Results: Nurses had low to average compassion satisfaction, burnout and secondary stress syndrome.

Better coping strategies were associated with higher compassion satisfaction and lower levels of secondary stress syndrome.

Nurses from the surgical cardiovascular ICU scored the highest mean scores on the secondary stress syndrome.

Vicarious trauma, also known as secondary stress, was a significant contributor, though hard to measure, the survey authors said.

But the thought of the king and his villainies stings him into rage again, and the rhythm slowly rises on three secondary stresses-