Compassion Fatigue and Resident Spirituality Are They Related

Compassion Fatigue and Resident Spirituality: Are They Related? Lisa Zak-Hunter Ph. D, LMFT Tara Neil MD Jessica Jarvis MD Emily Manlove MD

Disclosures • None

Introduction • ¼ FM residents report high burn-out or depersonalization. • Of family medicine physicians, 70% felt they were religious and 58% used it to help with coping. • Residents in primary care with poorer spiritual well-being have poorer overall health ratings when controlling for mood. • VCFMR has a significant number of residents with strong religious beliefs that influence care.

Project Description Pre-post survey design • Pre: Online survey completed 2 x (early and mid academic year) • Intervention: Group meetings (6, 1 hr sessions) • Post: Online survey will be completed after the intervention is complete.

Research Questions • Do our residents experience burn-out, low compassion satisfaction, or secondary trauma? • Are there differences in compassion satisfaction, burnout, and secondary trauma based on faith practice? • Do our residents experience different levels of burnout, low compassion satisfaction, or secondary trauma at different times of the academic year?

Methods: Measures • Professional Quality of Life Scale (Pro. QOL 5) – Subscales • Secondary Trauma • Burn-out • Spirituality Questions – My faith/spirituality influences my approach to patient care. – My faith/spirituality helps protect against compassion fatigue. – I participate in faith-based or spiritual practices (e. g. prayer, meditation, services).

Methods: Participants Time 1 (n=58) Early Academic Year Time 2 (n=34) Mid Academic Year Time 3 Post-Group % Female 44. 8 41. 2 TBD % PGY 1 20. 7 11. 8 TBD % PGY 2 32. 8 20. 6 TBD % PGY 3 13. 8 20. 6 TBD % Faculty 32. 8 47. 1 TBD Age (m & SD) 33. 02 (9. 14) 34 (8. 71) TBD

Results: Pre-survey (overall) 45, 0000 Raw Level Score 40, 0000 <22 35, 0000 Low 22 -41 Average 30, 0000 >42 25, 0000 High Time 1 Time 2 20, 0000 15, 0000 10, 0000 5, 0000 0, 0000 Compassion Satisfaction Burnout Secondary Trauma

Results: Pre-survey My Faith Influences My Approach to Patient Care Category Time 1 Time 2 Compassion Satisfaction Non sig Burn Out Positive Association Non sig Secondary Trauma Non sig Positive Association

Results: Pre-survey My Faith/Spirituality Helps Protect Against Compassion Fatigue Category Time 1 Time 2 Compassion Satisfaction Non sig Positive Association Burn Out Positive Association Secondary Trauma Non sig Positive Association

Results: Pre-survey I Participate in Faith Based or Spiritual Practice Category Time 1 Time 2 Compassion Satisfaction Non sig Burn Out Non sig Positive Association Secondary Trauma Non sig Positive Association

Discussion • Overall, our residents report low levels of burn out and trauma. • Faith does play a role in patient care. – Positive or negative? • ‘Servant leaders’, ‘heart for service’

References • Lebensohn P, Dodds S, Benn R, Brooks AJ, Birch, Cook P, et al. Resident wellness behaviors: Relationship to stress, depression, and burnout. Family Medicine. 2013; 45(8): 541 -549. • Farr CA, Lantos JD, Roach BS, Sellergren MA, Marshall CH. Religious characteristics of U. S. Physicians, A national survey. J Gen Intern Med. 2005; 629 -634. • Yi MS, Luckhaupt SE, Mrus JM, Mueller CV, Peterman, AH et al. Religion, spirituality, and depressive symptoms in primary care house officers. Ambulatory Pediatrics. 2006; 6: 84 -90. • Yi MS, Mrus JM, Mueller CV, Luckhaupt SE, Peterman AH, et al. Self-rated health of primary care house officers and its relationship to psychological and spiritual well-being. BMC Medical Education. 2007; 7: 9

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