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. 2018 Nov;66(6):576-585.
doi: 10.1016/j.outlook.2018.08.004. Epub 2018 Aug 29.

Negative Consequences of Providing Nursing Care in the Neonatal Intensive Care Unit

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Negative Consequences of Providing Nursing Care in the Neonatal Intensive Care Unit

Riko Sano et al. Nurs Outlook. 2018 Nov.

Abstract

Background: Compassion fatigue, secondary traumatic stress, and burnout are negative consequences of providing nursing care among nurses.

Purpose: This cross-sectional study examined a model of negative consequences of providing nursing care (i.e., compassion fatigue, secondary traumatic stress, and burnout) in the Neonatal Intensive Care Unit.

Methods: Data were collected from 174 registered nurses in the level III and IV NICUs in a Midwestern state. Moderated mediation analysis was conducted.

Findings: Self-compassion mediated the relationship between strength of the nurse-infant/family relationship and the negative consequences only when the nurse-physician-collegiality was high. There was no such relationship when the level was low.

Discussion: The study findings support the model of a mechanism for the development of negative consequences, involving self-compassion and nurse-physician collegiality.

Conclusions: The findings may be applied to development of interventions to address negative consequences in nurses and help nursing administrators reduce staff nurses' negative consequences.

Keywords: burnout; compassion fatigue; moderated mediation; neonatal intensive care unit; secondary traumatic stress.

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