Compassion Fatigue in Oncology Nurse Navigation: Identification and Prevention

  • Emily Gentry
  • Lillie D. Shockney


One of the great challenges in caregiving is how to care without giving up your ability to control the deep emotions that always accompany patient care activities. For oncology nurses, caregiving carries with it the near certainty that a portion of the patients being shepherded through the healthcare system will not get well. Lay on top of this an ever-growing patient load and increasingly complex healthcare system, and it is not surprising that these stress points have a cumulative effect, compassion fatigue. Oncology nurse navigators practice in an environment that is sometimes isolated from the traditional support structures available within the hospital and/or oncology setting. Navigators address patient barriers to care that are complex in nature and many times unable to be easily resolved. The nontraditional oncology nursing role combined with the stress of providing patient care increases the likelihood for nurse navigators to experience compassion fatigue. In this chapter, readers will learn more about the roots of compassion fatigue, its symptoms, and strategies to identify it early on so that solutions outlined here can be applied proactively by the individual navigator and their leaders.


  1. 1.
    Figley CR. Renewing spirits: lessons from thirty years of trauma work, invited keynote address to the William Wendt Center for Loss and Health Conference on Illness, Grief & Trauma, Washington, DC, October 6, 2001.Google Scholar
  2. 2.
    Beaton RD, Murphy SA. Working with people in crisis: research implications. In: Figley CR, editor. Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel; 1995. p. 51–81.Google Scholar
  3. 3.
    Kleiner S, Wallace JE. Oncologist burnout and compassion fatigue: investigating time pressure at work as a predictor and the mediating role of work-family conflict. BMC Health Services Research. Published online, September 11, 2017.Google Scholar
  4. 4.
    The American Institute of Stress. Online resource.
  5. 5.
    Potter P, Deshields T, Divanbeigi J, Berger J, Cipriano D, Norris L, Olsen S. Compassion fatigue and burnout: prevalence among oncology nurses. Clin J Oncol Nurs. 2010;14(5):E56–62.CrossRefGoogle Scholar
  6. 6.
    Aycock N, Boyle D. Interventions to manage compassion fatigue in oncology nursing. Clin J Oncol Nurs. 2009;13:183.CrossRefGoogle Scholar
  7. 7.
    Collins J. Normalizing feelings of grief & loss in oncology nurses. Oncol Issues. 2017;July–August:26–31.CrossRefGoogle Scholar
  8. 8.
    Shockney LD. Preventing burnout and compassion fatigue among providers caring for patients with metastatic cancer. In: Fulfilling hope: supporting the needs of patients with advanced cancers. Nova Science Pub; 2014. p. 143–51.Google Scholar
  9. 9.
    Allen KM, Blascovich J, Tomaka J, Kelsey RM. Presence of human friends and pet dogs as moderators of autonomic responses to stress in women. J Pers Soc Psychol. 1991;61(4):582–9.CrossRefGoogle Scholar
  10. 10.
    Cooke KJ, Patt DA, Prabhu RS. The road of mentorship. American Society of Clinical Oncology Meeting Presentation. 2017.Google Scholar
  11. 11.
    Wentzel D. Integrative review of facility interventions to manage compassion fatigue. Oncol Nurs Forum Online Article; 2017 May.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Sarah Cannon Cancer Institute at Medical City HealthcareIrvingUSA
  2. 2.Johns Hopkins University School of MedicineBaltimoreUSA

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