Objectives

Oncology health professionals experience high levels of burnout and compassion fatigue, affecting their health and the care they provide. This study aimed to establish whether present-centered awareness and attention (a component of mindfulness) is uniquely associated with burnout and compassion fatigue in oncology professionals.

Methods

An international sample of oncology professionals (n = 118) completed an online questionnaire with validated measures of present-centered awareness and attention, empathy, compassion fatigue, and burnout. Hierarchical multiple regressions were used to model relations among the independent variable (present-centered awareness and attention) and the criterion variables of burnout (disengagement, exhaustion) and compassion fatigue (compassion satisfaction, compassion burnout, secondary traumatic stress) after statistically controlling for empathy, age, gender, years of experience, and patient contact hours.

Results

Mean hours of patient contact per week was 23.52 (SD = 13.62), with 26 (22.03%) reporting 40 h or more. Higher hours of patient contact per week were positively associated with secondary traumatic stress. Present-centered awareness and attention was associated with lower disengagement, lower emotional exhaustion, higher compassion satisfaction, lower secondary traumatic stress, and lower compassion burnout. In each model, present-centered awareness accounted for unique variance after controlling for age, gender, years of experience, patient contact hours per week, and empathy scores. The amount of unique variance accounted for by present-centered awareness ranged from 4 to 10%.

Conclusions

Oncology professionals reporting higher levels of present-centered awareness and attention reported higher compassion satisfaction and lower secondary traumatic stress, compassion burnout, exhaustion, and disengagement. Promoting present-centered awareness may be a mechanism that contributes to less burnout in oncology professionals.

中文翻译：

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肿瘤学卫生专业人员以现在为中心的意识与注意力、倦怠和同情疲劳之间的关系

目标

肿瘤健康专业人员经历了高度的倦怠和同情疲劳，影响了他们的健康和他们提供的护理。本研究旨在确定以现在为中心的意识和注意力（正念的一个组成部分）是否与肿瘤学专业人员的倦怠和同情疲劳唯一相关。

方法

一个国际肿瘤学专业人员样本 ( n  = 118) 完成了一份在线问卷调查，其中包含以当前为中心的意识和注意力、同理心、同情疲劳和倦怠的经过验证的测量。在统计控制同理心后，分层多元回归用于模拟自变量（以现在为中心的意识和注意力）与倦怠（脱离接触、疲惫）和同情疲劳（同情满意度、同情倦怠、继发性创伤压力）的标准变量之间的关系、年龄、性别、经验年限和患者接触时间。

结果

每周与患者接触的平均小时数为 23.52 (SD = 13.62)，其中 26 (22.03%) 人报告了 40 小时或更长时间。每周更多的患者接触时间与继发性创伤应激呈正相关。以当下为中心的意识和注意力与较低的脱离接触、较低的情绪耗竭、较高的同情心满意度、较低的继发性创伤压力和较低的同情心倦怠相关。在每个模型中，在控制了年龄、性别、经验年限、每周患者接触时间和同理心得分后，以现在为中心的意识解释了独特的差异。以现在为中心的意识所解释的独特差异量在 4% 到 10% 之间。

结论

报告更高水平的以现在为中心的意识和注意力的肿瘤学专业人员报告了更高的同情心满意度和较低的继发性创伤压力、同情心倦怠、疲惫和脱离接触。促进以现在为中心的意识可能是一种有助于减少肿瘤学专业人员倦怠的机制。