Witte Henriette, Svenningsen Lone, Grønkjær Lea Ladegaard, Donskov Frede
Department of Oncology, University Hospital of Southern Denmark, Esbjerg, Denmark.
Department of Communication, University Hospital of Southern Denmark, Esbjerg, Denmark.
Eur J Oncol Nurs. 2025 Apr;75:102808. doi: 10.1016/j.ejon.2025.102808. Epub 2025 Jan 27.
Care and treatment within oncology is characterized by significant emotional demands from healthcare professionals resulting in burnout and distress. We examined the effect of compassion training on healthcare professionals using a mixed-methods explanatory sequential design.
Oncology healthcare professionals underwent four weeks compassion training program. Participants completed the Self-Compassion and Professional Quality of Life Health questionnaires at baseline and post-training. Two focus group interviews were conducted using interpretive description methodology.
A total of 22 healthcare professionals participated. Four weeks of compassion training resulted in significantly improved overall Self-Compassion score (3.8 vs 4.0; P = 0.019), Self-Kindness (3.7 vs 4.0; P = 0.028), Self-Judgement (3.7 vs 4.0; P = 0.05), and Common-Humanity (3.9 vs 4.1; P = 0.013). Participants who did not complete the training (N = 9) versus those who completed (N = 13) had statistically significantly lower overall Self-Compassion scores (3.0 vs. 3.8; P = 0.004) and lower Self-Kindness (2.8 vs. 3.7; P = 0.04), Self-Judgement (2.9 vs. 3.7; P = 0.036), Common-Humanity (3.0 vs. 3.9; P = 0.036), Isolation (2.9 vs. 4.1; P = 0.001), and Over-Identification (2.9 vs. 3.4; P = 0.030). They also scored lower in Professional Quality of Life Health measures, including Compassion-Satisfaction (22.7 vs. 26.9; P = 0.011) and Perceived-Support (19.6 vs. 24.8; P = 0.007), while scoring higher for Burnout (19.2 vs. 12.7; P = 0.001), Secondary-Traumatic-Stress (14.0 vs. 10.6; P = 0.036), and Compassion-Fatigue (15.4 vs. 11.6; P = 0.001). The focus group interviews revealed four themes: Impact of Leader Approval, Project Manager, Work-Related Stress, and Calm Mind.
Four weeks of compassion training significantly improved self-compassion. Healthcare professionals who did not complete the training had lower levels of self-compassion and professional quality of life.
肿瘤学领域的护理和治疗对医护人员有着巨大的情感需求，这会导致职业倦怠和困扰。我们采用混合方法解释性序列设计，研究了共情训练对医护人员的影响。
肿瘤学医护人员参加了为期四周的共情训练项目。参与者在基线和训练后完成了自我共情和职业生活质量健康问卷。使用解释性描述方法进行了两次焦点小组访谈。
共有22名医护人员参与。四周的共情训练使总体自我共情得分显著提高（3.8对4.0；P = 0.019），自我友善程度（3.7对4.0；P = 0.028）、自我评判（3.7对4.0；P = 0.05）和共同人性（3.9对4.1；P = 0.013）也显著提高。未完成训练的参与者（N = 9）与完成训练的参与者（N = 13）相比，总体自我共情得分在统计学上显著更低（3.0对3.8；P = 0.004），自我友善程度更低（2.8对3.7；P = 0.04），自我评判更低（2.9对3.7；P = 0.036），共同人性更低（3.0对3.9；P = 0.036），孤立感更低（2.9对4.1；P = 0.001），过度认同更低（2.9对3.4；P = 0.030）。他们在职业生活质量健康指标上的得分也更低，包括共情满意度（22.7对26.9；P = 0.011）和感知支持（19.6对24.8；P = 0.007），而职业倦怠得分更高（19.2对12.7；P = 0.001），继发性创伤压力得分更高（14.0对10.6；P = 0.036），共情疲劳得分更高（15.4对11.6；P = 0.001）。焦点小组访谈揭示了四个主题：领导认可的影响、项目经理、工作相关压力和平静心态。
四周的共情训练显著提高了自我共情能力。未完成训练的医护人员自我共情水平和职业生活质量较低。
