206.4: Compassion fatigue, moral distress, and burnout among organ donation coordinators in Canada: Results from a national mixed-methods study.
Notice bibliographique
Résumé
Canadian Donation and Transplantation Research Program - ARDOT. Introduction: Organ and tissue donation coordinators (coordinators) play a critical role in organ donation from approaching families about donation to organizing surgical procedures. However, due to the emotionally challenging and stressful scenarios faced daily, coordinators are commonly affected by work-related issues (e.g., burnout and compassion fatigue). The incidence of work-related issues among coordinators can lead to increased turnover and decreased quality of deceased organ donation processes. Still, little is known about the incidence of work-related issues among coordinators in Canada. Therefore, our aim was to explore the incidence and potential causes of work-related issues among coordinators in Canada to inform the development of future solutions. Methods: Mixed-methods explanatory sequential design using a cross-sectional survey and qualitative descriptive individual interviews. We invited all (n=175) coordinators working in Canadian Organ Donation organizations to participate in our study. Quantitative data were analyzed using descriptive and inferential statistics (SPSS software) and qualitative data were analyzed using a thematic analysis approach (NVIVO). Results: 120 coordinators (70% response rate) responded to the survey: 81% were women; 98% were registered nurses and 70% had seriously considered leaving the job at some point in their career. Coordinators presented moderate to high levels of burnout; high levels of moral distress; high compassion satisfaction and secondary traumatic stress; and low resilience levels. Qualitative data mostly supported the quantitative results, but surprisingly, coordinators felt that burnout is part of the role, and contradicting the quantitative findings, that they are very resilient. In addition, coordinators reported as sources of stress the need for structured training and increased organizational support. Conclusion: This is the first study on a large scale that measured work-related issues among coordinators. Canadian coordinators are highly impacted by the stressors and emotional aspects of their job. The results of this work are informing the development of interventions and supportive measures by our research team to help improve the work-related well-being of those professionals, which will consequently reduce turnover rates and increase the quality of deceased organ donation. We thank all Organ Donation Organizations and the Organ Donation Coordinators for participating in this study. We also thank the funders CHAMO Innovation Grant and Canadian Blood Services.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,007 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,003 | 0,004 |
| Études des sciences et des technologies | 0,007 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».