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All Journal Althea Medical Journal Jurnal Keperawatan Padjadjaran
Lusianah, Lusianah
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Enhancing Care Quality and Wellness for Older Adults: Empathy Training in Nursing Lusianah, Lusianah; Fajarini, Melati; Maharani, Cintya Narulita
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4153

Abstract

Background:  Empathy plays an essential role in older adult care and patient wellness, by strengthening healthcare quality and the nurse-patient relationship. This study evaluated the effectiveness of Carl Rogers-based empathy training in improving the capacity of empathy among nurses, particularly in caring for older adult patients and wellness. Methods: A quasi-experimental pre- and post-test design was conducted in October 2024 at Bekasi Regency Hospital, Indonesia. Nurses from inpatient and outpatient units were selected through purposive sampling. Empathy was assessed using the Interpersonal Reactivity Index (IRI) before and after a three-day training program. The analysis included overall empathy scores and four subdimensions: Empathic Concern (EC), Perspective Taking (PT), Fantasy Scale (FS), and Personal Distress (PD). Data were analyzed using the Wilcoxon signed-rank test and effect size calculations.Results: The mean total empathy score slightly decreased from 47.91±7.4 to 46.14±2.6 (p=0.190, r=0.22). However, significant improvements were observed in EC (p=0.004, r=0.51) and FS (p=0.007, r=0.42), whereas PD decreased significantly (p=0.001, r=0.61). No significant change was found in PT (p=0.457, r=0.12).  Conclusion: Short-term empathy training effectively enhances emotional dimensions of empathy, such as empathic concern and fantasy scale, while reducing personal distress. However, it does not significantly improve overall empathy scores. Long-term training, reinforcement strategies, and cognitive-based interventions may be needed to support sustained empathy developments in nursing care for older adults and patient wellness.
Caring behavior and its impact on patient safety activities: Investigating the role of safety competency Lusianah, Lusianah; Muliyadi, Mulyadi; Kurniawati, Any; Asmirajanti, Mira
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2631

Abstract

Background: Patient safety is a critical component of healthcare. Caring behavior among nurses is hypothesized to enhance patient safety activities. However, the relationship between caring behavior and patient safety activities, particularly the moderating role of patient safety competency, remains underexplored. Purpose: This study aims to examine the influence of caring behavior on patient safety activities, while assessing the moderating role of patient safety competency. Methods: This study employed Structural Equation Modeling (SEM) to analyze the relationship between caring behavior and patient safety activities. A total of 154 nurses from a private hospital in Tangerang participated. The caring behavior inventory (CBI) was used to assess the nurses' caring behaviors across four subscales: respectful communication, ensuring human presence, communication with a positive disposition, and professional knowledge and skills. The safety nursing activities scale evaluated comprehensive patient safety activities across eight subcategories, such as communication, operations, and risk management. The Patient Safety in Nursing Education Questionnaire (PaSNEQ) was employed to assess patient safety competency, comprising three subdomains: basic patient safety competency, clinical analysis and action effectiveness, and error prevention strategies and additional training.   Results: The analysis showed that caring behaviour significantly influenced patient safety activities (T-value = 7.70, p < 0.05). Patient safety competency did not significantly moderate this relationship (T-value = 1.21). Conclusions: Caring behavior significantly improves patient safety, although increased patient safety competency does not show significant moderation effects. Future research should explore alternative moderators and emphasize interventions that foster caring behaviour to strengthen patient safety outcomes.
Co-Authors Any Kurniawati, Any Fajarini, Melati Maharani, Cintya Narulita Mira Asmirajanti Muliyadi, Mulyadi