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http://dx.doi.org/10.14475/kjhpc.2017.20.4.253

Mediating Effects of Empathy and Resilience on the Relationship between Terminal Care Stress and Performance for Nurses in a Tertiary Hospital  

Kim, Heui Yeoung (Department of Nursing, Dong-A University Hospital)
Nam, Keum Hee (Research Institute of Holistic Nursing Science, Kosin University)
Kwon, Su Hye (College of Nursing, Kosin University)
Publication Information
Journal of Hospice and Palliative Care / v.20, no.4, 2017 , pp. 253-263 More about this Journal
Abstract
Purpose: To develop end-of-life care training programs for nurses who provide in a tertiary hospital, we examined the mediating effects of empathy and resilience on the relationship between their stress and job performance. Methods: This study was conducted with 218 participants at a hospital in B city in South Korea from August 15 through August 30, 2017. Data collected from the participants were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using the IBM SPSS/WIN 21.0 software. Results: Terminal care stress was found to be negatively correlated with empathy competence (r=-0.345, P<0.001), resilience (r=-0.223, P=0.001) and terminal care performance (r=-0.260, P<0.001), whereas empathy (r=0.467, P<0.001) and resilience (r=0.358, P<0.001) were positively correlated with terminal care performance. Empathy had a complete mediating effect (${\beta}=0.409$, P<0.001) on the relationship between terminal care stress and performance, and resilience a partial mediating effect (${\beta}=0.294$, P<0.001). Conclusion: Based on the findings of this study, development of training programs with a focus on empathy and resilience are highly recommended to improve job performance of nurses who provide terminal care in a tertiary hospital.
Keywords
Terminal care; Empathy; Resilience;
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1 Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51: 1173-82.   DOI
2 Lee HK. Converged influencing factors on compassion competence in clinical nurses. J Korea Converg Soc 2015;6:15-22.
3 Yi M. Nurses' experience of caring for dying patients in hospitals. J Korean Acad Nurs 2003;33:553-61.   DOI
4 Jung MR, Jeong E. Convergence influence of clinical nurses' resilience to the job stress, turnover intention and vitality. J Digit Converg 2017;15:305-14.
5 Shin JH. Resilience, compassion satisfaction and compassion fatigue among nurses in emergency [master's thesis]. Suwon: Aju Univ.; 2015. Korean.
6 Ancel G. Developing empathy in nurses: an inservice training program. Arch Psychiatr Nurs 2006;20:249-57.   DOI
7 Statistics Korea [Internet]. Daejeon: Statistics Korea; c2017 [cited 2017 Feb 22]. Available from: http://www.kostat.go.kr.
8 Chang YJ. Policy on hospice and palliative care in Korea. Korean J Hosp Palliat Care 2012;15:183-7.
9 Baek EK, Choi EJ. Terminal care stress, job satisfaction and terminal care performance for nurses in internal medicine wards. Korean J Hosp Palliat Care 2015;18:267-75.   DOI
10 Buyuk ET, Rizalar S, Gudek E, Guney Z. Evaluation of empathetic skills of nurses working in oncology units in Samsun, Turkey. Int J Caring Sci 2015;8:131-9.
11 Choi MS, Kim MY. Development and effects of a resilience training program for nurses. J Korean Acad Nurs Adm 2016;22:373-83.   DOI
12 Lee SM, Sung KM. The effects of violence coping program based on middle-range theory of resilience on emergency room nurses' resilience, violence coping, nursing competency and burnout. J Korean Acad Nurs 2017;47:332-44.   DOI
13 Kim MH, Lee ES. Nurses' stress, attitude, and performance during terminal care towards Do-Not-Resuscitate patients. Chonnam J Nurs & Health Issu 2015;20;25-41.
14 Woo YW, Kim KH, Kim KS. Death anxiety and terminal care stress among nurses and the relationship to terminal care performance. Korean J Hosp Palliat Care 2013;16:33-41.   DOI
15 Seo MJ, Kim JY, Kin SH, Lee TW. Nurses attitudes toward death, coping with death and understanding and performance regarding EOL care: Focus in nurses at ED, ICU and oncology department. Korean J Hosp Palliat Care 2013;16:108-17.   DOI
16 Ko MJ, Moon SH. Factors influencing performance of end-of-life care by ICU nurses. J Korean Acad Psychiatr Ment Health Nurs 2016;25;327-37.   DOI
17 Kang JH, Han SJ. A study of intensive care unit nurses' understanding of the meaning of death, death anxiety, death concern and respect for life. Korean J Hosp Palliat Care 2013;16:80-9.   DOI
18 Ji SI, You HS. The impact of clinical nurses' terminal care attitude and spiritual health on their terminal care stress. Korean J Hosp Palliat Care 2014;17:232-40.   DOI
19 Lee YJ. Development of the compassionate competence scale for nurses [dissertation]. Seoul: Korea Univ.; 2014. Korean.
20 Park HJ. Counseling self-efficacy and empathic ability of the psychiatric nurses [master's thesis]. Seoul: Ewha Womans Univ.; 2012. Korean.
21 Palos GR. Care, compassion, and communication in professional nursing: art, science, or both. Clin J Oncol Nurs 2014; 18:247-8.   DOI
22 Noh SS, Lee CK, Sung YH. Predictors of terminal care performance of clinical nurses for cancer patients. Korean J Crit Care Nurs 2016;9:61-70.
23 Polk LV. Toward a middle-range theory of resilience. ANS Adv Nurs Sci 1997;19:1-13.
24 Benzo RP, Kirsch JL, Nelson C. Compassion, mindfulness, and the happiness of healthcare workers. Explore (NY) 2017; 13:201-6.   DOI
25 Chu LC. Mediating positive moods: the impact of experiencing compassion at work. J Nurs Manag 2016;24:59-69.   DOI
26 Jo KH, Park AR, Lee JJ, Choi SJ. The effect of suffering experience, empathy ability, caring behaviors on terminal care performance of clinical nurses. Korean J Hosp Palliat Care 2015;18:276-84.   DOI
27 Park MM, Park JW. Development of resilience scale for nurses. J Korean Acad Fundam Nurs 2016;23:32-41.   DOI
28 Lee AS, Yoon CK, Park JK. Effects of social support and ego-resilience on nursing performance of hospital nurses. Korean J Occup Health Nurs 2012;21:283-9.   DOI
29 Kim BN, Oh HS, Park YS. A study of nurses' resilience, occupational stress and satisfaction. Korean J Occup Health Nurs 2011;20:14-23.   DOI
30 Rushton CH, Batcheller J, Schroeder K, Donohue P. Burnout and resilience among nurses practicing in high-intensity settings. Am J Crit Care 2015;24:412-20.   DOI
31 Heinze KE, Holtz HK, Rushton CH. Strategies for promoting high-quality care and personal resilience in palliative care. AMA J of Ethics 2017;19:601-7.   DOI
32 Park SJ, Choi SH. A study on the degrees of death orientation and terminal care performance of nurses. J Korean Acad Fundam Nurs 1996;3:285-97.
33 Kim JH, KIM MK, Cho JY. The mediating effect of the resilience on the relationship between stress in clinical practice and clinical competence in nursing students. J Korea Acad-Ind Coop Soc 2017;18:669-78.
34 Kim HJ, Choi HK. The mediating effect of resilience on the relationship between emotional labor and happiness of clinical nurses. Korean J Occup Health Nurs 2017;26:40-6.   DOI
35 Lee YO. A study of cancer unit nurses' stress from bereavement support [master's thesis]. Seoul: Kyung Hee Univ.; 2004. Korean.