The effects of Nurses’ Empathy Skills on Attitudes towards Patients with Cancer

The effects of Nurses’ Empathy Skills on Attitudes towards Patients with Cancer

Objective: The purpose of this study is to evaluate the predictors of empathy skills and attitude towards cancer patients and association between nurses’ empathy skills on attitudes towards patients with cancer Patients and Methods: A structured questionnaire was used to evaluate the nurses’ empathy skills and their attitudes towards to patients with cancer. Jefferson Scale of Empathy (JSE) and Attitudes towards Cancer Scale (ATCS) were used. The predictors of JSE/ATCS scores and correlation between JSE and ATCS were analyzed. Results: 305 nurses participated in the study (84.2% of all nurses). The median age was 33 (20- 52) and most of the nurses were female (82.6%). Most of the participants were married (188, 61.6%) and 40.3% of nurses had a job experience more than 10 years. Female sex, being married, having job experience more than 10 years or caring more cancer patients were associated with higher JSE scores. Nurses caring more cancer patients weekly, experience with cancer patients, participation in educational activities about cancer care or presence of relative with a diagnosis of cancer were found to have more positive attitudes towards cancer patients. Spearman correlation analysis showed a positive, weak correlation between JSE and ATCS (r= 0.017, P= 0.38) Conclusion: Empathy skills are important while caring patients, especially in oncology practice. Although a direct correlation between empathy skills and attitudes towards cancer patients couldn’t be demonstrated, health care workers caring cancer patients should be both evaluated for empathy skills and educated.

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  • 1. Brunero S, Lamont S, Coates M. A review of empathy education in nursing. Nurs Inq. 2010;17:65-74. 2. Rogers CR. The necessary and sufficient conditions of therapeutic personality change. Psychotherapy (Chic). 2007;44:240-8. 3. Williams CL. Empathic communication and its effect on client outcome. Issues Mental Health Nurs. 1979;2:15-26. 4. La Monica EL, Wolf RM, Madea AR, Oberst MT. Empathy and nursing care outcomes. Scholar Inq Nurs Pract. 1987;1:197-213. 5. Reynolds WJ SB. Do nurses and other professional helpers normally display much empathy? J Adv Nurs. 2000;31:226-34. 6. Baillie L. A phenomenological study of the nature of empathy. J Adv Nurs. 1996;24:1300-8. 7. Wilkinson S. Schering Plough clinical lecture communication: it makes a difference. Cancer Nurs. 1999;22:17-20. 8. Williams J, Stickley T. Empathy and nurse education. Nurse education today. 2010;30:752-5. 9. Kahriman I, Nural N, Arslan U, Topbas M, Can G, Kasim S. The Effect of Empathy Training on the Empathic Skills of Nurses. Iranian Red Cresc Med J. 2016;18:e24847. 10. Yu J, Kirk M. Measurement of empathy in nursing research: systematic review. J Adv Nurs. 2008;64:440-54. 11. Langewitz W, Heydrich L, Nubling M, Szirt L, Weber H, Grossman P. Swiss Cancer League communication skills training programme for oncology nurses: an evaluation. J Adv Nurs. 2010;66:2266-77. 12. Ummu Kacer Daban OD, Sezgi Cinar Akyüz. A Methodological Study: Validity and Reliability of the Turkish Version of the Attitudes towards. Brit J Med & Med Res. 2015;9:1-9. 13. Georgaki S, Kalaidopoulou O, Liarmakopoulos I, Mystakidou K. Nurses' attitudes toward truthful communication with patients with cancer. A Greek study. Cancer Nurs. 2002;25:436-41. 14. Ozden Dedeli UKD, Sezgi Cinar Pakyuz. Turkish Nurses’ Attitudes towards Patients with Cancer. Int J Nurs Sci. 2014;6:1-6. 15. Udo C, Melin-Johansson C, Henoch I, Axelsson B, Danielson E. Surgical nurses' attitudes towards caring for patients dying of cancer - a pilot study of an educational intervention on existential issues. Eur J Cancer Care (Engl). 2014;23:426-40. 16. Usta YY, Demir Y, Yagmuroglu H. Nurses' perspective on positive attitudes to cancer patients in Turkey: a qualitative study. Asian Pac J Cancer Prev. 2012;13:1225-9. 17. Kav S, Citak EA, Akman A, Erdemir F. Nursing students' perceptions towards cancer and caring for cancer patients in Turkey. Nurse Educ Pract. 2013;13:4-10. 18. Kearney N, Miller M, Paul J, Smith K, Rice AM. Oncology health care professionals' attitudes to cancer: a professional concern. Ann Oncol. 2003;14:57-61. 19. Yanık A SS. Validity and Reliability of the Turkish Version of Jefferson Scale of Empathy for Nursing Students. Turkiye Klinikleri J Med Sci. 2014;34:111-9. 20. Tichenor CC, Rundall TG. Attitudes of physical therapists toward cancer: a pilot study. Physical Therapy. 1977;57:160-5. 21. Hemsley B, Sigafoos J, Balandin S, Forbes R, Taylor C, Green VA, et al. Nursing the patient with severe communication impairment. J Adv Nurs. 2001;35:827-35. 22. Tural Buyuk E RS, Güdek E, Güney Z. Evaluation of Empathetic Skills of Nurses Working in Oncology Units in Samsun, Turkey. Int J Caring Sci. 2015;8:131-9. 23. Fallowfield L SJ, Gilligan B. Teaching Senior Nurses How to TeachCommunication Skills In Oncology. Cancer Nurs. 2001;24:185- 91. 24. Ouzouni C NK. An exploratory study of student nurses’ empathy. Health Sci Nurs. 2012;6:24-9. 25. Cunico L, Sartori R, Marognolli O, Meneghini AM. Developing empathy in nursing students: a cohort longitudinal study. J Clin Nurs. 2012;21:2016-25. 26. Charalambous A, Kaite C. Undergraduate nursing students caring for cancer patients: hermeneutic phenomenological insights of their experiences. BMC Health Serv Res. 2013;13:63-6. 27. Fu F, Zhao H, Tong F, Chi I, A Systematic review of psychosocial ınterventions to cancer caregivers. Front Psychol. 2017;8:834-8.