Comparing the Effects of Contact-Based Education and Acceptance and Commitment-Based Training on Empathy Toward Mental Illnesses Among Nursing Students
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Abstract
Objective: Empathy is an important and valuable tool in therapeutic communication. Improvement barriers of empathy in psychiatric nursing education are associated with challenges, such as stress due to negative attitudes toward psychiatric disorders. The current study aimed at comparing the effects of contact-based education and commitment and acceptance-based training on empathy toward mental illnesses among nursing students.
Method: In this clinical trial, 111 nursing students were selected using cluster and quota sampling methods in Mashhad, Iran. They were divided into 3 groups: (1) contact-based education (interpersonal contact among individuals with improved mental illnesses), (2) acceptance and commitment-based training, and (3) control group. The study tool was Jefferson Nurses Empathy Questionnaire, which was completed in 3 stages of pretest, posttest, and follow- up. Data were analyzed by repeated- measures ANOVA.
Results: There was no significant difference between contact-based education and acceptance and commitment-based training groups in increasing the average score of total empathy during pretest, posttest, and 1-month follow- up (p = 0/92). However, a significant difference was found between contact-based education and control group (p = 0/004) and between acceptance and commitment-based training and control group (p = 0/02).
Conclusion: Both methods of contact-based education and acceptance and commitment-based therapy were effective in increasing the level of empathy into mental illnesses in nursing students.
Bloom BS. Taxonomy of Educational Objectives, Handbook I: The Cognitive Domain. New York: David McKay Co Inc; 1956.
Norfolk T, Walsh DBK. The Role of Empathy in Establishing Rapport in The Consultation: A New Model. Med Educ 2007; 41: 690-697.
Moonaghi HK, Ahanchian MR, Hassanian ZM. A Qualitative Content Analysis of Knowledge Storage in Nursing Education System. Iran Red Crescent Med J 2014; 16: e21835.
Dawood L. Developing Empathic Skills in Nurses Working in El-Maamoura Hospital for Psychiatric Medicine: Effect of a Training Program [Doctoral Thesis]. Egypt: Alexandria University; 2010.
Doyle K, Hungerford C, Cruickshank M. Reviewing Tribunal Cases and Nurse Behaviour: Putting Empathy Back into Nurse Education with Bloom's Taxonomy. Nurse Educ Today 2014; 34: 1069-1073.
Vaghee S, Sepehrikia M, Saghebi SA, Vashani HB, Salarhaji A, Moghaddam ZN. Comparison of the Effect of Face-to-Face and Multimedia Education on the Anxiety Caused by Electroconvulsive Therapy in Patients with Mood Disorders. Evidence Based Care Journal 2017; 7: 25-34.
Szpak JL, Kameg KM. Simulation Decreases Nursing Student Anxiety Prior to Communication With Mentally Ill Patients. Clin Simul Nurs 2013; 9: 13-19.
Hojat M, Spandorfer J, Louis DZ, Gonnella JS. Empathic and Sympathetic Orientations toward Patient Care: Conceptualization, Measurement, and Psychometrics. Acad Med 2011; 86: 989-995.
Hojat M, Louis DZ, Markham FW, R Wender R, Rabinowitz C, Gonnella JS. Physicians' Empathy and Clinical Outcomes for Diabetic Patients. Acad Med 2011; 86: 359-364.
Kim SS, Kaplowitz S, Johnston MV. The Effects of Physician Empathy on Patient Satisfaction and Compliance. Eval Health Prof 2004; 27: 237-251.
Vaghee S, Javadi AR, Mazlom R, Davoudi N, Gharavi MM, Zare M. The Effect of Dignity Therapy on Hope Level in Patients with Chronic Renal Failure Undergoing Hemodialysis. Life Science Journal 2012; 9: 3722-3727.
Brunero S, Lamont S, Coates M. A Review of Empathy Education in Nursing. Nurs Inq 2010; 17: 65-74.
Kameg K, Mitchell A, Clochesy J, Howard VM, Suresky J. Communication and Simulation in Psychiatric Nursing. Issues Ment Health Nurs 2010; 30: 503-508.
Koskinen L, Mikkonen I, Jokinen P. Learning from The World of Mental Health Care: Nursing Students' Narratives. J Psychiatr Ment Health Nurs 2011; 18: 622-628.
Kameg K, Howard VM, Clochesy J, Mitchell A, Suresky J. The Impact of High Fidelity Human Simulation on Self-efficacy of Communication Skills. Issues Ment Health Nurs 2010; 31: 315-323.
Pettigrew TF, Tropp LR. How Does Intergroup Contact Reduce Prejudice? Meta-Analytic Tests of Three Mediators. Eur J Soc Psychol 2008; 38: 922-934.
Pettigrewa TF, Troppb LR, Wagnerc U, Christc O. Recent Advances in Intergroup Contact Theory. Int J Intercult Relat 2011; 35: 271-280.
Lebowitz MS, Ahn W-k. Effects of Biological Explanations for Mental Disorders on Clinicians’ Empathy. Cross Mark 2014; 111: 17786–17790.
Pinfold V, Thornicroft G, Huxley P, Farmer P. Active Ingredients in Antistigma Programmes in Mental Health. Int Rev Psychiatry 2005; 17: 123–131.
Capozza D, Vezzali L, Trifiletti E, Falvo R, Favara I. Improving Intergroup Relationships Within and Outside The Contact Situation: The Role of Commin Ingroup Identity and Emotions of Empathy and Anxiety. Special Issue 2010; 17: 17-36.
Abd M, Mousa GA, Nursing LP, Department MH, Nursing Fo, Egypt AU. Empathy toward Patients with Mental Illness among Baccalaureate Nursing Students: Impact of a Psychiatric Nursing and Mental Health Educational Experience. Journal of Education and Practice 2015; 6: 98-107.
Forbes HD, Lee YT, McAuley C, Moghaddam CF, Worchel S. Ethnic conflict and the contact hypothesis. The psychology of ethnic and cultural conflict. New York: Praeger; 2004.
Barnett MA, Thompson MA, Pfeifer JR. Perceived Competence to Help and The Arousal of Empathy. J Soc Psychol 1985; 125: 679-680.
Walker MT. The social construction of mental illness and its implicationsfor the recovery model. Int J Psychosoc Rehabil 2006; 10: 71–87.
Goffman E. Stigma: Notes on the Management of Spoiled Identity: Simon&Schuster Inc; 2009.
Sweet MJ, Johnson CG. Enhancing Empathy: The Interpersonal Implications of A Buddhist Meditation Technique. Psychotherapy (Chic) 1990; 27: 19-29.
Hayes SC, Niccolls R, Masuda A, Rye AK. Prejudice, Terrorism and Behavior Therapy. Cogn Behav Pract 2002; 9: 296-301.
Barbosa P, Raymond G, Zlotnick C, Wilk J, Toomey R, Mitchell J. Mindfulness-Based Stress Reduction Training is Associated with Greater Empathy and Reduced Anxiety for Graduate Healthcare Students. Educ Health (Abinqdon) 2013; 26: 9-14.
Mills E. Effect of Mindfulness on Empathy of Student Therapists [Thesis Master].Hillsboro: Pacific University; 2010.
Birnie K, Speca M, Carlson LE. Exploring Self-compassion and Empathy in the Context of Mindfulness-based Stress Reduction (MBSR). Stress and Health 2010; 26: 359-371.
Tondi L, Ribani M, Bottazzi G, Viscomi G, Vulcano V. Validation Therapy in Nursing Home: A Case–control Study. Arch Gerontol Geriatr 2007; 44: 407-411.
Rao D, Feinglass J, Corrigan P. Racial and Ethnic Disparities in Mental Illness Stigma. J Nerv Ment Dis 2007; 195: 1020-1023.
Kirmayer LJ. Embracing Uncertainty as a Path to Competence: Cultural Safety, Empathy, and Alterity in Clinical Training. Cult Med Psychiatry 2013; 37: 365-372.
Ward J, Schaal M, Sullivan J, Bowen ME, Erdmann JB, Hojat M. Reliability and Validity of the Jefferson Scale of Empathy in Undergraduate Nursing Students. J Nurs Meas 2009; 17: 73-788.
Deen SR, Mangurian C, Cabaniss DL. Points of Contact: Using First-Person Narratives to Help Foster Empathy in Psychiatric Residents. Acad Psychiatry 2010; 34: 438-441.
Williams J, Stickley T. Empathy and Nurse Education. Nurse Educ Today 2010; 30: 752-755.
Walker M, Mann RA. Exploration of Mindfulness in Relation to Compassion, Empathy and Reflection within Nursing Education. Nurse Educ Today 2016; 40: 188-190.
Happell B, Hayman-White K. Nursing Students’ Attitudes to Mental Health Nursing: Psychometric properties of A Self-report Scale. Arch Psychiatr Nurs 2009; 23: 376-386.
Dovidio JF, University C, Gaertner SL, Delaware Uo, Kawakami K. Intergroup Contact: The Past, Present, and the Future. Group Process Intergroup Relat 2003; 6: 5-21.
Batson CD, Decety J, Ickes WJ (Eds). These Things Called Empathy: Eight Related but Distinct Phenomena. In: The Social Neuroscience of Empathy. Cambridge: MIT Pres; 2009.
Izadi R, Abedi MR. Acceptance&Commitment Therapy. Tehran: Jungle; 2014.
Chambers M, Guise V, Valimaki M, Botelho MA, Scott A, Staniuliene V, et al. Nurses’ Attitudes to Mental Illness: A Comparison of a Sample of Nurses from Five European Countries. Int J Nurs Stud 2010; 47: 350-362.
| Files | ||
| Issue | Vol 13 No 2 (2018) | |
| Section | Original Article(s) | |
| Keywords | ||
| Acceptance and Commitment Therapy Education Mental Disorders Nursing Empathy Students | ||
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