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Alharbi MF, Alkhamshi AM. Assessing the professional quality of life in the context of pediatric care. PeerJ 2024; 12:e17120. [PMID: 38500534 PMCID: PMC10946390 DOI: 10.7717/peerj.17120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Accepted: 02/26/2024] [Indexed: 03/20/2024] Open
Abstract
Background This study examines the professional quality of life (ProQOL), including compassion satisfaction (CS) and compassion fatigue (CF), burnout (BO) and secondary traumatic stress (STS) among registered nurses in the context of pediatric care in Riyadh city in Saudi Arabia. Methods This study utilised a random multistage sampling method and a survey to collect data from 250 participants on personal characteristics, work-related aspects, lifestyle, and professional quality of life. Results The study participants were all female. Only 2.0% were under 25, with 27.2% aged between 25 and 30 years, 24.0% aged between 31 and 35, and 26.4% over 40 years old. The majority, 74%, were non-Saudis. The participants reported low compassion satisfaction (CS) and compassion fatigue (CF) levels. The CS, burnout (BO), and secondary traumatic stress (STS) scores were 3.23 ± 0.764, 2.75 ± 0.68, and 2.69 ± 0.54, respectively. The study found a significant difference in ProQOL level based on factors such as age, nationality, previous experience, department, shift length, overtime work, state of overtime (mandatory versus optional), and salary. Conclusions Working with vulnerable groups poses unique challenges for pediatric nurses. The nationality, salary, and state of overtime were found to be significantly different when compared to CS scores. Additionally, age, department, previous experience, shift length, and overtime work were very different compared to CF scores. However, lifestyle factors did not affect CS and CF scores significantly. Implications To improve their well-being and interest in activities, pediatric nurses should practice self-compassion and utilise available educational resources such as workshops. They should also strive to achieve a work-life balance and adopt healthy habits to reduce CF.
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Affiliation(s)
- Manal F. Alharbi
- Maternal & Child Health Nursing Department, College of Nursing, King Saud University, Riyadh, Saudi Arabia
| | - Aljawharah M. Alkhamshi
- Nursing Education Department, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia
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Meneghini AM, Colledani D, Morandini S, De France K, Hollenstein T. Emotional Engagement and Caring Relationships: The Assessment of Emotion Regulation Repertoires of Nurses. Psychol Rep 2024; 127:212-234. [PMID: 35751169 DOI: 10.1177/00332941221110548] [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] [Indexed: 11/16/2022]
Abstract
In spite of the importance of emotion regulation for nurses' well-being, little is known about which strategies nurses habitually use, how these strategies combine in order to regulate their emotional distress, and how these are related to their caregiving orientations. The current study aimed to explore the emotion regulation repertoires that characterize health-care providers and to investigate the association between these repertoires and caregiving orientations in a sample of nurses. Firstly, a confirmatory factor analyses was run to test the suitability of the Regulation of Emotion System Survey for the assessment of six emotion regulation strategies among health-care providers. Subsequently, the latent profiles analysis was employed to explore emotion regulation repertoires. Three repertoires emerged: The Average, the Suppression Propensity and the Engagement Propensity profiles. The participants of the last two groups relied on Expressive Suppression and Engagement, respectively, more often than others. Nurses were more likely to be placed within the Engagement Propensity group when compared to the first responders, and higher levels of hyperactivation of the Caregiving System were associated with this repertoire. A greater reliance on Expressive Engagement among nurses was discussed in terms of the fact that nurses usually have a longer and more care-oriented relationships with patients than first responders.
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Affiliation(s)
| | - Daiana Colledani
- Department of Philosophy, Sociology, Education and Applied Psychology, School of Psychology, University of Padua, Padua, Italy
| | - Sofia Morandini
- Department of Human Sciences, University of Verona, Verona, Italy
| | - Kalee De France
- Department of Psychology, Concordia University, Montreal, QC, Canada
| | - Tom Hollenstein
- Department of Psychology, Queen's University, Kingston, ON, Canada
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Laskowski K, Paszkiewicz J, Szepeluk A, Hozyasz KK. Differences in Emotional Intelligence Between Male and Female Nursing Students From a Population With a Low Percentage of Male Nurses. SAGE Open Nurs 2024; 10:23779608241274207. [PMID: 39281266 PMCID: PMC11402095 DOI: 10.1177/23779608241274207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Revised: 07/07/2024] [Accepted: 07/12/2024] [Indexed: 09/18/2024] Open
Abstract
Introduction Poland has the largest shortage of nurses in Europe, as well as a low percentage of male nurses. Information relating to emotional intelligence has been explored to determine whether it predicts the characteristics and outcomes of qualified health professionals during their academic training and practice. Objective This study aimed to measure differences in emotional intelligence between male and female nursing students. Participants and methods In this cross-sectional study, emotional intelligence was measured using the Schutte Self-Report Emotional Intelligence Test (SSEIT) in 21 male and 127 female nursing students from John Paul II University in Biała Podlaska, Poland. Results The raw overall scores of emotional intelligence in male and female students were similar. Differences were observed after the conversion of raw scores into normalized (sten) scores. High normalized scores (sten 8-10) of emotional intelligence had every third of male students and only 14.2% of female students. The lowest sten values of emotional intelligence in male and female students were 3 and 1, respectively. Less than 10% of male students and over 20% of female students had low normalized scores (sten ≤3) for emotional intelligence and an isolated ability to recognize emotions (factor II). Conclusions The emotional intelligence expressed in normalized scores was higher in male nursing students than in female nursing students. This evidence may suggest that, at the stage of choosing a field of study, Polish male nursing students self-select for the nursing profession, at least in terms of emotional intelligence. The influx of men into the profession should be considered as a positive trend.
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Affiliation(s)
- Karol Laskowski
- Department of Nursing, Faculty of Health Sciences, John Paul II University in Biała Podlaska, Poland
| | - Justyna Paszkiewicz
- Department of Nursing, Faculty of Health Sciences, John Paul II University in Biała Podlaska, Poland
| | - Adam Szepeluk
- Department of Nursing, Faculty of Health Sciences, John Paul II University in Biała Podlaska, Poland
| | - Kamil K Hozyasz
- Department of Nursing, Faculty of Health Sciences, John Paul II University in Biała Podlaska, Poland
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Wang Y, Li W, Yang J, Fu Y, Xiao W. Explaining the Insufficient Relationship between Affective Empathy and Physical Aggression Based on a Double-edged Sword Model. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:11980-11998. [PMID: 37530042 DOI: 10.1177/08862605231189513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/03/2023]
Abstract
Affective empathy is generally considered an important inhibitor of aggression. However, the meta-analysis studies on the relationship between affective empathy and aggression have challenged this common-sense view and found no substantial correlation between the two variables. We proposed a double-edged sword model to explain this counterintuitive phenomenon and tested this model by establishing an inconsistent mediation model. A total of 663 college students in China (59.1% female; Mage = 20.69 years) completed questionnaires measuring affective empathy, sympathy, personal distress, anger proneness, and physical aggression. The results showed that on the one hand, affective empathy can indirectly inhibit physical aggression by increasing sympathy; on the other hand, affective empathy can indirectly promote physical aggression through the serial mediation of personal distress and anger proneness. Such two pathways offset each other, leading to an insignificant relation observation between affective empathy and physical aggression. The findings revealed the complexity of the relationship between affective empathy and aggression, which suggested that more efforts to reduce aggression should be made to develop individuals' sympathy, while affective empathy training should be moderate to avoid excessive empathic emotional arousal.
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Affiliation(s)
- Yang Wang
- Institute of Applied Psychology, School of Public Administration, Guangdong University of Finance, Guangzhou, Guangdong, China
| | - Wei Li
- School of Educational Science and Technology, Northwest Minzu University, Lanzhou, Gansu, China
| | - Juanhua Yang
- School of Entrepreneurship Education, Guangdong University of Finance, Guangzhou, Guangdong, China
| | - Yuanshu Fu
- School of Education, Zhaoqing University, Zhaoqing, Guangdong, China
| | - Wanting Xiao
- Guangzhou Cana School/Guangzhou Rehabilitation and Research Center for Children with Autism, Guangzhou, Guangdong, China
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Ghazwani S, Alshowkan A, AlSalah N. A study of empathy levels among nursing interns: a cross-sectional study. BMC Nurs 2023; 22:226. [PMID: 37391749 DOI: 10.1186/s12912-023-01381-y] [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: 07/14/2022] [Accepted: 06/14/2023] [Indexed: 07/02/2023] Open
Abstract
BACKGROUND Empathy is one of the therapeutic communication techniques used to help the client feel better. However, there are a few studies have investigated level of empathy among enrollers at nursing colleges. The aim was to examine the level of self-reported empathy among nursing interns. METHODS The study was a descriptive, cross-sectional in nature. A total of 135 nursing interns fill in the Interpersonal Reactivity Index from August to October 2022. Data was analyzed through the SPSS program. An independent -sample t-test and one way- ANOVA was used to explore differences in the degree of empathy with respect to academic and sociodemographic factors. RESULTS The results of this study showed that nursing interns showed a mean level of empathy of 67.46 (SD = 18.86). This result indicated that the nursing interns have moderate levels of empathy overall. There was statistical significant difference in the mean level of subscales of perspective-taking and empathic concern between males and females. Additionally, nursing interns who are less than 23 years old scored high in the subscale of perspective-taking. Married nursing interns and who preferred nursing as a profession scored higher in the subscale of empathic concern than unmarried ones and who did not preferred nursing as a profession. CONCLUSION Perspective taking incresed with younger male nursing interns, this reflects high cognitive flexibility with younger age nursing interns. Morover, the empathic concern incresed with male married nuring interns who preferred nursing as a profession. This implies that they should engage in continuous reflection and educational activities as part of their clinical training as nursing interns in order to improve their empathic attitudes.
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Affiliation(s)
- Suaad Ghazwani
- Master of Psychiatric and Mental Health Nursing, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
| | - Amira Alshowkan
- Department of Community Nursing, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Nagla AlSalah
- Department of Community Nursing, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Professional Quality of Life, Work-Related Stress, and Job Satisfaction among Nurses in Saudi Arabia: A Structural Equation Modelling Approach. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2023; 2023:2063212. [PMID: 36761235 PMCID: PMC9904909 DOI: 10.1155/2023/2063212] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 11/07/2022] [Accepted: 11/19/2022] [Indexed: 02/04/2023]
Abstract
Objective To examine the interrelated impacts of work-related stress, compassion satisfaction (CS), and job satisfaction on burnout (BO) and secondary traumatic stress (STS) among nurses using structural equation modelling (SEM). Methods A cross-sectional design was used to survey 727 nurses at a teaching hospital in eastern Saudi Arabia. Three scales were used: the Quality of Life (ProQOL) scale, the Nursing Stress Scale (NSS), and the Job Satisfaction Survey (JSS). Data were analysed using SPSS and Analysis of Moment Structures (AMOS), and SEM analysis was conducted to confirm the interrelations among variables. Results The final model had a good fit for the obtained data (X 2 = 2.726, RMSEA = 0.032). Stress is directly related to BO and STS, and the following variables were directly related to STS: job satisfaction, BO, and CS. Lastly, BO mediated the relationship between stress and STS. Conclusion It is crucial to analyze the effect of stress, CS, and job satisfaction which seems to have a positive and negative impact on nurses' BO and STS. Therefore, implementing a management strategy to manage stress and satisfaction can enhance nurses' quality of life, support the maintenance of positive attitudes, and enhance the standard of patient care.
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Social Empathy and Associated Factors Among Nurses. Holist Nurs Pract 2023; 37:6-14. [DOI: 10.1097/hnp.0000000000000560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Zdun-Ryżewska A, Sobczak K, Rudnik A. Fatigue, Pro-Social Attitude and Quality of Life as Predictors of Empathy in Medical and Social-Oriented Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15853. [PMID: 36497926 PMCID: PMC9735796 DOI: 10.3390/ijerph192315853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 11/24/2022] [Accepted: 11/25/2022] [Indexed: 06/17/2023]
Abstract
Empathy is significant in professions that require establishing proper contact as a condition for providing help. Identifying factors related to empathy is important for understanding how to teach empathic behavior. The main goal of this study was to find variables related to empathy in a group of students from two universities: medical and social oriented (N = 1701). The study group consisted of female (81%) and male (19%) participants, aged between 18-20 (37%), 21-23 (49%), or 24 years and above (14%). A self-designed questionnaire was used to collect socio-demographical information, with additional questions (social self-esteem, prosocial attitude, subjective quality of life). Empathy was measured with the EQ-40, fatigue with CHFQ-PL, and stress with PSS-10. The results showed a statistically significant regression model for empathy. A high quality of life and having feelings of pleasure when helping other people allows to predict a high level of empathy, especially among females. Higher levels of fatigue and social self-esteem, the latter of which is measured here by the belief that you are more important than others, predicts lower empathy. There were no differences between students from two different kinds of universities when taking into consideration stress levels, subjective quality of life, and prosocial attitude. However, students from the medical university were more exhausted and more convinced that their value was greater than others, as compared to the students studying social sciences. When teaching empathic behavior, it is beneficial to attempt to maintain or restore students' well-being and reduce fatigue and to teach how to achieve such effects in the future. Learning the balance between compassion, willingness to help, and self-compassion also seems to be important.
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Affiliation(s)
- Agata Zdun-Ryżewska
- Department of Quality of Life Research, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdańsk, Poland
| | - Krzysztof Sobczak
- Department of Sociology of Medicine and Social Pathology, Faculty of Health Sciences, Medical University of Gdansk, 80-210 Gdańsk, Poland
| | - Agata Rudnik
- Institute of Psychology, University of Gdansk, 80-309 Gdańsk, Poland
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Sahin-Bayindir G, Sukut O, Yilmaz S, Kutlu Y. The Turkish validity and reliability of the Kiersma-Chen empathy scale. Perspect Psychiatr Care 2022; 58:1096-1102. [PMID: 34216006 DOI: 10.1111/ppc.12907] [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: 10/26/2020] [Revised: 06/10/2021] [Accepted: 06/19/2021] [Indexed: 11/29/2022] Open
Abstract
PURPOSE This study aimed to establish the Turkish validity and reliability of the Kiersma-Chen empathy scale (KCES) and determine its psychometric properties. DESIGN AND METHODS This methodological study was carried out with 227 nursing students between April and May 2019. FINDINGS The Cronbach's alpha coefficient of the total scale is 0.854, the test-retest coefficient was high for the total scale (r = 0.989), and total-item correlations ranged between 0.398 and 0.712. PRACTICE IMPLICATIONS The KCES-TR is a valid and reliable scale to measure empathy in nursing students.
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Affiliation(s)
- Gizem Sahin-Bayindir
- Department of Mental Health and Psychiatric Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Ozge Sukut
- Department of Mental Health and Psychiatric Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Sevil Yilmaz
- Department of Mental Health and Psychiatric Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Yasemin Kutlu
- Department of Mental Health and Psychiatric Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpaşa, Istanbul, Turkey
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Ferrara F, Hiebl B, Kunzmann P, Hutter F, Afkham F, LaFollette M, Gruber C. Culture of care in animal research - Expanding the 3Rs to include people. Lab Anim 2022; 56:511-518. [PMID: 35758270 DOI: 10.1177/00236772221102238] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Research on animals is essential for science and medical progress. While it is still necessary to conduct this research, it is essential to apply the highest standards in animal welfare, including animal husbandry and care. Furthermore, it is important to recognize the special relationship between research animals and the people who care for them. Caring for research animals can be extremely fulfilling and meaningful, but it also comes with challenges, particularly when caring for animals experiencing pain or distress. These challenges can lead to work-related mental stress. To get more insight into the challenges of working in animal research, we organized a panel discussion at the GV-SOLAS (German Society for Laboratory Animal Science) and IGTP (Interest Group Animal Caretakers) conference 2021 about work wellbeing. This discussion was the first of its kind in Germany. The active panel contributions included the view of an ethical philosopher, a scientist, a lecturer for laboratory animal science, an animal facility manager and an animal caretaker. They gave insights from their perspective into key factors that can affect human wellbeing in animal research. Keys ideas included stigmatization of work, tension between research aims and animal wellbeing, and the importance of supportive culture to overcome work-related strains, as well as lack of education and supportive environments to cope with emotional stress in the workplace. Overall, the discussion has shown that we must also promote human wellbeing when promoting culture of care in animal research, because there is strong relationship between culture of care and individual performance.
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Affiliation(s)
- Fabienne Ferrara
- Consulting and Training in Laboratory Animal Science, Berlin, Germany
| | - Bernhard Hiebl
- Institute for Animal Hygiene, Animal Welfare and Farm Animal Behaviour, University of Veterinary Medicine Hannover Foundation, Germany
| | - Peter Kunzmann
- Institute for Animal Hygiene, Animal Welfare and Farm Animal Behaviour, University of Veterinary Medicine Hannover Foundation, Germany
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Wu W, Ma X, Liu Y, Qi Q, Guo Z, Li S, Yu L, Long Q, Chen Y, Teng Z, Li X, Zeng Y. Empathy alleviates the learning burnout of medical college students through enhancing resilience. BMC MEDICAL EDUCATION 2022; 22:481. [PMID: 35725422 PMCID: PMC9210704 DOI: 10.1186/s12909-022-03554-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 06/13/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE The problem of learning burnout of medical students is becoming prominent, and empathy can play a good predictive role in learning burnout. The present study aimed to investigate the relationship between empathy and learning burnout, as well as the mediation effect of resilience in this relation. METHODS Five hundred and eighty-eighth college students from a key medical university in Yunnan Province was investigated using the Basic Empathy Scale, Learning Burnout Scale, and Connor-Davidson Resilience Scale. All the measures showed good reliability and validity in the present study. Data were analyzed using SPSS 23.0 and Amos 22.0. RESULTS Using structural equation modeling, we tested a conceptual model indicated that: (1) medical students' empathy negatively and significantly predicted learning burnout; (2) medical students' empathy positively predicts mental resilience; (3) resilience of medical students negatively predicts learning burnout; (4) resilience partially mediated the relationship between empathy and learning burnout of medical students, while also controlling for family socioeconomic status. CONCLUSION These findings highlight the mediating role of resilience in the effect of empathy on learning burnout of medical college students. It may contribute to a better understanding of the effect of empathy. Moreover, it can also provide constructive suggestions for protecting and improve empathy and resilience of medical college students.
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Affiliation(s)
- Wenzhi Wu
- The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China
- The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Xiao Ma
- The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China
| | - Yilin Liu
- The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China
| | - Qiqi Qi
- School of Maxism, Kunming Medical University, Kunming, China
| | - Zhichao Guo
- The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China
| | - Shujun Li
- The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China
| | - Lei Yu
- The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China
| | - Qing Long
- The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China
| | - Yatang Chen
- The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China
| | - Zhaowei Teng
- The First People's Hospital of Yunnan Province, Kunming, China
| | - Xiujuan Li
- Department of Psychiatry, Shenzhen Mental Health Center, Shenzhen, China.
| | - Yong Zeng
- The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
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Devery K, Winsall M, Rawlings D. Teams and continuity of end-of-life care in hospitals: managing differences of opinion. BMJ Open Qual 2022; 11:bmjoq-2021-001724. [PMID: 35443999 PMCID: PMC9021766 DOI: 10.1136/bmjoq-2021-001724] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 03/31/2022] [Indexed: 11/21/2022] Open
Abstract
Background Recognised as an essential element in end-of-life care by the Australian Commission on Safety and Quality in Health Care, effective teamwork can enhance the quality and safety of end-of-life care for patients in hospitals. End-of-Life Essentials (EOLE) is a Commonwealth funded project that delivers peer-reviewed, evidence-based, online education and practice change resources for doctors, nurses and allied health professionals working in hospitals. ‘Teams and Continuity for the Patient’ features in the suite of EOLE modules and includes education around effective teamwork in end-of-life care. The aim of this study was to explore the views of module learners on managing differences of opinion among staff regarding patient care management. Methods Participants were learners (health professionals) who registered to the EOLE website and engaged with the Teams module. Learner responses to a question posed at the end of the module ‘How do you manage differences of opinion among staff regarding patient care management?’ were extracted for a 12-month period. Qualitative data were analysed thematically in NVivo V.12, with pragmatism as an overarching theoretical framework. Data were coded using an inductive, open approach, and axial coding was used to organise the codes into themes and subthemes. Findings A total of 293 learner statements were analysed, with subthemes organised into three overarching themes: prioritising the patient, team collaboration and communication skills and emotional awareness. Conclusion In complex, fast-paced, hospital environments, the potential for conflict among teams is high. Quality care relies on team members who work in unison, who can also recognise conflict emerging and respond in respectful and appropriate ways. In this study, the management actions reported by health professionals as proving helpful when differences of opinion among team members arise, are valuable to organisations who are considering how to prepare for quality and safety accreditation.
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Affiliation(s)
- Kim Devery
- Palliative and Supportive Services, Flinders University, Bedford Park, South Australia, Australia
| | - Megan Winsall
- Palliative and Supportive Services, Flinders University, Bedford Park, South Australia, Australia
| | - Deb Rawlings
- Palliative and Supportive Services, Flinders University, Bedford Park, South Australia, Australia
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Wang YL, Yang ZW, Tang YZ, Li HL, Zhou LS. A qualitative exploration of "empathic labor" in Chinese hospice nurses. Palliat Care 2022; 21:23. [PMID: 35172778 PMCID: PMC8851695 DOI: 10.1186/s12904-022-00911-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 02/08/2022] [Indexed: 11/15/2022] Open
Abstract
Background Hospice nurses may devote more emotional labor during the empathy process with patients, and this empathy can be used as a form of psychological behavior of emotional labor in the hospice care model. The aim of this study was to analyze hospice nurses’ empathy characteristics in the context of emotional labor theory, and explore the impact of empathy on patient care. Methods We conducted semi-participant observations from three hospitals and multicenter in-depth interviews with n = 26 hospice nurses from eight cities. Interviews were transcribed, and directed content analysis was applied. Results Two categories with four sub-categories were extracted from the data analysis. Category 1 described the “empathic labor” process which covers cognitive empathy (including empathic imagination, empathic consideration, and empathic perception) and affective empathy (including natural empathy, surface empathy, and deep empathy). The second category concerns the outcome of nurses’ “empathic labor” which incorporates both positive and negative effects. Conclusions The findings indicated that hospice nurses’ empathy process should be understood as emotional labor. Nursing managers should pay more attention to raising the ability of deep empathy with hospice nurses, and explore more sufficient active empowerment strategies to alleviate the negative impact of empathy on nurses and to strengthen nurses' deep empathy with terminal ill patients.
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Affiliation(s)
- Ya-Ling Wang
- School of Nursing, Soochow University, No.1, Shizi Street, Suzhou, 215000, China
| | - Zi-Wei Yang
- School of Nursing, Soochow University, No.1, Shizi Street, Suzhou, 215000, China
| | - Yue-Zhong Tang
- KangJian Community Health Service Center, 88 Jiangan Road, Shanghai, 200433, China
| | - Hui-Ling Li
- School of Nursing, Soochow University, No.1, Shizi Street, Suzhou, 215000, China.
| | - Lan-Shu Zhou
- School of Nursing, Naval Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.
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Abstract
Empathy is an integral aspect of communication with older people and is central to person-centred care. As part of the provision of person-centred care, empathy supports effective communication, producing positive effects such as increased emotional well-being, increased adherence to treatment plans, reduced pain levels and improved wound healing. Empathy involves attempting to understand the other person's perspective and feelings and communicate that understanding back to them. Empathic communication can help older people feel that they are being listened to and valued as partners in healthcare relationships. This article focuses on why it is important to demonstrate empathy when communicating with older people and how this can be achieved. It explains the origin of the concept of empathy in nursing and provides different ways of characterising empathy. It explores barriers to empathic communication in older people nursing and identifies verbal and non-verbal communication skills that nurses can use to enhance their empathy. Finally, it explains the importance for nurses to develop self-awareness and undertake self-care to preserve their capacity to demonstrate empathy towards older people.
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Affiliation(s)
- Kirsten Jack
- Manchester Metropolitan University, Manchester, England
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15
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Skogevall S, Holmström IK, Kaminsky E, Håkansson Eklund J. Telephone nurses' perceived stress, self-efficacy and empathy in their work with frequent callers. Nurs Open 2021; 9:1394-1401. [PMID: 34528768 PMCID: PMC8859069 DOI: 10.1002/nop2.889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 02/13/2021] [Accepted: 02/19/2021] [Indexed: 11/19/2022] Open
Abstract
Aim To examine telephone nurses' perceived stress, self‐efficacy and empathy in their work with answering calls from frequent callers. Design The study is a quantitative questionnaire survey study with a comparative design. Methods Telephone nurses (N = 199) answered a survey containing three instruments: Perceived Stress Scale, General Self‐Efficacy Scale and Jefferson's Scale of Empathy. Correlation analysis, multiple regression analysis and analysis of variance were performed to test the research questions. Results Significant negative correlations were found between stress involving calls from FCs and self‐efficacy (r = −.238), and significant negative correlations between stress involving calls from frequent callers and empathy (r = −.185). It was further revealed that telephone nurses who had worked less than 30 years scored higher on Jefferson's Scale of empathy than those who had worked more than 30 years, F(1, 183) = 4.98, η2 = 0.027.
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Affiliation(s)
- Sofia Skogevall
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| | - Inger K Holmström
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Elenor Kaminsky
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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16
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Yoga improves older adults’ Affective functioning and resting-state brain connectivity: Evidence from a pilot study. AGING AND HEALTH RESEARCH 2021. [DOI: 10.1016/j.ahr.2021.100018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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17
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Sarabia-Cobo C, Pérez V, de Lorena P, Fernández-Rodríguez Á, González-López JR, González-Vaca J. Burnout, Compassion Fatigue and Psychological Flexibility among Geriatric Nurses: A Multicenter Study in Spain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147560. [PMID: 34300009 PMCID: PMC8305508 DOI: 10.3390/ijerph18147560] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 07/08/2021] [Accepted: 07/14/2021] [Indexed: 02/02/2023]
Abstract
Nurses working at nursing homes are one of the most vulnerable populations for suffering burnout and compassion fatigue. In Spain, the concept of compassion fatigue and psychological flexibility related to stress in geriatric nurses has not been fully explored until now. It is important to analyze their situation in order to design robust coping and management strategies. The aim was to analyze the relationship between burnout, compassion fatigue and psychological flexibility in geriatric nurses in Spain. Participants included 291 nurses from 97 centers in 51 cities across Spain. Psychological flexibility (AAQ-II), burnout (MBI) and compassion fatigue (ProQOL) were evaluated. Responses were recievced from 281 nurses (91% women), with an average of 7.6 years of work experience. The MBI results were average (26.71), and the ProQOL scores were average for compassion fatigue (40.2%) and high for compassion satisfaction (70.3%), whereas for AAQ-II, the mean score was 37.34 (SD 4.21). The correlation was significant and negative for flexibility, burnout and compassion fatigue, and positive for compassion satisfaction. The ANOVA indicated a significant association between all variables (p < 0.05). We can conclude that geriatric nurses suffer from medium levels of burnout and compassion fatigue, together with high levels of psychological flexibility, which appears to act as a stress reliever, supporting compassion satisfaction.
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Affiliation(s)
- Carmen Sarabia-Cobo
- Facultad de Enfermería, IDIVAL, Universidad de Cantabria, Avda Valdecilla s/n, 39011 Cantabria, Spain;
- Correspondence:
| | | | | | | | - José Rafael González-López
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar nº6, 41009 Seville, Spain;
| | - Julia González-Vaca
- Departament D’Ínfermeria Medicoquirurgica, Campus Bellvitge, Universidad de Barcelona, 08907 Barcelona, Spain;
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18
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Coventry TH, Russell KP. Clinical sympathy - A mixed method study of the relationship between the clinical nurse educator and the graduate nurse. Nurse Educ Pract 2021; 55:103150. [PMID: 34293705 DOI: 10.1016/j.nepr.2021.103150] [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: 07/30/2019] [Revised: 07/11/2021] [Accepted: 07/13/2021] [Indexed: 10/20/2022]
Abstract
AIM/OBJECTIVE This paper sought to investigate the influence of the supernumerary clinical nurse educator role on the newly qualified graduate nurses' professional development and successful transition to competent and confident practitioners in the acute care hospital environment. BACKGROUND The novice nurses learning in the inpatient clinical environment is affected by increasing patient acuity, complex conditions and organisational expectations. The supernumerary clinical nurse educator is uniquely positioned to prioritise these nurses' education through protected and available time to support adaption in the workplace culture and retention in the organisation. DESIGN A convergent mixed methods design was used to investigate the relationship between the supernumerary clinical nurse educator role through the opinions and experiences of the graduate nurse. METHODS Data were collected in February - July 2015 from graduate nurses from three hospital sites in a healthcare organisation in Western Australia. The research used online questionnaires (n = 39) and face to face interviews (n = 10). Analysis of quantitative data used descriptive statistics and qualitative data used thematic analysis. RESULTS Four main themes were identified. These were: acknowledges new and challenging experiences, available to provide constructive responses, sympathises with anxiety and missing in action. CONCLUSION The graduate registered nurses perceived that clinical sympathy provided by the clinical nurse educator was essential to their new role of frontline nurses influencing their delivery of quality patient care and as a practical solution to champion the graduate nurses' longevity in the future nursing workforce.
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Affiliation(s)
- Tracey H Coventry
- School of Medicine, University of Notre Dame Australia, Henry Street, Fremantle 6160, Western Australia, Australia.
| | - Kylie P Russell
- School of Medicine, University of Notre Dame Australia, Henry Street, Fremantle 6160, Western Australia, Australia
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19
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Borges EMDN, Queirós CML, de Abreu MDSN, Mosteiro-Diaz MP, Baldonedo-Mosteiro M, Baptista PCP, Felli VEA, Almeida MCDS, Silva SM. Burnout among nurses: a multicentric comparative study. Rev Lat Am Enfermagem 2021; 29:e3432. [PMID: 34190936 PMCID: PMC8253359 DOI: 10.1590/1518-8345.4320.3432] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 10/12/2020] [Indexed: 01/18/2023] Open
Abstract
OBJETIVO to identify and compare burnout levels between Portuguese, Spanish and Brazilian nurses. METHOD quantitative, descriptive, correlational, comparative and cross-sectional study conducted using a sample of 1,052 nurses working in hospitals and primary care centers. A sociodemographic questionnaire and the Maslach Burnout Inventory were applied to nurses in Porto, Portugal (n=306), Oviedo, Spain (n=269) and S. Paulo, Brazil (n=477). Data analysis was performed using descriptive, inferential and multivariate analysis. RESULTS approximately 42% of the nurses showed moderate/high levels of burnout, with no differences found between countries (Portugal and Brazil 42%, Spain 43%). Only depersonalization showed differences between countries, presenting Spain the highest level and Portugal the lowest one. Comparative analysis showed higher burnout levels in young nurses and those working by shifts. Considering job schedules, burnout was associated to shift work in Portugal, while in Spain and Brazil it was associated with fixed schedules. CONCLUSION these results suggest that this syndrome among nurses is a global phenomenon. The daily stressors and higher demands of the nursing profession are crucial in the preparation of nurses to deal with complex situations, to avoid burnout, and to reduce the negative impact on nurses' health and on the quality of care they provide.
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Affiliation(s)
| | | | | | | | - Maria Baldonedo-Mosteiro
- Instituto de Enseñansa Secundária número 5, Departamento de
Administração de Empresas, Avilés, Astúrias, Spain
| | | | - Vanda Elisa Andres Felli
- Universidade de São Paulo, Escola de Enfermagem, Departamento de
Orientação Profissional, São Paulo, SP, Brazil
| | | | - Silmar Maria Silva
- Universidade Federal de Minas Gerais, Departamento de Enfermagem
Básica, Belo Horizonte, MG, Brazil
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20
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The Empathic Capacity and the Ability to Regulate It: Construction and Validation of the Empathy Management Scale (EMS). Healthcare (Basel) 2021; 9:healthcare9050587. [PMID: 34063535 PMCID: PMC8156607 DOI: 10.3390/healthcare9050587] [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: 03/30/2021] [Revised: 05/05/2021] [Accepted: 05/13/2021] [Indexed: 11/17/2022] Open
Abstract
The aim of this study was to develop a measure to evaluate the management of empathic capacity. To this end, two studies were conducted. Study 1 (N = 277, 172 females) describes the scale creation procedure, factorial validity, and internal consistency. The exploratory factor analysis yielded a five-factor model with 18 items (62.4% of the variance explained). The dimensions were as follows: D1: identification, D2: incorporation, D3: reverberation, D4: separation, and D5: projection. The internal consistency was good (alpha values ranging from 0.70 to 0.80). Study 2 (N = 480, 323 females) examined the validity (including convergent validity) of the model and the relationships with sociodemographic variables. The five-factor model showed a robust goodness of fit, χ2 = 240.5, p < 0.001, root mean square residual (RMSR) = 0.05. The fit indices were satisfactory, Non-normed fit index (NNFI) = 0.89, comparative fit index (CFI) = 0.90, mean square error of approximation (RMSEA) = 0.04. The convergent validity analysis showed that, as empathy management increased, so too did the empathy level and emotional intelligence. Some differences by age and sex were found. In conclusion, the Empathy Management Scale is a valid and reliable instrument for analyzing the empathic process that allows vulnerabilities and strengths to be estimated, which could improve professional practice in the healthcare context.
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21
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Furman G, Bluvstein I, Itzhaki M. Emotion work and resilience of nurses and physicians towards Palestinian Authority patients. Int Nurs Rev 2021; 68:493-503. [PMID: 33734446 DOI: 10.1111/inr.12672] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 02/06/2021] [Accepted: 02/11/2021] [Indexed: 01/12/2023]
Abstract
AIM The purpose of this study was to explore the emotion work and resilience of Israeli healthcare personnel who treat paediatric patients from the Palestinian Authority in Israel. BACKGROUND Healthcare personnel deal with internalized emotional conflict deriving from the ethos of health care and the ethos of conflict. Emotion work may be used to overcome emotional conflict, while resilience serves as a protective process against emotional conflict. METHODS A mixed methods study among 101 healthcare workers: 84 nurses and 17 physicians. Quantitative data were analysed using IBM SPSS 24.0, and qualitative data were analysed using the constant comparative analysis method. FINDINGS Empathy was the highest ranking emotion and contempt was the lowest, for experienced and expected emotions. Positive correlations were found between identification with the ethos of health care and resilience, emotional gap and emotion work, and between the level of Arabic language and emotion work. A negative correlation was found between emotional gap and resilience. The qualitative data yielded three themes: Knowledge of the Arabic language, familiarity with the Arab culture and equitable treatment. DISCUSSION The language proficiency of patients belonging to a minority group increases nurses' and physicians' emotion work. Identification with the ethos of health care increases resilience, as both are linked to a sense of vocation and an intrinsic willingness to care for paediatric patients. CONCLUSION The study supports the theory of emotion work and refines the role of the ethos of health care in building resilience. Language and cultural capability have a significant role in providing healthcare personnel with methods to treat minorities equitably. IMPLICATIONS FOR HEALTH POLICY Hospital managements may supply tailor-made interventions to enhance healthcare personnel's transcultural communication skills, build resilience and cultivate emotion work capabilities. Nursing practice could encourage the use of nursing care plans specific to the individual paediatric patient that can be used by nursing staff to keep care current and applicable.
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Affiliation(s)
- G Furman
- Pediatric Hemato-Oncology Outpatient Clinic, Tel-Hashomer Hospital, Ramat Gan, Israel
| | - I Bluvstein
- Herczeg Institute on Aging, Tel Aviv University, Tel Aviv, Israel.,Teacher, Nursing Department, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - M Itzhaki
- Nursing Department, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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22
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Abstract
PURPOSE OF REVIEW Our goal was to provide healthcare professionals (HCPs) with evidence-based data about what can be done to handle prognostic discussions with empathy. RECENT FINDINGS First, disclosing prognosis involves a good reason to do so and making sure that the patient will be able to process the discussion. Second, communication tips are given for the three dimensions of empathy: "establishing rapport with the patient," which should not be overlooked; the emotional dimension, which involves an accurate understanding of the patient and communication skills; and the "active/positive" dimension which is about giving hope, explaining things clearly and helping patients take control with shared decision-making and a planned future. Although communication tips are helpful, empathy training should be based more on the development of HCPs' emotional skills, in order to help them regulate their emotions and thus be more comfortable with those of patients and families. Furthermore, research into empathy toward minorities and relatives is needed.
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Affiliation(s)
- Sophie Lelorain
- Univ. Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, F-59000, Lille, France.
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23
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Hegel J, Halkett GKB, Schofield P, Rees CS, Heritage B, Suleman S, Inhestern L, Butler T, Fitch MI, Breen LJ. The Relationship Between Present-Centered Awareness and Attention, Burnout, and Compassion Fatigue in Oncology Health Professionals. Mindfulness (N Y) 2021; 12:1224-1233. [PMID: 33425059 PMCID: PMC7782572 DOI: 10.1007/s12671-020-01591-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/22/2020] [Indexed: 11/02/2022]
Abstract
Objectives Oncology health professionals experience high levels of burnout and compassion fatigue, affecting their health and the care they provide. This study aimed to establish whether present-centered awareness and attention (a component of mindfulness) is uniquely associated with burnout and compassion fatigue in oncology professionals. Methods An international sample of oncology professionals (n = 118) completed an online questionnaire with validated measures of present-centered awareness and attention, empathy, compassion fatigue, and burnout. Hierarchical multiple regressions were used to model relations among the independent variable (present-centered awareness and attention) and the criterion variables of burnout (disengagement, exhaustion) and compassion fatigue (compassion satisfaction, compassion burnout, secondary traumatic stress) after statistically controlling for empathy, age, gender, years of experience, and patient contact hours. Results Mean hours of patient contact per week was 23.52 (SD = 13.62), with 26 (22.03%) reporting 40 h or more. Higher hours of patient contact per week were positively associated with secondary traumatic stress. Present-centered awareness and attention was associated with lower disengagement, lower emotional exhaustion, higher compassion satisfaction, lower secondary traumatic stress, and lower compassion burnout. In each model, present-centered awareness accounted for unique variance after controlling for age, gender, years of experience, patient contact hours per week, and empathy scores. The amount of unique variance accounted for by present-centered awareness ranged from 4 to 10%. Conclusions Oncology professionals reporting higher levels of present-centered awareness and attention reported higher compassion satisfaction and lower secondary traumatic stress, compassion burnout, exhaustion, and disengagement. Promoting present-centered awareness may be a mechanism that contributes to less burnout in oncology professionals.
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Affiliation(s)
- Jamie Hegel
- School of Psychology, Curtin University, Perth, Western Australia Australia
| | - Georgia K B Halkett
- School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia Australia
| | - Penelope Schofield
- Department of Psychological Sciences, Swinburne University of Technology, Hawthorn, Victoria Australia.,Department of Behavioural Science, Peter MacCallum Cancer Centre, Melbourne, Victoria Australia
| | - Clare S Rees
- School of Psychology, Curtin University, Perth, Western Australia Australia
| | - Brody Heritage
- School of Psychology and Exercise Science, Murdoch University, Perth, Western Australia Australia
| | - Sahil Suleman
- St George's University Hospitals NHS Foundation Trust, London, United Kingdom.,University College London, London, United Kingdom
| | - Laura Inhestern
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Thomas Butler
- Mitchell Cancer Institute, University of South Alabama, Mobile, Alabama United States of America
| | - Margaret I Fitch
- Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada
| | - Lauren J Breen
- School of Psychology, Curtin University, Perth, Western Australia Australia
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24
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Rushton CH, Swoboda SM, Reller N, Skarupski KA, Prizzi M, Young PD, Hanson GC. Mindful Ethical Practice and Resilience Academy: Equipping Nurses to Address Ethical Challenges. Am J Crit Care 2021; 30:e1-e11. [PMID: 33385208 DOI: 10.4037/ajcc2021359] [Citation(s) in RCA: 48] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND Ethical challenges in clinical practice significantly affect frontline nurses, leading to moral distress, burnout, and job dissatisfaction, which can undermine safety, quality, and compassionate care. OBJECTIVES To examine the impact of a longitudinal, experiential educational curriculum to enhance nurses' skills in mindfulness, resilience, confidence, and competence to confront ethical challenges in clinical practice. METHODS A prospective repeated-measures study was conducted before and after a curricular intervention at 2 hospitals in a large academic medical system. Intervention participants (192) and comparison participants (223) completed study instruments to assess the objectives. RESULTS Mindfulness, ethical confidence, ethical competence, work engagement, and resilience increased significantly after the intervention. Resilience and mindfulness were positively correlated with moral competence and work engagement. As resilience and mindfulness improved, turnover intentions and burnout (emotional exhaustion and depersonalization) decreased. After the intervention, nurses reported significantly improved symptoms of depression and anger. The intervention was effective for intensive care unit and non-intensive care unit nurses (exception: emotional exhaustion) and for nurses with different years of experience (exception: turnover intentions). CONCLUSIONS Use of experiential discovery learning practices and high-fidelity simulation seems feasible and effective for enhancing nurses' skills in addressing moral adversity in clinical practice by cultivating the components of moral resilience, which contributes to a healthy work environment, improved retention, and enhanced patient care.
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Affiliation(s)
- Cynda Hylton Rushton
- Cynda Hylton Rushton is the Anne and George L. Bunting Professor of Clinical Ethics at Berman Institute of Bioethics and a professor of nursing and pediatrics, Johns Hopkins University School of Nursing and School of Medicine, Baltimore, Maryland
| | - Sandra M. Swoboda
- Sandra M. Swoboda is the Department of Surgery research program coordinator and prelicensure masters entry program simulation coordinator/educator, Johns Hopkins University School of Nursing and School of Medicine
| | - Nancy Reller
- Nancy Reller is president of Sojourn Communications, McLean, Virginia
| | - Kimberly A. Skarupski
- Kimberly A. Skarupski is associate dean for faculty development at the School of Medicine, associate professor in the Division of Geriatric Medicine and Gerontology, and associate professor of epidemiology at Bloomberg School of Public Health, Johns Hopkins University
| | - Michelle Prizzi
- Michelle Prizzi is research and educational program coordinator at Berman Institute of Bioethics, Johns Hopkins University
| | - Peter D. Young
- Peter D. Young is a DPhil candidate in population health at Ethox Centre and Wellcome Centre for Ethics and Humanities, University of Oxford, England
| | - Ginger C. Hanson
- Ginger C. Hanson is an assistant professor at Johns Hopkins School of Nursing
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25
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Altmann T, Roth M. The risk of empathy: longitudinal associations between empathy and burnout. Psychol Health 2020; 36:1441-1460. [PMID: 33100035 DOI: 10.1080/08870446.2020.1838521] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE Prior research on the relation between empathy and burnout in social professions appears to be inconsistent. Whereas some studies have claimed that empathy functions as a buffer against burnout, others have argued that empathy contributes to the development of burnout. One explanation for this disparity may be methodological as most studies have relied on cross-sectional single-measure designs. To examine their cross-sectional and longitudinal associations, the present study analyzed cross-lagged data of several measures of empathy and burnout. DESIGN Data from two longitudinal studies with three to twelve months between measurements were analyzed. The samples contained 172 nursing students and 186 nurses, respectively. MAIN OUTCOME MEASURES Empathy was assessed using the Interpersonal Reactivity Index, the Toronto Empathy Questionnaire, the Geneva Emotion Recognition Test, and the Social Mindfulness Test Paradigm. Burnout was assessed using the Maslach Burnout Inventory, the Irritation Scale, and the Copenhagen Burnout Inventory. RESULTS Results showed significant cross-sectional correlations between the questionnaire measures of empathy and burnout. However, there was insufficient support for the cross-lagged associations. CONCLUSIONS Associations between empathy and burnout may be attributed to the methodological limitations of cross-sectional designs. However, the influence of potential moderators is discussed as a promising direction of future research.
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Affiliation(s)
- Tobias Altmann
- Department of Psychology, University of Duisburg-Essen, Essen, Germany
| | - Marcus Roth
- Department of Psychology, University of Duisburg-Essen, Essen, Germany
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26
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Satran C, Tsamri R, Peled O, Zuker H, Massalha L, Ore L. A unique program for nursing students to enhance their mentalization capabilities in relation to clinical thinking. J Prof Nurs 2020; 36:424-431. [PMID: 33039079 DOI: 10.1016/j.profnurs.2020.03.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 03/11/2020] [Accepted: 03/17/2020] [Indexed: 10/24/2022]
Abstract
While nurses strive to provide optimal patient-centered care, this is not always straightforward, as some cases are more emotionally charged than others - depending on the patient's mental, emotional, and physical state, and on the nurses themselves. Therefore, in order to provide accurate therapeutic responses while maintaining their own personal well-being, nurses must develop strong mentalization capabilities. We present a unique program for nursing students, specifically targeted at enhancing their mentalization abilities as part of their communication skills for dealing with emotionally charged situations. In the program, he students first learn to identify what leads them to experience increased emotional loads and how this affects their mentalization processes. Next, they learn alternative coping patterns for their benefit, enabling their own emotional regulation while providing optimal care for their patients. Conducted in small groups, this holistic four-year program is led by experienced clinical nurses and psychologists; the learning is based on actual experiences encountered by the students during their clinical experience.
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Affiliation(s)
- Carmit Satran
- Department of Nursing, The Max Stern Yezreel Valley College, Israel.
| | - Revital Tsamri
- Department of Nursing, The Max Stern Yezreel Valley College, Israel
| | - Osnat Peled
- Department of Nursing, The Max Stern Yezreel Valley College, Israel.
| | - Heden Zuker
- Department of Nursing, The Max Stern Yezreel Valley College, Israel
| | | | - Liora Ore
- Department of Health Systems Management, The Max Stern Yezreel Valley College, Israel
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27
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Gerace A, Rigney G. Considering the relationship between sleep and empathy and compassion in mental health nurses: It's time. Int J Ment Health Nurs 2020; 29:1002-1010. [PMID: 32406147 DOI: 10.1111/inm.12734] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 04/14/2020] [Accepted: 04/17/2020] [Indexed: 12/30/2022]
Abstract
Sleep plays a critical role in overall health, well-being, and daytime functioning. Provision of 24-hour care means that nurses undertake shift work and therefore have been found to commonly not get the recommended amount of sleep, resulting in sleep deprivation. Research to date has focused on how sleep deprivation impacts their cognitive performance (e.g., reaction time, memory consolidation); however, less considered is how nurses' sleep impacts on their ability to understand and provide emotional care to consumers. In this paper, we examine how sleep may influence nurses' ability to empathize and provide compassionate care, both of which are fundamental aspects of their work. We begin by considering the unique challenges nurses face as shift workers and the impact of sleep on physical and psychological functioning. We examine how empathy and compassion drive nurses' attempts to understand consumers' perspectives and experiences and motivate them to want to help those in their care. Work directly investigating the relationship between sleep and these processes indicates emotional recognition and experience are hampered by poor sleep, with greater compassion towards oneself or from others associated with better sleep. Much of this work has, however, been conducted outside of the nursing or health professional space. We discuss issues that need to be addressed in order to move understanding forward regarding how sleep impacts on mental health nurses' empathy and compassion, as well as how an understanding of the sleep-empathy/compassion link should be an important priority for nurse education and well-being.
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Affiliation(s)
- Adam Gerace
- School of Health, Medical and Applied Sciences, Central Queensland University, Adelaide, South Australia, Australia
| | - Gabrielle Rigney
- School of Health, Medical and Applied Sciences, Central Queensland University, Adelaide, South Australia, Australia
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Nabizadeh-Gharghozar Z, Adib-Hajbaghery M, Bolandianbafghi S. Nurses' Job Burnout: A Hybrid Concept Analysis. J Caring Sci 2020; 9:154-161. [PMID: 32963984 PMCID: PMC7492971 DOI: 10.34172/jcs.2020.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Accepted: 01/04/2020] [Indexed: 11/11/2022] Open
Abstract
Introduction: Job burnout can significantly affect nurses’ physical and mental health and the quality of the care services they provide. Yet, there is no clear definition for job burnout in nursing. This study aimed to analyze the concept of nurses’ occupational burnout. Methods: This concept analysis was conducted, using the three-phase hybrid model. In the theoretical phase, online databases, namely Iranmedex, Scientific Information Database (SID), Science Direct, MagIran, ProQuest, Web of Sciences, Scopus, and PubMed were searched to retrieve studies published from 2007 to 2018. In the fieldwork phase, twelve semi-structured interviews were conducted with nurses and head-nurses selected from teaching hospitals in Isfahan, Iran. The interviews were transcribed and analyzed through thematic analysis. In the final analytic phase, the findings of the first and the second phases were combined. Results: Based on the findings of the theoretical and the fieldwork phases, job burnout can be defined as, “a state of physical, mental, emotional, and social exhaustion resulting from the negative effects of unmanaged occupational stress and inadequate managerial and social support, which reduces interest in and motivation for work, affects care quality, and results in negative attitudes and behavior towards self, clients, and the work”. Conclusion: This study provides an in-depth understanding of the concept of job burnout in the nursing context of Iran. Managers need to develop strategies for job burnout prevention and management based on its contributing factors.
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Nikitara M, Constantinou CS, Andreou E, Latzourakis E, Diomidous M. Views of People with Diabetes Regarding Their Experiences of the Facilitators and Barriers in Type 1 Diabetes Inpatient Care: An Interpretative Phenomenological Analysis. Behav Sci (Basel) 2020; 10:E120. [PMID: 32707985 PMCID: PMC7463672 DOI: 10.3390/bs10080120] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Revised: 07/07/2020] [Accepted: 07/14/2020] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND The aim of this study was to comprehend how people with diabetes view their experiences of the possible barriers and facilitators in inpatient care for type 1 diabetes from non-specialized nurses. DESIGN An interpretative phenomenology analysis (IPA) was conducted. METHODS The sample consisted of people with type 1 diabetes 1 (n = 24) who use the services of the state hospitals in Cyprus. The data were collected in two phases: firstly, focus groups with people with diabetes (n = 2) were conducted and analysed, and then individual semi-structured interviews with people with diabetes (n = 12) were conducted. RESULTS It is evident from the findings that people with diabetes experienced several barriers in diabetes inpatient care, which is concerning since this can have adverse effects on patients' outcomes. No facilitators were reported. CONCLUSION Significant results were found in relation to the barriers to diabetes inpatient care. Crucially, the findings demonstrate that all these factors can negatively affect the quality of care of patients with diabetes, and most of these factors are related not only to diabetes care but also generally to all patients who receive inpatient care. Interestingly, no participant reported any facilitators to their care, which further affected the negative perceptions of the care received.
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Affiliation(s)
- Monica Nikitara
- Department of Life and Health Sciences/ School of Science and Engineering, University of Nicosia, Cyprus 46 Makedonitissas Avenue, P.O. Box 24005, CY-1700, Nicosia CY-2417, Cyprus; (E.A.); (E.L.)
| | - Costas S. Constantinou
- Medical School, University of Nicosia, Cyprus 46 Makedonitissas Avenue, P.O. Box 24005, CY-1700, Nicosia CY-2417, Cyprus;
| | - Eleni Andreou
- Department of Life and Health Sciences/ School of Science and Engineering, University of Nicosia, Cyprus 46 Makedonitissas Avenue, P.O. Box 24005, CY-1700, Nicosia CY-2417, Cyprus; (E.A.); (E.L.)
| | - Evangelos Latzourakis
- Department of Life and Health Sciences/ School of Science and Engineering, University of Nicosia, Cyprus 46 Makedonitissas Avenue, P.O. Box 24005, CY-1700, Nicosia CY-2417, Cyprus; (E.A.); (E.L.)
| | - Marianna Diomidous
- Nursing Department, School of Sciences, National and Kapodistrian University of Athens, Athens 10679, Greece;
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Engbers RA. Students' perceptions of interventions designed to foster empathy: An integrative review. NURSE EDUCATION TODAY 2020; 86:104325. [PMID: 31926381 DOI: 10.1016/j.nedt.2019.104325] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Revised: 11/13/2019] [Accepted: 12/23/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE Empathy is assumed to be an important element of nursing care, and nursing educators are attempting to find ways to effectively foster empathy in their students. The purpose of this review is to gain a deeper grasp of what undergraduate nursing students are learning from interventions educators have designed to cultivate empathy by synthesizing qualitative data. REVIEW METHODS Utilizing the review methodology proposed by Whittemore and Knafl, a survey of the CINAHL, Web of Science, PubMed, and PsychINFO databases was undertaken to answer the question: What are undergraduate nursing students' perceptions of interventions designed to foster empathy? RESULTS A thematic synthesis of the students' perceptions from the 17 articles meeting inclusion criteria revealed five themes: Understanding the other's experience, embodying the other's experience, becoming aware of self, informing the role of the nurse, and learning or transforming. CONCLUSIONS Although additional conceptual work remains to create a coherent, complete, and parsimonious definition of empathy, the results indicate that the students are gaining many of the facets assumed to be part of the concept of empathy through these educational interventions. Immersive simulations that put students in the role of the "other" were particularly impactful, especially if they created a disorienting dilemma followed by guided reflection. These findings can help nursing educators tailor their interventions for their specific intended learning outcomes.
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Affiliation(s)
- Ruth A Engbers
- Marquette University, College of Nursing, 530 N 16th St., Milwaukee, WI 53233, United States of America.
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Skogevall S, Holmström IK, Kaminsky E, Håkansson Eklund J. A survey of telephone nurses' experiences in their encounters with frequent callers. J Adv Nurs 2020; 76:1019-1026. [PMID: 31997365 DOI: 10.1111/jan.14308] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2019] [Revised: 11/29/2019] [Accepted: 01/14/2020] [Indexed: 11/30/2022]
Abstract
AIM The aim of this study was to describe telephone nurses' experiences of their encounters with frequent callers to Swedish Healthcare Direct. DESIGN A descriptive inductive design with qualitative approach. METHODS Data collection was performed during the period of September 2017 - June 2018. A total of 199 telephone nurses working at 10 Swedish Healthcare Direct sites with different geographical locations in Sweden answered a survey containing seven open-ended questions. Data analysis was performed during the period of September 2018 - June 2019. The answers were analysed using content analysis. RESULTS The telephone nurses perceived that the encounters with frequent callers were sometimes frustrating as they felt unable to help. According to the telephone nurses, the frequent callers called about the same issues several times and the calls were often about loneliness and psychiatric problems. The telephone nurses were worried about missing something urgent; one of the aspects leading to this was the perception of knowing the caller. They expressed a wish to know more about frequent callers and strategies for helping them. A common care plan for frequent callers' calls was suggested. CONCLUSION Telephone nurses often found it difficult to handle calls from frequent callers. However, they had a will to care for frequent callers and to learn more about them. Therefore, a common strategy, education and training for telephone nurses in answering calls from frequent callers could be beneficial for both callers and telephone nurses. IMPACT STATEMENT This study offers insights to researchers, telephone nurses and managers of telephone nursing, regarding telephone nurses' experiences in handling frequent caller calls. These findings can offer direction for the content of a possible intervention.
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Affiliation(s)
- Sofia Skogevall
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| | - Inger K Holmström
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Elenor Kaminsky
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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Levett‐Jones T, Cant R. The empathy continuum: An evidenced‐based teaching model derived from an integrative review of contemporary nursing literature. J Clin Nurs 2020; 29:1026-1040. [DOI: 10.1111/jocn.15137] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Revised: 09/29/2019] [Accepted: 11/18/2019] [Indexed: 12/30/2022]
Affiliation(s)
| | - Robyn Cant
- Faculty of Health University of Technology Sydney Ultimo NSW Australia
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O'Brien WH, Singh RS, Horan K, Moeller MT, Wasson R, Jex SM. Group-Based Acceptance and Commitment Therapy for Nurses and Nurse Aides Working in Long-Term Care Residential Settings. J Altern Complement Med 2019; 25:753-761. [PMID: 31314564 DOI: 10.1089/acm.2019.0087] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Objectives: Nurses and nurse aides experience high rates of physical injury, assault, and abuse compared to other occupations. They also frequently have intersectional identities with other groups that experience higher rates of mental and physical health challenges and problems. In addition to belonging to these multiple vulnerable populations, nurses and nurse aides experience high levels of work stress and burnout. These variables are risk factors for injuries associated with lifting and transferring, as well as assault from residents. Given the focus on present moment awareness, commitment to values, and responding flexibly in difficult situations, Acceptance and Commitment Therapy (ACT) may be an effective approach for this population. Design: Participants were randomly assigned to either the ACT group condition or a wait-list control condition. Participants completed baseline and one-month follow-up outcome measures. Setting/Location: The interventions were provided at participant work sites (nursing homes and assisted living facilities) that were located in multiple locations across Northern Ohio. Subjects: Seventy-one nurses and nurse aides participated in the study. Of these, 37 were randomly assigned to the ACT group intervention and 34 were assigned to the wait-list control group. Intervention: A two-session group-based ACT intervention. Each session was 2.5 hours long and spaced one-week apart. The intervention topics included acceptance, mindfulness, psychological flexibility, willingness to experience discomfort, present-moment focus, self-as-context, values identification, and values-congruent committed action. Outcome measures: Days missed due to injury, frequency of work-based injuries, musculoskeletal complaints, mental health symptoms, and overall satisfaction with the intervention. Results: Participants in the ACT group reported significantly fewer days missed due to injury and a significant reduction in mental health symptoms compared to the control group. Participants in the ACT group rated the intervention very favorably. Conclusion: A group-based ACT intervention can promote improvements in well-being for nurses and nurse aides working in long-term care settings. Further research in this area would benefit from conducting group-based ACT interventions at different organizational levels.
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Affiliation(s)
- William H O'Brien
- 1Department of Psychology, Bowling Green State University, Bowling Green, Ohio
| | | | - Kristin Horan
- 2Department of Psychology, University of Central Florida, Orlando, Florida
| | - Mary T Moeller
- 1Department of Psychology, Bowling Green State University, Bowling Green, Ohio
| | - Rachel Wasson
- 1Department of Psychology, Bowling Green State University, Bowling Green, Ohio
| | - Steve M Jex
- 2Department of Psychology, University of Central Florida, Orlando, Florida
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Exploring oncology nurses' perception of the consequences of clinical empathy in patients and nurses: a qualitative study. Support Care Cancer 2019; 28:2985-2993. [PMID: 31781947 PMCID: PMC7223450 DOI: 10.1007/s00520-019-05118-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Accepted: 10/06/2019] [Indexed: 12/30/2022]
Abstract
Purpose Clinical empathy is the ability to understand the patient's situation, perspective, feelings, and actions, based on the patient’s perception, in a helping or therapeutic way. This study was conducted with the aim of exploring oncology nurses’ perception of the consequences of clinical empathy in patients and nurses and the factors influencing it. Methods A qualitative study was conducted by semi-structured face-to-face interviews. The participants were 6 male and 9 female oncology nurses who were selected by purposive sampling. Data were analyzed using conventional content analysis. Results The theme of “empathy as a double-sided mirror” was created, based on oncology nurses’ perception of the effects of clinical empathy in patients and nurses. Two themes of “organizational factors” and “contextual factors” were generated in response to influencing factors on clinical empathy. Conclusions By awareness of the effects of clinical empathy, controlling the barriers and strengthening the facilitators, there is a possibility to design interventional programs to develop empathy as a clinical competency in oncology nurses.
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Abstract
Background: Compassion has long been advocated as a fundamental element in nursing practice and education. However, defining and translating compassion into caring practice by nursing students who are new to the clinical practice environment as part of their educational journey remain unclear. Objectives: The aim of this study was to explore how Chinese baccalaureate nursing students define and characterize compassionate care as they participate in their clinical practice. Methods: A descriptive qualitative study design was used involving a semi-structured in-depth interview method and qualitative content analysis. Twenty senior year baccalaureate nursing students were interviewed during their clinical practicum experience at four teaching hospitals. Ethical considerations: Permission to conduct the study was received from the Institutional Review Boards and the participating hospitals. Results: Baccalaureate nursing students defined and characterized compassionate care as a union of “empathy” related to a nurse’s desire to “alleviate patients’ suffering,” “address individualized care needs,” “use therapeutic communication,” and “promote mutual benefits with patients.” Students recognized that the “practice environment” was characterized by nurse leaders’ interpersonal relations, role modeling by nurses and workloads which influenced the practice of compassionate care by nursing personnel. Conclusion: Compassionate care is crucial for patients, nurses, and students in their professional development as well as the development of the nursing profession. In order to provide compassionate care, a positive practice environment promoted by hospital administrators is needed. This also includes having an adequate workforce of nurses who can role model compassionate care to students in their preceptor role while meeting the needs of their patients.
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Affiliation(s)
- Jing Jing Su
- The Chinese University of Hong Kong, Hong Kong; Sun Yat-sen University Nanfang College, China
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Affiliation(s)
- Sandra Bernstein
- Sandra Bernstein is a practicing psychotherapist in Lansdale, Pa., and Doylestown, Pa
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Wayment HA, Huffman AH, Eiler BA. A brief "quiet ego" workplace intervention to reduce compassion fatigue and improve health in hospital healthcare workers. Appl Nurs Res 2019; 49:80-85. [PMID: 31153757 DOI: 10.1016/j.apnr.2019.05.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 03/14/2019] [Accepted: 05/01/2019] [Indexed: 11/25/2022]
Affiliation(s)
| | - Ann H Huffman
- Psychological Sciences, United States of America; WA Franke School of Business, United States of America
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Giménez-Espert MDC, Prado-Gascó VJ, Valero-Moreno S. Impact of work aspects on communication, emotional intelligence and empathy in nursing. Rev Lat Am Enfermagem 2019. [PMCID: PMC6358135 DOI: 10.1590/1518-8345.2933.3118] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to assess the impact of the type of contract and seniority of nursing staff on their attitudes towards communication, emotional intelligence and empathy. Methods: the instruments measuring attitudes towards communication, empathy and emotional intelligence. The study sample was composed of 450 nurses from 7 hospitals. To explore the effect of the variables studied, one-factor ANOVA test, Pearson correlations and hierarchical multiple linear regression models were performed according to the type of contract. Results: there are statistically significant differences between the variables studied according to the type of contract. More specifically, the nursing staff with permanent contract showed higher scores in the cognitive dimension of the scale attitudes towards communication. Likewise, the highest correlations were found among the dimensions of attitudes towards communication in all the groups. At the same time, seniority was positively related to emotional intelligence in the interim and negatively related to empathy in the permanent contract. Finally, regarding the regression models, it was observed that the perspective taken is the main predictor of each dimension of attitudes towards communication in all the groups, regardless of the type of contract. Conclusion: positive working conditions (job security, permanent contract and seniority) have been found to influence the communication skills in the patient-nurse relationship.
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Hansen EM, Eklund JH, Hallén A, Bjurhager CS, Norrström E, Viman A, Stocks EL. Does Feeling Empathy Lead to Compassion Fatigue or Compassion Satisfaction? The Role of Time Perspective. THE JOURNAL OF PSYCHOLOGY 2018; 152:630-645. [DOI: 10.1080/00223980.2018.1495170] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
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McKinnon J. In their shoes: An ontological perspective on empathy in nursing practice. J Clin Nurs 2018; 27:3882-3893. [DOI: 10.1111/jocn.14610] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Revised: 06/18/2018] [Accepted: 06/24/2018] [Indexed: 12/13/2022]
Affiliation(s)
- John McKinnon
- School of Health and Social Care; Sarah Swift Building University of Lincoln; Lincoln UK
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Wang Y, Su Q, Wen Z. Exploring Latent Profiles of Empathy Among Chinese Preschool Teachers: A Person-Centered Approach. JOURNAL OF PSYCHOEDUCATIONAL ASSESSMENT 2018. [DOI: 10.1177/0734282918786653] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In view of the shortcomings of previous research on empathy (e.g., no dimensional differentiation, predominantly variable-centered approaches, and a lack of sample diversity), we adopted a person-centered approach to identify distinct profiles of empathy among Chinese preschool teachers, and we examined how these profiles relate to certain outcomes. We identified three profiles—moderate empathy, high cognitive empathy–moderate affective empathy, and high empathy—that varied in the level and shape of the profile indicators. Subsequent analyses showed that participants with higher levels of overall empathy scored higher in sympathy, while those with higher levels of affective empathy and lower levels of cognitive empathy scored higher in emotional exhaustion. Finally, we discussed the theoretical and practical implications of the findings and the limitations of the study.
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Affiliation(s)
- Yang Wang
- Center for Studies of Psychological Application/School of Psychology, South China Normal University, Guangzhou, China
| | - Qin Su
- Guangdong Polytechnic of Science and Trade, Guangzhou, China
| | - Zhonglin Wen
- Center for Studies of Psychological Application/School of Psychology, South China Normal University, Guangzhou, China
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