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http://dx.doi.org/10.12799/jkachn.2020.31.1.34

The Mediating Effect of Spirituality between Nurses' Empathy and Elderly Care Performance in the Long Term Care Hospitals  

Park, Heeok (College of Nursing, Research Institute of Nursing Science, Keimyung University)
Kim, Eun Kyung (Research Institute of Nursing Science, Keimyung University)
Moon, Kyoung Ja (College of Nursing, Research Institute of Nursing Science, Keimyung University)
Kim, Min Ji (Research Institute of Nursing Science, Keimyung University)
Publication Information
Research in Community and Public Health Nursing / v.31, no.1, 2020 , pp. 34-42 More about this Journal
Abstract
Purpose: The objective of this study was to identify whether spirituality mediates the relationship between empathy and elderly care performance among Long Term Care (LTC) hospitals nurses in Korea. Methods: The data collection was performed July 1st to August 31th, 2018. Participants were 119 nurses from three long-term care hospitals in Korea. Self-reported questionnaires were administered to assess general characteristics, empathy, spirituality and elderly care performance. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and three-stage simple and multiple regression analysis as proposed by Baron and Kenny. Results: The level of elderly care performance of participants was significantly different based on age (F=3.92, p=.010) and nurse's position (t=-2.18, p=.031). Spirituality had a significant mediating effect on the relationship between empathy and elderly care performance (Z=3.64, p<.001). Conclusion: As spirituality completely mediates the relationship between empathy and elderly care performance, it is necessary to develop a nursing education program that applies spirituality and empathy and supports religious activities at an institutional level.
Keywords
Spirituality; Empathy; Long-term care;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Health Insurance Review & Assessment Service. The number of long-term care hospitals [Internet]. Daejeon: Statistics Korea. 2012 [cited February 19, 2019] Available from: http://kosis.kr/common/meta_onedepth.jsp?vwcd=MT_OT ITLE&listid=354_MT_DTITLE
2 Sleet DA, Moffett DB, Stevens J. CDC's research portfolio in older adult fall prevention: A review of progress, 1985-2005, and future research directions. Journal of Safety Research. 2008;39(3):259-267. https://doi.org/10.1016/j.jsr.2008.05.003   DOI
3 Jeon B, Kim H, Kwon S. Patient and hospital characteristics of long-stay admissions in long-term care hospitals in Korea. Health Policy and Management. 2016;26(1):39-50.   DOI
4 Vahey D, Aiken L, Sloane D, Clarke S, Vargas D. Nurse burnout and patient satisfaction. Medical Care. 2004;42(2):II57-II66. https://doi.org/10.1097/01.mlr.0000109126.50398.5a
5 Kim HE. Nurses' knowledge and attitude of the elderly, and performance on elderly care [master's thesis]. [Busan]: Catholic University of Pusan; 2009. 77 p.
6 Kwon Y, Lee HY, Hwang SS. A study on the knowledge, attitude and nursing practice of the nurses-towards the elderly in geriatric hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(11):5785-5791. https://doi.org/10.5762/KAIS.2013.14.11.5785   DOI
7 Cunico L, Sartori R, Marognolli O, Meneghini AM. Developing empathy in nursing students: A cohort longitudinal study. Journal of Clinical Nursing. 2012;21(13-14):2016-2025. https://doi.org/10.1111/j.1365-2702.2012.04105.x   DOI
8 Dewar B, Nolan M. Caring about caring: Developing a model to implement compassionate relationship centred care in an older people care setting. International Journal of Nursing Studies. 2013;50(9):1247-1258. https://doi.org/10.1016/j.ijnurstu.2013.01.008   DOI
9 Griffiths J, Speed S, Horne M, Keeley P. A caring professional attitude: What service users and carers seek in graduate nurses and the challenge for educators. Nurse Education Today. 2012;32(2):121-127. https://doi.org/10.1016/j.nedt.2011.06.005   DOI
10 McKnight-Chelius R. The relationships among emergency nurses' perceptions of nurse empathy, compassion fatigue, compassion satisfaction, and emergency patients' perception of nurse empathy. 1st ed. Pennsylvania: Widener University; 2017. 198 p.
11 Youm HU, Cheung SD, Seo WS, Koo BH, Bai DS. The relationship of spiritual well-being and anxiety, depression and quality of life in active old age. Yeungnam University Journal of Medicine. 2005;22(1):27-42.   DOI
12 Kim SN. Spirituality among physicians and nurses in metropolitan cities. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2010;19(2):143-153. https://doi.org/10.12934/jkpmhn.2010.19.2.143   DOI
13 Lee KJ, Park YS. Nurses' spirituality and attitude toward terminal care in geriatric hospital. Journal of Digital Convertgence. 2015;13(12):347-357. https://doi.org/10.14400/JDC.2015.13.12.347   DOI
14 Davis MH. Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology. 1983;44(1):113-126. https://doi.org/10.1037/0022-3514.44.1.113   DOI
15 Kim J, Choi S. Influence of self-esteem, empathy and existential well-being on spiritual care competence in nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2015;22(3):328-337. https://doi.org/10.7739/jkafn.2015.22.3.328   DOI
16 Seo YS, Sung KW. Influence of nurses' spirituality on hospice nursing intervention in long-term care facilities. Journal of Korean Gerontological Nursing. 2012;14(1):12-20.
17 Sung MH. Effects of spiritual well-being on spiritual nursing intervention. Asian Oncology Nursing. 2009;9(1):15-22.
18 Lee KY, Kim CH, Kim DW. Development of the spirituality scale. Korean Journal Counseling and Psychotherapy. 2003;15(4):711-728.
19 Kim YK, Kwon S. Effects of empathy and attitude in caring for elders by nurses in geriatric nursing practice in long-term care hospitals. Journal of Korean Gerontological Nursing. 2017;19(3):203-213. https://doi.org/10.17079/jkgn.2017.19.3.203   DOI
20 Kang I, Kee SW, Kim SE, Jeong BS, Hwang JH, Song JE, et al. Reliability and validity of the Korean-version of interpersonal reactivity Index. Journal of Korean Neuropsychiatric Association. 2009;48(5):352-358.
21 Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51(6):1173-1182. https://doi.org/10.1037//0022-3514.51.6.1173   DOI
22 Jeong HS. The effect of empathy on the job stress among nurses. Journal of the Korea Academia-Industrial cooperation Society. 2015;16(6):3911-3918. https://doi.org/10.5762/KAIS.2015.16.6.3911   DOI
23 Brunero S, Lamont S, Coates M. A review of empathy education in nursing. Nursing Inquiry. 2010;17(1):65-74. https://doi.org/10.1111/j.1440-1800.2009.00482.x   DOI
24 Kong BH. Art of caring in nursing. Philosophy of Medicine. 2007;3(1):97-116.
25 Kliszcz J, Nowicka-Sauer K, Trzeciak B, Nowak P, Sadowska A. Empathy in health care providers-validation study of the polish version of the Jefferson scale of empathy. Advances in Medical Sciences. 2006;51:219-225.
26 Lee KJ, Kim M. The relationship of gender role conflict and job satisfaction upon organizational commitment in male nurses. Korean Journal of Adult Nursing. 2014;26(1):46-57. https://doi.org/10.7475/kjan.2014.26.1.46   DOI
27 Connelly R, Light K. Exploring the "new" frontier of spirituality in health care: Identifying the dangers. Journal of Religion and Health. 2003;42(1):35-46. https://doi.org/10.1023/A:1022212727599   DOI
28 Cobb MR, Puchalski CM, Rumbold B. Oxford textbook of spirituality in healthcare. 1st ed. New York: Oxford University Press; 2012. 500 p.
29 Kwon Y, Lee HY, Hwang SS. A study on the knowledge, attitude and nursing practice of the nurses-towards the elderly in geriatric hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(11):5785-5791. https://doi.org/10.5762/KAIS.2013.14.11.5785   DOI
30 Choi KB. The effect of elderly nursing care education programs on nurses knowledge, attitudes and nursing performance toward the elderly. The Journal of Korean Academic Society of Nursing Education. 2012;18(3):522-532.   DOI