Pavlova Alina, O'Donovan-Lee Claire, Paine Sarah-Jane, Consedine Nathan S
Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
Health New Zealand - Te Whatu Ora, Nelson Marlborough, Nelson, New Zealand.
J Clin Nurs. 2025 Jul;34(7):2791-2805. doi: 10.1111/jocn.17477. Epub 2024 Oct 24.
To develop and preliminarily validate a measure of beliefs about compassion in health care and assess whether and which beliefs may predict compassion.
Pre-registered cross-sectional online survey study with a repeated-measures vignette component.
Exploratory and Confirmatory Factor analyses were performed on a split sample of 890 healthcare professionals in Aotearoa New Zealand (NZ). Links with fears of compassion for others, burnout, trait compassion, compassion competency and ability and self-efficacy were used to assess convergent and divergent validity. Linear mixed model regression analyses were used to assess relationships between beliefs and compassion. In writing this report, we adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.
Four-factor structure featuring three negative (compassion as harmful, not useful, draining) and one positive (compassion is important) type of beliefs was established. Confirmatory factor analysis indicated a good fit and subscales indicated good measures of validity. Internal consistency was achieved for the subset of beliefs (harmful, not useful). Regression analyses indicated negative effects of the belief that compassion is draining on caring, motivation to help and compassion overall; negative effects of the belief that compassion is not useful on the motivation to help and a positive effect of the belief that compassion is important on caring and compassion overall. There was no effect of beliefs that compassion is harmful on compassion measures.
This report extends prior qualitative studies of beliefs about compassion in a large healthcare sample, offering a way to measure these potentially malleable factors that might be targeted in education, interventions and future research.
The study was designed in consultation with healthcare and compassion research professionals, including substantial input from Indigenous Māori healthcare professionals.
开发并初步验证一种关于医疗保健中同情心信念的测量方法，并评估哪些信念能够预测同情心以及同情心是否能够被预测。
采用重复测量 vignette 组件的预注册横断面在线调查研究。
对新西兰（NZ）的 890 名医疗保健专业人员的一个分割样本进行探索性和验证性因素分析。利用与对他人同情心的恐惧、职业倦怠、特质同情心、同情心能力和自我效能感之间的联系来评估收敛效度和区分效度。使用线性混合模型回归分析来评估信念与同情心之间的关系。在撰写本报告时，我们遵循了加强流行病学观察性研究报告（STROBE）指南。
建立了一个四因素结构，其特征是三种负面（同情心有害、无用、耗竭）和一种正面（同情心很重要）类型的信念。验证性因素分析表明拟合良好，子量表表明效度良好。信念子集（有害、无用）实现了内部一致性。回归分析表明，认为同情心耗竭的信念对关怀、帮助动机和总体同情心有负面影响；认为同情心无用的信念对帮助动机有负面影响，而认为同情心重要的信念对关怀和总体同情心有正面影响。认为同情心有害的信念对同情心测量没有影响。
本报告扩展了先前在大型医疗保健样本中对同情心信念的定性研究，提供了一种测量这些可能在教育、干预和未来研究中作为目标的潜在可塑因素的方法。
该研究是在与医疗保健和同情心研究专业人员协商后设计的，包括来自毛利族原住民医疗保健专业人员的大量投入。
