Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students

EVLİ, Mahmut

doi:10.14744/jern.2021.833127

Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students

Mahmut EVLİ (Erciyes Üniversitesi, Tıp Fakültesi, Hemşirelik Bölümü, Kayseri, Türkiye)

Journal of education and research in nursing (Online)

19 4

Yıl: 2023 Cilt: 20 Sayı: 2 Sayfa Aralığı: 105 - 110 Metin Dili: İngilizce DOI: 10.14744/jern.2021.833127 İndeks Tarihi: 08-06-2023

Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students

Öz:

Background: Health professionals accompany patients with pain and suffering on their journey. Understanding the effect of empathy and emotional contagion, which is supposed to affect this journey, on compassion fatigue can help determine strategies to protect health professionals. Aim: The purpose of this study is to determine the relationship and effect level among compassion fatigue, empathy, and emotional contagion in fourth-year nursing students. Methods: The study was carried out between March 03, 2021, and March 15, 2021, with 207 students. In addition, it was carried out using the cross-sectional design, which is included in the scope of quantitative research methods. In the study, a further sample selection was not conducted and it was aimed to reach the entire population. Necessary permissions for the study have been obtained. The data were collected using “Introductory Information Form,” “The Compassion Fatigue-Short Scale,” “The Toronto Empathy Scale,” and “The emotional contagion scale.” The data were analyzed by Kolmogorov–Smirnov, kurtosis, skewness, Mann–Whitney U test, Kruskal–Wallis test, and Spearman test. In addition, regression tests were applied for relational questions. Results: About 91.8% of the participants were women and the average age was 22.10 ± 1.27. While compassion fatigue had a significant relationship with emotional contagion (P < .001), it does not have a significant relationship with empathy (P > .05). There is a significant relationship between emotional contagion and empathy. Empathy and emotional contagion had a significant effect on compassion fatigue (r = 0.411, P < .001). In addition, it was seen that 10.9% of the variance in compassion fatigue was explained by these 2 variables. Conclusion: It was revealed that nursing students experienced compassion fatigue as a result of interaction with patients and their relatives during their clinical practice. Therefore, it is thought that empathic communication skills should be improved in nursing students without being under the effect of emotional contagion and without being harmed.

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1. Uncu F, Açık Y, Deveci SE, Çelebi E, Oğuzöncül AF, Ulaş B. Determining of Empathic Tendencies and Empathic Skill Levels of the Nursing Students Studying in Health College Yıldırım Beyazıt University Faculty of Health Sciences Nursing E-journal. 2015;3.
2. Gedük EA. Developing roles of the nursing profession. J Health Sci Prof. 2018;5(2):253-258.
3. Dinkins CS. Helping nursing students unblock empathy: A big idea from William James. Nurse Educ Today. 2018;61:194-196.
4. Moreno-Poyato AR, Rodríguez-Nogueira Ó; MiRTCIME. CAT working group. The association between empathy and the nurse-patient therapeutic relationship in mental health units: a cross-sectional study. J Psychiatr Ment Health Nurs. 2020;13.
5. Li CQ, Ma Q, Liu YY, Jing KJ. Are parental rearing patterns and learning burnout correlated with empathy amongst undergraduate nursing students? Int J Nurs Sci. 2018;5(4):409-413.
6. Palgi S, Klein E, Shamay-Tsoory SG. Intranasal administration of oxytocin increases compassion toward women. Soc Cogn Affect Neurosci. 2015;10(3):311-317.
7. Akın ŞH. The concept of compassion and the comparison of schopenhauer’s approach to compassion with the ıdeas of other philosophers. Turk J Bioeth. 2018;5(3):126-131.
8. Harris C, Quinn MT. Nursing on empty: compassion fatigue signs, symptoms, and system interventions. J Christ Nurs. 2015;32(2):81-87.
9. Altun I. Nursing values. In: Callara L. E, ed. Nursing Education Challenges in the 21st Century. Nova Science Publishers, Inc, New York; 2008:243-270. https ://ww w.res earch gate. net/p ublic ation /2900 46014 Nurs ing_V alues
10. Bloom P. Empathy and its discontents. Trends Cogn Sci. 2017;21(1):24-31.
11. Dalgalı B, Gürses İ. Nature and importance of compassion in health care. Sinop Univ J Soc Sci. 2018;2(1):181-201.
12. Moudatsou M, Stavropoulou A, Philalithis A, Koukouli S. The role of empathy in health and social care professionals. Healthcare (Basel). 2020;8(1):26.
13. Uğurlu AK, Etİ Aslan F. Compassion and nursing: can compassion be Measured?: Review. Turkiye Klinikleri J Nurs Sci. 2017;9(3):233-238.
14. Cuartero ME, Campos-Vidal JF. Self-care behaviours and their relationship with Satisfaction and Compassion Fatigue levels among social workers. Soc Work Health Care. 2019;58(3):274-290.
15. Figley CR. Compassion fatigue: psychotherapists’ chronic lack of self care. J Clin Psychol. 2002;58(11):1433-1441.
16. https ://ww w.str ess.o rg/mi litar y/for -prac titio nersl eader s/com passi onfatigue Accessed October 2021.
17. Ortega-Campos E, Vargas-Román K, Velando-Soriano A, et al. Compassion fatigue, compassion satisfaction, and burnout in oncology nurses: A systematic review and meta-analysis. Sustainability. 2020;12(1):72.
18. Michalec B, Diefenbeck C, Mahoney M. The calm before the storm? Burnout and compassion fatigue among undergraduate nursing students. Nurse Educ Today. 2013;33(4):314-320.
19. Sorenson C, Bolick B, Wright K, Hamilton R. An evolutionary concept analysis of compassion fatigue. J Nurs Scholarsh. 2017;49(5):557-563.
20. Şirin M, Yurttaş A. Cost of nursing care: compassion fatigue. DEUHFED. 2015;8(2):123-130.
21. Hatfield E, Cacioppo JT, Rapson RL. Emotional Contagion. New York: Cambridge University Press;1993:7-44.
22. Akçay C, Çoruk A. Emotions and their management in working life: A conceptual analysis. J Policy Anal Educ. 2012;1(1):3-25.
23. Tatarlar CD, Çangarlı GB, Atabay GR. Examination of the Existence, Types and Consequences of the Concept of Contagion in the Organizational Context. 27. National Governance and Organization Kong. 2019:468-475.
24. Yıldırım E, Akın M. Relationships between exclusion, cynicism and positivenegative affectivity in organizations: the mediating role of positive and negative affectivity. Int J Manag Econ Bus. 2018;14(2):427-449.
25. Deary IJ, Watson R, Hogston R. A longitudinal cohort study of burnout and attrition in nursing students. J Adv Nurs. 2003;43(1):71-81.
26. Çingöl N, Çelebi E, Zengin S, Karakaş M. Investigation of compassion levels of nursing department students of a health school. J Clin Psychiatry. 2018;21(1):61-67.
27. Turan N, Kaya H, Özsaban A, Özdemir-Aydın G, Özçelik K, Güneş E. Investigation of the relationship between empathy and burnout levels of nursing students. Florence Nightingale Hemsire Derg. 2019;27(2):119-132.
28. Özdelikara A, Babur S. The relationship between nursing students' compassion level and empathic tendency. Acıbadem Univ J Health Sci. 2020;11(2):342-349.
29. Adams RE, Boscarino JA, Figley CR. Compassion fatigue and psychological distress among social workers:a validation study. Am J Orthopsychiatry. 2006;76(1):103-108.
30. Dinç S, Ekinci M. Adaptation, validity and reliability of the compassion fatigue short scale into Turkish. Curr Approach Psychiatry. 2019;11(Ek1):192-202.
31. Spreng RN, McKinnon MC, Mar RA, Levine B. The Toronto Empathy Questionnaire: scale development and ınitial validation of a factoranalytic solution to multiple empathy measures. J Pers Assess. 2009;91(1):62-71.
32. Totan T, Doğan T, Sapmaz F. The Toronto Empathy Questionnaire: evaluation of psychometric properties among Turkish university students. Egitim Arastirmaları Eurasian J Educ Res. 2012;46:179-198.
33. Doherty RW. The Emotional Contagion Scale: A measure of individual differences. J Nonverbal Behav. 1997;21(2):131-154.
34. Akın A, Uysal R, Akın Ü. The validity and reliability of the Turkish version of the Emotional Contagion Scale. J Soc Sci Mus Alparslan University. 2015;3(2):97-104.
35. Akgün R, Çetin H. Determining the communication skills and empathy levels of university students. MJSS. 2018;7(3):103-117.
36. Marcysiak M, Dąbrowska O, Marcysiak MB. Understanding the concept of empathy in relation to nursing. Prog Health Sci. 2014;4(2):75-81.
37. Dikmen Y, Aydın Y. Compassion fatigue in nurses: what? How? What to Do? J Hum Rhythm. 2016;2(1):13-21.
38. Jarrad R, Hammad S, Shawashi T, Mahmoud N. Compassion fatigue and substance use among nurses. Ann Gen Psychiatry. 2018;17:13.
39. Al Barmawi MA, Subih M, Salameh O, Sayyah Yousef Sayyah N, Shoqirat N, Abdel-Azeez Eid Abu Jebbeh R. Coping strategies as moderating factors to compassion fatigue among critical care nurses. Brain Behav. 2019;9(4): e01264.
40. Limon S. Emotional contagion and work motivation in healthcare institutions: an application on medical secretaries. Bucak Business Faculty [journal]. 2019;2(2):224-441.
41. Duarte J, Pinto-Gouveia J. Empathy and feelings of guilt experienced by Lnurses: A cross-sectional study of their role in burnout and compassion fatigue symptoms. Appl Nurs Res. 2017;35:42-47.
42. Hunt P, Denieffe S, Gooney M. Running on empathy: relationship of empathy to compassion satisfaction and compassion fatigue in cancer healthcare professionals. Eur J Cancer Care (Engl). 2019;28(5):e13124.
43. Dimberg U, Andréasson P, Thunberg M. Emotional empathy and facial reactions to facial expressions. J Psychophysiol. 2011;25(1):26-31.
44. Hofelich AJ, Preston SD. The meaning in empathy: distinguishing conceptual encoding from facial mimicry, trait empathy, and attention to emotion. Cogn Emot. 2012;26(1):119-128.
45. Baron-Cohen S, Wheelwright S, Hill J, Raste Y, Plumb I. The “Reading the Mind in the Eyes” Test revised version: A study with normal adults, and adults with Asperger syndrome or high-functioning autism. J Child Psychol Psychiatry. 2001;42(2):241-251.
46. Stavrova O, Meckel A. Perceiving emotion in non-social targets: the effect of trait empathy on emotional contagion through art. Motiv Emot. 2017;41(4):492-509.
47. Gordon J-K. An exploratory study of the role of emotion regulation and emotional intelligence in compassion satisfaction and fatigue among doctors and nurses; 2020. https ://ep rints .lanc s.ac. uk/id /epri nt/14 8431/ 1/202 0JacksonKokuphd .pdf Accessed: March 2021.

APA	EVLİ M (2023). Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. , 105 - 110. 10.14744/jern.2021.833127
Chicago	EVLİ Mahmut Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. (2023): 105 - 110. 10.14744/jern.2021.833127
MLA	EVLİ Mahmut Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. , 2023, ss.105 - 110. 10.14744/jern.2021.833127
AMA	EVLİ M Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. . 2023; 105 - 110. 10.14744/jern.2021.833127
Vancouver	EVLİ M Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. . 2023; 105 - 110. 10.14744/jern.2021.833127
IEEE	EVLİ M "Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students." , ss.105 - 110, 2023. 10.14744/jern.2021.833127
ISNAD	EVLİ, Mahmut. "Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students". (2023), 105-110. https://doi.org/10.14744/jern.2021.833127

APA	EVLİ M (2023). Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. Journal of education and research in nursing (Online), 20(2), 105 - 110. 10.14744/jern.2021.833127
Chicago	EVLİ Mahmut Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. Journal of education and research in nursing (Online) 20, no.2 (2023): 105 - 110. 10.14744/jern.2021.833127
MLA	EVLİ Mahmut Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. Journal of education and research in nursing (Online), vol.20, no.2, 2023, ss.105 - 110. 10.14744/jern.2021.833127
AMA	EVLİ M Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. Journal of education and research in nursing (Online). 2023; 20(2): 105 - 110. 10.14744/jern.2021.833127
Vancouver	EVLİ M Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students. Journal of education and research in nursing (Online). 2023; 20(2): 105 - 110. 10.14744/jern.2021.833127
IEEE	EVLİ M "Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students." Journal of education and research in nursing (Online), 20, ss.105 - 110, 2023. 10.14744/jern.2021.833127
ISNAD	EVLİ, Mahmut. "Compassion Fatigue, Empathy, and Emotional Contagion in Nursing Students". Journal of education and research in nursing (Online) 20/2 (2023), 105-110. https://doi.org/10.14744/jern.2021.833127