Vioulac Christel, Aubree Colette, Massy Ziad A, Untas Aurélie
Laboratory of Psychopathology and Health Psychology, Paris Descartes University, Boulogne-Billancourt, France.
Division of Nephrology-Dialysis, Tenon Hospital, Paris, France.
J Adv Nurs. 2016 May;72(5):1075-85. doi: 10.1111/jan.12899. Epub 2016 Jan 13.
To explore the concepts of empathy and stress in nurses working in haemodialysis units in France and their possible interactions.
Nurses' work in haemodialysis is rather complex. It requires technical expertise, because of the peculiarity of the treatment, and emotional skills, to care for patients throughout a long-lasting therapy. Empathy is considered as a key in the concept of caring, which allows nurses to give appropriate answers to their patients' needs. In addition, nurses' work environment can generate stress.
A qualitative descriptive design.
Nurses (N = 23) working in haemodialysis units were interviewed in three different sites in 2014.
The analysis of nurses' speech emphasized a predominance of the cognitive attributes of empathy: understanding, communication, adjusted response (43%), and a special feature of the relationship due to the chronicity of the care (23%). The main stressors highlighted were time management (14%), emergencies (12%) and technical nature of the task (8%). Nurses' experience in haemodialysis seemed to be a modulating factor regarding empathy and stress. The main stressors highlighted were time management (14%), emergencies (12%) and technical nature of the task (8%). Nurses' experience in haemodialysis seemed to be a modulating factor regarding empathy and stress.
The results showed the special features of nurses' work in haemodialysis and the need for further studies to investigate these concepts. The influence of stress on empathy needs to be explored more precisely, especially regarding nurses' experience and its impact on patients.
探讨法国血液透析科室护士的同理心和压力概念及其可能的相互作用。
护士在血液透析方面的工作相当复杂。由于治疗的特殊性，这项工作需要专业技术知识，同时在长期治疗过程中照顾患者也需要情感技巧。同理心被认为是护理概念中的关键因素，它能让护士对患者的需求做出恰当回应。此外，护士的工作环境可能会产生压力。
定性描述性设计。
2014年，对在三个不同地点血液透析科室工作的护士（N = 23）进行了访谈。
对护士访谈内容的分析强调了同理心的认知属性占主导：理解、沟通、适应性回应（43%），以及因护理的长期性而产生的关系的特殊特征（23%）。突出的主要压力源是时间管理（14%）、紧急情况（12%）和任务的技术性质（8%）。护士在血液透析方面的经验似乎是同理心和压力的调节因素。突出的主要压力源是时间管理（14%）、紧急情况（12%）和任务的技术性质（8%）。护士在血液透析方面的经验似乎是同理心和压力的调节因素。
结果显示了护士在血液透析工作中的特殊特征，以及进一步研究这些概念的必要性。需要更精确地探讨压力对同理心的影响，特别是关于护士的经验及其对患者的影响。
