Babaei Sima, Taleghani Fariba, Keyvanara Mahmoud
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.
Iran J Nurs Midwifery Res. 2017 Mar-Apr;22(2):91-96. doi: 10.4103/ijnmr.IJNMR_79_16.
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.
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.
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.
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.
同情心是护理工作的重要组成部分。它有助于护士与患者建立更好的关系。此外，它还能让患者对所接受的护理更有信心。确定同情心的促进因素对于整体护理至关重要。本研究的目的是探索这些促进因素。
这项人种学研究于2014年至2015年在医疗和外科病房对20名护士、12名患者和4名家属进行。通过观察和有目的抽样的深入半结构化访谈收集数据。该研究历时15个月。数据分析采用基于施特劳斯和科尔宾的持续比较法。
数据分析确定了三个主要主题和八个子主题，作为基于同情心护理的基础。引发同情心行为需要护士的个人因素，包括个性、态度和价值观以及整体观等子类别；以及社会文化因素，包括善良榜样、宗教和文化价值观等子类别。引发同情心行为还需要引发因素，包括患者痛苦、患者沟通需求以及患者情感和心理需求等子类别。
本研究结果表明，护士与患者沟通是护士的职责，以便理解和尊重患者的需求。应关注护理和实践教育项目中与同情心相关的问题。事实上，营造一个充满同情心的护理环境，无论工作条件存在哪些不足，都将有助于有效护理的发展。
