi SCM, Lima SAM, Popim RC. Interactions between quality of life at work and family: integrative review. Int Arch Med. 2016;9:1–17.
42.
go back to reference Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G. Perceived sources of work stress and satisfaction among hospital and community mental health staff and their relation to mental health, burnout and job satisfaction. J Psychosom Res. 1997;43:51–9.CrossRefPubMed Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G. Perceived sources of work stress and satisfaction among hospital and community mental health staff and their relation to mental health, burnout and job satisfaction. J Psychosom Res. 1997;43:51–9.CrossRefPubMed
43.
go back to reference Galeazzi GM, Delmonte S, Fakhoury W, Priebe S. Morale of mental health professionals in community mental health services of a northern Italian province. Epidemiol Psichiatr Soc. 2004;13:191–7.CrossRefPubMed Galeazzi GM, Delmonte S, Fakhoury W, Priebe S. Morale of mental health professionals in community mental health services of a northern Italian province. Epidemiol Psichiatr Soc. 2004;13:191–7.CrossRefPubMed
44.
go back to reference Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nurs Scholarsh. 2015;47:186–94.CrossRefPubMed Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nurs Scholarsh. 2015;47:186–94.CrossRefPubMed
45.
go back to reference Gosetti G, La Rosa M. The quality of work and the European economic crisis – the theme and the time: an introduction. Int Rev Sociol. 2014;24:197–206.CrossRef Gosetti G, La Rosa M. The quality of work and the European economic crisis – the theme and the time: an introduction. Int Rev Sociol. 2014;24:197–206.CrossRef
46.
go back to reference Radey M, Figley CR. The social psychology of compassion. Clin Soc Work J. 2007;35:207–14.CrossRef Radey M, Figley CR. The social psychology of compassion. Clin Soc Work J. 2007;35:207–14.CrossRef
47.
go back to reference Zeidner M, Hadar D, Matthews G, Roberts RD. Personal factors related to compassion fatigue in health professionals. Anxiety Stress Coping. 2013;26:595–609.CrossRefPubMed Zeidner M, Hadar D, Matthews G, Roberts RD. Personal factors related to compassion fatigue in health professionals. Anxiety Stress Coping. 2013;26:595–609.CrossRefPubMed
48.
go back to reference Montero-Marin J, Prado-Abril J, Piva-Demarzo MM, Gascon S, García-Campayo J. Coping with stress and types of burnout: explanatory power of different coping strategies. PLoS One. 2014;9:e89090.CrossRefPubMedPubMedCentral Montero-Marin J, Prado-Abril J, Piva-Demarzo MM, Gascon S, García-Campayo J. Coping with stress and types of burnout: explanatory power of different coping strategies. PLoS One. 2014;9:e89090.CrossRefPubMedPubMedCentral
Metadata
Title
How are compassion fatigue, burnout, and compassion satisfaction affected by quality of working life? Findings from a survey of mental health staff in Italy
Authors
Gaia Cetrano
Federico Tedeschi
Laura Rabbi
Giorgio Gosetti
Antonio Lora
Dario Lamonaca
Jill Manthorpe
Francesco Amaddeo
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-017-2726-x

Other articles of this Issue 1/2017

BMC Health Services Research 1/2017 Go to the issue