The Effect of Self-Compassion, General Well-Being and Psychological Safety on Barriers to Physician Compassion

Öz

The purpose of this study was to examine the predictive effects of self-compassion, general well-being, and psychological safety on barriers to compassion among physicians working in different regions and health care institutions in Turkey based on the Transactional Model of Physician Compassion (TMFC) and the Affect Regulation Model. However, in order to obtain more information about the barriers to compassion, the effect of length of service on the dependent variable, barriers to compassion, was examined. A total of 163 physicians, 96 female (58.9%) and 67 male (41.1%), aged 23-60 years (mean = 32.94; SD = 9.50), with different specialties and length of service from different regions participated in the study. Four separate multiple linear regression analyses were conducted to test the extent to which the sub-dimensions of barriers to physician compassion were determined by self-compassion, general well-being, psychological safety, care of refugee/asylum seeker patients, specialty, and length of service. According to the results of the analyses, general well-being, psychological safety and length of service were found to have a predictive effect on barriers to physician compassion. As the majority of literature on compassion in healthcare focuses on patients, compassion experienced by patients, and interventions to improve patient experience, this study aims to contribute to the literature by examining physicians in Turkey in a context that has not been studied before.

Anahtar Kelimeler

• Physician Compassion
• Self Compassion
• General Well Being
• Psychological Safety

Hekim Merhameti Önündeki Engeller Üzerinde Öz Anlayış, Genel İyi Oluş ve Psikolojik Güvenliğin Etkisi

Öz

Bu çalışmada, Türkiye’de çeşitli bölgelerde ve sağlık kurumlarında görev yapan hekimlerin merhametleri önündeki engeller üzerinde, öz anlayış, genel iyi oluş ve psikolojik güvenliğin yordayıcı etkisinin Transaksiyonel Hekim Merhameti Modeli (THMM) ve Duygulanım düzenleme modeli temel alınarak incelenmesi amaçlanmıştır. Bununla birlikte, merhamet önündeki engellere yönelik daha fazla bilgi sahibi olmak amacıyla hizmet süresinin bağımlı değişken olan merhamet önündeki engeller üzerindeki etkisi araştırılmıştır. Araştırmaya farklı bölgelerden farklı uzmanlık alanlarına ve çalışma süresine sahip 96 kadın (%58.9), 67 erkek (%41.1) olmak üzere 23-60 (Ort. = 32.94; SS = 9.50) yaş aralığında toplam 163 hekim katılmıştır. Hekim merhameti önündeki engellerinin alt boyutlarının; öz anlayış, genel iyi oluş, psikolojik güvenlik ve hizmet süresi tarafından ne kadar belirlendiğini test etmek üzere dört ayrı çoklu doğrusal regresyon analizi yapılmıştır. Analiz sonuçlara göre genel iyi oluş, psikolojik güvenlik ve hizmet süresinin hekim merhameti önündeki engeller üzerinde yordayıcı etkisi bulunmuştur. Sağlık hizmetlerinde merhamete dair alanyazının büyük bir kısmı, hastalara, hastalar tarafından deneyimlenen merhamete ve hasta deneyimlerini iyileştirmeye yönelik müdahalelere odaklandığı için, bu çalışmanın Türkiye’deki hekimler üzerinde daha önce çalışılmamış bir bağlamda incelenmesi ve alanyazına katkı sağlanması amaçlanmıştır.

Anahtar Kelimeler

• Hekim Merhameti
• Öz Anlayış
• Genel İyi Oluş
• Psikolojik Güvenlik

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