Department of Nursing, University of Huelva, Huelva, Spain.
Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain.
Health Soc Care Community. 2021 Sep;29(5):1349-1358. doi: 10.1111/hsc.13175. Epub 2020 Sep 18.
Compassion and empathy are considered to be elements of paramount importance in professionals working with individuals in need. However, the term 'compassion' generates controversy among social workers, while the term 'empathy' seems to be more universally accepted among these professionals. This qualitative study used a hermeneutic approach and aimed to explore and understand social workers' experiences with empathy and compassion in the community setting. Between January and June 2019, nine in-depth interviews and two focus group sessions were conducted with social workers from community social centres and primary healthcare centres in the province of Almería (Spain), with a total of 23 participants. The software Atlas.ti 8.0 was used for discourse analysis. Professionals reported that it was necessary for them to have an empathic attitude towards service users, and claimed that being empathic towards individuals in need was a moral obligation. They also reported that, although being empathic is a trait of these professionals, they have to avoid being affected by it, and that there are situations that block empathy. With respect to their perception of compassion, different interpretations of the concept were found: some professionals understand compassion as pity; other professionals have difficulty understanding the term and other professionals understand compassion as help. It has become necessary to change and develop the very conceptualisation of compassion and to create compassion promotion programmes, as this is fundamental for the protection and satisfaction of social workers themselves and for the sustainability of the support they provide to individuals who are in great distress.
同情和同理心被认为是专业人员为有需要的个人提供服务时至关重要的要素。然而,“同情”一词在社会工作者中引起争议,而“同理心”一词似乎在这些专业人员中更被普遍接受。这项定性研究采用了诠释学方法,旨在探索和理解社区环境中社会工作者的同理心和同情心体验。2019 年 1 月至 6 月,在西班牙阿尔梅里亚省的社区社会中心和初级保健中心,对 23 名社会工作者进行了 9 次深入访谈和 2 次焦点小组会议。使用 Atlas.ti 8.0 软件进行话语分析。专业人员报告说,他们有必要对服务使用者持同理心,他们认为对有需要的个人持同理心是一种道德义务。他们还报告说,虽然同理心是这些专业人员的特质之一,但他们必须避免受到影响,并且有些情况会阻碍同理心。关于他们对同情心的看法,发现了对该概念的不同解释:一些专业人员将同情心理解为怜悯;其他专业人员难以理解这个词,而其他专业人员则将同情心理解为帮助。有必要改变和发展同情心的概念,并制定同情心促进计划,因为这对于保护和满足社会工作者自身以及他们为处于极度困境中的个人提供支持的可持续性至关重要。