Lying Down in the Ever-Falling Snow: Canadian Health Professionals' Experience of Compassion Fatigue

Austin, W. E., Brintnell, S., Goble, E., Kagan, L., Kreitzer, L., Larsen, D. J., & Leier, B. (2013). Lying Down in the Ever-Falling Snow: Canadian Health Professionals Experience of Compassion Fatigue. Waterloo, ON: Wilfred Laurier University Press. ISBN 978-1-55458-888-6. 230 pagesReviewed by / Compte rendu par : David S. HartABSTRACTLying Down in the Ever-Falling Snow presents the results of phenomenological research conducted by 7 leading health care providers representing the range of caring professions. The various published definitions of compassion and compassion fatigue are discussed. Selections from research interviews with 25 volunteer health care providers about their felt of compassion fatigue are interwoven with the authors' interpretative insights within 1 of 4 themes: bodily temporal, spatial, and relational. The experience of hope and hopelessness are discussed, well the roles they play in compassion fatigue onset and recovery In the final chapters, the authors consider aspects of care for the suffering caregivers.RESUMEL'ouvrage intitule Lying Down in the Ever-Falling Snow presente les resultats d'une recherche phenomenologique menee par 7 chefs de file de la prestation de soins de sante representant toute la gamme des professions d'aide. On y traite des diverses definitions publiees de la compassion et de l'usure de compassion. Des extraits choisis d'entrevues de recherche menees aupres de 25 fournisseurs de soins de sante volontaires au sujet de leur « experience vecue » de l'usure de compassion sont integres aux comptes rendus interpretatifs des auteurs, en fonction de l'un des quatre aspects thematiques : l'aspect corporel, temporel, spatial, et relationnel. On discute de l'experience de l'espoir et du desespoir, ainsi que de leurs roles dans le declenchement et la guerison de l'usure de compassion. Dans les derniers chapitres, les auteurs analysent certains aspects des soins a l'intention des aidants qui souffrent.The authors of Lying Down in the Ever-Falling Snow set out to further the understanding of compassion fatigue through learning what it is like to experience the condition. They discuss the results of their phenomenological study of health professionals from a variety of aspects, with the intent to convey an account of the variety of compassion fatigue experiences that might otherwise be lost if reduced to numerical data or tidy verbal summaries. The first four chapters provide a discussion of compassion the ground of care, followed by a review of the various published understandings of compassion fatigue, then the authors' working definition of the concept. The central four chapters describe the results of their phenomenological study in which they interviewed 25 health care providers to acquire the descriptions of compassion fatigue as it is lived, which form the essential contribution of the book. The final two chapters discuss hope and hopelessness experiences significant for our deeper understanding of the experience of those suffering compassion fatigue, and contain the authors' reflections about avoiding compassion fatigue and caring for those who suffer from it.The seven authors formed an impressive interdisciplinary team: Wendy Austin, a registered nurse and professor who holds a Canada Research Chair in Relational Ethics in Health Care; Sharon Brintnell, an occupational therapist, professor, and current president of the World Federation of Occupational Therapists; Paul Byrne, an intensivist and director of the Dossetor Health Ethics Centre of the University of Alberta; Erika Goble, an anthropologist with experience in the arts and caring for persons with disabilities; Leon Kagan, psychiatrist and clinical professor; Linda Krietzer, social worker, professor, and author of Social Work in Africa; Denise Larsen, a chartered psychologist, professor, and director of research at the Hope Foundation of Alberta; and Brendan Leier, a philosopher and clinical ethicist. …

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