Probst Sebastian, Bergin Shan Maree, Tehan Peta
Tissue Viability and Wound Care, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland; Care Directorate, Geneva University Hospitals, Geneva, Switzerland; Medical Faculty, University of Geneva, Switzerland; College of Medicine Nursing and Health Sciences, University of Galway, Galway, Ireland; School of Clinical Sciences, Faculty of Medicine Nursing and Health Sciences, Monash University, Clayton Campus, Clayton, Victoria, Australia.
Discipline of Podiatry, Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia.
J Tissue Viability. 2025 Apr 12;34(3):100910. doi: 10.1016/j.jtv.2025.100910.
This study aimed to investigate health professionals' perceptions of the impact of empathy on healing outcomes, patient satisfaction and delivery of wound care.
A descriptive qualitative approach was used, employing semi-structured face-to-face interviews with 10 healthcare professionals specializing in wound care in Australia. Participants were purposively sampled, and interviews lasted between 22 and 47 min. Data collection concluded upon achieving saturation. Interviews were transcribed verbatim using CORV, a secured transcription tool, and analyzed using Braun and Clarke's six-phase thematic framework. Rigor was ensured by employing COREQ guidelines, triangulating data analysis, and including direct quotes for confirmability.
Three key themes emerged: (1) Empathy as a Foundation for Trust, Engagement, and Collaboration where participants emphasized that empathy promotes trust, improves patient adherence, and aligns treatment goals. (2) The Dual Role of Empathy in Addressing Emotional and Physical Barriers to Healing where empathetic care alleviated psychological distress, built resilience, and improved adherence to care regimens. (3) Barriers and Facilitators to Empathy in Wound Care where time constraints, emotional fatigue, and cultural differences were identified as barriers, while mentorship, training, and supportive environments facilitated empathetic care.
Health professionals considered empathy to be a critical factor in enhancing patient satisfaction and supporting healing outcomes in wound care. By providing trust, addressing emotional barriers, and aligning care with patient needs, empathy plays a meaningful role in the care process. Additionally, addressing systemic barriers and thoughtfully integrating empathy training into clinical practice can contribute to improved outcomes in chronic wound management.
本研究旨在调查医疗保健专业人员对共情对愈合结果、患者满意度及伤口护理提供的影响的看法。
采用描述性定性研究方法，对澳大利亚10名专门从事伤口护理的医疗保健专业人员进行半结构化面对面访谈。参与者采用目的抽样法，访谈持续22至47分钟。在达到饱和状态时结束数据收集。使用安全转录工具CORV逐字转录访谈内容，并采用布劳恩和克拉克的六阶段主题框架进行分析。通过采用COREQ指南、对数据分析进行三角验证以及纳入直接引语以确保可证实性来保证严谨性。
出现了三个关键主题：（1）共情作为信任、参与和协作的基础，参与者强调共情能促进信任、提高患者依从性并使治疗目标保持一致。（2）共情在消除愈合的情感和身体障碍方面的双重作用，共情护理减轻了心理困扰、增强了恢复力并提高了对护理方案的依从性。（3）伤口护理中共情的障碍和促进因素，时间限制、情感疲劳和文化差异被确定为障碍，而指导、培训和支持性环境则促进了共情护理。
医疗保健专业人员认为共情是提高患者满意度和支持伤口护理愈合结果的关键因素。通过提供信任、消除情感障碍以及使护理与患者需求保持一致，共情在护理过程中发挥着重要作用。此外，解决系统性障碍并将共情培训精心融入临床实践可有助于改善慢性伤口管理的结果。
