Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 414
  • Home
  • Print this page
  • Email this page


 
   Table of Contents      
ORIGINAL ARTICLE
Year : 2017  |  Volume : 22  |  Issue : 1  |  Page : 41-45

Empathy, burnout, demographic variables and their relationships in oncology nurses


1 Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Students Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Nursing, Cancer Hospital, University of Medical Science, Isfahan, Iran

Date of Web Publication14-Mar-2017

Correspondence Address:
Elaheh Ashouri
Department of Adult Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan
Iran
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnmr.IJNMR_66_16

Rights and Permissions
  Abstract 

Introduction: Development of nurse–patient empathic communication in the oncology ward is of great importance for the patients to relieve their psychological stress, however, nursing care of cancer patients is accompanied with high stress and burnout. The present study aimed to define the level of empathy and its association with burnout and some demographic characteristics of oncology nurses. Materials and Methods: This descriptive/correlation study was conducted in a professional cancer treatment center in Isfahan. Through census sampling, 67 oncology nurses were selected. The data collection tools were Jefferson Scale of Nursing Empathy, Maslach Burnout Inventory, and demographic characteristics questionnaire. Results: Mean nurses' empathy and overall burnout scores were 62.28 out of 100 and 38.8 out of 100, respectively. Score of empathy showed an inverse correlation with overall burnout score (r = −0.189, P = 0.04), depersonalization (r = −0.218, P = 0.02), and personal accomplishment (r = −0.265, P = 0.01). Multiple regression test was used to detect which dimension of burnout was a better predictor for the reduction of empathy score. Results showed that the best predictors were lack of personal accomplishment (P = 0.02), depersonalization (P = 0.04), and emotional exhaustion (P = 0.14), respectively. The most influential demographic factor on empathy was work experience (r = 0.304, P = 0.004). One-way analysis of variance showed that official staff had a higher empathy score (f = 2.39, P = 0.045) and their burnout was lower (f = 2.56, P = 0.04). Conclusions: Results showed a negative relationship between empathy and burnout in oncology nurses. Therefore, nursing support from managers to reduce burnout increases empathic behavior of nurses.

Keywords: Burnout, cancer, empathy, Iran, nurses, oncology nursing, patient–nurse relationship


How to cite this article:
Taleghani F, Ashouri E, Saburi M. Empathy, burnout, demographic variables and their relationships in oncology nurses. Iranian J Nursing Midwifery Res 2017;22:41-5

How to cite this URL:
Taleghani F, Ashouri E, Saburi M. Empathy, burnout, demographic variables and their relationships in oncology nurses. Iranian J Nursing Midwifery Res [serial online] 2017 [cited 2019 Sep 16];22:41-5. Available from: http://www.ijnmrjournal.net/text.asp?2017/22/1/41/202075


  Introduction Top


Cancer, as a potentially life threatening, serious, fatal, and untreatable disease, affects patients' physical and psychological condition.[1],[2] One-third of the cancer patients suffer from emotional problems such as anxiety and depression.[3],[4],[5] Ida Orlando, in 1958, wrote that the relationship between a patient and a nurse is a dynamic “whole” and a very important ground for professional behavior that need to be used to help the patient.[6] Empathy-based care in all stages of cancer is important because it leads to reduction of anxiety, emotional adaptation, pain management, and remaining hopeful.[7],[8],[9],[10] Although patients' demand for empathic nurses, most cancer patients are dissatisfied with the sort of communication that occurs in the hospital and suffer from anxiety.[11]

On the other hand, research shows that oncology nurses are predisposed to burnout due to their frequent contacts with critical patients, emotional challenges in the workplace, burden of care, and impending death of patients.[9],[12],[13] Maslach and Jackson made the most common definition for burnout, which defines it as a psychological syndrome comprising dimensions of emotional exhaustion, depersonalization, and lack of personal accomplishment. The person with emotional exhaustion feels that he/she is under pressure and emotionally emptied. Depersonalization is revealed in negative attitude and indifference of service giver in giving service to the receiver. Lack of personal accomplishment is the feeling of diminished capability and power to do the tasks, and in fact, it is a negative self-evaluation of work accomplishment.[13]

Because burnout negatively affects quality of nursing care [14],[15] and their empathic behavior toward the patients, it leads to a reduction in occupational function and is associated with lowered quality of life, anxiety, irritability, mood change, sense of defeat, suicidal thoughts, depression, and work absenteeism.[16],[17],[18] Early diagnosis and prevention of burnout and specific attention to the health of the nurses involved in the care of cancer patients is essential.[15],[19] In this regard, Gleichgerrcht and Decety showed that job satisfaction is strongly associated with empathy and burnout is correlated with personal distress.[20] Thomas showed that an increase in empathy had a protective role against burnout.[21] Hanrahan et al. reported that reduction of burnout was significantly associated with working environment.[22] Eelen et al. reported that burnout and its components were significantly high in professions in oncology ward.[18]

Because many factors affect empathy, and there is no study on empathy and burnout of oncology nurses' in Iran, the present study aimed to define the level of empathy and its association with burnout and some demographic characteristics of nurses in the oncology ward.


  Materials and Methods Top


This descriptive/correlation study was conducted in one of the professional oncology hospitals in Iran and the only cancer referral center in Isfahan province, between July and September 2015. Sampling method was census. The inclusion criteria included having at least a bachelor degree in nursing, 1-year employment in oncology departments, and the exclusion criteria was partial response or no response to the questionnaire. Researcher referred to the hospital wards after obtaining permission from the Isfahan University of Medical Sciences and coordinating with the hospital manager. Researcher explained the research goals and confidentiality of patient information patients and obtained a verbal informed consent from them. In the present study, 67 working nurses out of 76 completed the questionnaires (response rate = 88%). The measures in the study were standardized questionnaires with acceptable psychometric properties and demonstrated construct validity. The Cronbach's alpha 0.76 for Jefferson Scale of Empathy and Cronbach's alpha between 0.71 and 0.90 for Maslach Burnout Inventory in previous studies;[23] Cronbach's alpha values of dimensions were emotional exhaustion 0.90, depersonalization 0.79, and personal accomplishment 0.71, revealing proper scientific reliability of scales.[24] The Jefferson Scale of Nursing Empathy with 20 items based on seven-point Likert scale (absolutely agree to absolutely disagree) was scored from 0 to 6. The Maslach Burnout Inventory including 22 items, comprising 9 items associated to emotional exhaustion, 5 to depersonalization, and 8 to personal accomplishment, was scored on a six-point Likert scale (never to very much) from 0 to 5. To be more understandable, the results were changed to 0–100, and then, the mean score was calculated. A demographic characteristics questionnaire including age, sex, marital status, total work experience and work experience in the oncology ward, educational degree, history of hospitalization, employment status, having experience of a family member with cancer, and a history of a physical and psychological disease was also completed. Data were analyzed by the Statistical Package for the Social Sciences software (version 16, SPSS Inc, Chicago, IL, USA). Descriptive statistics were used for empathy and burnout mean scores. Pearson correlation coefficient test was adopted for the correlation between empathy score and burnout, age, work experience, and work experience in the oncology ward. Spearman correlation coefficient test was used for the correlation between empathy and burnout scores and level of education. Multiple regression analysis test was used to determine which dimension of burnout was a stronger predictor for empathy score. Independent t-test was used to determine mean empathy and burnout scores concerning sex, marital status, experience of cancer in a family member, and history of physical and psychological diseases. To determine the mean score of empathy and burnout on the basis of employment status, one-way analysis of variance (ANOVA) test was used.

Ethical considerations

Ethics Committee of IUMS approved the study process, and an informed consent was obtained from all of the subjects.


  Results Top


Nurses' demographic characteristics are presented in [Table 1]. Nurses mean empathy and overall burnout scores were 62.28 (9.5) and 38.8 (15), respectively. Concerning the components of burnout, mean [standard deviation (SD)] of emotional exhaustion, depersonalization, and lack of personal accomplishment were 38.06 (22.7), 25.6 (17.8), and 47.9 (13.7), respectively. Pearson correlation coefficient test showed an inverse correlation between empathy score and overall burnout score (r = −0.189, P = 0.04). There was an inverse correlation between empathy score with domains of depersonalization (r = −0.218, P = 0.02) and lack of personal accomplishment (r = −0.256, P = 0.01), but no significant association with emotional exhaustion score (r = 0.05, P = 0.34). Multiple regression analysis showed that the best predictors were lack of personal accomplishment, depersonalization, and emotional exhaustion scores [Table 2]. The formula of empathy score prediction line from the scores of various burnout dimensions was obtained as Y = 70 + 0.11X1 − 0.1X2 − 0.19X3, where Y is empathy score and X1, X2, and X3 were emotional exhaustion, depersonalization and lack of personal accomplishment, respectively.
Table 1: Demographic characteristics of the sample (N=67 oncology nurses)

Click here to view
Table 2: Regression coefficient of dimension of burnout and beta according to empathy score

Click here to view


Pearson correlation coefficient showed an association between work experience and empathy score (r = 0.269, P = 0.01) and work experience in oncology ward and empathy score (r = 0.304, P = 0.004). There was an inverse correlation between age and overall burnout score (r = −0.23, P = 0.03), depersonalization score (r = −0.28, P = 0.01), and lack of personal accomplishment (r = −0.03, P = 0.02) although age showed no significant correlation with empathy score and emotional exhaustion score. Spearman correlation coefficient test showed no significant correlation between education, and empathy score, and burnout score and its dimensions. Independent t-test showed that mean empathy score was higher among those with experience of a family member with cancer (P = 0.03) while they had a higher emotional exhaustion (P = 0.04). There was a significant difference between empathy score and hospitalization history (P = 0.043) such that those with a hospitalization history had higher empathy scores. Overall burnout (P = 0.01) and emotional exhaustion (P = 0.004) were higher among those with a history of psychological problems. Those with a history of a physical disease also had higher emotional exhaustion (P = 0.04), whereas empathy mean score concerning sex, marital status, history of a psychological problems, and history of a physical disease showed no significant difference. One-way ANOVA showed that official staff had a higher empathy score (f = 2.39, P = 0.045) and their burnout was lower whereas the contractual staff had a higher overall burnout score (f = 2.56, P = 0.04) and lack of personal accomplishment (f = 3.01, P = 0.03), compared with the others.


  Discussion Top


Empathy has been recommended as a part of professional role among oncology nurses to conduct patient-centered care. Our findings showed that most of the nurses had moderate score of empathy and moderate score of burnout, which is in line with Beddoe et al., who reported that oncology nurses face a reduction in their empathy due to increased personal stress.[25] Some stressors have been identified for burnout of oncology nurses, including the nature of cancer, complex treatments, death, and intense involvement with patients and families,[26] however, findings showed those having a lower burnout score had higher empathy score, which is consistent with Brazeau et al.,[27] Paro et al.,[28] and Wagaman et al.[29] Concerning the components of burnout, the findings showed that the best predictor for nurses' empathy were scores of lack of personal accomplishment, depersonalization, and emotional exhaustion, which is in line with Hojat et al. and Brazeau et al.[30],[27] Meanwhile, Lee et al. reported that the best predictors of burnout among burnout components were emotional exhaustion, lack of personal accomplishment, and depersonalization.[31] The shortage of nurses and their related heavy workload may be the primary reasons for increased burnout and reduced empathy of nurses in our study.

Findings showed that nurses with high work experience in the oncology ward had a higher empathy score; official nurses also had higher empathy score and lower burnout. Age had no significant correlation with score of empathy, however, there was an inverse correlation between age and overall score of burnout; there was no correlation between empathy, burnout with gender, educational level, and marital status of nurses. In general, the most influential demographic factor on empathy and burnout was work experience, which is consistent with Gleichgerrcht and Decety.[20] Ostacoli et al. reported that the nurses' work location was the only effective factor in their burnout.[32] Because empathy is a multidimensional concept that is influenced by various variables,[33] the findings of the present study seem rational. In our study, official nurses had more work experience, wages, and promotion opportunities, which may be an explanation for lower burnout and higher empathy they are experiencing.

Moreover, nurses with experience of cancer in a family member had higher score of empathy and more emotional exhaustion than those without. This outcome is consistent with the findings of Whitehead and Smith.[34] Stenberg et al. also reported emotional exhaustion in cancer patients care givers.[35] Long involvement in the process of treatment and care of cancer patients may result in more empathy and more emotional exhaustion in caregivers.

Our findings showed that there was a significant difference between score of empathy and history of hospitalization such that those with such a history had higher empathy scores. Wilkes et al. also reported that a history of hospitalization was helpful in manifestation of empathetic behavior toward the patients.[36] It seems that hospitalization results in sensitivity to the distress of others and enables us to put ourselves in the shoes of the patients to predict the effect of our actions on them.

The findings of the present study showed no significant difference in the scores of empathy of nurses with a history of psychological problems and physical disease and those without, however, overall burnout and emotional exhaustion scores were higher among those with a history of psychological problems, which was consistent with studies of Lee et al. and Blanchard et al.[17],[31] Because psychological problems can impact individuals' stress reactions, it may result in the burnout of oncology nurses in our study.

Our results indicated that there is correlation between empathy and burnout, however, this relationship was not strong, on the other hand, correlation detection in which cause and effect relationship is not clear was among the limitations of the present study. In this regard, there are two hypotheses:

  • Burnout leads to lowered empathy due to depersonalization
  • Empathy prevents burnout due to an increase in job satisfaction.


It is suggested to conduct longitudinal studies with larger sample sizes to determine the effect of empathy patterns on burnout over time.

Notwithstanding its limitations, this study is the first investigation of association between empathy and burnout of oncology nurses in Iran.


  Conclusion Top


Empathy is a basic component of nurse–patient communication, and burnout is associated with decreased job performance, stress-related health problems, and low career satisfaction. Based on the findings, nurses with higher empathy score experience lower burnout and vice- versa. The most influential demographic factor on empathy and burnout was work experience of nurses; official nurses have more empathy and less burnout. In this regard, it should be noted that official nurses have more career development opportunities and experience more personal accomplishment and less emotional exhaustion. It can be generally concluded that empathic nurses have no depersonalization and experience less emotional exhaustion toward the patients and have a better feeling of personal accomplishment, whereas nurses with emotional exhaustion will be less able to stand in the patient's shoes and listen emphatically, and would prefer to protect themselves by putting the patients at a distance and depersonalizing them. Therefore, the findings of the present study revealed the necessity for provision of interventional programs to relieve oncology nurses from stress, to prevent their burnout, and to increase their empathy to encourage patient-centered communication because oncology nurses play an important role in the psychosocial care of cancer patients.

Acknowledgment

This article was derived from a master thesis of Elaheh Ashouri with project number 394312, Isfahan University of Medical Sciences, Isfahan, Iran. We appreciate Clinical Research Development Center of Seyed-Al-Shohada hospital, a professional cancer treatment center, which assisted authors in obtaining these results by taking part in this research.

Financial support and sponsorship

Nil.

Conflicts of interest

The authors have no conflicts of interest.

 
  References Top

1.
Atici E. Cancer and Empathy. International Society for the History of Islamic Medicine JISHIM; 2006:5.  Back to cited text no. 1
    
2.
Bennion A, Molassiotis A. Qualitative research into the symptom experiences of adult cancer patients after treatments: A systematic review and meta-synthesis. Support Care Cancer 2013;21:9-25.  Back to cited text no. 2
    
3.
Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA Cancer J Clin 2010;60:277-300.  Back to cited text no. 3
    
4.
Duijts SF, Egmond MP, Spelten E, Muijen P, Anema JR, Beek AJ. Physical and psychosocial problems in cancer survivors beyond return to work: A systematic review. Psychooncology 2014;23:481-92.  Back to cited text no. 4
    
5.
Jacobsen PB, Jim HS. Psychosocial interventions for anxiety and depression in adult cancer patients: Achievements and challenges. CA Cancer J Clin 2008;58:214-30.  Back to cited text no. 5
    
6.
Billeter-Koponen S, Freden L. Long-term stress, burnout and patient-nurse relations: Qualitative interview study about nurses' experiences. Scand J Caring Sci 2005;19:20-7.  Back to cited text no. 6
    
7.
Ono M, Fujita M, Yamada S. Physiological and psychological responses induced by expressing empathy with others. Japan J Nurs Sci 2012;9:56-62.  Back to cited text no. 7
    
8.
Lelorain S, Brédart A, Dolbeault S, Sultan S. A systematic review of the associations between empathy measures and patient outcomes in cancer care. Psychooncology 2012;21:1255-64.  Back to cited text no. 8
    
9.
Ancel G. Developing empathy in nurses: An inservice training program. Arch Psychiatr Nurs 2006;20:249-57.  Back to cited text no. 9
    
10.
Williams J, Stickley T. Empathy and nurse education. Nurs Educ Today 2010;30:752-5.  Back to cited text no. 10
    
11.
Banning M, Gumley VA. Clinical nurses' expressions of the emotions related to caring and coping with cancer patients in Pakistan: A qualitative study. Eur J Cancer Care 2012;21:800-8.  Back to cited text no. 11
    
12.
Allen BC, Holland P, Reynolds R. The effect of bullying on burnout in nurses: The moderating role of psychological detachment. J Adv Nurs 2015;71:381-90.  Back to cited text no. 12
    
13.
Adriaenssens J, De Gucht V, Maes S. Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research. Int J Nurs Stud 2015;52:649-61.  Back to cited text no. 13
    
14.
Arrigoni C, Caruso R, Campanella F, Berzolari FG, Miazza D, Pelissero G. Investigating burnout situations, nurses' stress perception and effect of a post-graduate education program in health care organizations of northern Italy: A multicenter study. G Ital Med Lav Ergon 2015;37:39-45.  Back to cited text no. 14
    
15.
Caruso A, Vigna C, Bigazzi V, Sperduti I, Bongiorno L, Allocca A. Burnout among physicians and nurses working in oncology. Med Lav 2012;103:96-105.  Back to cited text no. 15
    
16.
Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, et al. Rates of medication errors among depressed and burnt out residents: Prospective cohort study. BMJ 2008;336:488-91.  Back to cited text no. 16
    
17.
Blanchard P, Truchot D, Albiges-Sauvin L, Dewas S, Pointreau Y, Rodrigues M, et al. Prevalence and causes of burnout amongst oncology residents: A comprehensive nationwide cross-sectional study. Eur J Cancer 2010;46:2708-15.  Back to cited text no. 17
    
18.
Eelen S, Bauwens S, Baillon C, Distelmans W, Jacobs E, Verzelen A. The prevalence of burnout among oncology professionals: Oncologists are at risk of developing burnout. Psychooncology 2014;23:1415-22.  Back to cited text no. 18
    
19.
Trufelli DC, Bensi CG, Garcia JB, Narahara JL, AbrÃO MN, Diniz RW, et al. Burnout in cancer professionals: A systematic review and meta-analysis. Eur J Cancer Care 2008;17:524-31.  Back to cited text no. 19
    
20.
Gleichgerrcht E, Decety J. Empathy in clinical practice: How individual dispositions, gender, and experience moderate empathic concern, burnout, and emotional distress in physicians. PloS one 2013;8:e61526.  Back to cited text no. 20
    
21.
Thomas M, Dyrbye L, Huntington J, Lawson K, Novotny P, Sloan J, et al. How Do Distress and Well-being Relate to Medical Student Empathy? A Multicenter Study. J Gen Intern Med 2007;22:177-83.  Back to cited text no. 21
    
22.
Hanrahan NP, Aiken LH, McClaine L, Hanlon AL. Relationship between Psychiatric Nurse Work Environments and Nurse Burnout in Acute Care General Hospitals. Issues Ment Health Nurs 2010;31:198-207.  Back to cited text no. 22
    
23.
Moghaddasi J, Mehralian H, Aslani Y, Masoodi R, Amiri M. Burnout among nurses working in medical and educational centers in Shahrekord, Iran. Iranian J Nurs Midwifery Res 2013;18:294.  Back to cited text no. 23
    
24.
Rad AZ, Nasir R. Burnout and Career Self Concept among Teachers in Mashhad, Iran. Proc Soc Behav Sci 2010;7:464-9.  Back to cited text no. 24
    
25.
Lamothe M, Boujut E, Zenasni F, Sultan S. To be or not to be empathic: The combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Fam Pract 2014;15:15.  Back to cited text no. 25
    
26.
Potter P, Deshields T, Divanbeigi J, Berger J, Cipriano D, Norris L, et al. Compassion fatigue and burnout: Prevalence among oncology nurses. Clin J Oncol Nurs 2010;14:56-62.  Back to cited text no. 26
    
27.
Brazeau CM, Schroeder R, Rovi S, Boyd L. Relationships between medical student burnout, empathy, and professionalism climate. Acad Med 2010;85:33-6.  Back to cited text no. 27
    
28.
Paro HB, Silveira PS, Perotta B, Gannam S, Enns SC, Giaxa RR, et al. Empathy among medical students: Is there a relation with quality of life and burnout? PloS one 2014;9:e94133.  Back to cited text no. 28
    
29.
Wagaman MA, Geiger JM, Shockley C, Segal EA. The Role of Empathy in Burnout, Compassion Satisfaction, and Secondary Traumatic Stress among Social Workers. Soc Work 2015;60:201-9.  Back to cited text no. 29
    
30.
Hojat M, Vergare M, Isenberg G, Cohen M, Spandorfer J. Underlying construct of empathy, optimism, and burnout in medical students. Int J Med Educ 2015;6:12-6.  Back to cited text no. 30
    
31.
Lee HF, Yen M, Fetzer S, Chien TW. Predictors of Burnout Among Nurses in Taiwan. Community Ment Health J 2015;51:733-7.  Back to cited text no. 31
    
32.
Ostacoli L, Cavallo M, Zuffranieri M, Negro M, Sguazzotti E, Picci RL, et al. Comparison of experienced burnout symptoms in specialist oncology nurses working in hospital oncology units or in hospices. Palliat Support care 2010;8:427-32.  Back to cited text no. 32
    
33.
Brunero S, Lamont S, Coates M. A review of empathy education in nursing. Nurs Inq 2010;17:65-74.  Back to cited text no. 33
    
34.
Whitehead GI, Smith SH. Distancing from a Target Person With Cancer: The Role of Empathy-Inducing Instructions and Family History of Cancer. J Soc Psychol 2009;149:387-9.  Back to cited text no. 34
    
35.
Stenberg U, Ruland CM, Miaskowski C. Review of the literature on the effects of caring for a patient with cancer. Psychooncology 2010;19:1013-25.  Back to cited text no. 35
    
36.
Stepien KA, Baernstein A. Educating for empathy. J Gen Intern Med 2006;21:524-30.  Back to cited text no. 36
    



 
 
    Tables

  [Table 1], [Table 2]


This article has been cited by
1 ‘Experiencing life for the first time’: the effects of a traumatic death course on social work student mindfulness and empathy
Kara Thieleman,Joanne Cacciatore
Social Work Education. 2019; 38(4): 470
[Pubmed] | [DOI]
2 Hospital Nurses in Comparison to Community Nurses: Motivation, Empathy, and the Mediating Role of Burnout
Asnat Dor,Michal Mashiach Eizenberg,Ofra Halperin
Canadian Journal of Nursing Research. 2019; 51(2): 72
[Pubmed] | [DOI]
3 Burnout Precursors in Oncology Nurses: A Preliminary Cross-Sectional Study with a Systemic Organizational Analysis
Loris Bonetti,Angela Tolotti,Dario Valcarengh,Carla Pedrazzani,Serena Barello,Greta Ghizzardi,Guendalina Graffigna,Davide Sari,Monica Bianchi
Sustainability. 2019; 11(5): 1246
[Pubmed] | [DOI]
4 Group-Based Acceptance and Commitment Therapy for Nurses and Nurse Aides Working in Long-Term Care Residential Settings
William H. OæBrien,Rajinder (Sonia) Singh,Kristin Horan,Mary T. Moeller,Rachel Wasson,Steve M. Jex
The Journal of Alternative and Complementary Medicine. 2019; 25(7): 753
[Pubmed] | [DOI]
5 Work-related stress, burnout, and related sociodemographic factors among nurses
Ifeyinwa O. Ezenwaji,Chiedu Eseadi,Charity C. Okide,Nneka Charity Nwosu,Samuel C. Ugwoke,Kennedy O. Ololo,Theresa O. Oforka,Angie I. Oboegbulem
Medicine. 2019; 98(3): e13889
[Pubmed] | [DOI]
6 Empathy for others’ suffering and its mediators in mental health professionals
Hernando Santamaría-García,Sandra Baez,Adolfo M. García,Daniel Flichtentrei,María Prats,Ricardo Mastandueno,Mariano Sigman,Diana Matallana,Marcelo Cetkovich,Agustín Ibáñez
Scientific Reports. 2017; 7(1)
[Pubmed] | [DOI]
7 Empathy from the perspective of oncology nurses
Maryam Sedaghati Kesbakhi,Camelia Rohani,Jamileh Mohtashami,Malihe Nasiri
Journal of Compassionate Health Care. 2017; 4(1)
[Pubmed] | [DOI]
8 Work of family health strategy nurses in oncology care
Geize Rocha Macedo de Souza,Luiza Helena de Oliveira Cazola,Sandra Maria do Valle Leone de Oliveira
Escola Anna Nery. 2017; 21(4)
[Pubmed] | [DOI]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
Abstract
Introduction
Materials and Me...
Results
Discussion
Conclusion
References
Article Tables

 Article Access Statistics
    Viewed1844    
    Printed34    
    Emailed0    
    PDF Downloaded285    
    Comments [Add]    
    Cited by others 8    

Recommend this journal