Impact of Accelerated Recovery Program on Compassion Fatigue among Nurses in South India

Hemanathan Rajeswari, Bhaskara Kurup Sreelekha, Seran Nappinai, Udathu Subrahmanyam, Vaidyanathan Rajeswari


Background: Nurses suffer from Compassion Fatigue (CF) when exposed to chronic stress while caring for patients. Depression and anxiety disorders can develop following CF and intervention at the earliest is essential. The present study aimed to evaluate the effectiveness of the Accelerated Recovery Program (ARP) on CF among nurses.

Materials and Methods: The present experimental study was carried out with a pretest posttest design and control group among 120 nurses working in Narayana Medical College Hospital, India. The nurses selected through simple random sampling were divided into two groups: intervention and control (every 60 nurses). Data were collected using the Professional Quality of Life Scale: Compassion Satisfaction and Fatigue Version 5 (ProQOL) (Stamm, 2010) which consists of the three subscales of Compassion Satisfaction (CS), Burnout (BO), and Secondary Traumatic Stress (STS). The pretest was conducted at day 1, and posttests I, II, III, IV, and V were conducted at 5th week, 3rd month, 6th month, 9th month, and 12th month, respectively using ProQOL. ARP and routine care were implemented for 5 weeks in the intervention group, and routine activities were implemented in the control group. Data were analyzed using descriptive and inferential statistics.

Results: There was a statistically significant difference in the ProQOL score between the intervention and control groups, which demonstrated a significant difference between the groups in terms of CS (F1,118 =120.10, p < 0.001), BO (F1,118 =123., p < 0.001), and STS (F1,118 =205.18, p < 0.001).

Conclusion: In conclusion, ARP has a significant impact on ProQOL, resulting in an improvement in CS, and a decrease in BO and STS.


Burnout, compassion fatigue, nurses, psychological

Full Text:



Lombardo B, Eyre C. Compassion fatigue: A nurse’s primer. Online J Issues Nurs 2011;16:1-3.

Yılmaz G, Ustun B. Professional quality of life in nurses: Compassion satisfaction and compassion fatigue. J Psychiatric Nurs 2018;9:205-11.

Figley CR, Lovre C, Figley KR. Compassion Fatigue, Vulnerability, and Resilience and in Practitioners Working with Traumatized Children. Post Traumatic Syndromes in Childhood and Adolescence: A Handbook of Research and Practice. London: Wiley Blackwell; 2011. p. 1-17.

Sacco TL, Ciurzynski SM, Harvey ME, Ingersoll GL. Compassion satisfaction and compassion fatigue among critical care nurses. Crit Care Nurse 2015;35:32-42.

Figley CR. Florida State University Traumatology Institute, Tallahassee, Florida. 2013. Available from: [Last accessed on 2019 Apr 10].

Beckstrand J, Yanchus N, Osatuke K. Only one burnout estimator is consistently associated with health care providers’ perceptions

of job demand and resource problems. Psychology 2017;7:7.

Abendroth M, Flannery J. Predicting the risk of compassion fatigue: A study of hospice nurses. J Hosp Palliat Nurs 2006;8:346-56.

Lee HF, Yen M. Nurse Burn out in Taiwan. J Nursing and Women’s Healthcare 2017;2.

Sean O’Mahony, James I Gerhart, Johanna Grosse, Ira Abrams, Mitchell M Levy. Posttraumatic stress symptoms in palliative care professionals seeking mindfulness training: Prevalence and vulnerability. Palliat Med 2015;30:189-92.

Melvin CS. Professional compassion fatigue: What is the true cost of nurses caring for the dying? Int J Palliat Nurs 2012;18:606-11.

Kelly D, Kutney Lee A, Lake ET, Aiken LH. The critical care work environment and nurse reported health care associated infections. Am J Crit Care 2013;22:482-8.

Nolte AG, Downing C, Temane A, Hastings Tolsma M. Compassion fatigue in nurses: A meta synthesis. J Clin Nurs 2017;26:4364-78.

Smart D, English A, James J, Wilson M, Daratha KB, Childers B, et al. Compassion fatigue and satisfaction: A cross sectional survey among US healthcare workers. Nurs Health Sci 2014;16:3 10.

Stamm BH. The Concise ProQOL Manual. 2nd ed. Sidran Press: Pocatello; 2010. p. 1-55.

Baranowsky AB, Eric Gentry J. CFST Treatment Manual. 5th ed. Canada: Traumatology Institute; 2010: p. 1 91. Available from [Last accessed on 2013 Jan 02].

Baranowsky AB, Eric Gentry J. CFST Client Manual. 4th ed. Canada: Traumatology Institute, 2010. p. 1 63. Available from: [Last accessed on 2013 Jan 02].

Scarlet J, Altmeyer N, Knier S, Harpin RE. The effects of compassion cultivation training (CCT) on healthcare workers. Clin Psychol 2017;21:116-24.

Patel DK, Mr. Suresh V. Effectiveness of guided imageryon burnout syndrome among staff nurses working in DhirajGeneral Hospital at Piparia, Vadodara. Int J Nurs Educ Res 2016;4:764-5.

Bazarko D, Cate RA, Azocar F, Kreitzer MJ. The impact of an innovative mindfulness based stress reduction program on the health and well being of nurses employed in a corporate setting. J Workplace Behav Health 2013;28:107-33.

Flarity K, Gentry JE, Mesnikoff N. The effectivenessof an educational program on preventing and treatingcompassion fatigue in emergency nurses. Adv Emerg Nurs J 2013;35:247-58.

Potter P, Deshields T, Berger JA, Clarke M, Olsen S, Chen L. Evaluation of a compassion fatigue resiliency program for oncology nurses. Oncol Nurs Forum 2013;40:180-7.

National Hospice and Palliative Care Organization. Hospice action network. 2015. Available from: [Last accessed on 2019 Feb 15]


  • There are currently no refbacks.