Perceptions and implications of compassionate care in a specialized hospital institution in Medellin

Authors

Keywords:

empathy, compassion, burnout, quality of life, patient satisfaction

Abstract

Compassionate care has been implicated as a protective factor against burnout; it involves identifying the patient’s needs and responding to them according to the resources available. To do this, it is necessary to consider the patient’s perspective and identify his or her emotions, understand the context and establish a limit to the situation. The objective of this study was to evaluate and understand how compassionate treatment is understood by patients and health professionals, as well as the implications it has in a specialized hospital institution in Medellin. Therefore, a mixed approach with quantitative questionnaires and semi-structured interviews was used. The sample corresponds to health professionals and patients. Levels and perceptions of burnout, empathy and compassion were evaluated. The study found high levels of emotional exhaustion and depersonalization in 28.8% and 31.8%; low perspective taking in 30.3%, and low empathic understanding in 39.4%. Personal and organizational resources are needed to provide compassionate care that is sustainable over time. Personalization of care, two-way communication, treatment follow-up, and identification of needs are highlighted as key aspects of compassionate care. Compassionate care is positively valued by patients and can be easily adapted in medical care; however, addressing emotional exhaustion and promoting cognitive empathy are needed to ensure quality of care and the well-being of health care professionals.

Author Biographies

Elena Suárez Cadavid, Universidad EAFIT

Psicóloga, Universidad EAFIT

Julia Restrepo Arango, Universidad EAFIT

Psicóloga, Universidad EAFIT; ingeniera de Diseño de Producto, Universidad EAFIT. Coordinadora metodológica, Universidad EAFIT.

Mariantonia Lemos Hoyos, Universidad EAFIT

Doctora en Psicología, Universidad de Los Andes; magíster en Psicología, Universidad San Buenaventura; psicóloga, Universidad Pontificia Bolivariana. Profesora titular Universidad EAFIT

Paola Sánchez Zapata, Clínica CardioVID

Doctora en Ciencias de la Salud, Universidad CES; especialista en Epidemiología, Universidad CES. Subdirectora Científica, Clínica Cardio Vid

References

Almadani, A. H., Alenezi, S., Algazlan, M. S., Alrabiah, E. S., Alharbi, R. A., Alkhamis, A. S., Temsah, M.-H. (2023). Prevalence and Predictive Factors of Compassion Fatigue among Healthcare Workers in Saudi Arabia: Implications for Well-Being and Support. Healthcare, 11, 2136. https://doi.org/10.3390/healthcare11152136

Altmann, T., & Roth, M. (2021). The risk of empathy: longitudinal associations between empathy and burnout. Psychology & Health, 36(12), 1446–1460. https://doi.org/10.1080/08870446.2020.1838521

Arian, M., Jamshidbeigi, A., Kamali, A., Dalir, Z., & Ali-Abadi, T. (2023). The prevalence of burnout syndrome in nursing students: A systematic review and meta-analysis. Teaching and Learning in Nursing, 18(4), 512–520. https://doi.org/10.1016/j.teln.2023.04.015

Arimon-Pagès, E., Fernández-Ortega, P., Torres-Puig-Gros, J., Canela-Soler, J. (2023). Compassion fatigue and anxiety in critical care emergency nurses: In between efficiency and humanity. Enfermería Intensiva, 34(1), 4-11. https://doi.org/10.1016/j.enfie.2022.02.001

Baguley, S. I., Dev, V., Fernando, A. T., & Consedine, N. S. (2020). How do health professionals maintain compassion over time? Insights from a study of compassion in health. Frontiers in Psychology, 11, 564554. https://doi.org/10.3389/fpsyg.2020.564554

Cameron, R. A., Mazer, B. L., DeLuca, J. M., Mohile, S. G., & Epstein, R. M. (2015). In search of compassion: A new taxonomy of compassionate physician behaviours. Health Expectations, 18(5), 1672-1685. https://doi.org/10.1111/hex.12160

Caycho-Rodríguez, T., Barboza-Palomino, M., Ventura-León, J., Carbajal-León, C., Noé-Grijalva, M., Gallegos, M., Reyes-Bossio, M. y Vivanco-Vidal, A. (2020). Traducción al español y validación de una medida breve de ansiedad por la COVID-19 en estudiantes de ciencias de la salud. Ansiedad y Estrés, 26(2), 174–180. https://doi.org/10.1016/j.anyes.2020.08.001

Conversano, C., Ciacchini, R., Orrù, G., Di Giuseppe, M., Gemignani, A., & Poli, A. (2020). Mindfulness, Compassion, and Self-Compassion Among Health Care Professionals: What’s New? A Systematic Review. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.01683

Dalvandi, A., Vaisi-Raygani, A., Nourozi, K., Ebadi, A., & Rahgozar, M. (2019). The Importance and Extent of Providing Compassionate Nursing Care from The Viewpoint of Patients Hospitalized in Educational Hospitals in Kermanshah - Iran 2017. Open Access Macedonian Journal of Medical Sciences, 7(6), 1047-1052. https://doi.org/10.3889/oamjms.2019.204

Dávalos, V., Vargas, A. M., Bonilla, P., León-Larios, F., Lomas-Campos, M. D., Vaca, S. L., & De Diego-Cordero, R. (2020). Compassionate Engagement and Action in the Education for Health Care Professions: A Cross-Sectional Study at an Ecuadorian University. International Journal of Enviromental Research and Public Health, 17(15), 54-25. https://doi.org/10.3390/ijerph17155425

Davison, N., & Williams, K. (2009). Compassion in nursing. 1: Defining, identifying and measuring this essential quality. Nursing Times, 105(36), 16–18.

Dewar, B., Pullin, S., & Tocheris, R. (2011). Valuing compassion through definition and measurement. Nursing Management, 17(9), 32–37. https://doi.org/10.7748/nm2011.02.17.9.32.c8301

Dulay, M. C. B., Domingo, J. E. A., Domingo, K. F. R., Domondon, H. O. F., Dumangon, L. G., Duran, R. A., & Sevilla, G. L. (2018). An exploratory study of factors influencing student nurses’ empathy. Journal of Health Education Research 6(2), 2-7. https://doi.org/10.4172/2380-5439.1000259

Egan, H., Keyte, R., McGowan, K., Peters, L., Lemon, N., Parsons, S., Meadows, S., Fardy, T., Singh, P., & Mantzios, M. (2019). ‘You Before Me’: A Qualitative Study of Health Care Professionals’ and Students’ Understanding and Experiences of Compassion in the Workplace, Self-compassion, Self-care and Health Behaviours. Health Professions Education, 5(3), 225–236. https://doi.org/10.1016/j.hpe.2018.07.002

Ferreira, S., Afonso, P., & Ramos, M. D. R. (2020). Empathy and burnout: a multicentre comparative study between residents and specialists. Journal of Evaluation in Clinical Practice, 26(1), 216-222. https://doi.org/10.1111/jep.13147

Fucuta-de-Moraes, M. L., & Ruths, J. C. (2023). Prevalence of symptoms of burnout syndrome in primary health care professionals. Revista Brasileira de Medicina do Trabalho, 21(1). https://doi.org/10.47626/1679-4435-2023-813

Ge, M., Hu, F., Jia, Y., Tang, W., Zhang, W., & Chen, H. (2023). Global prevalence of nursing burnout syndrome and temporal trends for the last 10 years: A meta‐analysis of 94 studies covering over 30 countries. Journal of Clinical Nursing, 32(17–18), 5836–5854. https://doi.org/10.1111/jocn.16708

Hernández Ayala, W. T. (2020). Revisión bibliográfica sobre la medición de la empatía en Colombia y Estados Unidos de América en el período comprendido entre 2010 y 2020 [Tesis de pregrado, Universidad Antonio Nariño]. Repositorio UAN. https://repositorio.uan.edu.co/items/8666fb5a-2076-4e9e-b02f-d6275c9c1c79

Hernández, R., Fernández, C. y Baptista, P. (2014). Metodología de la investigación (6.a ed.). McGraw-Hill.

Hwang, J. Y., Plante, T., & Lackey, K. (2008). The Development of the Santa Clara Brief Compassion Scale: An Abbreviation of Sprecher and Fehr’s Compassionate Love Scale. Pastoral Psychol, 56, 421–428. https://doi.org/10.1007/s11089-008-0117-2

Kamal, A., Bull, J. H., Wolf, S. P., Swetz, K. M., Shanafelt, T. D., Ast, K., Kavalieratos, D., & Sinclair, C. T. (2020). Prevalence and Predictors of Burnout Among Hospice and Palliative Care Clinicians in the U.S. Journal of Pain and Symptom Management, 59(5), 6-13. https://doi.org/10.1016/j.jpainsymman.2015.10.020

Kartsonaki, M. G., Georgopoulos, D., Kondili, E., Nieri, A. S., Alevizaki, A., Nyktari, V., & Papaioannou, A. (2023). Prevalence and factors associated with compassion fatigue, compassion satisfaction, burnout in health professionals. Nursing in critical care, 28(2), 225-235. https://doi.org/10.1111/nicc.12769

Kroll, H., Macaulay, T., & Jesse, M. (2016). A Preliminary Survey Examining Predictors of Burnout in Pain Medicine Physicians in the United States. Pain Physician, 19(5), 689-696. https://doi.org/10.36076/ppj/2019.19.e689

Lamothe, M., Boujut, E., Zenasni, F., y Sultan, S. (2014). To be or not to be empathic: the combined role of empathic concern and perspective taking in understanding Burnout in general practice. BMC Family Practice, 15. https://doi.org/10.1186/1471-2296-15-15

López, A., Sanderman, R., Ranchor, A. V., & Schroevers, M. J. (2018). Compassion for Others and Self-Compassion: Levels, Correlates, and Relationship with Psychological Well-being. Mindfulness, 9(1), 325-331. https://doi.org/10.1007/S12671-017-0777-Z

López-Pérez, B., Fernández-Pinto, I., & Abad, F. J. (2008). TECA. Test de empatía cognitiva y afectiva. Tea Ediciones, S.A

Malenfant, S., Jaggi, P., Hayden, K. A., & Sinclair, S. (2022). Compassion in healthcare: an updated scoping review of the literature. BMC palliative care, 21(1), 80. https://doi.org/10.1186/s12904-022-00942-3

Maslach, C., & Jackson, S. E. (1981). MBI: Maslach Burnout inventory. University of California, Consulting Psychologists Press.

Moscu, C. A., Marina, V., Anghele, A. D., Anghele, M., Dragomir, L., & Ciubară, A. (2023). The impact of work-related problems on burnout syndrome and job satisfaction levels among emergency department staff. Behavioral Sciences, 13(7), 575. https://doi.org/10.3390/bs13070575

Pavlova, A., Wang, C. X. Y., Boggiss, A. L., O’Callaghan, A., & Consedine, N. S. (2022). Predictors of Physician Compassion, Empathy, and Related Constructs: a Systematic Review. Journal of General Internal Medicine, 37(4), 900–911. https://doi.org/10.1007/s11606-021-07055-2

Pehlivan, T., & Güner, P. (2020). Compassionate care: Benefits, barriers and recommendations. Journal of Psychiatric Nursing, 11(2), 148–153. https://doi.org/10.14744/phd.2020.88557

Picard, J., Catu-Pinault, A., Boujut, E., Botella, M., Jaury, P., & Zenasni, F. (2016). Burnout, empathy and their relationships: a qualitative study with residents in General Medicine. Psychology, Health & Medicine, 21(3), 354-361. https://doi.org/10.1080/13548506.2015.1054407

Ramírez-Vélez, R., Agredo-Zuñiga, R. A., & Jerez-Valderrama, A. M. (2010). Confiabilidad y valores normativos preliminares del cuestionario de salud SF-12 (Short Form 12 Health Survey) en adultos colombianos. Revista de Salud Pública, 12, 807–819. http://www.scielo.org.co/pdf/rsap/v12n5/v12n5a11.pdf

Reynolds, M., McCombie, A., Jeffery, M., Mulder, R., & Frizelle, F. (2021). Impact of burnout on empathy. The New Zealand medical journal, 134(1530), 12–20. https://pubmed.ncbi.nlm.nih.gov/33651773/

Román-Calderón, J. P., Krikorian, A., Ruiz, E., Romero, A. M., & Lemos, M. (2024). Compassion and Self-Compassion: Counterfactors of Burnout in Medical Students and Physicians. Psychological Reports, 127(3), 1032-1049. https://doi.org/10.1177/00332941221132995

Rotenstein, L. S., Torre, M., Ramos, M. A., Rosales, R. C., Guille, C., Sen, S., &. (2018). Prevalence of burnout among physicians: a systematic review. JAMA, 320(11), 1131–1150. https://doi.org/10.1001/jama.2018.12777

Sinclair, S., Hack, T. F., McClement, S., Raffin-Bouchal, S., Chochinov, H. M., & Hagen, N. A. (2020). Healthcare providers perspectives on compassion training: A grounded theory study. BMC Medical Education, 20(1), 1–13. https://doi.org/10.1186/s12909-020-02164-8

Sinclair, S., Kondejewski, J., Jaggi, P., Dennett, L., Roze Des Ordons, A., & Hack, T. (2021). What is the state of compassion education? A systematic review of compassion training in health care. Academic Medicine, 96(7), 1057–1070. https://doi.org/10.1097/ACM.0000000000004114

Smith, S., Gentleman, M., Conway, L., & Sloan, S. (2017). Valuing feedback:An evaluation of a National Health Service programme to support compassionate care practice through hearing and responding to feedback. Journal of Research in Nursing, 22(1–2), 112–127. https://doi.org/10.1177/1744987116685913

Soares, J. P., Lopes, R. H., de Souza Mendonça, P. B., Silva, C. R. D. V., Rodrigues, C. C. F. M., & de Castro, J. L. (2023). Use of the Maslach Burnout inventory among public health care professionals: scoping review. JMIR Mental Health, 10(1), e44195. https://doi.org/10.2196/44195

Strauss, C., Lever Taylor, B., Gu, J., Kuyken, W., Baer, R., Jones, F. & Cavanagh, K. (2016). What is compassion and how can we measure it? A review of definitions and measures. Clinical Psychology Review, 47, 15–27. https://doi.org/10.1016/j.cpr.2016.05.004

Suárez, E., Lemos, M., Ruiz, E., P. y Krikorian, A. (2022). Relación entre empatía, compasión y burnout en estudiantes de medicina, residentes y profesionales médicos de Medellín. Revista Logos Ciencia & Tecnología, 14(3), 59-72. https://doi.org/10.22335/rlct.v14i3.1644

Wacker, R., & Dziobek, I. (2018). Preventing empathic distress and social stressors at work through nonviolent communication training: A field study with health professionals. Journal of Occupational Health Psychology, 23(1), 141–150. https://doi.org/10.1037/ocp0000058

Ware, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity. Medical Care, 34(3), 220-233. https://doi.org/10.1097/00005650-199603000-00003

Yue, Z., Qin, Y., Li, Y., Wang, J., Nicholas, S., Mait-land, E., & Liu, C. (2022). Empathy and Burnout in medical staff: mediating role of job satisfaction and job commitment. BMC Public Health, 22(1), 1-13. https://doi.org/10.1186/s12889-022-13405-4

Yuguero, O., Melnick, E. R., Marsal, J. R., Esquerda, J., & Soler-González, J. (2018). Cross-sectional study of the association between healthcare professionals’ empathy and burnout and the number of annual primary care visits per patient under their care in Spain. BMJ Open, 8, e020949. http://dx.doi.org/10.1136/bmjopen-2017-020949

How to Cite

Suárez Cadavid, E., Restrepo Arango, J., Lemos Hoyos, M., & Sanchez Zapata, P. (2024). Perceptions and implications of compassionate care in a specialized hospital institution in Medellin. Revista Criterios, 31(2). Retrieved from https://revistas.umariana.edu.co/index.php/Criterios/article/view/3689

Downloads

Download data is not yet available.

Published

2024-07-02

Issue

Section

Artículos resultado de investigación

Altmetric

QR Code
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views