Vinayak Dev, Tony Fernando, & Nathan Consedine WHY BOTHER? - PowerPoint PPT Presentation

Vinayak Dev, Tony Fernando, & Nathan Consedine

WHY BOTHER?  Compassion is ‘a cornerstone for quality healthcare’  Predicts greater work-related pleasure – ‘compassion satisfaction’  For patients, compassion predicts:  lower anxiety  better relationships  greater healthcare satisfaction  improved recovery  greater responsibility and control

THE DEVELOPMENTAL QUESTION  If compassion fatigue results from the “draining” of care, then why:  is compassion fatigue lower in older physicians and nurses?  do younger clinicians report greater burnout and lower satisfaction?  Practically, we can wonder:  whether such differences are reflected in barriers to compassion?  what younger carers can learn from more experienced carers

AN INITIAL STUDY

STUDY METHODS OUTLINE  Participants: 1,700 health professionals (and trainees)  Samples to date:  801 nurses  383 medical students  516 New Zealand doctors  378 Filipino doctors (not included in the published manuscript)  Procedure: Online surveys, convenience sampling in NZ and the Philippines  Measures:  Predictors: Training/profession  Confounds: Demographics, work characteristics, burnout  Outcomes: Barriers to compassion

UNIVARIATE CORRELATIONS Greater experience = Greater workload BUT lower burnout and lower barriers to compassion Students have lower workload than nurses and physicians, BUT generally report greater barriers

COMPARISONS (STUDENTS VS PHYSICIANS) Physicians Medical Students [VALUE]0 3.75 Medical students reported 3.36 [VALUE]0 3.11 2.99 greater scores than 2.83 Means 2.54 experienced physicians across ALL barriers BURNOUT-RELATED ENVIRONMENTAL PATIENT AND FAMILY- CLINICAL RELATED Barriers to Compassion

Relative to more experienced physicians, medical students reported greater burnout-related, environmental, and clinical barriers to compassion, but NOT patient and family-related barriers.

RELATIONS BETWEEN EXPERIENCE & BARRIERS Pearson’s r Correlations Between 0.22 0.21 0.19 Experience and Barriers Overall, greater experience was 0.11 associated with lower barriers across all -0.07 -0.03 professional samples – i.e., NZ and -0.10 Filipino doctors, and nurses. -0.20 -0.21 -0.21 -0.24 -0.25 -0.27 -0.30 BUT, in medical students, experience was -0.33 Burnout-related -0.39 associated with greater barriers. Environmental Patient and family-related Clinical NZ DOCTORS FILIPINO DOCTORS NURSES MEDICAL STUDENTS Barriers to Compassion

KEY FINDINGS/INTERPRETATIONS  Barriers to compassion generally lower with greater clinical experience  Effect evident in multiple samples  Possible explanations (thus far): 1. Attrition, retirement, differential job change – ‘the mean doctors leave’ 2. Cohort effects – ‘carers trained in different times “work” differently’ 3. Professional and individual development – ‘something changes over time’ a) A seniority effect? Greater autonomy? b) Less prone to judgement? An “I’ve-seen-worse” effect? c) Developmental changes in emotion regulation?

THAT’S ALL FROM ME; BUT:

THANK YOU! You can follow our work in this area (and us) on Twitter:  Vinayak (Vinny) Dev  Twitter handle: @vinayakdev_  Antonio (Tony) Fernando III  Twitter handle: @tonyfernando3rd  Nathan Consedine  Twitter handle: @nathanconsedine

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