Compassion Satisfaction,Compassion Fatigue,and Burnout: A Replication Study with Victim Advocates

Abstract

Past research has investigated the rates of compassion satisfaction (CS), compassion fatigue (CF), and burnout within health-care providers. Findings indicate higher levels of CS and lower levels of CF predict lower rates of burnout. The current study extended prior research by replicating past research findings, but with victim advocates. This study enrolled a national sample of 142 victim advocates. A hierarchal linear regression was run to test the research questions. In level 1, years of experience was not significant and only accounted for 1.1% of the variance in burnout. When adding CS, the model became significant (p?<?.001) and CS accounted for an additional 51.8% of the variance. When CF was added to the final model, it was significant (p?<?.001), and accounted for an additional 19.3% of the variance. When comparing the findings to past studies, our findings were similar; however, our study did find that CS and CF accounted for significantly more variance than past studies with health-care providers. Therefore, CS and CF might be greater predictors of burnout in victim advocates than in health-care providers. Future studies should aim to create interventions to increase CS and decrease CF, to reduce burnout.     

Children’s Disclosure of Sexual Abuse: A Systematic Review of Qualitative Research Exploring Barriers and Facilitators

This study evaluates and synthesizes qualitative evidence addressing factors affecting a child’s decision to disclose an experience of sexual abuse. Childhood sexual abuse is a devastating crime, with long-term negative impacts. Understanding the factors that affect a child’s decision to disclose is vital. Disclosure enables access to support and protection, both therapeutically and legally. A systematic review was conducted focusing on factors affecting a child’s decision to disclose an experience of sexual abuse. Seven studies were identified, quality appraisal undertaken, and meta-ethnography used to synthesize the studies. Six new super-ordinate themes were developed: Fear of what will happen; Others’ reactions: fear of disbelief; Emotions and impact of the abuse; An opportunity to tell; Concern for self and others; and Feelings toward the abuser. Themes indicated the importance of support, structure, and opportunity to facilitate disclosure and should be utilized by agencies to develop practices that facilitate disclosures.     

Multiparous women's confidence to have a publicly-funded homebirth: a qualitative study

Background

Hospital birth is commonly thought to be a safer option than homebirth, despite many studies showing similar rates of safety for low risk mothers and babies when cared for by qualified midwives with systems of back-up in place. Recently in Australia, demand has led to the introduction of a small number of publicly-funded homebirth programs. Women's confidence in having a homebirth through a publicly-funded homebirth program in Australia has not yet been explored.

Aim

The aim of the study was to explore the reasons why multiparous women feel confident to have a homebirth within a publicly-funded model of care in Australia.

Methods

Ten multiparous English-speaking women who chose to have a homebirth with the St George Hospital Homebirth Program were interviewed in the postnatal period using semi-structured, open-ended questions. Interviews were transcribed, then a thematic analysis was undertaken.

Results

Women, having already experienced a normal birth, demonstrated a strong confidence in their ability to give birth at home and described a confidence in their bodies, their midwives, and the health system. Women weighed up the risks of homebirth through information they gathered and integration with their previous experience of birth, their family support and self-confidence.

Discussion

Women choosing publicly-funded homebirth display strong confidence in both themselves to give birth at home, and their belief in the health system's ability to cope with any complications that may arise.

Implications for practice

Many women may benefit from access to publicly-funded homebirth models of care. This should be further investigated.     

Is Asian ethnicity an independent risk factor for severe perineal trauma in childbirth? A systematic review of the literature

ObjectiveTo undertake a systematic review of the literature to determine whether Asian ethnicity is an independent risk factor for severe perineal trauma in childbirth.MethodOvid Medline, CINAHL, and Cochrane databases published in English were used to identify appropriate research articles from 2000 to 2010, using relevant terms in a variety of combinations. All articles included in this systematic review were assessed using the Critical Appraisal Skills Programme (CASP) ‘making sense of evidence’ tools.FindingsAsian ethnicity does not appear to be a risk factor for severe perineal trauma for women living in Asia. In contrast, studies conducted in some Western countries have identified Asian ethnicity as a risk factor for severe perineal trauma. It is unknown why (in some situations) Asian women are more vulnerable to this birth complication. The lack of an international standard definition for the term Asian further undermines clarification of this issue. Nevertheless, there is an urgent need to explore why Asian women are reported to be significantly at risk for severe perineal trauma in some Western countries.ConclusionCurrent research on this topic is confusing and conflicting. Further research is urgently required to explore why Asian women are at risk for severe perineal trauma in some birth settings.     

Muslim Political Activism or Political Activism by Muslims? Secular and Religious Identities Amongst Muslim Arab Activists in the United States and United Kingdom

Scholarship on Muslim political mobilisation in the West has developed as an important counterpoint to public discourse, which has tended to cast Muslims as a threat to social cohesion, liberal democracy, and national security. But even as scholarly literature has shed light on civic participation among Muslims, it has sidelined the diversity of political identities and values that motivate them. Most, if not all, Muslims in the West find their identities politicised in some way, but the question of whether this leads to a consensus amongst Muslims about the role of religion in public life often remains unexamined. In this article we draw on interviews with seventy-eight activists in Britain and the United States who are both Muslim and Arab to complicate ideas about the political mobilisation of Muslims in the West. Respondents, we show, are far from unified in their views on religion as a basis for political action and mobilisation. Some are keen to place Islam squarely in mainstream political spaces; most, however, are insistent that Islam should remain a private faith and identity and that political mobilisation should take place under the aegis of Arabness or other ‘secular’ identities. Using theoretical perspectives on the public sphere, we explain the complexity of our respondents' political identities and activism. Our overall aim is to broaden perspectives on the ways in which people from Muslim backgrounds participate in public, political life in Western contexts.     

The surprisingly weak evidence base for supervision: Findings from a systematic review of research in child welfare practice (2000–2012)

Objective

The objective of this study is to ascertain what is known about the effectiveness and cost-effectiveness of supervision in child welfare in relation to outcomes for consumers/service users, staff and organizations.

Method

This is a systematic review of the English language literature (2000–2012). Scoping study is followed by database searches of indexes and abstracts including Campbell Collaboration, CINAHL, the Cochrane Library, Medline, PsycInfo and Social Work Abstracts, journal hosts (EBSCO and IngentaConnect) plus specialist journals. Inclusion criteria: studies that reported on the associations between the provision of supervision and outcomes for service users/consumers, workers and organizations as well as intervention studies. Potentially relevant studies were independently screened by two reviewers (Stage 1) and if meeting the eligibility criteria proceed to full text review and data extraction (Stage 2). Studies were subject to critical appraisal by three reviewers using the Weight of Evidence approach (Stage 3). An analysis of included study characteristics is followed by a narrative synthesis of findings structured to answer the research objective.

Results

690 unique studies were identified at Stage 1, 35 proceeded to Stage 2 and, following quality appraisal, 21 were included in the review. Almost all of the studies were cross-sectional, providing evidence of associations between the provision of supervision and a variety of outcomes for workers, including job satisfaction, self-efficacy and stress and for organizations, including workload management, case analysis and retention. There was only one, poorly reported, intervention study and no studies of outcomes for consumers. No economic evaluations were found.

Conclusions

The evidence base for the effectiveness of supervision in child welfare is surprisingly weak. An agenda for research based on a framework for the development and evaluation of complex interventions is proposed.     

Social Work Students' Pre-placement Anxiety: An International Comparison

This paper compares the degree and nature of anxiety experienced by American and Israeli social work students as they anticipate beginning field placement. Despite having greater prior exposure to social work through relevant coursework and experience, American students were significantly more anxious than Israeli ones. Overall, Americans reported a slightly higher sense of preparedness, but this difference was not statistically significant. While there were some shared worries, notably regarding the quantity and quality of field instruction, and their capacity to meet both field and academic obligations, specific concerns regarding field agencies, clients, and social work education differed between the groups, likely reflecting the distinct social, cultural, historical and educational contexts. Implications for social work education and future research are discussed.