BACKGROUND Hospice workers are required to regularly use emotional regulation strategies in an attempt to encourage and sustain terminally ill patients and families. Daily emotional regulation in reaction to constantly watching suffering patients may be intensified among those hospice professionals who have high levels of compassion fatigue. The main object of this study was to examine the relationship between daily exposition to seeing patient suffering and daily emotional work, and to assess whether compassion fatigue (secondary traumatic stress and burnout) buffers this relationship. METHODS We used a diary research design for collecting daily fluctuations in seeing patients suffering and emotional work display. Participants filled in a general survey and daily survey over a period of eight consecutive workdays. A total of 39 hospice professionals from two Italian hospices participated in the study. RESULTS Multilevel analyses demonstrated that daily fluctuations in seeing patients suffering was positively related to daily emotional work display after controlling for daily death of patients. Moreover, considering previous levels of compassion fatigue, a buffering effect of high burnout on seeing patients suffering - daily emotional work display relationship was found. CONCLUSIONS A central finding of our study is that fluctuations in daily witness of patients suffering are positively related to daily use of positive emotional regulations. Further, our results show that burnout buffers this relationship such that hospice professionals with high burnout use more emotional display in days where they recurrently witness patients suffering.

中文翻译：

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临终关怀专业人员中的同情疲劳，观看患者痛苦和情绪显示规则：每日日记研究。

背景技术需要临终关怀工作者定期使用情绪调节策略，以鼓励和维持绝症患者和家庭。在那些具有高度同情心疲劳感的临终关怀专业人士中，对不断观察受苦患者的反应的日常情绪调节可能会加强。这项研究的主要目的是检查日常接触患者的痛苦与日常情感工作之间的关系，并评估同情疲劳（继发性创伤压力和倦怠）是否能缓解这种关系。方法我们使用日记研究设计来收集每天的波动情况，以观察患者的痛苦和情感工作表现。参加者在八个连续的工作日内完成了常规调查和每日调查。来自两个意大利临终关怀医院的总共39名临终关怀专业人员参加了这项研究。结果多级分析表明，在控制患者的每日死亡后，看到患者患病的每日波动与日常情绪工作表现呈正相关。此外，考虑到先前的同情疲劳水平，发现高倦怠对看到患者的痛苦有缓冲作用-日常的情感工作显示关系。结论我们研究的主要发现是，患病患者的每日见证人的波动与每天使用积极的情绪调节成正相关。此外，我们的研究结果表明，倦怠会缓冲这种关系，从而使倦怠程度高的临终关怀专业人士在经常目睹患者痛苦的日子中使用更多的情感展示。