Saudi Cultural Missions Theses & Dissertations
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Item Restricted Work Productivity among Australian Palliative Care Nurses during the COVID-19 Pandemic: The Role of Compassion Fatigue and Compassion Satisfaction(La Trobe University, 2024-07) Baqeas, Manal; Copnell, BevSimilar to their counterparts worldwide, Australian palliative care nurses played a significant role in responding to the COVID-19 pandemic and reported feeling overwhelmed. This research focused on the work productivity of palliative care nurses in Australia during the pandemic and associations between work productivity and professional quality of life, including compassion fatigue (CF), comprising burnout (BO) and secondary traumatic stress (STS), and compassion satisfaction (CS). A scoping review was first conducted on CF and CS among palliative care providers (nurses and other professionals). A correlational, cross-sectional research design was employed. Measures were collected in 2021 using an online survey with a sample of 208 nurses working in a range of palliative care settings. Participants demonstrated moderate levels of BO, STS, and CS. Work productivity was negatively associated with burnout but positively associated with CS and with STS in a nonlinear manner. Following identification of potential confounding variables and moderators of the relationships between work productivity and measures of professional quality of life, a regression model was developed to maximise the prediction of work productivity. As well as burnout, STS and CF, this model included nurses’ gender, work setting, and religiosity, and whether they had been diagnosed with COVID-19. During the pandemic, participants reported various challenges and difficulties. Fear of being infected contributed to the pressures they felt. However, they also acquired new skills, were given new responsibilities, implemented new work practices, and paid better attention to infection prevention. The work productivity of palliative care nurses can be enhanced by improving their professional quality of life. Evidence-based policy and practices are needed to address heavy workloads, staffing shortages, inadequate staff training, and risk of infection, along with improving leadership and providing better access to professional psychological support. Such changes would help optimise the quality of care provided for patients at end of life.7 0Item Restricted INTERVENTIONS BOOSTING OPTIMAL MENTAL HEALTH AMONG ADULTS(Saint Louis University, 2023) Hawsawi, Samah; Schneider, Joanne KraenzleOptimal mental health is defined as a state where an individual feels good, functions well, copes with stressors, and contributes to the world. It is significant to individuals because it determines how individuals face adversity and make informed decisions. It also allows individuals to lead fulfilling and meaningful lives. Yet, it is estimated that only 20% of adults have optimal mental health and 1 in 5 adults experience mental health conditions. These data indicate the significance of using interventions to boost optimal mental health among adults. Evidence has indicated that identifying interventions that promote mental health and prevent mental health conditions might be significant in boosting mental health. The literature reveals that flourishing is a promoter of good mental health because it cultivates positive characteristics that decrease the risk for mental conditions; and compassion fatigue is a challenging factor to mental health because it impairs individuals’ ability to deal with stressors. Therefore, the focus of this dissertation was to identify interventions that alleviate compassion fatigue symptoms and improve flourishing among adults. We conducted two meta-analyses to identify interventions that promote flourishing among adults. We coded data from prior studies including source, method, intervention, and participant characteristics. We analyzed data using the random-effects model and used Hedge’s g to estimate effect size. We examined publication bias and heterogeneity. We conducted a moderator analysis to examine the effects of moderator variables. In addition, to explore interventions that alleviate compassion fatigue, we conducted an integrative review using Whittemore and Knafl method and analyzed data using thematic analysis. Our results from three manuscripts revealed that physical activity and mindfulness interventions are two distinct approaches that offer pathways to flourishing and can alleviate compassion fatigue among adults, but they operate through distinct mechanisms and approaches. Through the moderator analysis, we identified some moderator variables that influenced the effect sizes including, the type of intervention and a priori power calculations. Overall, physical activity and mindfulness practices, while different, can complement each other in a holistic approach to enhancing overall mental health, which can be explored through future research.54 0