Evidence map›Paper›PMID 26322644›Full record

SynthesisPloS one2015

The Prevalence of Compassion Fatigue and Burnout among Healthcare Professionals in Intensive Care Units: A Systematic Review.

Margo M C van Mol, Erwin J O Kompanje, Dominique D Benoit, Jan Bakker, Marjan D Nijkamp

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 213 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
213citing papers in PubMed, 11 pooled it
59.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

213 citing papers in PubMed, 11 syntheses or guidelines pooled it, 594 citations in OpenAlex.

  1. Pooled it
  2. The Effectiveness of Debriefing on the Mental Health of Rescue Teams: A Systematic Review.International journal of environmental research and public health · 2025
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  5. Determinants of Burnout among Teachers: A Systematic Review of Longitudinal Studies.International journal of environmental research and public health · 2022
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  14. Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.Journal of perinatology : official journal of the California Perinatal Association · 2021
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  20. Bolstering wellbeing and mitigating burnout in critical care: a mixed-methods exploration.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
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153 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Margo M C van MolDepartment of Intensive Care Adults, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Erwin J O KompanjeDepartment of Intensive Care Adults, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Dominique D BenoitDepartment of Intensive Care, Medical Unit Ghent University Hospital, Ghent, Belgium.
Jan BakkerDepartment of Intensive Care Adults, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Marjan D NijkampFaculty of Psychology and Educational Sciences, Open University of the Netherlands, Heerlen, The Netherlands.
Erasmus MC · NLGhent University Hospital · BEThe Open University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorking in the stressful environment of the Intensive Care Unit (ICU) is an emotionally charged challenge that might affect the emotional stability of medical staff. The quality of care for ICU patients and their relatives might be threatened through long-term absenteeism or a brain and skill drain if the healthcare professionals leave their jobs prematurely in order to preserve their own health. PURPOSE: The purpose of this review is to evaluate the literature related to emotional distress among healthcare professionals in the ICU, with an emphasis on the prevalence of burnout and compassion fatigue and the available preventive strategies.

methodsA systematic literature review was conducted, using Embase, Medline OvidSP, Cinahl, Web-of-science, PsychINFO, PubMed publisher, Cochrane and Google Scholar for articles published between 1992 and June, 2014. Studies reporting the prevalence of burnout, compassion fatigue, secondary traumatic stress and vicarious trauma in ICU healthcare professionals were included, as well as related intervention studies.

resultsForty of the 1623 identified publications, which included 14,770 respondents, met the selection criteria. Two studies reported the prevalence of compassion fatigue as 7.3% and 40%; five studies described the prevalence of secondary traumatic stress ranging from 0% to 38.5%. The reported prevalence of burnout in the ICU varied from 0% to 70.1%. A wide range of intervention strategies emerged from the recent literature search, such as different intensivist work schedules, educational programs on coping with emotional distress, improving communication skills, and relaxation methods.

conclusionsThe true prevalence of burnout, compassion fatigue, secondary traumatic stress and vicarious trauma in ICU healthcare professionals remains open for discussion. A thorough exploration of emotional distress in relation to communication skills, ethical rounds, and mindfulness might provide an appropriate starting point for the development of further preventive strategies.

Indexed as

Adaptation, PsychologicalAnxiety DisordersBurnout, ProfessionalCompassion FatigueCritical CareEmpathyHealth PersonnelHumansIntensive Care UnitsMindfulnessPrevalenceStress, PsychologicalSurveys and Questionnaires

Identifiers

PMID26322644
PMCPMC4554995
OpenAlexW1559366540

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.