Investigating the relationship between family needs and nurses' empathy in inpatient emergency departments: A Cross-sectional study
Family needs and nurses' empathy
DOI:
https://doi.org/10.22122/cdj.v12i4.864Keywords:
Empathy, Nurses, Emergency DepartmentAbstract
BACKGROUND: The mission of the emergency department involves addressing the needs of patients and their families. Therefore, this study aimed to determine the needs of patients' families and their relationship with the empathy of nurses working in inpatient emergency departments of hospitals affiliated with Kurdistan University of Medical Sciences, Iran.
METHODS: This cross-sectional study was conducted from January to September 2022, utilizing convenience sampling, with 427 hospitalized patients from the emergency departments of Kowsar, Towhid, and Besat hospitals. Data collection was carried out through the administration of two questionnaires: the Critical Care Family Needs Inventory (CCFNI-ED) and the Barrett-Lennard Relationship Inventory (BLRI). To explore the relationships between variables, statistical tests, including Fisher's exact test, t-test, one-way ANOVA, and chi-square test, were employed based on the nature of the dependent variable. Data analysis was performed using STATA software.
RESULTS: The results of this study revealed high patient family needs (average score: 114.42) and moderate nurse empathy levels (mean ± SD = 4.73 ± 0.54). Significant associations were observed between the needs of patients’ families and certain demographic variables (e.g., age, gender) (P > 0.05). Additionally, empathy levels correlated significantly with the gender, care duration, and history of the patients’ family (P > 0.05). However, no significant relationship was found between empathy levels and family needs (P < 0.05).
CONCLUSION: The results of this study revealed high levels of needs of patients' families and a moderate level of empathy among nurses. Therefore, to enhance the quality of care in the emergency department, nurses should address the needs of patients' families and improve their empathy levels with them in inpatient emergency settings.
References
Wiliyanarti PF, Asri A, Putra KWR. Developing holistic care model: The physical wellbeing of elderly based on social support and characteristic. Public Health of Indonesia. 2018; 4(3): 108-15.
Seyedoshohadaee M, Ahmadi M, Haghani H. The correlation between the anxiety of the family members of the patients referring to the emergency department and their views on the communication skills of nurses. Iran J Nurs. 2019; 32(119): 80-90.
Bahrami F, Islami M, Moshtagh Eshgh Z, Fesharaki M. Effects of programmed education on stress of family careers with a relative in an intensive care unit of Isfahan University of Medical Sciences hospitals during 2009. Community Health Journal. 2017; 3(4): 18-24.
Fitzian L. Does Social Self-Efficacy moderate the Relationship between Social Support and Anxiety among young Family Members of former ICU Patients? A survey study [BSC Thesis]. Enschede, Netherlands: University of Twente; 2021.
Karimi M, Bozorgzad P, Najafi Ghezeljeh T, Haghani H, Fallah B. The productivity and quality of work life in emergency nurses. Iran J Nurs. 2021; 34(130): 73-90.
Mirzabeigi M, Mahdi E, Mirmehrabi A, Mirzabeigi A. Evaluation of effectiveness educational based on inter-professional approach on rate of empathy and inter-professional collaboration among nurses and physicians in emergency department during the Covid-19 pandemic. Journal of Nursing Management. 2022; 11(2): 24-41.
Lukmanulhakim L, Suryani S, Anna A. The relationship between communication of nurses and level of anxiety of patient's family in emergency room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia. Int J Res Med Sci. 2016; 4(12): 5456-62.
Akbari M, taheri l, momenyan s, yousefi f. Relationship of nurses' mental workload with patient safety condition in emergency departments of Qom University of Medical Sciences Hospitals, 2017. Iranian Journal of Emergency Care. 2017; 1(2): 67-79.
Hayatinia A, Heravi Karimooi M, Rejeh N, Montazeri A. Translation and initial validation n of the Persian version of the Family Satisfaction in the Intensive Care Units (FS-ICU-24). Payesh. 2021; 20(4): 461-9.
Ning J, Cope V. Open visiting in adult intensive care units - A structured literature review. Intensive Crit Care Nurs. 2020; 56: 102763.
Nural N, Alkan S. Identifying the factors affecting comfort and the comfort levels of patients hospitalized in the coronary care unit. Holist Nurs Pract. 2018; 32(1): 35-42.
Sedaghati kasbakhi M, Rohani C, Mohtashami J, Nasiri M. Cognitive or affective empathy in oncology nurses: A cross-sectional study. Iranian Journal of Nursing Research. 2017; 12(4): 9-18.
Ghaedi F, Ashouri E, Soheili M, Sahragerd M. Nurses' empathy in different wards: A cross-sectional study. Iran J Nurs Midwifery Res. 2020; 25(2): 117-21.
Azad Manjiri M, Namani E. The moderating effect of empathy on the relation psychological capital with depression and anxiety among nurses. J Sabzevar Univ Med Sci. 2020; 27(3): 463-73.
Janhsen A, Breyer T. Empathy as a desideratum in health carenormative claim or professional competence? Interdisciplinary Journal for Religion and Transformation in Contemporary Society. 2021; 7(2): 359-75.
Cosper P, Kaplow R, Moss J. The Impact of patient and family advisors on critical care nurses' empathy. J Nurs Adm. 2018; 48(12): 622-8.
Wang L, Shan M. Effects of empathy nursing on the quality of life and treatment compliance of elderly patients with cerebral infarction. Am J Transl Res. 2021; 13(10): 12051-7.
Moreno-Poyato AR, Rodriguez-Nogueira O. The association between empathy and the nurse-patient therapeutic relationship in mental health units: A cross-sectional study. J Psychiatr Ment Health Nurs. 2021; 28(3): 335-43.
Hamooleh M, Ahmadi M, Seyedfatemi N, Haghani H. Relationship between empathy and spiritual attitude among nursing students in Tehran. Iran J Med Ethics Hist Med. 2018; 11(0): 176-88.
Moghaddasian S, Lak DS, Mahmoudi M. Nurses empathy and family needs in the intensive care units. J Caring Sci. 2013; 2(3): 197-201.
Razieh B, Majideh H, Nahid R, Farid Z, Majid M, Ali M. Translation and validation of the Critical Care Family Needs Inventory. Payesh. 2013; 12(1): 89-97.
Aminipour T, Abdi A, Moradi K, Salari N. Investigation of critical care family needs of patients hospitalized in intensive care units: A cross-sectional study. Iran J Crit Care Nurs. 2022; 15(4): 40-9.
Hsiao PR, Redley B, Hsiao YC, Lin CC, Han CY, Lin HR. Family needs of critically ill patients in the emergency department. Int Emerg Nurs. 2017; 30: 3-8.
Hasandoost F, Momeni M, Dehghankar L, Norouzi Parashkouh N, Rezaei Looyeh H, Emamgholian F. Family needs of patients admitted to the intensive care units. Int J Epidemiol Res. 2018; 5(4): 128-32.
Padilla Fortunatti CF. Most important needs of family members of critical patients in light of the critical care family needs inventory. Invest Educ Enferm. 2014; 32(2): 306-16.
Brysiewicz P, Chipps J. A survey of next of kin needs of trauma patients admitted to Intensive Care Units in South Africa. Intensive Crit Care Nurs. 2017; 43: 136-42.
Alsharari AF. The needs of family members of patients admitted to the intensive care unit. Patient Prefer Adherence. 2019; 13: 465-73.
Roger R, Sarwar H, Afzal M. Associated factors of empathy level among nurses in tertiary care hospital Lahore: Factors associated with empathy level in nurses. PJHS-Lahore. 2022; 3(07): 209-14.
Rafati S, Rejeh N, Davati A, Foroutani F. Empathic attitudes in medical students: using of the Jefferson Scale of Empathy. Med Ethics J. 2016; 10(36): 25-34.
Lastre-Amell G, Alejandra-Orostegui M, Gaviria-García G, Calzadilla-Núñez A, Martínez PT, Díaz-Narváez V. Empathy, components of empathy, empathy decline and gender in nursing students. a cross-sectional studY. Rev Mex Enferm Cardiol. 2020; 2: 44-51.
Hojat M, Maio V, Pohl CA, Gonnella JS. Clinical
empathy: Definition, measurement, correlates, group differences, erosion, enhancement, and healthcare outcomes. Discover Health Systems. 2023; 2(1): 8.
Loghmani L, Borhani F, Abbasszadeh A. Determination of the content of communication between the care team and family members of patients in the intensive care unit: The experience of nurses and patients' families. J Qual Res Health Sci. 2014; 3(3): 257-68.
Mahmoodi A, Khani L, Ghaffari M. The relationship of empathy and Spiritual Intelligence with nurses Attitude toward Patient's Right: The mediating role of social responsibility. J Nurs Edu 2017; 6(2): 49-56.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Chronic Diseases Journal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.