{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T11:07:50Z","timestamp":1790420870539,"version":"4.1.0"},"reference-count":52,"publisher":"Cambridge University Press (CUP)","issue":"03","license":[{"start":{"date-parts":[[2018,2,5]],"date-time":"2018-02-05T00:00:00Z","timestamp":1517788800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1478951517001237_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Compassion fatigue (CF) is secondary traumatic distress experienced by providers from contact with patients' suffering. Burnout (BO) is job-related distress resulting from uncontrollable workplace factors that manifest in career dissatisfaction. Compassion satisfaction (CS) is emotional fulfillment derived from caring for others. The literature on BO in healthcare providers is extensive, whereas CF and CS have not been comprehensively studied. Because of ongoing exposure to patient and family distress, pediatric palliative care (PPC) providers may be at particular risk for CF. We conducted a cross-sectional pilot study of CF, BO, and CS among PPC providers across the United States.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951517001237_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>The Compassion Fatigue and Satisfaction Self-Test for Helpers and a questionnaire of professional and personal characteristics were distributed electronically and anonymously to PPC physicians and nurses. Logistic and linear regression models for CF, BO, and CS as a function of potential risk factors were constructed.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951517001237_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The survey response rate was 39%, primarily consisting of female, Caucasian providers. The prevalence of CF, BO, and CS was 18%, 12%, and 25%, respectively. Distress about a \u201cclinical situation,\u201d physical exhaustion, and personal loss were identified as significant determinants of CF. Distress about \u201ccoworkers,\u201d emotional depletion, social isolation, and \u201crecent involvement in a clinical situation in which life-prolonging activities were not introduced\u201d were significant determinants of BO. Physical exhaustion, personal history of trauma, \u201crecent involvement in a clinical situation in which life-prolonging activities were not introduced,\u201d and not discussing distressing issues were significant predictors of lower CS scores.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951517001237_sec_a4\"><jats:title>Significance of results<\/jats:title><jats:p>CF and BO directly influence the well-being and professional performance of PPC providers. To provide effective compassionate care to patients, PPC providers must be attentive to predictors of these phenomena. Further work is needed to explore additional causes of CF, BO, and CS in PPC providers as well as potential interventions.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1478951517001237","type":"journal-article","created":{"date-parts":[[2018,2,4]],"date-time":"2018-02-04T19:50:09Z","timestamp":1517773809000},"page":"269-275","source":"Crossref","is-referenced-by-count":75,"title":["A cross-sectional pilot study of compassion fatigue, burnout, and compassion satisfaction in pediatric palliative care providers in the United States"],"prefix":"10.1017","volume":"17","author":[{"given":"Samuel M.","family":"Kase","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisha D.","family":"Waldman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea 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