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Research Paper
Motives for Empathy among Clinical Nurses in China: A Qualitative Study
Zhu, Yu , He, Ming-Mei , Zhu, Ji-Min , Huang, Li , Li, Bai-Kun
J Korean Acad Nurs 2020;50(6):778-786.   Published online December 31, 2020
DOI: https://doi.org/10.4040/jkan.20123
AbstractAbstract PDF
Purpose
This study aimed to explore the motives of clinical nurses for experiencing empathy with patients and their families based on a self-determination theory framework.
Methods
Semi-structured face-to-face interviews with twenty-one nurses at four tertiary hospitals in Anhui, China, were conducted, recorded and transcribed. A content analysis with a directed approach was performed.
Results
An analysis of the interview transcripts revealed three categories of empathy motivation: autonomous motivation, controlled motivation and a lack of empathy motivation. Autonomous motivation included personal interests, enjoyment and a sense of value, pure altruism, assimilation, and recognition of the importance of empathy. Controlled motivation highlighted pressures from oneself and others, the possibility of tangible or intangible rewards, and avoidance of adverse effects. Finally, a lack of empathy motivation referred to a lack of intention for empathy and denial of the value of empathy.
Conclusion
This study provides a deep understanding of the motives underlying empathy in nurses. The results reveal the reasons for empathy and may support the development of effective strategies to foster and promote empathy in nurses.

Citations

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  • Reframing Burnout: Measuring “Altruistic Execution” to Understand Nurse Burnout
    Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L. Johnson
    Western Journal of Nursing Research.2024; 46(11): 941.     CrossRef
  • Perception and experience of altruism in graduate nursing students
    Xinyu Gu, Yanxia Yang, Hao Gong, Luojing Zhou
    Nursing Ethics.2023; 30(7-8): 1125.     CrossRef
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Original Articles
A Predictive Model on Patient-Centered Care of Hospital Nurses in Korea
Hyun Jeong, Myonghwa Park
J Korean Acad Nurs 2019;49(2):191-202.   Published online April 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.2.191
AbstractAbstract PDF
Purpose

Patient-centered care is a widely utilized concept in nursing and health care. However, the key components of patient-centered nursing have not yet been reported. Moreover, previous studies on patient-centered care have mostly focused on components of nursing rather than organizational factors. Therefore, a comprehensive understanding of influential factors of patient-centered care is required.

Methods

The purpose of this study was to develop a theoretical model based on person-centered care theory, and the relevant literature and to test the developed model with covariance structure analysis in order to determine the causal paths among the variables.

Results

The model fit indices for the hypothetical model were suitable for the recommended level (goodness of fit index=.87, standardized root mean residual=.01, root mean square error of approximation=.06, Tucker-Lewis index=.90, comparative fit index=.92, parsimonious normed fit index=.75). In this study, five of the six paths established in the initial hypothetical model were supported. The variables of teamwork, self-leadership, and empathy accounted for 56.4% of hospital nurses' patient-centered care. Among these, empathy was the strongest predictor of patient-centered care.

Conclusion

These results suggest that it is necessary to use strategies to improve self-leadership and empathy. In addition to enhancing the personal factors of nurses, nursing organizations should strive for effective multidisciplinary cooperation with active support for patient-centered care and openness to change.

Citations

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    Pan Heui Kim
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    Ji Su Lee, Mi Heui Jang, Min Jung Sun
    Healthcare.2024; 12(22): 2269.     CrossRef
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    Seongkum Heo, Brandy Haley, Patricia Wright, Claudia P. Barone, Michael Anders, Tara Bertulfo, Patricia Troyan
    Nursing Education Perspectives.2023; 44(2): 82.     CrossRef
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    The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48.     CrossRef
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    Myonghwa Park, Thi‐Thanh‐Tinh Giap, Insook Jang, Miri Jeong, Jahyeon Kim
    Nursing Forum.2022; 57(1): 9.     CrossRef
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    Suyoun Ahn, Yeojin Yi
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    Seong Eun KIM, Jeong Suk KIM
    Korean Journal of Medical Ethics.2022; 25(2): 137.     CrossRef
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    Eun-Young Kim, Sung-Ok Chang
    International Journal of Environmental Research and Public Health.2022; 19(14): 8576.     CrossRef
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    Yaki Yang
    BMC Health Services Research.2022;[Epub]     CrossRef
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    Eun Young Kim, Sung Ok Chang
    Journal of Korean Gerontological Nursing.2022; 24(1): 33.     CrossRef
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    Kyung-Ah Kang, Elizabeth Johnston Taylor, Jiyoung Chun
    Journal of Hospice & Palliative Nursing.2022; 24(6): E250.     CrossRef
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    Sinyoung Kwon, Kyoung Hee Kim
    The Korean Journal of Hospice and Palliative Care.2022; 25(2): 66.     CrossRef
  • Development and Effects of a Person-Centered Fall Prevention Program for Older Adults with Dementia in Long-Term Care Hospitals: For Older Adults with Dementia and Caregivers in Long-Term Care Hospitals
    Jeong Ok Lim, Mee Ock Gu
    Journal of Korean Academy of Nursing.2022; 52(3): 341.     CrossRef
  • Role of self‐efficacy in nursing organizational climate: A way to develop nurses' humanistic practice ability
    Mengru Bu, Haiqi Ma, Huimin Zhai, Yue Ma, Ningjun Xu
    Journal of Nursing Management.2022; 30(7): 2107.     CrossRef
  • Effects of Compassionate Competence, Communication Skills, and Nursing Work Environment on Person-centered Care in General Hospital Nurses who Care for Cancer Patients
    Mi Jin Han, Seonho Kim
    The Korean Journal of Rehabilitation Nursing.2022; 25(1): 11.     CrossRef
  • Factors Influencing the Performance of Person-centered Care Among Nurses in Designated COVID-19 Hospitals
    Hyun-Joung Yun, Jaehee Jeon
    Korean Journal of Adult Nursing.2022; 34(4): 413.     CrossRef
  • Hospital Culture and Healthcare Workers' Provision of Patient-Centered Care: A Moderated Mediation Analysis
    Xianhong Huang, Yuan Gao, Hanlin Chen, Hao Zhang, Xiaoting Zhang
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Influencing Factors on Performance of Person-Centered Care among Intensive Care Unit Nurses: An Ecological Perspective
    Yein Lee, Yunhee Kim
    Korean Journal of Adult Nursing.2021; 33(5): 522.     CrossRef
  • Factors Associated with Person-Centered Care among Care Workers at Long-term Care Facilities
    Geun-Young Kim, Hye-Young Jang
    Journal of Korean Gerontological Nursing.2021; 23(1): 13.     CrossRef
  • A predictive model of the perceptions of patient-centered care among nurses in long-term care hospitals: A cross-sectional study
    Myonghwa Park, Hyun Jeong, Thi-Thanh-Tinh Giap
    Geriatric Nursing.2021; 42(3): 687.     CrossRef
  • Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
    Sohyun Kim, Sunghee H Tak
    Journal of Korean Academy of Nursing.2021; 51(3): 363.     CrossRef
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    Soojin Chung, Jee-In Hwang
    Quality Improvement in Health Care.2021; 27(1): 26.     CrossRef
  • Inducing a sense of worthiness in patients: the basis of patient-centered palliative care for cancer patients in Iran
    Mir Hossein Aghaei, Zohreh Vanaki, Eesa Mohammadi
    BMC Palliative Care.2021;[Epub]     CrossRef
  • The Effects of the Nursing Practice Environment and Self-leadership on Person-centered Care Provided by Oncology Nurses
    Sun-Ui Shin, Hyun-E Yeom
    The Korean Journal of Hospice and Palliative Care.2021; 24(3): 174.     CrossRef
  • The influence of health literacy competencies on patient-centered care among clinical nurses
    Minyeon Kim, Jieun Cha
    The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 132.     CrossRef
  • “Walking in the patient’s shoes”: An innovative training method using storytelling to promote knowledge transfer of patient-centered care in hospital: A quasi-experimental study
    Myonghwa Park, Insook Jang, Thi-Thanh-Tinh Giap
    Nurse Education in Practice.2021; 56: 103199.     CrossRef
  • Factors affecting to the Person-Centered Care among Critical Care Nurses
    Seunghye Choi
    Journal of Korean Critical Care Nursing.2020; 13(2): 36.     CrossRef
  • A Concept Analysis on Patient-Centered Care in Hospitalized Older Adults with Multimorbidity
    Youn-Jung Son, Heun-Keung Yoon
    Journal of Korean Critical Care Nursing.2019; 12(2): 61.     CrossRef
  • The Relationship between Person-Centered Nursing and Family Satisfaction in ICUs
    Jiyeon Kang, Eun-Ja Shin
    Journal of Korean Critical Care Nursing.2019; 12(3): 1.     CrossRef
  • The Influence of Lateral Violence on Burnout and Empathy with Patients among Nurses: The Moderating Effect of Communication
    Soohyun Nam, Boyoung Hwang
    Stress.2019; 27(3): 224.     CrossRef
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Person-Centered Relational Care Experienced by Critical Care Nurses: An Interpretative Phenomenological Analysis Study
Myoung Sun Jang, Sungjae Kim
J Korean Acad Nurs 2019;49(4):423-436.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.423
AbstractAbstract PDF
Abstract Purpose

The aim of the study was to explore nurses’ experience of person-centered relational care in the context of critical care.

Methods

Key interview questions were developed based on the human-to-human relationship model suggested by Travelbee. Data were collected through in-depth interviews with a purposive sample of 11 nurses having more than 2 years of working experience in intensive care units. An interpretative phenomenological analysis was conducted to analyze the data.

Results

Four super-ordinate and nine sub-ordinate themes were identified. Emerged super-ordinate themes were as follows: (1) encountering a live person via patient monitoring systems; (2) deep empathic connection; (3) humanistic and compassionate care, and (4) accompanying the journey to the end. Study findings revealed that nurses in intensive care units experienced ‘balancing emotions’ and ‘authenticity’ in caring when entering human-to-human relationships with dying patients. The phenomenon of person-centered relational care in intensive care units was found to subsume intrinsic attributes of empathy, compassion, and trust, similar to the central concepts of Travelbee's theory.

Conclusion

The interpretative findings in this study provide deeper understanding of Travelbee's human-to-human relationship model. The technological environment in intensive care units did not hinder experienced nurses from forming human-to-human relationships. These themes need to be emphasized in critical care nursing education as well as in nursing management. The results of this study will contribute to understanding nurse-patient caring relationships in depth, and help improve the quality of nursing care in intensive care units.

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  • Framework of humanistic care for patients in theICU: A preliminary study
    Yuchen Zhang, Li Zhao, Meng Zhang, Xiaojing Guo, Chen Xin, Yubiao Gai
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  • Exploring Healthcare Providers’ and Women’s Perspectives of Labor Companionship during Childbirth: An Interpretative Phenomenological Analysis Study
    Anwar Nader AlKhunaizi, Areej Ghalib Al-Otaibi, Manal F. Alharbi, Ghareeb Bahari
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    Jin Young Hong, Sue Kyung Sohn
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  • Self-reflection of a General Ward Nurses on the Experience of End-of-Life Care for a Patient who Decided to Suspend Life-sustaining Treatment: van Manen's Hermeneutic Phenomenological Approach
    Hee Jung Hong
    Korean Journal of Adult Nursing.2023; 35(3): 273.     CrossRef
  • The impact of family care visitation programme on patients and caregivers in the intensive care unit: A mixed methods study
    Hye Jin Yoo, JaeLan Shim
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    Jian Zhang, Fenhua Zhou, Jinxia Jiang, Xia Duan, Xin Yang
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Nurse Spiritual Care Therapeutics Scale
    Kyung-Ah Kang, Elizabeth Johnston Taylor, Jiyoung Chun
    Journal of Hospice & Palliative Nursing.2022; 24(6): E250.     CrossRef
  • Person-centred care among intensive care unit nurses: A cross-sectional study
    Hyuna Youn, Miyoung Lee, Sun Joo Jang
    Intensive and Critical Care Nursing.2022; 73: 103293.     CrossRef
  • The Effect of a Multifaceted Family Participation Program in an Adult Cardiovascular Surgery ICU*
    Hye Jin Yoo, JaeLan Shim
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    Ji Yea Lee, Sewon Lee, Eui Geum Oh
    Korean Journal of Adult Nursing.2020; 32(4): 354.     CrossRef
  • Critical care nurses’ communication experiences with patients and families in an intensive care unit: A qualitative study
    Hye Jin Yoo, Oak Bun Lim, Jae Lan Shim, Liza Heslop
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Improving Empathy in Nursing Students: A Comparative Longitudinal Study of Two Curricula
Celale Tangul Ozcan, Emine Öksüz, Fahriye Oflaz
J Korean Acad Nurs 2018;48(5):497-505.   Published online October 31, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.5.497
AbstractAbstract PDF
Purpose

This study aimed to examine changes of empathy levels of nursing student in two different curricula structures, one called “traditional” and the other called “integrated” curricula. The study was a longitudinal design to follow a cohort of nursing students to examine the magnitude of changes in empathy in their education years.

Methods

The study was conducted in a public school of nursing giving a baccalaureate degree, which had a fundamental change in their curricula. In all, 81 students from the traditional curricula and 66 students from the integrated curricula completed the study, and data from a total of 147 students were analyzed between 2003 and 2008. The Empathic Communication Skills Scale and the Empathic Tendency Scale were given to the students in the beginning of their freshman year and at the end of the fourth year just before graduation.

Results

Although both of the curricula were seemed effective at improving empathic skills of students, especially the scores of students who completed the integrated curricula were higher than the scores of the other group attending the traditional curricula (p<.05). However, the empathic tendency scores of students in both curricula decreased at the end of fourth year.

Conclusion

Although undergraduate nursing curricula either traditional or integrated improved empathic skills, it seemed that integrated curricula were more effective than traditional curricula in increasing empathic skills. The more hours and more experiential methods contributed to improved empathy. The decrease in empathic tendency requires further attention of educators and nurse managers.

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    Che-Ming Chang, Jhen-Jhen Li, In-Fun Li, Yun-Hsiang Lee
    European Journal of Oncology Nursing.2025; : 102877.     CrossRef
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    Juniarta, Ni Gusti Ayu Eka, Yenni Ferawati Sitanggang
    Journal of Holistic Nursing.2024; 42(2_suppl): S59.     CrossRef
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    Katri Mattsson, Elina Haavisto, Satu Jumisko-Pyykkö, Jaana-Maija Koivisto
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    J.A. Nasello, J.-M. Triffaux
    L'Encéphale.2023; 49(4): 399.     CrossRef
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    Cheng-Yi Huang, Chiu-Hsiang Lee, Pin-Hsi Lin, Wei-Ju Lu, Ruei-Jnen Lin, Ching-Yen Hung, Pei-Ching LI, Chu-Hua Chung
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    Berna Dincer, Demet Inangil
    Perspectives in Psychiatric Care.2022; 58(2): 813.     CrossRef
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    Yarui Wang, Xi Zhang, Qinqin Xie, Hua Zhou, Li Cheng
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    José Antonio Cordero da Silva, Cristiane Guerreiro Pereira Abdul Massih, Daniele Azevedo Valente, Danielle Ferreira de Souza, Magda Regiane Lima de Carvalho Monteiro, Raiza Morais Rodrigues
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    José Antonio Cordero da Silva, Cristiane Guerreiro Pereira Abdul Massih, Daniele Azevedo Valente, Danielle Ferreira de Souza, Magda Regiane Lima de Carvalho Monteiro, Raiza Morais Rodrigues
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    José Antonio Cordero da Silva, Cristiane Guerreiro Pereira Abdul Massih, Daniele Azevedo Valente, Danielle Ferreira de Souza, Magda Regiane Lima de Carvalho Monteiro, Raiza Morais Rodrigues
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Comparative Study
RELIABLITY AND VALIDITY OF A KOREAN EMPATHY CONSTRUCT RATING SCALE
Moon Sil Kim
Journal of Nurses Academic Society 1988;18(1):26-33.   Published online March 31, 2017
DOI: https://doi.org/10.4040/jnas.1988.18.1.26
AbstractAbstract PDF

No abstract available.

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    Heeseung Choi, Boyoung Hwang, Sungjae Kim, Heesung Ko, Sumi Kim, Chanhee Kim
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Original Articles
Empathy In Informal Caregiving: Extension of A Concept from Professional Practice
Hae Jung Lee, Patricia F Brennan
Journal of Korean Academy of Nursing 1999;29(5):1123-1133.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.5.1123
AbstractAbstract PDF

The concept of empathy was examined in the professional caregiving relationship and its application was extended to the context of informal caregiving. Using the Lazarus and Folkman model. the influence of empathy on the caregiver's experience in the caregiving relationship was illustrated. The effects of the caregiver's empathy on his/her own caregiving outcomes were investigated by examining the relationship between empathy and burnout experience and life satisfaction. Empathy increased emotional exhaustion while increased personal accomplishment and personalization. indicating conflicting relationship between empathy and burnout. This conflict relationship between empathy and burnout can be explained by suggesting the distinct roles of two dimensions of empathy: emotional and caregiving context and to examine the definite roles of two dimensions of empathy were suggested.

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  • Could virtual reality training be effective for enhancing empathetic behaviours in disability support worker training
    Lee Trevena, Jeni Paay, Rachael McDonald, Jessica Laraine Williams
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    Lee Trevena, Jeni Paay, Rachael McDonald
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    Haejung Lee, Rhayun Song, Young Suk Cho, Gil Za Lee, Barbara Daly
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Predictors of Burnout among Informal Caregivers of Older Adults: Using Discriminant Analysis
Haejung Lee, Rhayun Lee
Journal of Korean Academy of Nursing 1999;29(3):585-595.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.585
AbstractAbstract PDF

The purse fo this study was to examine the predictors of burnout among informal caregivers of older adults. One hundred thirty seven caregivers of who had provided care to older adults over 60 years of age for more than one month were included in the study. Most of the caregivers where white (91%) and female (78%). mean ages of the caregivers were 64 years and 78% of them were married. Seventy percent of the older adults suffered from Alzheimer and related disease. In this study, caregivers and related disease. In this study, caregivers reported that they experience burnout once a month. The scores of emotional exhaustion and reduced personal accomplishment of the caregivers were in the moderate burnout rang. To examine the predictors of burnout, discriminant analysis was used. Caregivers were divided by two groups based on the sum of score (cutpoint=6) on three dimensions of burnout after each dimension was categorized into high(3), moderate(2), and low(1). Nine predictors were include in the analysis: Caregiver's age, employment status, Instrumental Activities of Daily Living (IADL) of the older adult, presence of dementia of the older adult, caregiver's empathy toward the older adult(emotional and cognitive), and 3 coping strategies (negative, problem-focused, cognitive reconstructioning). Catefgivers who reported high burnout showed higher cognitive empathy toward the adults than those who showed low burnout. Caregivers who experienced high burnout used negative coping more often, and cognitive reconstructioning coping and problem focused coping less often than their counterparts. Wilks' Lambda was .78 indicating that their differences between the two groups were signigicant. Cognitive empathy and cognitive reconstructioning coping showed high standardized canonical discriminant function coefficients over .40. Discriminant function with 9 predictors correctly classified 71% of the sample. In conclusion, informal caregivers also experienced certain level of burnout. Cognitive empathy and coping strategies predicted burnout experience of the caregivers. Based on this study, nursing intervention to the informal caregovers to improve their cognitive empathy toward the older adults and to modify their coping strategies in way to reduce burnout experience can be applied. Further research to develop effective nursing interventions for the purpose of reducing burnout experience by modifying predictors was suggested.

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Nurses' Experience of Caring for Dying Patients in Hospitals
Myungsun Yi
Journal of Korean Academy of Nursing 2003;33(5):553-561.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.5.553
AbstractAbstract PDF
Purpose

To develop a substantive theory that represents hospital nurses' experience on caring for dying patients.

Method

Grounded theory method guided the data collection and analysis. A purposeful sample of 15 hospital nurses participated during the period of 2001-2002. The data were collected by semi-structured individual interviews. All interviews were audio taped and transcribed verbatim. Constant comparative analysis was employed to analyze the data.

Result

“Putting oneself into shape while being faithful to feelings and emotions” emerged as the basic social-psychological process. Three different phases were identified: being faithful to own feelings and behaviors; putting oneself into shape; and mourning death. The first phase includes the categories of “establishing trust relationships” and “sympathizing with dying patients and their family members.” The second phase consists of “controlling feelings,” “adjusting ethical conflicts,” and “providing best patient-care,” and “helping family accept the death.” And the third phase consists of “overcoming sadness” and “releasing other negative feelings.”

Conclusion

The result of this study will help health professionals develop efficient support programs that support nurses caring for dying patients in hospitals. Further study needs to be done to verify findings.

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    Chun Yee Lee, Ga Eon Lee
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Validity and Reliability of the Peer Group Caring Interaction Scale-Korean Version
Jeong-Hee Kim, Moon Yeon Kong, Yun Hee Oh
J Korean Acad Nurs 2016;46(3):431-442.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.431
AbstractAbstract PDF
Purpose

This paper was conducted to validate the Korean version of the Peer Group Caring Interaction Scale (PGCIS-K) that measures caring behaviors as experienced by nursing students.

Methods

Translation of the PGCIS-K was validated through forward-backward translation methods. Survey data were collected from 218 nursing students in a nursing school. Construct validity and criterion-related validity were evaluated. Internal consistency and the Guttman split-half coefficient were calculated to assess reliability.

Results

The PGIS-K showed reliability except for 4 items (Cronbach's α=.91, Guttman split-half coefficient=.85), which were low (<.30) or negatively correlated with the total scale. A 12-item reduced form of the PGCIS-K was developed by item-analysis and construct validity evidence. Factor loading for the 12 items on 2 factors ranged from .47~.82, which explained 58.4% of the total variance. Two factors were named 'modeling and assistance (Cronbach's α=.87)' and 'communication and sharing (Cronbach's α=.82)'. Convergent validity, discriminant validity, and criterion validity were supported according to the correlation coefficients of the 2 factors with other measure.

Conclusion

The findings suggest preliminary evidence that the 12-item PGCIS-K can be used to measure nursing students' peer group caring interactions in Korea. Additional studies are recommended to continue the psychometric evaluation of this scale. Also, it can be extended to measure graduate nursing students or staff nurses' peer group caring interaction.

Citations

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A Validation Study of the Korean Version of the Jefferson Empathy Scale for Health Professionals for Korean Nurses
Hye-Ran Ryu, Kyung-Sook Bang
J Korean Acad Nurs 2016;46(2):207-214.   Published online April 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.2.207
AbstractAbstract PDF
Purpose

To validate the Korean Version of the Jefferson Empathy Scale for Health professionals (K-JSE-HP) in a sample of Korean nurses.

Methods

Internal consistency reliability, construct and criterion validity were calculated using SPSS (22.0) and AMOS (22.0). Data were collected from 253 nurses (230 women, 23 men) working at one university hospital in Seoul, South Korea.

Results

The Korean version of JSE-HP showed reliable internal consistency with Cronbach's alpha for the total scale of .89, and .74~.84 for subscales. The model of three subscales for the K-JSE-HP was validated by confirmatory factor analysis (χ2=864.60, Q=6.55, p<.001, CFI=.94, NNFI=.92). Criterion validity compared to the Interpersonal Reaction Index (IRI) showed significant correlation.

Conclusion

The findings of this study demonstrate that the Korean JSE-HP shows satisfactory construct and criterion validity and reliability. It is a useful tool to measure Korean nurses' empathy.

Citations

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Effects of a Multicultural Education Program on the Cultural Competence, Empathy and Self-efficacy of Nursing Students
Eun-Hee Peek, Chai-Soon Park
J Korean Acad Nurs 2013;43(5):690-696.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.690
AbstractAbstract PDF
Purpose

This study was done to examine the effects of a multicultural education program on nursing students' cultural competence, empathy, and self-efficacy.

Methods

In this quasi-experimental study, the participants were assigned to an experimental group (n=40) or a control group (n=40). The data were analyzed using independent t-test, Chi-square or Fisher's exact test, and paired t-test with the SPSS windows 18.0 program.

Results

After receiving the multicultural education program, the levels of cultural competence and self-efficacy in the experimental group were higher than in the control group. The level of empathy increased slightly in the experimental group while it decreased in the control group.

Conclusion

The results of this study indicate that multicultural education is effective in raising the level of cultural competence and self-efficacy in nursing students. Thus, there is a need for continuous effort to integrate multicultural education programs in the nursing curriculum. Repeated study to test effects of these multicultural education programs should be also necessary.

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