Taleghani Fariba, Ashouri Elaheh, Memarzadeh Mehrdad, Saburi Mortaza
Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences , Isfahan, Iran.
Nursing and Midwifery Department, Isfahan University of Medical Sciences , Isfahan, Iran.
Int J Health Care Qual Assur. 2018 Apr 16;31(3):249-259. doi: 10.1108/IJHCQA-12-2016-0185.
Purpose The purpose of this paper is to explore oncology nurses' barriers to empathy-based care perceptions. Design/methodology/approach The authors used a descriptive qualitative method. In total, 18 oncology nurses were selected via purposive sampling. Data were collected through in-depth interviews and qualitative content analysis using an inductive approach. Findings Three main categories emerged from the data analysis: barriers related to nursing including: lacking compassion; disinterest in oncology nursing and self-criticism; psychological distress; barriers related to healthcare: job strain; task-centeredness; no formal training; poor manager support; nurse-patient gender imbalance; and barriers related to cancer care including: difficulty maintaining empathy with cancer patients; and inappropriate cancer patient Practical implications Oncology nurses provided insights into barriers to empathy-based care and the challenges they encountered while caring for cancer patients. Understanding these barriers is the first step to overcoming obstacles and creating an open and caring environment to provide an empathic care culture. Originality/value Given that oncology nurses experience several emotions, positive coping strategies for these distresses should be adopted. Healthcare systems should change cancer-caring culture from task-centered to patient-centered care. Compassion and empathy should become patient care values.
目的 本文旨在探讨肿瘤护理人员在基于同理心的护理认知方面的障碍。设计/方法/途径 作者采用了描述性定性研究方法。通过目的抽样共选取了18名肿瘤护理人员。数据通过深入访谈收集，并采用归纳法进行定性内容分析。研究结果 数据分析得出三个主要类别：与护理相关的障碍，包括：缺乏同情心；对肿瘤护理不感兴趣和自我批评；心理困扰；与医疗保健相关的障碍：工作压力；以任务为中心；缺乏正规培训；管理人员支持不足；护士与患者性别失衡；以及与癌症护理相关的障碍，包括：难以对癌症患者保持同理心；以及癌症患者不适当的…… 实践意义 肿瘤护理人员深入探讨了基于同理心的护理障碍以及他们在照顾癌症患者时遇到的挑战。了解这些障碍是克服困难并营造一个开放且关怀的环境以提供同理心护理文化的第一步。原创性/价值 鉴于肿瘤护理人员会经历多种情绪，应采用积极的应对策略来应对这些困扰。医疗保健系统应将癌症护理文化从以任务为中心转变为以患者为中心的护理。同情心和同理心应成为患者护理的价值观。
