Examining the Prevalence of Compassion Fatigue and Burnout in Radiation Therapists Caring for Palliative Cancer Patients.

OBJECTIVE: Radiation therapists (RTs) play an important role in caring for patients undergoing radiotherapy for palliative intent. RTs are in a primary position to provide emotional support to their patients and, as a result, compassion fatigue (CF) and burnout can develop. The purpose of this study was to investigate the prevalence of CF and burnout in RTs providing care to palliative cancer patients, the various intrinsic and extrinsic factors that influence how RTs provide care to this specific patient population, and to determine if RTs feel supported through education and resources.

METHODS: RTs at a single radiation therapy centre who have direct patient contact comprising greater than 50% of their clinical practice were invited to complete a self-administered electronic questionnaire. The questionnaire consisted of demographic questions; the Professional Quality of Life Compassion Satisfaction and Fatigue Questionnaire to assess for CF and burnout; and additional questions to assess possible factors affecting CF and burnout among subgroups. Descriptive statistics were used for data analysis.

RESULTS: A total of 42 survey responses were received resulting in a 32% response rate. Responses indicated RTs have a high level of compassion satisfaction and low burnout and secondary traumatic stress. However, it was observed that lack of resources to assist dying patients and their family members as well as a fast-paced work environment and the need for education to support staff in coping with CF and burnout were potential stressors.

CONCLUSION: This study found that RTs do not experience above average levels of CF and burnout. However, intrinsic factors such as high patient load, a fast-paced clinical environment, and patients' age had the most impact emotionally on staff providing care to this specific patient population.