Lying Down in the Ever-Falling Snow: Canadian Health Professionalsâ Experience of Compassion Fatigue

First used to describe the weariness the public felt toward media portrayals of societal crises, the term compassion fatigue has been taken up by health professionals to name-along with burnout, vicarious traumatization, compassion stress, and secondary traumatic stress-the condition of caregivers who become "too tired to care." Compassion, long seen as the foundation of ethical caring, is increasingly understood as a threat to the well-being of those who offer it. Through the lens of hermeneutic phenomenology, the authors present an insider's perspective on compassion fatigue, its effects on the body, on the experience of time and space, and on personal and professional relationships. Accounts of health professionals, alongside examinations of poetry, images, movies, and literature, are used to explore the notions of compassion, hope, and hopelessness as they inform the meaning of caring work. The authors frame their exposé of compassion fatigue with the very Canadian metaphor of "lying down in the snow." If suffering is imagined as ever-falling snow, then the need for training and resources for safe journeying in "winter country" becomes apparent. Recognizing the phenomenon of compassion fatigue reveals the role that health services education and the moral habitability of our healthcare environments play in supporting professionals' ability to act compassionately and to endure.

About the Author :
The authors are Wendy Austin , Canada Research Chair (Relational Ethics), E. Sharon Brintnell , Erika Goble , Leon Kagan , Linda Kreitzer , and Brendan Leier . Scholars and/or clinicians situated primarily at the University of Alberta (Kreitzer, University of Calgary), they form an interdisciplinary group (anthropology, medicine, nursing, occupational therapy, philosophy, psychology, and social work) with a deep interest in ethical, compassionate health care and the well-being of those who provide it. Linda Kreitzer is an associate professor in the Faculty of Social Work, Central and Northern Alberta Region, for the University of Calgary. She has an extensive background in researching and teaching social work in Britain, Ghana, Armenia, and Canada, and in a Liberian refugee camp. Her experience with Ghana began while teaching social work at the University of Ghana through the British NGO Voluntary Services Overseas in 1994. Her resulting questions about the relevancy of utilizing a western-style social work curriculum in an African country led to research for her doctoral thesis and subsequently to this book.