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Research Article| Volume 20, ISSUE 6, P249-257, December 2006

Developing Empathy in Nurses: An Inservice Training Program

  • Gülsüm Ançel
    Correspondence
    Address reprint requests to Gülsüm Ançel, RN, PhD, Associate Professor, Bilkent II, G-3 Blok, No. 17, 06530 Ankara, Turkey.
    Affiliations
    Cebeci School for Health Sciences, Ankara University, Ankara, Turkey
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      The purpose of this study was to determine whether inservice communication training enhanced the empathic skills of 263 nurses employed at Hacettepe University Hospital. Data were collected using a nurse information form, participants' satisfaction form, and the Empathic Communication Skill B (ECS-B) form developed by Dökmen [Dökmen, Ü. (1988). A new measurement model of the empathy and developing empathy by using psychodrama. Journal of Education Faculty of Ankara University, 21, 155–190]. The ECS-B was used as both a preintervention and a postintervention measure. The data were expressed as means, percentages, and standard deviations, and were analyzed using Pearson's chi-square test and repeated-measures analysis of variance. The posttest scores of nurses increased from 155.6 to 180.5, and training played a role in enhancing nurses' empathic skills with regard to all variables (P < .05). However, a more comprehensive and continuous training should be planned, and its impact on behavior and patient outcomes should be investigated.
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      References

        • Alligood M.R.
        • May B.
        A nursing theory of personal system empathy: Interpreting a conceptualization of empathy in King's interacting systems.
        Nursing Science Quarterly. 2000; 13: 243-247
        • Ashmore R.
        • Banks D.
        Student nurses perceptions of their interpersonal skills: A re-examination of Burnard and Morrison's findings.
        International Journal of Nursing Studies. 1997; 34: 335-345
        • Barrett-Lennard G.
        The phases and focus of empathy.
        British Journal of Medical Psychology. 1993; 66: 3-14
        • Basch M.F.
        Empathic understanding: A review of the concept and some theoretical considerations.
        Journal of the American Psychoanalytic Association. 1992; 31: 101-126
        • Bowles N.
        • Mackintosh C.
        • Torn A.
        Nurses' communication skills: An evaluation of the impact of solution-focused communication training.
        Journal of Advanced Nursing. 2001; 36: 347-354
        • Çam O.
        The effect of psychodrama group activities on emphatic tendency and empathic capability scores.
        Journal of Nursing School of Ege University. 1995; 11: 55-65
        • Chant S.
        • Jenkinson T.
        • Randel J.
        • Russel G.
        • Webb C.
        Communication skills training in healthcare: A review of the literature.
        Nurse Education Today. 2002; 22: 189-202
        • Cliffordson C.
        The hierarchical structure of empathy: Dimensional organization and relations to social functioning.
        Scandinavian Journal of Psychology. 2002; 43: 49-59
        • Danish S.J.
        • D'Augelli A.R.
        • Hauer A.L.
        Helping skills: A basic training program.
        (Akkoyun F., Trans.)2nd ed. Form Ofset, Ankara1994 (Original work published in 1980)
        • Davis M.H.
        The effects of dispositional empathy on emotional reactions and helping: A multidimensional approach.
        Journal of Personality. 1983; 52: 167-184
        • Dökmen Ü.
        Communication conflicts and empathy.
        5th ed. Sistem Yayıncılık, İstanbul1997
        • Dökmen Ü.
        A new measurement model of the empathy and developing empathy by using psychodrama.
        Journal of Education, Faculty of Ankara University. 1988; 21: 155-190
        • Egan G.
        The skilled helper: A model for systematic helping and interpersonal relating.
        4th ed. Brooks/Cole, Pacific Grove1990
        • Gysels M.
        • Richardson A.
        • Higginson I.J.
        Communication training for health professionals who care for patients with cancer: A systematic review of training methods.
        Supportive Care in Cancer Care. 2005; 13: 356-366
        • Hartrick G.
        Transcending behaviorism in communication education.
        Journal of Nursing Education. 1999; 38: 17-22
        • Kalisch B.J.
        An experiment in the development of empathy in nursing students.
        Nursing Research. 1971; 20: 202-210
        • Kalisch B.J.
        Strategies for developing nurse empathy.
        Nursing Outlook. 1971; 19: 714-718
        • Kruijver I.P.M
        • Kerkstra A.
        • Francke A.L
        • Bensing J.M.
        • Wiel H.B.M.
        Evaluation of communication training programs in nursing care: A review of the literature.
        Patient Education and Counseling. 2000; 39: 129-145
        • Kunyk D.
        • Olson J.K.
        Nursing theory and concept development or analysis, clarification of conceptualizations of empathy.
        Journal of Advanced Nursing. 2001; 35: 317-325
        • LaMonica E.
        Empathy can be learned.
        Nurse Educator. 1983; 8: 19-23
        • LaMonica E.
        • Karschmer J.F.
        Empathy: Educating nurses in professional practice.
        Journal of Nursing Educating. 1978; 17: 2-11
        • Leenerts M.H.
        Teaching personal knowledge as a way of knowing self in a therapeutic relationship.
        Nursing Outlook. 2003; 51: 158-164
        • Mehrabian A.
        • Epstein N.A.
        A measure of emotional empathy.
        Journal of Personality. 1972; 40: 525-543
        • Morse J.M.
        • Bortorf J.
        • Anderson G.
        • O'Brien B.
        • Soldberg S.
        Beyond empathy: Expressions of caring.
        Journal of Advanced Nursing. 2006; 17: 809-821
        • Olsen D.P.
        Empathetic maturity: Theory of moral point of view in clinical relations.
        Advances in Nursing Science. 2001; 24: 36-46
        • Parle M.
        • Maguire P.
        • Heaven C.
        The development of a training model to improve health professionals' skills, self-efficacy and outcome expectancies when communicating with cancer patients.
        Social Science & Medicine. 1997; 44: 231-240
        • Ponte P.R.
        Distress in cancer patients and primary nurses' empathy skills.
        Cancer Nursing. 1992; 15: 283-292
        • Price V.
        • Archbold J.
        What's it all about empathy?.
        Nurse Education Today. 1997; 17: 106-110
        • Razavi D.
        • Delvaux N.
        Communication skills and psychological training in oncology.
        European Journal of Cancer. 1997; 33: 515-523
        • Reynolds W.J.
        • Scott B.
        Empathy: A crucial component of the helping relationship.
        Journal of Psychiatric and Mental Health Nursing. 1999; 6: 363-370
        • Reynolds W.J.
        • Scott B.
        Do nurses and other professional helpers normally display much empathy?.
        Journal of Advanced Nursing. 2000; 31: 226-234
        • Reynolds W.J.
        • Scott B.
        • Jessiman W.C.
        Empathy has not been measured in client's terms or effectively taught: A review of the literature.
        Journal of Advanced Nursing. 1999; 30: 1177-1185
        • Richendoller N.R.
        • Weaver J.B.
        Exploring the links between personality and emphatic response style.
        Personality and Individual Differences. 1994; 17: 303-311
        • Rogers C.
        Empathy: An unappreciated way of being.
        Counseling Psychology. 1975; 5: 2-10
        • Stuart G.W.
        • Sundeen S.J.
        Principles and practice of psychiatric nursing. 3rd ed. C. V. Mosby, St. Louis1987: 95-141
        • Suikkala A.
        • Kilpi H.L.
        Nursing student–patient relationship: A review of literature from 1984 to 1998.
        Journal of Advanced Nursing. 2001; 33: 43-50
        • Tyner R.
        Elements of empathic care for dying patients and their families.
        Nursing Clinics of North America. 1985; 20: 393-401
        • Videbeck S.L.
        Psychiatric mental health nursing. Vol. 61. Lippincott Williams and Wilkins, Philadelphia2001: 85-139
        • Walker M.K.
        • Alligood M.R.
        Empathy from a nursing perspective: Moving beyond borrowed theory.
        Archives of Psychiatric Nursing. 2001; 15: 140-147
        • Watson J.W.
        • Garfinkel P.
        • Gallop R.
        • Stevens B.
        • Streiner D.
        The impact of nurses' emphatic responses on patients pain management in acute care.
        Nursing Research. 2000; 49: 191-200
        • White S.J.
        Empathy: A literature review and concept analysis.
        Journal of Clinical Nursing. 1997; 6: 253-257
        • Wilkinson S.
        Shering Plough clinical lecture communication: It makes a difference.
        Cancer Nursing. 1999; 22: 17-20
        • Wilkinson S.
        • Bailey K.
        • Aldridge J.
        • Roberts A.
        A longitudinal evaluation of a communication skills programme.
        Palliative Medicine. 1999; 13: 341-348
        • Wiseman T.
        A concept analysis of empathy.
        Journal of Advanced Nursing. 1996; 23: 1162-1167
        • Yates P.
        • Hart G.
        • Clinton M.
        • McGrath P.
        • Garthy D.
        Exploring empathy as a variable in the evaluation of professional development programs for palliative care nurses.
        Cancer Nursing. 1998; 2: 402-410