Date of Conferral



Doctor of Nursing Practice (DNP)




Dr. Allison Terry, PhD


Health care complexities have limited the understanding of nursing care and have jeopardized the "soft skills" or foundation of caring as the art of nursing. Hospice nurses provide a deeper, more spiritual and complex type of care for critically ill and end-of-life (EOL) patients, which place them at a high risk for compassion fatigue. Using Reed's middle range theory of self-transcendence, the purpose of this project was to examine the relationship between compassion fatigue and self-transcendence among inpatient hospice nurses. A descriptive, correlational research methodology guided this inquiry surveying a convenience sample of 42 inpatient hospice nurses at 4 hospice locations. The Professional Quality of Life Scale assessment and Reed's Self-Transcendence Scale were used to survey inpatient hospice nurses. According to study results, although self-transcendence was not significantly associated with fatigue, there was a positive correlation between self- transcendence and compassion satisfaction and between affect and self-transcendence. This study leads to positive social change by providing hospice nurses strategies on how to cope with grief and trauma experienced on-the-job, leading to improved hospice care.

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Nursing Commons