'MUHS RESEARCH - Final - 1-1

RESEARCH PROBLEM
PRESENTATION
Presented by
Ms.Reshma S R
1st Year M.Sc.(N)
P. D. Hinduja College of Nursing
INTRODUCTION
• There are occurrences of Emotional , Physical and Spiritual exhaustion from
witnessing and absorbing the problems and suffering of others ( Perry,2010,Sabo
2011).
• The current situation has generated a range of stressors that could negatively impact
nurses and other health workers ( Jackson et al., 2020; Usher, Durkin, & Bhullar,
2020).
• Critical care Nurses may be particularly affected by severe emotional distress which
has been associated with the development of Empathy fatigue (EF) and/or burnout
(Alharbi, Jackson, & Usher, 2020).

A study was done to investigate
collaboration between relatives of frail
elderly patients and nurses in acute
hospital wards, and to develop and test an
instrument to investigate, from the relatives’
perspective, dimensions of collaboration in
this context and the association between
collaboration and satisfaction with the
hospital care trajectory.
-Tove Lindhardt
University of Copenhagen Herlev Hospital-
2017
Empathy
Empathetic concern Empathy fatigue

( Compassion) ( Empathic distress)
-Other- related emotion -Self related emotion

• Positive feelings • Negative feelings
(e.g. Love) (e.g. Stress)
• Good health • Poor health
• Approach • Burn out
• Social motivation • Withdrawal
• Non-social behaviour
RESEARCH QUESTION
What is the Prevalence and Factors contributing to
Empathy fatigue among Nurses working in Critical
care Units?
TITLE OF THE STUDY
Identify Prevalence & Factors contributing to Empathy fatigue
(EF) among Nurses working in Critical Care units with a view to
develop “Empathy Resiliency” module

PROBLEM STATEMENT
A Descriptive study to Identify Prevalence and Factors contributing to
“Empathy Fatigue” among Nurses working in Critical Care units of
selected hospitals from a Metropolitan city with a view to develop an
“Empathy Resiliency” module.

OBJECTIVES
PRIMARY :
To identify the prevalence and factors contributing to Empathy fatigue
among nurses working in Critical care units.
SECONDARY:
To develop “Empathy Resiliency "module.

OPERATIONAL DEFINITIONS
Empathy fatigue:
Empathy fatigue is a state of psychological, emotional, mental, physical,
spiritual, and occupational exhaustion that occurs as the nurses are
continually revisited by the clients’ life stories of chronic illness, disability,
trauma, grief, and loss
Factors contributing to empathy fatigue:
 Patient related ( Demographic & clinical)
 Occupational setting related
 Professional related
 Family related
 Physical factors
 Cognitive-Behavioral factors
 Soci0-cultural factors
 Religious/ spiritual factors
Empathy Resiliency module:

Empathy Resiliency module is a group of evidence based actions to provide
optimal care and maintain empathy while providing Nursing care to
patients admitted in Critical care units
ETHICAL CONSIDERATION
 Consent will be obtained from the Ethical committee before conducting study.
 Written informed consent from every participant under study.
 Permission from concern authority will be obtained
 Privacy, confidentiality and anonymity of study participants will be maintained.

METHODOLOGY
Research Design- Descriptive Survey
Setting: COVID19 Critical Care Unit
Sample: Nurses Working in COVID19 Critical Care

Unit
Sample size- 160
Sampling Technique: Non probability Purposive

Sampling
Tool: Demographic Data / EFA tool
Data analysis – Descriptive & Inferential statistics
Communication of Research findings

INCLUSION AND EXCLUSION CRITERIA
Inclusion criteria Exclusion criteria
Nurses working in Critical Care Units for Nurses not willing to participate
more than 6months
Nurse who are willing to participate in Nurses with less than 1 year of experience
study
Nurses with diploma / Bachler's/post Part time working nurses
graduate degree
Nurses with minimum 1 year of clinical
experience
Nurses working full time in hospital
TOOL AND TECHNIQUE
• Section A- Demographic data
• Section B- Professional data
• Section C- Self reporting tool
• Section D - Factors causing empathy fatigue
EMPATHY FATIGUE ASSESSMENT TOOL
PLAN FOR DATA COLLECTION
 Duration of study- 6 weeks.
 Subjects will be collected according to inclusion criteria.
 Assessment of Demographic data and Professional profile of staff nurses
working in critical care units.
 Assessment of factors contributing to empathy fatigue by using Self
reporting tool with the help of Empathy fatigue assessment tool.
DATA ANALYSIS
Descriptive statistics:
Frequency and percentage to analyse sample characteristics
Inferential Statistics:
ANOVA & Chi-square test
EMPATHY FATIGUE RESILIENCY MODULE
 GLOBAL STRUCTURE OF THE MODULE
The Empathy Fatigue Opening:
Resiliency Module is based - Introducing the content and discuss the relevance.
on Dutch model called Orientation:
OPOE-model. The model -Present the subject of the current module and ask if the
participant can or like to share something about it.
stands for Orientation,
Presentation:
Presentation, Assignment -Present additional information about the subject of the
and Evaluation module.
-( Hoobrroeckx & Haak ,2002) Assignments:

- Letting participants perform assignments to practice the
learning materials.
Evaluation:
-End the module by evaluating it.
EMPATHY FATIGUE RESILIENCY MODULE
 The empathy fatigue module consists of 8 submodules.
 Module 1- Empathy in action
 Module 2- Nursing culture and empathy
 Module 3- Empathy fatigue assessment
 Module 4- Factors driving to empathy fatigue
 Module 5- Empathetic boundary setting
 Module 7- Professional wellness and Resilience strategies
 Module 8- Empathetic engagement with clients and other caregivers

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RESEARCH PROBLEM

Empathetic concern Empathy fatigue

-Other- related emotion -Self related emotion

What is the Prevalence and Factors contributing to

Empathy fatigue among Nurses working in Critical

Identify Prevalence & Factors contributing to Empathy fatigue

(EF) among Nurses working in Critical Care units with a view to

develop “Empathy Resiliency” module

A Descriptive study to Identify Prevalence and Factors contributing to

“Empathy Fatigue” among Nurses working in Critical Care units of

selected hospitals from a Metropolitan city with a view to develop an

“Empathy Resiliency” module.

To develop “Empathy Resiliency "module.

Empathy Resiliency module:

 Written informed consent from every participant under study.

 Permission from concern authority will be obtained

 Privacy, confidentiality and anonymity of study participants will be maintained.

Setting: COVID19 Critical Care Unit

Sample: Nurses Working in COVID19 Critical Care

Sample size- 160

Sampling Technique: Non probability Purposive

Tool: Demographic Data / EFA tool

Data analysis – Descriptive & Inferential statistics

Communication of Research findings

Frequency and percentage to analyse sample characteristics

-( Hoobrroeckx & Haak ,2002) Assignments:

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