Volume 21, Issue 2 (May 2023)
Nursing and Midwifery Journal 2023, 21(2): 98-107 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Asgari G, Etemadinia M, Farshbaf Minisefat F. THE EFFECTIVENESS OF MINDFULNESS-BASED STRESS REDUCTION GROUP THERAPY ON COMPASSION FATIGUE AND EMPATHY OF NURSES. Nursing and Midwifery Journal 2023; 21 (2) :98-107
URL: http://unmf.umsu.ac.ir/article-1-4840-en.html
URL: http://unmf.umsu.ac.ir/article-1-4840-en.html
1- Phd Student of Psychology, Department of Psychology, Azad University of Urmia, Urmia, Iran , asgarih16@yahoo.com
2- Assistant Professor of Department of Psychology, Azad University of Urmia, Urmia, Iran (Corresponding Author)
3- Assistant Professor of Department of Psychology, Azad University of Urmia, Urmia, Iran
2- Assistant Professor of Department of Psychology, Azad University of Urmia, Urmia, Iran (Corresponding Author)
3- Assistant Professor of Department of Psychology, Azad University of Urmia, Urmia, Iran
Abstract: (1007 Views)
Background & Aims: Nurses, as one of the important groups in the health field, are exposed to problems such as compassion fatigue, which requires empathy as an important characteristic. Thus, therapeutic interventions to reduce compassion fatigue and increase empathy should be considered. Therefore, this research aimed to study the effectiveness of Mindfulness-Based Stress Reduction (MBSR) group therapy on compassion fatigue and empathy of nurses.
Materials & Methods: The present study was a semi-experimental study. Sixty nurses working in Arefian Hospital in Urmia were randomly selected and divided into two Mindfulness based Stress Reduction (30 people) and control (30 people) groups in the spring and summer of 2022-2023. They completed the Figley’s Compassion Fatigue questionnaire (1995) and the empathy scale of Baron-Cohen (2003) before and after the intervention and after two months of follow-up. The data were analyzed by repeated measure analysis of variance with SPSS v.22 software.
Results: The results of variance analysis showed that the Mindfulness-Based Stress Reduction group intervention was effective on compassion fatigue (p < 0.01) and empathy (p < 0.05) of nurses. Furthermore, the effects of therapeutic intervention on compassion fatigue and Empathy was maintained until follow-up (p < 0.01).
Conclusion: According to the obtained results, it can be concluded that Mindfulness-Based Stress Reduction Group therapy effectively reduced compassion fatigue and increased nurses' empathy. Using this intervention in clinical settings is recommended to reduce the nurses' problems of being exposed to much stress in the work environment.
Materials & Methods: The present study was a semi-experimental study. Sixty nurses working in Arefian Hospital in Urmia were randomly selected and divided into two Mindfulness based Stress Reduction (30 people) and control (30 people) groups in the spring and summer of 2022-2023. They completed the Figley’s Compassion Fatigue questionnaire (1995) and the empathy scale of Baron-Cohen (2003) before and after the intervention and after two months of follow-up. The data were analyzed by repeated measure analysis of variance with SPSS v.22 software.
Results: The results of variance analysis showed that the Mindfulness-Based Stress Reduction group intervention was effective on compassion fatigue (p < 0.01) and empathy (p < 0.05) of nurses. Furthermore, the effects of therapeutic intervention on compassion fatigue and Empathy was maintained until follow-up (p < 0.01).
Conclusion: According to the obtained results, it can be concluded that Mindfulness-Based Stress Reduction Group therapy effectively reduced compassion fatigue and increased nurses' empathy. Using this intervention in clinical settings is recommended to reduce the nurses' problems of being exposed to much stress in the work environment.
Type of Study: Research |
Subject:
روانپزشکی- روان شناسی
References
1. Bell T, Sprajcer M, Flenady T, Sahay A. Fatigue in nurses and medication administration errors: A scoping review. J Clin Nurs 2023 27.
https://doi.org/10.1111/jocn.16620 [DOI:10.1111/jocn.16620.] [PMID]
2. Cevik B, Kav S. Attitudes and Experiences of Nurses Toward Death and Caring for Dying Patients in Turkey. Cancer Nurs 2013;36(6):58-65. DOI:10.1016/S1462-3889(10)70155-1. [DOI:10.1016/S1462-3889(10)70155-1]
3. Rangriz H, moosavi SZ. General Health Policies and The effect of burnout by overworks on the shortage of nurses in Iranian hospitals. Q J Macro Strat Polic 2014;2(2):43-64. https://www.jmsp.ir/article_7725.html?lang=en. [Google Scholar]
4. Matourypour P, Ghaedi Heydari F, Bagheri I, Mmarian R. The Effect of Progressive Muscle Relaxation on the Occupational Stress of Nurses in Critical Care Units. Hakim Jorjani J 2012;1(1):9-15. http://goums.ac.ir/jorjanijournal/article-1-195-en.html. [Google Scholar]
5. Orly S, Rivka B, Rivka E, Medse M, Dorit SE. Are cognitive-behavioral interventions effective in reducing occupational stress among nurses? Appl Nurs Res 2012; 25(3):152-57. DOI:10.1016/j.apnr.2011.01.004. [DOI:10.1016/j.apnr.2011.01.004] [PMID]
6. Mohammed AE, Mohamed Mourad G, Mohamed Ahmed F. The Effect of Implementing Work Stress Management Program on Compassion Fatigue of Nurses Working at Oncology Department. J Nurs Sci Benha Univ 2023;4(1):996-1010. [DOI:10.21608/jnsbu.2023.279994]
7. Wang L, Wang KS. Age Differences in the Association of Severe Psychological Distress and Behavioral Factors with Heart Disease. Psychiatry J 2013:1-9. doi: 10.1155/2013/979623. [DOI:10.1155/2013/979623] [PMID] [PMCID]
8. Raes F. Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Pers Indiv Dif 2010;48(6):757-61. DOI:10.1016/j.paid.2010.01.023. [DOI:10.1016/j.paid.2010.01.023]
9. Yeşil A, Polat Ş. Investigation of psychological factors related to compassion fatigue, burnout, and compassion satisfaction among nurses. BMC Nurs 2023;22(1):1-2. [DOI:10.1186/s12912-023-01174-3] [PMID] [PMCID]
10. Lynch SH. Looking at Compassion Fatigue Differently: Application to Family Caregivers. Am J Health Educ 2018;49(1):9-11. [DOI:10.1080/19325037.2017.1369197]
11. Figley CR. Treating compassion fatigue. New York: Brunner-Routledge, 2002, 88. [Google books]
12. Naghavi, A., Zamani-Forooshani, F. Fatigue and Satisfaction due to Compassion: the Experiences of Mother Caregivers of a Child with Disability. J App Sociol 2019;30(4):21-34. doi: 10.22108/jas.2019.114021.1557 [Google Scholar]
13. Joihnson, C. Coping and compassion fatigue. Nursing 1992;22(4):116-21. [DOI:10.1097/00152193-199204000-00035]
14. Coetzee S, & Laschinger H. Toward a comprehensive, theoretical model of compassion fatigue: An integrative literature review: Theoretical model of compassion fatigue. Nurs Health Sci 2018;20(2):24-32. DOI: 10.1111/nhs.12387 [DOI:10.1111/nhs.12387] [PMID]
15. Figley CR. Compassion Fatigue: Psychotherapists' Chronic Lack of Self-Care. J Clin Psychol 2002;58(11):1433-41. [DOI:10.1002/jclp.10090] [PMID]
16. Baron-Cohen S, & Wheelwright S. The empathy quotient: An investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. J Autism Dev Disorders 2004;34(2):163-75.
https://doi.org/10.1023/B:JADD.0000022607.19833.00 [DOI:10.1023/B:JADD.0000022607.19833.00.] [PMID]
17. Eisenberg, N & Miller, P A. Empathy and prosocial behaviour. Psych Bull 1987;101:91-119. doi: 10.1037/0033-2909.101.1.9 [DOI:10.1037/0033-2909.101.1.91] [PMID]
18. Wispé L. The distinction between sympathy and empathy: To call forth a concept, a word is needed. J Pers Soc Psychol 1986;50(2):314. DOI:10.1037/0022-3514.50.2.314. [DOI:10.1037/0022-3514.50.2.314]
19. Khodabakhsh MR, Mansoori P. Empathy and its impact on promoting physician-patients relationship. Iranian J Med Ethics History Med 2011;4(3):38-46. http://ijme.tums.ac.ir/article-1-172-en.html. [Google Scholar]
20. Mardani-Hamooleh M, Ahmadi M, Seyedfatemi N, Haghani H. Relationship between Empathy and Spiritual Attitude among Nursing Students in Tehran. Iran J Med Ethics History Med 2018;11(1):176-88. URL: http://ijme.tums.ac.ir/article-1-5990-en.html. [Google Scholar]
21. Mikaeili N, Ghaffari M. The relationship between personal intelligence and empathy in nurses and their moral sensitivity. J Med Ethics History Med 2016; 8(6):45-56. [Google Scholar]
22. Rezaei, R., Vagharseyyedin, S. A., Taheri, F., & Nikkhah Beidokhti, A. (2021). The effect of Spiritual Care Training on the Empathy among Nursing Students. Faṣlnāmah-I akhlāq-I Pizishkī 2021;14(45):1-11. [DOI:10.22037/mej.v14i45.34313]
23. Jones, L., Gold, E., Totsika, V., Hastings, R. P., Jones, M., Griffiths, A., & Silverton, S. A mindfulness parent well -being course: Evaluation of outcomes for parents of children with autism and related disabilities recruited through special schools. Eur J Spec Needs Educ 2018;33(1):16-30.
https://doi.org/10.1080/08856257.2017.1297571 [DOI:10.1080/08856257.2017.1297571.]
24. Raj A, & Kumar P. Efficacy of mindfulness based stress reduction (MBSR): A brief overview. J Disabil Manag Rehabil 2018;4(2):73-81. [DOI:10.29120/jdmr.1918.v4.i2.54.]
25. Baharvand I, sodani M. the effectiveness of mindfulness - based stress reduction training on empathy and sympathy in single mother - headed adolescents. Psychologicalscience 2020;19(86):183-93. URL: http://psychologicalscience.ir/article-1-575-en.html. [Google Scholar]
26. Taheri S, Sajadian I. Effectiveness of Mindfulness Based Cognitive Therapy on symptoms of fatigue, self-compassion and mindfulness on Employers with Chronic Fatigue Syndrome. Career and Organizational Counseling 2017;9(30):145-71. 20.1001.1.22286144.1397.25.2.8.8. [Google Scholar]
27. Shabani M, Jarareh J. The Effectiveness of Mindfulness-Based Stress Reduction on Caregiver Burden and Mental Fatigue of Autistic Children's Mothers. Socialworkmag 2020;9(1):5-12 URL: http://socialworkmag.ir/article-1-535-fa.html. []
28. Talebi M. The Effectiveness of Mindfulness-Based Cognitive Therapy on Anxiety, Happiness and Mindfulness in Nurses. Avicenna J Nurs Midwifery Care 2021;29(2):126-36. URL: http://nmj.umsha.ac.ir/article-1-2215-fa.html [DOI:10.30699/ajnmc.29.2.126]
29. Torné-Ruiz A, Reguant M, Roca J. Mindfulness for stress and anxiety management in nursing students in a clinical simulation: A quasi-experimental study. Nurse Educ Prac 2023;66:103533. [DOI:10.1016/j.nepr.2022.103533] [PMID]
30. Shafiabadi A, Haghani Zemydani M, Salimi Bajestani H, Ghasemi Jobaneh R. Effectiveness of Mindfulness Training on work-family conflict of married nurses. J Nurs Edu 2019;7(5):38-44. URL: http://jne.ir/article-1-826-fa.html [Google Scholar]
31. Izadabadi Z, Balvardi M, Imani-goghary Z. Effectiveness of Mindfulness and Metacognition Education on Social Welfare and Life Expectancy of Nurses. Iran J Psychiatry 2020;8(5):14-24 URL: http://ijpn.ir/article-1-1533-fa.html [Google Scholar]
32. Zahedirad Z, Rezakhani S, Vakili P. Comparison effectiveness of Mindfulness-Bsed Cognitive therapy and Mindfulness-Based Stress Reduction method on Stress among Nurses in Psychiatric Hospital. Iran J Nurs Res 2020;15(5):84-98. URL: http://ijnr.ir/article-1-2403-fa.html [Google Scholar]
33. Shamsi M, Taghvaei D, Davoodi H. Offering Attachment-Based Mindfulness Therapy and Evaluating Its Efficacy on the Quality of Love and Empathy in Women Who Have Experienced Marital Infidelity. J App Psychol Res 2022;13(2):303-23. doi: 10.22059/japr.2022.321684.643810. [Google Scholar]
34. Jones SM, Bodie GD, Hughes SD. The impact of mindfulness on empathy, active listening, and perceived provisions of emotional support. Comm Res 2019;46(6):838-65.
https://doi.org/10.1177/0093650215626983 [DOI:10.1177/0093650215626983.]
35. Bayot M, Vermeulen N, Kever A, Mikolajczak M. Mindfulness and empathy: Differential effects of explicit and implicit Buddhist teachings. Mindfulness 2020;11:5-17. [DOI:10.1007/s12671-018-0966-4]
36. Figley CR. Compassion fatigue as secondary traumatic stress disorder: an overview, w: compassion fatigue, red. New York: CR Figley. 1995.
https://doi.org/10.4324/9780203777381 [DOI:10.4324/9780203777381.]
37. Baron-Cohen S. The essential difference: Men, women and the extreme male brain. London: Penguin. 2003. [Google Scholar]
38. Kabat-Zinn J, Hanh TN. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delta; 2009 Jul 22. [URL]
39. Mohammadi S, Borhani F, Roshanzadeh M. Compassion fatigue in nurses of intensive care unit. Q J Med Ethics 2017;9(33):85-102. URL: http://ijme.tums.ac.ir/article-1-5335-en.html.
40. Lawrence EJ, Shaw P, Baker D, Baron -Cohen S, David AS. Measuring empathy: reliability and validity of the Empathy Quotient. Psychol Med 2004;34(5):911-20. doi:10.1017/S0033 291703001624. [DOI:10.1017/S0033291703001624] [PMID]
41. Abou Alghasemi A. The Reliability and Validation of the Empathy Quotient Scale for High School Students. Psychol Stud 2009;5(4):9-25. https://www.sid.ir/paper/67728/en. [Google Scholar]
42. Saeidi N, Pour Shah Abadi F, Jorjani M, Akbarian M, Mafakheri M. Prediction of Chronic Pain Components based on Mentalization, Emotion Regulation and Empathy in Patients with Chronic Pain. J Mil Med 2022;24(8):1506-16. URL: http://militarymedj.ir/article-1-3232-fa.ht [URL]
43. Stevens J. J. Applied multivariate statistics for the social sciences, Mahvah. [Google Scholar]
44. Shapiro SL, Brown KW, Biegel GM. Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Train Educ Prof Psychol 2007;1(2):105.
https://doi.org/10.1037/1931-3918.1.2.105 [DOI:10.1037/1931-3918.1.2.105.]
45. Liu C, Chen H, Cao X, Sun Y, Liu CY, Wu K, et al. Effects of mindfulness meditation on doctors' mindfulness, patient safety culture, patient safety competency and adverse event. Int J Environ Res Public Health 2022;19(6):3282. doi: 10.3390/ijerph19063282. [DOI:10.3390/ijerph19063282] [PMID] [PMCID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Contact Information
Address: Urmia University of Medical Sciences, Deputy of Research and Technology,Djahad Ave.,
Urmia-5714783734, IRAN
P.O. Box: 1138,
Tel: 044 - 331937224
Fax: 044 - 32240642
E-Mail:
j.nur.mid
gmail.com, unmfumsu.ac.ir