Iran J Nurs Midwifery Res. 2017 Mar-Apr;22(2):91-96. doi: 10.4103/ijnmr.IJNMR_79_16.
Contextual Facilitators and Maintaining of Compassion-Based Care: An Ethnographic Study.
Iranian journal of nursing and midwifery research
Sima Babaei, Fariba Taleghani, Mahmoud Keyvanara
Affiliations
Affiliations
- Student Department of Adult Health Nursing, Nursing and Midwifery Care research center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
- Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
- Department of Health Services Management, Social Determinate of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
PMID: 28584544
PMCID: PMC5443002 DOI: 10.4103/ijnmr.IJNMR_79_16
Abstract
BACKGROUND: Compassion is an important part of nursing. It fosters better relationships between nurses and their patients. Moreover, it gives patients more confidence in the care they receive. Determining facilitators of compassion are essential to holistic care. The purpose of this study was to explore these facilitators.
MATERIALS AND METHODS: This ethnographic study was conducted in 2014-2015 with 20 nurses, 12 patients, and 4 family members in the medical and surgical wards. Data collection was done through observations and in-depth semi-structured interviews with purposive sampling. The study was carried out in 15 months. Data analysis was performed using constant comparison based on Strauss and Corbin.
RESULTS: Data analysis defined three main themes and eight subthemes as the fundamentals of compassion-based care. Nurses' personal factors with subcategories of personality, attitudes, and values and holistic view; and socio-cultural factors with subcategories of kindness role model, religious, and cultural values are needed to elicit compassionate behaviors. Initiator factors, with subcategories of patient suffering, patient communication demands, and patient emotional and psychological necessity are also needed to start compassionate behaviors.
CONCLUSIONS: The findings of this study showed that nurses' communication with patients is nurse's duty in order to understand and respect the needs of patients. Attention should be paid to issues relating to compassion in nursing and practice educational programs. Indeed, creating a care environment with compassion, regardless of any shortcomings in the work condition, would help in the development of effective nursing.
Keywords: Communication; Iran; compassion; ethnography; nursing care
Conflict of interest statement
There are no conflicts of interest.
References
- J Emerg Nurs. 2010 Sep;36(5):420-7 - PubMed
- Int Nurs Rev. 2016 Sep;63(3):388-94 - PubMed
- Nurse Educ Pract. 2008 Nov;8(6):412-9 - PubMed
- ANS Adv Nurs Sci. 2006 Jan-Mar;29(1):15-26 - PubMed
- Nurs Forum. 2007 Apr-Jun;42(2):48-55 - PubMed
- Int J Nurs Stud. 2010 Feb;47(2):154-65 - PubMed
- Arch Intern Med. 2012 Mar 12;172(5):405-11 - PubMed
- Nurs Times. 2013 Feb 19-25;109 (7):12-4 - PubMed
- Int Nurs Rev. 2015 Dec;62(4):584-92 - PubMed
- J Nurs Res. 2009 Dec;17(4):293-7 - PubMed
- Int Nurs Rev. 2005 Dec;52(4):263-9 - PubMed
- J Pers Soc Psychol. 2010 Apr;98(4):618-30 - PubMed
- J Adv Nurs. 2008 Sep;63(5):527-34 - PubMed
- J Adv Nurs. 1999 Nov;30(5):1106-17 - PubMed
- Int J Nurs Educ Scholarsh. 2008;5:Article15 - PubMed
- Int J Nurs Knowl. 2014 Feb;25(1):2-8 - PubMed
- J Nurs Scholarsh. 2006;38(2):141-7 - PubMed
- Br J Nurs. 2012 Feb 8-22;21(3):160-4 - PubMed
- J Nurs Educ. 2008 Mar;47(3):124-9 - PubMed
- Hum Resour Health. 2009 Jun 23;7:50 - PubMed
- Nurse Educ Today. 2012 Aug;32(6):630-5 - PubMed
- Nurse Res. 2006 Jul 1;13(4):84 - PubMed
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