Compassion Fatigue and the Emergency Department

Published: 10 September 2020| Version 1 | DOI: 10.17632/khy77hf3yt.1
Alexandra Myers, Ashleigh Boyd


The purpose of this quality improvement project was to identify and reduce the level of CF in ED nurses by implementing Real Time Transformative Response© (RTR).  RTR© is a technique that uses combinations of neurofeedback response awareness, biofield therapy intervention, and clearing of unwanted energy. A sample of ED nurses working 24-hours or more weekly at a moderately-sized, suburban, Midwestern hospital ED completed a Professional Quality of Life Scale (ProQOL 5; version 5) before and after three-months of RTR© training. Results 34 ED nurses (N=34) completed RTR© training and ProQOL 5 surveys. The overall mean score for the pre-RTR© training survey was 107 (sd =1.1385), and the post-RTR© training survey was 106.613 (sd =1.1677) (t =1.6924, df =66, p =0.0476). Mean scores pre-and post-RTR© training: compassion satisfaction was 3.59 (sd = 0.9521) increased to 3.95 (sd = 0.7766) (t = 1.997, df = 66, p = 0.000), burnout was 2.71 (sd = 1.1501) decreased to 2.36 (sd = 0.9120) (t = 1.997, df = 66, p = 0.000), and secondary traumatic stress was 2.45 (sd = 1.0002) decreased to 2.25 (sd = 0.9143) (t = 1.997, df = 66, p = 0.0017). The study appeared to have successfully achieved the aim of this study by decreasing the overall CF by 10.17% in three months. The data detailed has the potential to be reused to support the development of alternative techniques to reduce compassion fatigue of bedside clinicians.



Nursing, Mind-Body Technique, Cognitive Neuroscience, Educational Neuroscience, Emergency Nursing, Burnout