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Sullivan-Detheridge JH, Reifsnider E, Mengsteab M, Merie K, Staller J, Allen AM. Cross Cultural Empathetic Behavior in Health Care Providers: A Review of 3 Countries. J Prim Care Community Health 2024; 15:21501319241226765. [PMID: 38254300 PMCID: PMC10807346 DOI: 10.1177/21501319241226765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2023] [Revised: 11/24/2023] [Accepted: 12/30/2023] [Indexed: 01/24/2024] Open
Abstract
This paper examines empathetic behavior in the United States, a strongly individualistic country, as contrasted with Hungary and Ethiopia, which are moderately individualistic and strongly collectivistic respectively. It suggests that empathy may have a wider than originally perceived application in diverse settings to combat factors of ethnic bias and discrimination that adversely impact health. Models that distinctly focus on the development of healthcare provider empathic care are needed to enable the needs of resource scarce regions of the world to be met, including pockets of the U.S. More investigation is warranted on how empathic behavior can positively impact health outcomes and disparities.
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Birgili F, Uğurlu NB, Dincer NG, Yazkan G, Alaca Ç, Acar F. Validity and reliability evaluation of the Turkish version of the Clinical Interpersonal Reactivity Index. Int J Nurs Pract 2023:e13220. [PMID: 38044815 DOI: 10.1111/ijn.13220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 10/24/2023] [Accepted: 11/07/2023] [Indexed: 12/05/2023]
Abstract
AIM This study was conducted to evaluate the validity and reliability of the Turkish version of the Clinical Interpersonal Reactivity Index, an instrument to assess nurses' empathy. BACKGROUND A practical empathic approach is valuable for planning nursing interventions suitable for the patient's conditions and needs and increasing patient satisfaction. DESIGN This is a methodological study. METHODS The study was carried out at Muğla Sıtkı Koçman University Training and Research Hospital, recruiting a total of 358 nurses between January and February 2023. Exploratory and confirmatory factor analyses were used to determine and validate the factor structure of the Clinical Interpersonal Reactivity Index. RESULTS The exploratory factor analysis extracted three factors. According to the confirmatory factor analysis, all goodness of fit measures were within acceptable limits. Cronbach's α values were 0.89 for the total scale with 17 items and between 0.73 and 0.81 for the factors. In test-retest analyses, all intra-class correlation coefficients were higher than 0.7, and the correlations between the first and second applications of the scale were between 0.61 and 0.73. CONCLUSION The Turkish version of the Clinical Interpersonal Reactivity Index can be applied as a valid and reliable measurement tool to evaluate empathy in Turkish nurses.
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Affiliation(s)
- Fatma Birgili
- Department of Nursing Muğla, Health Sciences Faculty, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Nezihe Bulut Uğurlu
- Department of Nursing Muğla, Health Sciences Faculty, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Nevin Güler Dincer
- Department of Statistics, Faculty of Science, Muğla, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Güllü Yazkan
- Department of Nursing Muğla, Health Sciences Faculty, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Çiğdem Alaca
- Department of Nursing Muğla, Health Sciences Faculty, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Feyza Acar
- Department of Nursing Muğla, Health Sciences Faculty, Muğla Sıtkı Koçman University, Muğla, Turkey
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Topçu N, Akbolat M, Amarat M. The mediating role of empathy in the impact of compassion fatigue on burnout among nurses. J Res Nurs 2023; 28:485-495. [PMID: 38144971 PMCID: PMC10741259 DOI: 10.1177/17449871231177164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2023] Open
Abstract
Background The burnout levels of nurses, who have an important place in the delivery of health services, are increasing day by day. As the burnout levels of nurses increase, there may be undesirable situations such as compassion fatigue specific to them, their patients and their institutions. Purpose The aim of this study is to determine the effect of compassion fatigue seen in nurses on burnout and the mediating role of empathy in this effect. Methods The research was conducted on nurses working in three public hospitals operating in Sakarya, Turkey, between 2 January and 16 April 2019. Since the research was conducted in more than one hospital, the minimum number of participants was determined for each hospital using the stratified sampling method in the first stage. In the second stage, the participants were selected by convenience sampling method. Descriptive statistics, linear regression and process macro regression analysis were used to analyse the data. Results The results showed the effect of nurses' compassion fatigue on burnout and empathy (β = 0.673). In addition, empathy has a mediating role in the effect of compassion fatigue on burnout (β = 0.251). Conclusions/implications for practice Reducing the burnout levels of nurses, who have a very important place in the delivery of health services, is important for both themselves and patients. It is recommended that the results of this study, which may contribute to the development of the awareness of nurse managers, should be made with the ability to understand the symptoms of compassion fatigue and burnout, teaching coping methods and providing support by experts when necessary.
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Affiliation(s)
- Nihal Topçu
- Student, Department of Healthcare Management, Graduate School of Business, Sakarya University, Sakarya, Turkey
| | - Mahmut Akbolat
- Professor, Department of Healthcare Management, Business Faculty, Sakarya University, Sakarya, Turkey
| | - Mustafa Amarat
- Associate Professor, Department of Healthcare Management, Ordu University, Ordu, Turkey
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El-Messoudi Y, Lillo-Crespo M, Leyva-Moral J. Exploring the education in cultural competence and transcultural care in Spanish for nurses and future nurses: a scoping review and gap analysis. BMC Nurs 2023; 22:320. [PMID: 37716954 PMCID: PMC10504770 DOI: 10.1186/s12912-023-01483-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 09/05/2023] [Indexed: 09/18/2023] Open
Abstract
BACKGROUND Globalization and population migration have led to increasingly culturally diverse societies, which has made nursing education in cultural competence and transcultural care a priority. This includes the ability to provide person-centered and culturally congruent care, even within one's own culture. However, this sort of training has been developed and implemented in practice comparatively more by English-speaking societies. Therefore, the aim of this study was to identify the existing educational initiatives for nurses and future ones in cultural competence and transcultural care in Spanish and explore their didactic characteristics in terms of teaching and learning formats, contents, skills, and evaluation methods at different academic levels. METHODS A scoping review was carried out by following the specific PRISMA recommendations and those of the Joanna Briggs Institute guidance throughout PudMed, Web of Science, Embase, Google Scholar, and Cinahl databases and also gray literature in the form of official documentation that later was complemented with a gap analysis including training programs published by Spanish and Latin-American educational institutions and the approaches of key academic informants. RESULTS The published evidence on nursing training in cultural competence or related topics in Spanish-speaking higher education for nurses is limited. Specific nursing programs in Spanish-speaking universities are primarily found in Spain, with fewer options available in Latin America. These contents are offered either as optional subjects or immersed in other courses and mainly taught in theoretical sessions. Practice in real contexts is supposed to be evaluated transversally under the cultural scope according to national educational recommendations though barely visible in students' evaluation reports. Even though postgraduate training dedicated to these issues exists, it is still limited, mixed with other contents, and generally depends on a few researchers investigating and publishing on the topic from very specific universities. CONCLUSIONS It is essential to establish a common global strategy including Spanish-speaking countries in nurses' higher education and professional training on topics focused on cultural competence as well as the provision of nurses' social and cultural sensitivity towards their own culture and to define whether those that currently exist are effective. It is also crucial that this training was evaluated in practice in order to achieve enough impact on students, health organizations, and population health.
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Affiliation(s)
- Yasmin El-Messoudi
- Facultad de Ciencias de La Salud, Universidad de Málaga, Arquitecto Francisco Peñalosa, 3, 29071, Málaga, Spain
| | - Manuel Lillo-Crespo
- Nursing Department, Faculty of Health Sciences, University of Alicante, Alicante, Spain.
| | - Juan Leyva-Moral
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
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Kasimovskaya N, Geraskina N, Fomina E, Ivleva S, Krivetskaya M, Ulianova N, Zhosan M. Russian nurses' readiness for transcultural care of palliative patients. BMC Palliat Care 2023; 22:87. [PMID: 37407991 DOI: 10.1186/s12904-023-01198-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 06/20/2023] [Indexed: 07/07/2023] Open
Abstract
Palliative care involves an approach aimed at improving the quality of life of patients and their families, who are forced to cope with the problems associated with life-threatening diseases. This definition includes a growing group of patients around the world. It requires an extension of the definition of patients in need of palliative care in countries such as Russia and a significant improvement in the work of nursing personnel with these patients. This study aims to determine the level of preparedness of nursing personnel for specialized care (transcultural care) and the quality of care provided to palliative patients. The presented findings of the study demonstrate the relevance of developing transcultural competence, which enables significant improvement in the quality of life of palliative patients. The analysis of medical workers' assessment of the level of specific training and their intercultural preparedness was conducted based on hospices (Moscow). A survey was conducted among 113 medical workers of the middle level of education aged between 28 and 56 (average of 44.2 years) and experience in palliative care ranged from 3 to 18 years (average of 9.5 years). The Intercultural Readiness Check (IRC) test, widely used to assess nursing staff worldwide, was used for the survey to determine the level of readiness for transcultural care. A strong correlation was found between a number of the test scales and measures of participants' age and experience. The presented material demonstrates the realization of an interdisciplinary approach to the issues of specific training of nursing personnel in the field of "transcultural care" in providing palliative care to incurable patients.
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Affiliation(s)
- Nataliya Kasimovskaya
- Department of Nursing Management and Social Work, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
| | - Natalia Geraskina
- Department of Nursing Management and Social Work, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
| | - Elena Fomina
- Department of Nursing Management and Social Work, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
| | - Svetlana Ivleva
- Department of Nursing Management and Social Work, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
| | - Maria Krivetskaya
- Department of Nursing Management and Social Work, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
| | - Nina Ulianova
- Department of Nursing Management and Social Work, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
| | - Marina Zhosan
- Department of Nursing Management and Social Work, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
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Eichbaum Q, Barbeau-Meunier CA, White M, Ravi R, Grant E, Riess H, Bleakley A. Empathy across cultures - one size does not fit all: from the ego-logical to the eco-logical of relational empathy. ADVANCES IN HEALTH SCIENCES EDUCATION : THEORY AND PRACTICE 2023; 28:643-657. [PMID: 36129550 PMCID: PMC9491267 DOI: 10.1007/s10459-022-10158-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 08/16/2022] [Indexed: 05/11/2023]
Abstract
Empathy is extolled in Western healthcare and medical education as an exemplary quality to cultivate in trainees and providers. Yet it remains an elusive and inadequately understood attribute. It posits a "one size fits all" unidimensional attribute applicable across contexts with scant attention given to its multifaceted dimensions in intercultural contexts. In this article, we uncloak the shortcomings of this conventional empathy in intercultural settings, and instead propound an expanded "relational empathy".
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Affiliation(s)
- Quentin Eichbaum
- Department of Pathology, Microbiology and Immunology, Division of Medical Education and Administration, Vanderbilt University Medical Center and Vanderbilt University School of Medicine, TVC 4511C, 1301 Medical Center Drive, TN37232, Nashville, TN, USA.
| | | | - Mary White
- Boonshoft School of Medicine, Wright State University, Fairborn, OH, USA
| | - Revathi Ravi
- Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | | | - Helen Riess
- Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Alan Bleakley
- Plymouth University Peninsula School of Medicine, Plymouth, UK
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Soleimani M, Yarahmadi S. Cultural competence in critical care nurses and its relationships with empathy, job conflict, and work engagement: a cross-sectional descriptive study. BMC Nurs 2023; 22:113. [PMID: 37046274 PMCID: PMC10091659 DOI: 10.1186/s12912-023-01285-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 04/01/2023] [Indexed: 04/14/2023] Open
Abstract
BACKGROUND Cultural competence is more important than ever for nurses today; therefore, it may be helpful to learn more about it and examine how it relates to empathy, job conflict, and work engagement. The purpose of this study was to determine (a) the level of cultural competence, empathy, job conflict, and work engagement; (b) the relationship between cultural competence, demographic information, and main variables; (c) the predictors of cultural competence among critical care nurses. METHODS A multicenter, descriptive cross-sectional study was conducted in Iran from August to October 2022. Through convenience sampling, 153 critical care nurses from three hospitals participated. The research tool consisted of five parts: Demographic information questionnaire, Cultural Competence Questionnaire, Jefferson Scale Empathy, Dobrin Job Conflict, and Utrecht Work Engagement, which were collected by paper self-report. Descriptive statistics, the correlation between variables, and linear regression were used to analyze the data. RESULTS Among critical care nurses (response rate 79.27%), the mean (SD) scores for cultural competence, empathy, job conflict, and work engagement were 74.05 (7.96), 83.44 (29.17), 11.00 (2.38), and 43.69 (16.33), respectively. There was a significant correlation between cultural competence and age (r = 0.46, p = 0.001), marital status (r = 0.27, p = 0.004), academic degree (r = 0.44, p = 0.001), work experiences (r = 0.43, p = 0.001), empathy (r = 0.50, p = 0.001), and job conflict (r=-0.16, p = 0.049). Academic degree (β = 0.36, p < 0.001) and empathy (β = 0.26, p < 0.001) were significant explanatory variables that predict cultural competence. CONCLUSION In Iranian critical care nurses, cultural competence and job conflict were moderate, empathy was good, and work engagement was poor. There was a significant relationship between cultural competence, age, marital status, academic degree, work experiences, empathy, and job conflict. Academic degree and empathy predict cultural competence.
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Affiliation(s)
- Mohsen Soleimani
- Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran
| | - Sajad Yarahmadi
- Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
- Social Determinant of Health Research Center, School of Nursing & Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
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Giménez-Espert MDC, Maldonado S, Prado-Gascó V. Influence of Emotional Skills on Attitudes towards Communication: Nursing Students vs. Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4798. [PMID: 36981707 PMCID: PMC10048995 DOI: 10.3390/ijerph20064798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 03/01/2023] [Accepted: 03/04/2023] [Indexed: 06/18/2023]
Abstract
Communication in nursing is essential to the quality of care and patients' satisfaction, and personal variables such as empathy and emotional intelligence (EI) can improve it; however, no studies have to date analyzed these competencies and their relations among nursing students compared with nurses. The aims of this study are, therefore, to analyze the differences between nursing students and nurses in the means for empathy, EI and attitudes towards communication in order to assess the impact of empathy and EI on nurses' and nursing students' attitudes towards communication, and their influence on the behavioral dimension of attitude. A cross-sectional descriptive study was performed on a convenience sample of 961 nursing students and 460 nurses from the Valencian Community, Spain. T-test and hierarchical regression models (HRM) were used. The data was collected in the selected universities in the 2018/2019 academic year. The results showed high levels in all the variables analyzed (i.e., empathy, EI, and attitudes towards communication) in both samples. The HRM results suggested that empathy was a better predictor than EI of the attitudes towards patient communication among both the nursing students and nurses. In the behavioral dimension of the attitude, the cognitive and affective dimensions had greater weight than the emotional component (i.e., empathy and EI). Developing empathy and the cognitive dimension of the attitude in nursing students and nurses could, therefore, help improve EI and attitudes towards communication. These findings are important for developing intervention programs adjusted to real needs.
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Affiliation(s)
- María del Carmen Giménez-Espert
- Nursing Department, Faculty of Nursing and Chiropody, University of Valencia, Avd/ Menéndez Pelayo, s/n, 46010 Valencia, Spain
| | - Sandra Maldonado
- Nursing Department of the School of Health Sciences, Human Services and Nursing, Lehman College, CUNY, 250 Bedford Park West, New York, NY 10468, USA
| | - Vicente Prado-Gascó
- Social Psychology Department, Faculty of Psychology, University of Valencia, Av. Blasco Ibáñez, 21, 46010 Valencia, Spain
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Deng X, Chen S, Li X, Tan C, Li W, Zhong C, Mei R, Ye M. Gender differences in empathy, emotional intelligence and problem-solving ability among nursing students: A cross-sectional study. NURSE EDUCATION TODAY 2023; 120:105649. [PMID: 36435156 DOI: 10.1016/j.nedt.2022.105649] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 11/06/2022] [Accepted: 11/14/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Empathy, emotional intelligence (EI) and problem-solving ability are three important characteristics that influence effective communication in clinical practice. Previous studies have not adequately explored the specific relationships between these three abilities and their gender differences among nursing students. OBJECTIVE We sought to investigate the current state of emotional intelligence, empathy, and problem-solving ability in nursing students and to identify whether gender differences affect these three characteristics and how gender differences can be used to educate nurses on empathy. DESIGN We conducted a cross-sectional survey. PARTICIPANTS A total of 993 nursing students from two grade A tertiary hospitals in Hunan, China participated in this study. METHODS Data were collected using the Empathy of Clinical Nurse Scale (ENCS), Emotional Intelligence Scale of Clinical Junior Nurses (EIS) and Social Problem-Solving Inventory (SPSI). Data were analyzed using an independent samples t-test, Pearson correlation and hierarchical multiple linear regression. RESULTS There was no significant difference in the ENCS and SPSI scores between male and female nursing students, but male nursing students had lower EIS scores (P < 0.05). A significant association was found between ENCS, EIS and SPSI on most dimensions among female nursing students, but no significant association was found between ENCS and EIS for total scores among males. We found that problem-solving ability was the most important factor affecting the variation in empathy for both male and female nursing students through hierarchical multiple regression analysis. CONCLUSIONS Gender differences are reflected not only in the level of emotional intelligence but also in the relationships between emotional intelligence, empathy, and problem-solving ability. Nursing educators should be aware of how gender differences can affect these three traits; this is particularly important for teaching based on students' aptitudes.
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Affiliation(s)
- Xianjiao Deng
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Xiangya Nursing School of Central South University, Changsha, Hunan 410013, China.
| | - Shihao Chen
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China.
| | - Xuting Li
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China.
| | - Chuxia Tan
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Xiangya Nursing School of Central South University, Changsha, Hunan 410013, China.
| | - Wei Li
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China.
| | - Chenxi Zhong
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Xiangya Nursing School of Central South University, Changsha, Hunan 410013, China.
| | - Ranran Mei
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Xiangya Nursing School of Central South University, Changsha, Hunan 410013, China.
| | - Man Ye
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Xiangya Nursing School of Central South University, Changsha, Hunan 410013, China; Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China.
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El Arab RA, Urbanavice R, Jakavonyte-Akstiniene A, Skvarcevskaja M, Austys D, Mateos JT, Briones-Vozmediano E, Rubinat-Arnaldo E, Istomina N. Cultural competency among Lithuanian nurses and preparedness to work with intercultural immigrants: A quantitative study protocol. Front Public Health 2022; 10:1025508. [PMID: 36452953 PMCID: PMC9702516 DOI: 10.3389/fpubh.2022.1025508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 10/17/2022] [Indexed: 11/16/2022] Open
Abstract
Introduction Health care providers are increasingly required to provide care to patients from diverse cultural backgrounds. A culturally competent approach could be used to address gaps in the health care of migrants, whether they are refugees, asylum seekers, or undocumented migrants. From June 2021 onward, there are estimated to be 4,300 asylum seekers in Lithuania who crossed the Belarusian border. Furthermore, ~65 thousand Ukrainians registered within 6 months of the beginning of the war on 24 February 2022. Aim To determine the cultural competence of Lithuanian nurses using the Nurse Cultural Competence Scale (NCCS) questionnaire. Methods A quantitative study evaluating the cultural competency of nursing professionals will be conducted using the Lithuanian version of the Nurse Cultural Competence Scale (NCCS). The study will be conducted in Lithuanian municipalities and will involve primary, secondary, and tertiary health care providers. Discussion This study will provide data that can guide the development and evaluation of interventions designed to reduce health disparities among migrants, including the need to identify the appropriate type of cultural competency training for nurses. In addition to the results of this study, it may provide an indication of other cultural competency required for nurses. This includes consideration of religion, sexual orientation, gender identity, household classifications on the basis of urban vs. rural areas, language spoken, and country of origin.
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Affiliation(s)
- Rabie Adel El Arab
- Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain,Healthcare Research Group (GRECS), Institute for Biomedical Research (IRBLleida), Lleida, Spain,Health and Social Services for Asylum Seekers Research Group, Vilnius University, Vilnius, Lithuania,*Correspondence: Rabie Adel El Arab
| | - Rita Urbanavice
- Health and Social Services for Asylum Seekers Research Group, Vilnius University, Vilnius, Lithuania,Department of Nursing, Faculty of Medicine, Institute of Health Sciences, Vilnius University, Vilnius, Lithuania
| | - Agne Jakavonyte-Akstiniene
- Health and Social Services for Asylum Seekers Research Group, Vilnius University, Vilnius, Lithuania,Department of Nursing, Faculty of Medicine, Institute of Health Sciences, Vilnius University, Vilnius, Lithuania
| | - Marija Skvarcevskaja
- Health and Social Services for Asylum Seekers Research Group, Vilnius University, Vilnius, Lithuania,Department of Nursing, Faculty of Medicine, Institute of Health Sciences, Vilnius University, Vilnius, Lithuania
| | - Donatas Austys
- Department of Nursing, Faculty of Medicine, Institute of Health Sciences, Vilnius University, Vilnius, Lithuania
| | - Jose Tomas Mateos
- Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain,Healthcare Research Group (GRECS), Institute for Biomedical Research (IRBLleida), Lleida, Spain
| | - Erica Briones-Vozmediano
- Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain,Healthcare Research Group (GRECS), Institute for Biomedical Research (IRBLleida), Lleida, Spain
| | - Esther Rubinat-Arnaldo
- Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain,Healthcare Research Group (GRECS), Institute for Biomedical Research (IRBLleida), Lleida, Spain
| | - Natalja Istomina
- Health and Social Services for Asylum Seekers Research Group, Vilnius University, Vilnius, Lithuania,Department of Nursing, Faculty of Medicine, Institute of Health Sciences, Vilnius University, Vilnius, Lithuania
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Meeks JC. Native American Speech-Language Pathology Assistants: Expanding Culturally Responsive Services in Reservation Schools. Lang Speech Hear Serv Sch 2022; 54:395-408. [PMID: 36315936 DOI: 10.1044/2022_lshss-22-00081] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2023] Open
Abstract
Purpose:
Native Americans are one of the least represented races within the profession of speech-language pathology. As a result, Native American school children are among the least likely to receive speech and language services from a provider who shares their same culture and heritage. The purpose of this tutorial is to describe how expanding opportunities for Native American college students to enter the field of speech-language pathology as speech-language pathology assistants (SLPAs) offers a solution for improving culturally responsive services in reservation schools.
Method:
The article reviews research describing factors impacting the current disparity of Native Americans within the field of speech-language pathology. Additionally, we explore increasing opportunities for Native American college students to obtain education and licensing as SLPAs while maintaining ties to their community, tribal land, and local school system. The author then suggests steps speech-language pathologists in reservation schools can take to expand their culturally responsive services by participating in the development of, and collaboration with, Native American SLPAs.
Conclusions:
There is a need for increased culturally responsive speech and language services for Native American students in reservation schools. It is the obligation of speech-language pathologists serving this population to explore solutions for improving culturally responsive services, which includes investing in a new generation of Native American SLPAs.
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Affiliation(s)
- Jeffrey C. Meeks
- Department of Communication Sciences and Disorders, Northern Arizona University, Flagstaff
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12
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Qualified Nurses’ Perceptions of Cultural Competence and Experiences of Caring for Culturally Diverse Patients: A Qualitative Study in Four European Countries. NURSING REPORTS 2022; 12:348-364. [PMID: 35645360 PMCID: PMC9149935 DOI: 10.3390/nursrep12020034] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 04/21/2022] [Accepted: 04/26/2022] [Indexed: 11/18/2022] Open
Abstract
Background: European nurses are expected to provide appropriate care for patients from diverse cultural backgrounds. However, there is limited knowledge and understanding of this process. The aim of this study was to analyse the perceptions of culture and experiences of caring for patients from diverse cultural backgrounds of a purposive sample of qualified nurses from four European countries, namely Belgium, Portugal, Spain and Turkey. Methods: A qualitative phenomenological approach was selected in order to understand complex phenomena through the participants’ lived experiences, meanings and perspectives. Individual interviews and focus groups took place with 28 staff nurses and 11 nurse managers from four European countries. The sociodemographic and cultural characteristics of the sample were described and analysed using descriptive statistics. Qualitative data were transcribed verbatim, translated into English and analysed following Braun and Clark’s phases for thematic analysis. Results: Five themes and twelve subthemes emerged from thematic analysis of the transcripts. The themes included: (1) relevance of culture for nursing; (2) culture in the healthcare service; (3) qualities of the healthcare professionals; (4) challenges to culturally competent care; (5) becoming a culturally competent nurse. Conclusions: There are challenges to the delivery of culturally congruent care, namely language and communication difficulties, prejudices and stereotyping in the health service, a tendency for ethnocentrism, a lack of education and training in cultural competence and a lack of support from the health service to facilitate new ways of acting.
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Duru P, Örsal Ö, Parlak L. Evaluation of the relationships between nurses' forgiveness, compassion, and professional commitment. Perspect Psychiatr Care 2022; 58:568-577. [PMID: 33908621 DOI: 10.1111/ppc.12811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 03/13/2021] [Accepted: 04/11/2021] [Indexed: 11/28/2022] Open
Abstract
PURPOSE The aim of this study was to examine the relationship between nurses' forgiveness, compassion, and professional commitment. METHODS This cross-sectional study was carried out on 243 nurses between March and June 2019. FINDINGS The effect of nurses' compassion levels on forgiveness levels (predictive power) was -0.49 and the effect on their professional commitment was 0.82. CONCLUSIONS Results of the study reflect that forgiveness and compassion are effective on nurses' professional commitment. PRACTICE IMPLICATIONS The study results emphasize the need to consider the links between forgiveness, compassion, and professional commitment for hospital administrators, nurse leaders, and policymakers.
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Affiliation(s)
- Pınar Duru
- Department of Public Health Nursing, Faculty of Health Sciences, Eskişehir Osmangazi University, Eskisehir, Turkey
| | - Özlem Örsal
- Department of Public Health Nursing, Faculty of Health Sciences, Eskişehir Osmangazi University, Eskisehir, Turkey
| | - Lütfiye Parlak
- Department of Therapy and Rehabilitation, Simav Vocational School of Health Services, Kütahya Health Sciences University, Kütahya, Turkey
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Mikkonen K, Kuivila HM, Sjögren T, Korpi H, Koskinen C, Koskinen M, Koivula M, Koskimäki M, Lähteenmäki ML, Saaranen T, Sormunen M, Salminen L, Mäki-Hakola H, Wallin O, Holopainen A, Tuomikoski AM, Kääriäinen M. Social, health care and rehabilitation educators' competence in professional education-Empirical testing of a model. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e75-e85. [PMID: 34009683 DOI: 10.1111/hsc.13414] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 02/22/2021] [Accepted: 04/04/2021] [Indexed: 06/12/2023]
Abstract
The social and health care educator's role in educating future professionals need to be stronger emphasised and deserves international recognition. The purpose of this study was to develop and test an empirical model of social and health care educators' competence in higher and professional education. The presented research employed a cross-sectional study design. Data were collected using HeSoEduCo-instrument from 28 educational institutions in Finland. The model was empirically tested with confirmatory factor analysis through Structural Equation Modelling that applied the Full Imputation Maximum Likelihood estimator. A total of 422 social and health care educators participated in the study. The empirical model of social and health care educators including eight competence areas: leadership and management, collaboration and societal, evidence-based practice, subject and curriculum, mentoring students in professional competence development, student-centred pedagogy, digital collaborative learning, and cultural and linguistic diversity. All of the connections between concepts of the empirical model were found to be statistically significant. There were strong connections between most of the identified competence concepts; however, two weak connections were found, namely, the link between competence in evidence-based practice and competence in subject and curriculum, along with the link between competence in digital collaborative learning and competence in student-centred pedagogy. The presented empirical model can help stakeholders identify which areas of social and health care educators' curricula should be further developed. The model is also relevant for improving continuous education, allowing educators to assess their competence levels and evaluating educators' performance at the organisational level.
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Affiliation(s)
- Kristina Mikkonen
- Faculty of Medicine, Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
| | - Heli-Maria Kuivila
- Faculty of Medicine, Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
| | - Tuulikki Sjögren
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Hilkka Korpi
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Camilla Koskinen
- Faculty of Education and Welfare Studies, Department of Caring Science, Åbo Akademi University, Vaasa, Finland
- Faculty of Health Sciences, Department of Caring and Ethics, University of Stavanger, Stavanger, Norway
| | - Monika Koskinen
- Faculty of Education and Welfare Studies, Department of Caring Science, Åbo Akademi University, Vaasa, Finland
| | - Meeri Koivula
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Minna Koskimäki
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | | | - Terhi Saaranen
- Faculty of Health Sciences, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Marjorita Sormunen
- Faculty of Health Sciences, Institute of Public Health and Clinical Nutrition and Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Leena Salminen
- Faculty of Medicine, Department of Nursing Science, Tukru University Hosital, Turku, Finland
| | - Hanne Mäki-Hakola
- Pedagogical R&D, Tampere University of Applied Sciences, Tampere, Finland
| | - Outi Wallin
- Degree Programme in Social Services, Tampere University of Applied Sciences, Tampere, Finland
| | - Arja Holopainen
- Nursing Research Foundation, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Affiliated Group, Finland
- WHO Collaborating Centre for Nursing, Helsinki, Finland
| | - Anna-Maria Tuomikoski
- Nursing Research Foundation, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Affiliated Group, Finland
- WHO Collaborating Centre for Nursing, Helsinki, Finland
| | - Maria Kääriäinen
- Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
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Wang Y, Lu J, Ye Q, Ji L, Lu Z, Li J, Xu H. Analysis of influencing factors of nurse-patient disputes based on patient characteristics: A cross-sectional study. Nurs Open 2021; 9:245-255. [PMID: 34547181 PMCID: PMC8685786 DOI: 10.1002/nop2.1058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Revised: 07/22/2021] [Accepted: 09/02/2021] [Indexed: 11/08/2022] Open
Abstract
Aim To explore the prevalence of nurse‐patient disputes and the influencing factors based on an analysis of patient characteristics. Design A cross‐sectional study. Methods This study used the convenience sampling method. Three self‐designed questionnaires based on clinical experience and literature review were used to collect the current status of nurse‐patient disputes and to assess patients’ humanistic qualities and patients’ recognition of nursing work. The Big Five personality questionnaire was used to assess the five personality traits of patients. Results Of the patients, 9.6% reported having a dispute with nurses. The results of binary logistic regression analysis indicated that patients’ humanistic quality, recognition of nursing work and agreeableness in personality traits had a negative predictive effect on nurse‐patient disputes, while family monthly income and neuroticism in personality traits positively predicted disputes.
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Affiliation(s)
- Yawen Wang
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Jinjin Lu
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Qian Ye
- The Eye Hospital, Wenzhou Medical University, Wenzhou, China
| | - Li Ji
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Zhongqiu Lu
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Jufang Li
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Hongbo Xu
- School of Nursing, Wenzhou Medical University, Wenzhou, China
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Aoki Y, Katayama H. Development of the Clinical Interpersonal Reactivity Index to evaluate nurses' empathy. Nurs Health Sci 2021; 23:862-870. [PMID: 34431189 PMCID: PMC9293200 DOI: 10.1111/nhs.12875] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 08/02/2021] [Accepted: 08/09/2021] [Indexed: 12/01/2022]
Abstract
We determined the validity and reliability of the Clinical Interpersonal Reactivity Index in a sample of Japanese nurses. Participants were registered nurses at national university hospitals and nursing researchers in Japan. A postal questionnaire was conducted. Construct validity was analyzed by exploratory and confirmatory factor analysis, and convergent validity demonstrated using the Interpersonal Reactivity Index. The Clinical Interpersonal Reactivity Index has an 18-item, two-factor structure with Cronbach's alpha values of 0.87 and 0.73. Confirmatory factor analysis showed a goodness-of-fit index of 0.917, an adjusted goodness-of-fit of 0.894, a root mean square error of approximation of 0.60, and a comparative fit index of 0.911. Correlation analysis between the Clinical Interpersonal Reactivity Index and Interpersonal Reactivity Index indicated the factors were significantly correlated for empathic concern and perspective taking (r = 0.439-0.401). Test-retest assessment showed reliability coefficients for the first factor as r = 0.859 and the second factor as r = 0.709. The Clinical Interpersonal Reactivity Index demonstrated validity and reliability for Japanese nurses. The two factors evaluated perspective taking and unconditional positive regard.
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Affiliation(s)
- Yoshimi Aoki
- Department of Fundamental Nursing, Hamamatsu University School of Medicine, Shizuoka, Japan
| | - Harumi Katayama
- Department of Fundamental Nursing, Hamamatsu University School of Medicine, Shizuoka, Japan
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Li X, Chang H, Zhang Q, Yang J, Liu R, Song Y. Relationship between emotional intelligence and job well-being in Chinese clinical nurses: multiple mediating effects of empathy and communication satisfaction. BMC Nurs 2021; 20:144. [PMID: 34389005 PMCID: PMC8361242 DOI: 10.1186/s12912-021-00658-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 07/27/2021] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Nursing work is associated with great pressure, and nurses are often overwhelmed. Therefore, correct emotional regulation is essential to improve nurses' job well-being and promote better engagement in nursing work. The purpose of this study was to establish a structural model to estimate the impact of Chinese clinical nurses' emotional intelligence on job well-being, using multiple intermediaries to explain the internal mechanisms underlying the relationship. METHODS This was a cross-sectional study of 1475 registered nurses from a Chinese hospital who provided responses to emotional intelligence, empathy, communication satisfaction, and job well-being scales. Path analysis using a multiple mediation model was performed using AMOS 23.0. RESULTS Among all clinical nurses who participated in the survey, 1475 (98.33 %) completed the questionnaire. The nurses' job well-being score was 83.61 ± 12.63. There was a significant positive correlation between job well-being and communication satisfaction, emotional intelligence, and empathy ability (r = 0.346-0.570, P < 0.001). Empathy and communication satisfaction partially mediated the relationship between emotional intelligence and job well-being, with effect sizes of 0.047 and 0.227, respectively. The chain mediating effect of empathy and communication satisfaction had a value of 0.045. CONCLUSIONS It is recommended that hospital managers take actions to improve nurses' emotional intelligence level, and conduct professional psychological training to improve nurses' empathy and communication satisfaction, and ultimately improve their job well-being.
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Affiliation(s)
- Xue Li
- College of Nursing, Xinxiang Medical University, No.601 Jinsui Avenue, Hongqi District, Henan Province 453003 Xinxiang City, China
| | - Hongjuan Chang
- College of Nursing, Xinxiang Medical University, No.601 Jinsui Avenue, Hongqi District, Henan Province 453003 Xinxiang City, China
| | - Quanying Zhang
- Nursing Department, The First Affiliated Hospital of Xinxiang Medical University, Henan Province 453100 Xinxiang City, China
| | - Jianli Yang
- Nursing Department, The First Affiliated Hospital of Xinxiang Medical University, Henan Province 453100 Xinxiang City, China
| | - Rui Liu
- College of Nursing, Xinxiang Medical University, No.601 Jinsui Avenue, Hongqi District, Henan Province 453003 Xinxiang City, China
| | - Yajie Song
- College of Nursing, Xinxiang Medical University, No.601 Jinsui Avenue, Hongqi District, Henan Province 453003 Xinxiang City, China
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Cai D, He W, Klug D. Cultural competence among nurses and its influencing factors: A cross-sectional study. Nurs Health Sci 2021; 23:411-418. [PMID: 33577132 DOI: 10.1111/nhs.12821] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 02/07/2021] [Accepted: 02/10/2021] [Indexed: 11/30/2022]
Abstract
The purpose of this study was to investigate the level of cultural competence and its influencing factors among Chinese nurses by using a cross-sectional design. Participants were recruited from four tertiary hospitals in Jiangsu, China, and 325 nurses completed the Cultural Competence Inventory for Nurses in China. Data were analyzed using stepwise multiple regression to identify factors influencing cultural competence. The results showed that Chinese nurses self-rated cultural competence at a moderate level (mean value of 101.7 out of 145), which indicates that cultural training is necessary to improve their cultural competence. Nurses who were younger and had fewer years of working experience, had lower educational backgrounds, seldom learned about different cultures via mass media, and rarely resided in or visited places with different cultures tended to have lower cultural competence levels, and should be provided more opportunities for cultural training. By considering demographic characteristics that influence cultural competence among Chinese nurses, educators can specifically design cultural training content at an appropriate level, targeting trainees' needs and thereby enhance training effectiveness.
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Affiliation(s)
- Duanying Cai
- School of Nursing, Jiujiang University, Jiujiang, China
| | - Wei He
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
| | - David Klug
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
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Yadollahi S, Asadizaker M, Ebadi A, Molavynejad S. Cultural competence in clinical nursing: A qualitative study. INTERNATIONAL ARCHIVES OF HEALTH SCIENCES 2021. [DOI: 10.4103/iahs.iahs_139_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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