Senior Baccalaureate Nursing Students’ Experiences of Self-Compassion: A Qualitative Descriptive Study

Öz

Background: Self-compassion has been discussed in recent years as a concept that can facilitating compassionate care. However, little is known about the meaning of self-compassion and its place within nursing care for nursing students. Objectives: The aim of the study was to explore the self-compassion experiences, perceptions of the importance of self-compassion in patient care, and barriers to self-compassion of senior baccalaureate nursing students. Methods: This research constitutes a qualitative descriptive study. The data were analyzed using qualitative content analysis. Results: Three themes emerged: (1) am I able to show compassion for myself as I show it for others?, (2) barriers to self-compassion, and (3) Improving self-compassion. Conclusion: It was concluded that self-compassion is important for providing compassionate care from the perspective of senior baccalaureate nursing students. The findings suggest the necessity of integrating the concept of self-compassion into undergraduate education by being aware of any barriers to self-compassion.

Anahtar Kelimeler

• Care
• Compassion
• Nursing Students
• Self-Compassion
• Qualitative Research

Lisans Son Sınıf Hemşirelik Öğrencilerinin Öz Şefkat Deneyimleri: Tanımlayıcı Kalitatif Çalışma

Öz

Giriş: Son yıllarda öz şefkat, şefkatli bakımı kolaylaştırabilecek bir kavram olarak tartışılmaktadır. Bununla birlikte, hemşirelik öğrencileri için öz şefkatin anlamı ve hemşirelik bakımındaki yeri hakkında çok az şey bilinmektedir. Amaç: Araştırmanın amacı, hemşirelik son sınıf öğrencilerinin öz-şefkat deneyimlerini, hasta bakımında öz-şefkatin önemine ilişkin algılarını ve öz şefkatin önündeki engelleri keşfetmektir. Yöntem: Bu araştırma tanımlayıcı kalitatif bir çalışmadır. Veriler kalitatif içerik analizi kullanılarak analiz edilmiştir. Bulgular:Analiz sonucunda üç tema ortaya çıkmıştır: (1) başkalarına gösterdiğim gibi kendime şefkat gösterebiliyor muyum?, (2) öz şefkatin önündeki engeller ve (3) öz şefkati geliştirmek. Sonuç: Hemşirelik son sınıf öğrencilerinin bakış açısıyla öz-şefkatin şefkatli bakım sağlamada önemli olduğu sonucuna varılmıştır. Bulgular, öz şefkatin önündeki engellerin farkında olarak öz şefkat kavramının lisans eğitimine entegre edilmesinin gerekliliğini ortaya koymaktadır.

Anahtar Kelimeler

• Bakım
• Şefkat
• Hemşirelik Öğrencileri
• Öz Şefkat
• Kalitatif Araştırma

Kaynakça

1. Alquwez, N., Cruz, J.P., Al Thobaity, A., Almazan, J., Alabdulaziz, H., Alshammari, F., Albloushi, M., Tumala, R., & Albougami, A. (2021). Self-compassion influences the caring behaviour and compassion competence among saudi nursing students: A multi-university study. Nurs Open, 8(5), 2732–2742. https://doi.org/10.1002/nop2.848
2. Andrews, H., Tierney, S., & Seers, K. (2020). Needing permission: The experience of self-care and self-compassion in nursing: A constructivist grounded theory study. Int J Nurs Stud., 101, 103436. https://doi.org/10.1016/j.ijnurstu.2019.103436
3. Assarroudi, A., Heshmati, N. F., Armat, M. R., Ebadi, A., & Vaismoradi, M. (2018). Directed qualitative content analysis: The description and elaboration of its underpinning methods and data analysis process. J Res Nurs., 23(1), 42–55. https://doi.org/10.1177/1744987117741667
4. Barratt, C. (2017). Exploring how mindfulness and self-compassion can enhance compassionate care. Nurs. Stand., 31(21), 55–63. https://doi.org/10.7748/ns.2017.e10671
5. Bradshaw, C., Atkinson, S., & Doody, O. (2017). Employing a qualitative description approach in health care research. Glob. Qual. Nurs. Res., 4, 1–8. https://doi.org/10.1177/2333393617742282
6. Curtis, K. (2014). Learning the requirements for compassionate practice: Student vulnerability and courage. Nurs. Ethics, 21(2), 210–223. https://doi.org/10.1177/0969733013478307
7. Docherty-Skippen, S. M., Hansen, A., & Engel, J. (2019). Teaching and assessment strategies for nursing self-care competencies in Ontario’s nursing education programs. Nurse Educ. Pract., 36(March), 108–113. https://doi.org/10.1016/j.nepr.2019.03.011
8. Durkin, M., Beaumont, E., Hollins Martin, C. J., & Carson, J. (2016). A pilot study exploring the relationship between self-compassion, self-judgement, self-kindness, compassion, professional quality of life and wellbeing among UK community nurses. Nurse Educ. Today, 46, 109–114. https://doi.org/10.1016/j.nedt.2016.08.030

9. Egan, H., Keyte, R., McGowan, K., Peters, L., Lemon, N., Parsons, S., Meadows, S., ... Mantzios, M. (2019). ‘You before me’: A qualitative study of health care professionals’ and students’ understanding and experiences of compassion in the workplace, self-compassion, self-care and health behaviours. Health Professions Education, 5(3), 225–236. https://doi.org/10.1016/j.hpe.2018.07.002
10. Egan, S. J., Rees, C. S., Delalande, J., Greene, D., Fitzallen, G., Brown, S., Webb, M., ... Finlay-Jones, A. (2021). A review of self-compassion as an active ingredient in the prevention and treatment of anxiety and depression in young people. Adm Policy Ment Health., 49(3), 385-403. https://doi.org/10.1007/s10488-021-01170-2
11. Hagerman, L. A., Manankil-Rankin, L., & Schwind, J. K. (2020). Self-compassion in undergraduate nursing: An integrative review. Nursing Education Scholarship, 17(1), 1–15. https://doi.org/10.1515/ijnes-2020-0021
12. Halpin, Y., Terry, L. M., & Curzio, J. (2017). A longitudinal, mixed methods investigation of newly qualified nurses’ workplace stressors and stress experiences during transition. J Adv Nurs., 73(11), 2577–2586. https://doi.org/10.1111/jan.13344
13. Kotera, Y., Cockerill, V., Chircop, J. G. E., & Forman, D. (2021a). Mental health shame, self-compassion and sleep in UK nursing students: Complete mediation of self-compassion in sleep and mental health. Nurs. Open, 8(3), 1325–1335. https://doi.org/https://doi.org/10.1002/nop2.749
14. Kotera, Y., Cockerill, V., Chircop, J., Kaluzeviciute, G., & Dyson, S. (2021b). Predicting self-compassion in UK nursing students: Relationships with resilience, engagement, motivation, and mental wellbeing. Nurse Educ Pract., 51(February 2021), 102989. https://doi.org/https://doi.org/10.1016/j.nepr.2021.102989
15. Kristoffersen, M., & Friberg, F. (2015). The nursing discipline and self-realization. Nurs. Ethics, 22(6), 723–733. https://doi.org/10.1177/0969733014543967
16. Ledoux, K. (2015). Understanding compassion fatigue: Understanding compassion. J Adv Nurs., 71(9), 2041–2050. https://doi.org/10.1111/jan.12686
17. Martínez-Rubio, D., Martinez-Brotons, C., Monreal-Bartolome, A., Barcelo-Soler, A., Campos, D., Perez-Aranda, A., Colomer-Carbonell, A., … Montero-Marin, J. (2021). Protective role of mindfulness, self-compassion and psychological flexibility on the burnout subtypes among psychology and nursing undergraduate students. J Adv Nurs., 77(8), 3398–3411. https://doi.org/10.1111/jan.14870
18. Mills, A. (2019). Helping students to self-care and enhance their health-promotion skills. Br. J. Nurs., 28(13), 864–867. https://doi.org/10.12968/bjon.2019.28.13.864
19. Mills, J., & Chapman, M. (2016). Compassion and self-compassion in medicine: Self-care for the caregiver. Australas. Med. J., 9(5), 87–91. https://doi.org/10.4066/AMJ.2016.2583
20. Mills, J., Wand, T., & Fraser, J. A. (2015). On self-compassion and self-care in nursing: Selfish or essential for compassionate care? Int. J. Nurs. Stud., 52(4), 791–793. https://doi.org/10.1016/j.ijnurstu.2014.10.009
21. Mills, J., Wand, T., & Fraser, J. A. (2018). Exploring the meaning and practice of self- care among palliative care nurses and doctors: a qualitative study. BMC Palliat. Care, 17(63), 1–12.
22. Morse, J. M. (2015). Critical analysis of strategies for determining rigor in qualitative inquiry. Qual. Health Res., 25(9), 1212–1222. https://doi.org/10.1177/1049732315588501
23. Neff, K. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self Identity, 2(2), 85–101. https://doi.org/10.1080/15298860309032
24. Neff, K., & Germer, C. (2019). The Mindful Self Compassion Workbook (1st ed.). (Tarımtay A.F. Trans.). Diogenes Publishing. (Original work published 2018).
25. Sinclair, S., Kondejewski, J., Raffin-Bouchal, S., King-Shier, K. M., & Singh, P. (2017). Can self-compassion promote healthcare provider well-being and compassionate care to others? Results of a systematic review. Appl Psychol Health Well Being., 9(2), 168–206. https://doi.org/10.1111/aphw.12086
26. Slemon, A., Jenkins, E. K., & Bailey, E. (2021). Enhancing conceptual clarity of self-care for nursing students: A scoping review. Nurse Educ. Pr., 55(August). https://doi.org/10.1016/j.nepr.2021.103178
27. Tierney, S., Ozer, C. T., & Perry, S. (2018). Having the “Headspace” for compassion toward self and others: A qualitative study of medical students’ views and experiences. Teach. Learn. Med., 30(3), 274–283. https://doi.org/10.1080/10401334.2018.1423973
28. Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int. J. Qual. Heal. Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042
29. Watson, J. (2007). Watson’s theory of human caring and subjective living experiences: carative factors/caritas processes as a disciplinary guide to the professional nursing practice. Texto Context. Enferm, 16(1), 129–135.
30. Woo, T., Ho, R., Tang, A., & Tam, W. (2020). Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J. Psychiatr. Res., 123, 9–20. https://doi.org/10.1016/j.jpsychires.2019.12.015