American Journal of Applied Psychology
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American Journal of Applied Psychology. 2021, 9(1), 22-35
DOI: 10.12691/ajap-9-1-4
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Compassionate Care Delivery for Elderly Patients: Nurses’ Perception

Hanan Elzeblawy Hassan1, , Aziza Abozed2, Abeer Mohamed3 and Eman Moustafa Ibrahim4

1Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt

2Community Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt.

3Community Health Nursing, Faculty of Nursing, Damietta University, Egypt

4Ambulatory Department, Hammed Medical Corporation, Qatar

Pub. Date: September 15, 2021

Cite this paper:
Hanan Elzeblawy Hassan, Aziza Abozed, Abeer Mohamed and Eman Moustafa Ibrahim. Compassionate Care Delivery for Elderly Patients: Nurses’ Perception. American Journal of Applied Psychology. 2021; 9(1):22-35. doi: 10.12691/ajap-9-1-4


Background: Compassion is evident in literature within science and the humanities. It has an evolutionary basis, marking a point in human development when we could think about others’ feelings. As a consequence, humans were able to care for those in need and exhibit concern for them. This shows the relational aspect of compassion, which necessitates an understanding of and connection with another. Aim: This study aims to measure nurses' perception of compassionate care in Beni-Suef city. Sample: A descriptive cross-sectional design for 140 nurses. Setting: Beni-Suef University Hospital, General Hospital, as well as Continuing/Long-term care and Home Health Care (HHC) services. Results: 90.0% of the nurses were having a positive compassion attitude related to hospital leadership. Statistically significant relations between nurses’ compassionate care attitude and many of their characteristics, however, nurses’ compassionate care attitude was positive among highly qualified married young-aged males from urban nurses who have sufficient income. A statistically significant relationships were found between nurses’ compassionate care practice and their gender (p=0.006), residence (p=0.003), and nursing qualification (p<0.001). Conclusion: Nurses in the study settings have a generally positive attitude towards compassionate care. However, their practice of compassionate care and related self-confidence seems to be low. These are influenced by nurses’ age, qualification, experience years, residence, and income. Recommendations: In-service training programs should be applied on a wide scale for nurses to improve their practice and self-confidence related to compassion care.

compassionate care elderly patients nurses' perception

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[1]  American Nurses Association. Code of ethics for nurses with interpretive statements. 2015; Available at:
[2]  Hemberg J., and Wiklund Gustin L. (2020): Caring from the heart as belonging-The basis for mediating compassion. Nurs Open.; 7(2): 660-668.
[3]  Tehranineshat B., Rakhshan M., Torabizadeh C., and Fararouei M. (2018): Nurses’, patients’ and family caregivers’ perceptions of compassionate nursing care. Nursing Ethics; 26: 1707-1720.
[4]  de Carvalho Barreto M., Ferreira C., Marta-Simões J., and Mendes A.L. (2020): Exploring the paths between self-compassionate attributes and actions, body compassion and disordered eating. Eat Weight Disord.; 25(2): 291-297.
[5]  Ibrahim E., Mahmod A., Elmaghwry A., Hassan H. Compassionate Care Delivery: Elderlies' Perception. Research in Psychology and Behavioral Sciences, 2021; 9(1): 24-32.
[6]  Baker L.R., Martimianakis M.A.T., and Nasirzadeh Y. (2018): Compassionate Care in the Age of Evidence-Based Practice: A Critical Discourse Analysis in the Context of Chronic Pain Care. Acad Med.; 93(12): 1841-1849.
[7]  Straughair C. (2012): Exploring compassion: implications for contemporary nursing. Part 1', British Journal of Nursing; 21(3): 160-164.
[8]  Sinclair S., Norris J., McConnell S.J. M., Chochinov H., Hack T.F.M., Hagen N., McClement S.A., and Bouchal S.R. (2016): Compassion: a scoping reviews of the healthcare literature. BioMed Central Pallative Care; 15 (6): 3-16.
[9]  Hassan H., Abozed A., Elmghwry A., Ibrahim E. Compassionate Care: Correlation and Predictors of Nurses’ and Patients’ Opinions. American Journal of Public Health Research, 2021; 9(5).
[10]  Brown B., Crawford P., Gilbert .P, Gilbert J., and Gale G. (2014): Practical compassion: Repertoires of practice and compassion talk in acute mental healthcare. Sociol Health Illn.; 36: 383-99.
[11]  Gilbert P. (2015): The evolution and social dynamics of compassion. Soc Personal Compass, 9: 239-254.
[12]  Fotaki M. (2015): Why and how is compassion necessary to provide good quality healthcare?. Int J Health Policy Manag.; 4(4): 199-201.
[13]  Waite F., Knight M.T., and Lee D. (2015): Self-compassion and self-criticism in recovery in psychosis: An interpretative phenomenological analysis study. Journal of Clinical Psychology; 71(12): 1201-1217.
[14]  Sinclair S., Beamer K., and Hack T.F. (2017a): Sympathy, empathy, and compassion: A grounded theory study of palliative care patients' understandings, experiences, and preferences. Palliat Med., 31(5): 437-447.
[15]  Post S.G., Ng L.E., and Fischel J.E. (2014): Routine, empathic and compassionate patient care: definitions, development, obstacles, education and beneficiaries. J Eval Clin Pract; 20: 872-880.
[16]  Soanes C., and Stevenson A. (2010): Empathy. In: Stevenson A. (ed.) Oxford English dictionary of English. 3rd ed., New York: Oxford University Press.
[17]  Sinclair S., Russell LB., Hack TF., Kondejewski J., and Sawatzky R. (2017b): Measuring Compassion in Healthcare: A Comprehensive and Critical Review. Patient.; 10(4): 389-405.
[18]  Tierney S., Seers K., Tutton E., and Reeve J. (2017): Enabling the flow of compassionate care: a grounded theory study. BMC Health Serv Res.; 17(1):174.
[19]  Dempsey C., Wojciechowski S., McConville E., and Drain M. (2014): Reducing patient suffering through compassionate connected care. J Nurs Adm.; 44: 517-524.
[20]  O'Driscoll M., Allan H., Liu L., Corbett K., and Serrant L. (2018): Compassion in practice-Evaluating the awareness, involvement and perceived impact of a national nursing and midwifery strategy amongst healthcare professionals in NHS Trusts in England. J Clin Nurs.; 27(5-6): e1097-e1109.
[21]  Zaman S., Whitelaw A., Richards N., Inbadas H., and Clark D. (2018): A moment for compassion: emerging rhetorics in end-of-life care. Med Humanit; 44(2): 140-143.
[22]  Van der Cingel M. (2011): Compassion in care: a qualitative study of older people with a chronic disease and nurses. Nurs Ethics; 18(5): 672-685.
[23]  Deal B. (2011): Finding meaning in suffering, Holistic Nursing Practice; 25(4): 205-210.
[24]  Babaei S., Taleghani F. Compassionate Care Challenges and Barriers in Clinical Nurses: A Qualitative Study. Iran J Nurs Midwifery Res. 2019; 24(3): 213-219.
[25]  Kemper K., Larrimore D., Dozier J., and Woods C. (2006): Impact of a medical school elective in cultivating compassion through touch therapies. Complement Health Pract Rev; 11: 47-56.
[26]  Burnell L., and Agan D. (2013): Compassionate Care: Can it be defined and measured? The Development of the Compassionate Care Assessment Tool. Available at:
[27]  Grimani K. (2017): Measuring Compassionate Care: Reliability and Validity of the Greek Version of a Compassionate Care Assessment Tool. Journal of Correctional Health Care, 2017; 23(3): 353-364.
[28]  Sireci S.G., Wang Y., Harter J., and Ehrlich E.J. (2006): Evaluating guidelines for test adaptations: A methodological analysis of translation quality. Journal of Cross-Cultural Psychology; 37: 557-567.
[29]  Dewar B. (2012): Using creative methods in practice development to understand and develop compassionate care. Int Pract Dev J; 2(1): 1-11.
[30]  Francis R. (2013): Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. London: The Stationery Office.
[31]  Mills J., Wand T., and 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.
[32]  Zamanzadeh V., Valizadeh L., Rahmani A., van der Cingel M., and Ghafourifard M. (2018): Factors facilitating nurses to deliver compassionate care: a qualitative study. M.Scand J Caring Sci. 2018 Mar; 32(1): 92-97.
[33]  Quinn B. (2017): Role of nursing leadership in providing compassionate care. Nurs Stand.; 32(16-19): 53-63.
[34]  Ledoux K., Forchuk C., Higgins C., and Rudnick A. (2018): The effect of organizational and personal variables on the ability to practice compassionately. Appl Nurs Res.; 41: 15-20.
[35]  Farag M. School of Public Health University of Saskatchewan. 2012.
[36]  Hassan H., Mohamady Sh., & Abd El-Gawad N. Protocol for improving nursing performance towards placental examination at labor units. Clinical Nursing Studies, 2017; 5(2): 1-11.
[37]  Singh P., Raffin-Bouchal S., McClement S., Hack F.T., Kelli Stajduhar N.A. Hagen, A., Chochinov H.M, and Sinclair S.(2018a): Healthcare Providers' Perspectives on Perceived Barriers and Facilitators of Compassion: Results From a Grounded Theory Study; 27(9-10): 2083-2097.
[38]  Lown B.A. (2015): Compassion is a necessity and an individual and collective responsibility: comment on why and how is compassion necessary to provide good quality healthcare? Int J Health Policy Manag; 4: 613.
[39]  Kemp J., Zhang T., and Inglis F. (2020): Delivery of Compassionate Mental Health Care in a Digital Technology-Driven Age: Scoping Review. J Med Internet Res.; 22(3):e16263.
[40]  Lichen I.M., Berning M.J., and Bower S.M. (2020): Non-pharmacologic interventions improve comfort and experience among older adults in the Emergency Department. Am J Emerg Med.; S0735-6757, (20) 30322-3.
[41]  Greenberg M.T., and Turksma C. (2015): Understanding and watering the seeds of compassion. Res Hum Dev; 12: 280-287.
[42]  Chaloner R.S.J., and Healthc M. (2019): Providing Compassionate Care for Every Kind of Person; 64(4): 205-208.
[43]  Ruiz-Fernández M.D., Pérez-García E., Ortega-Galán Á.M. (2020): Quality of Life in Nursing Professionals: Burnout, Fatigue, and Compassion Satisfaction. Int J Environ Res Public Health; 17(4): 1253.
[44]  Kolthoff K.L., and Hickman S.E. (2017): Compassion fatigue among nurses working with olde. Geriatric Nursing, 38 (2017): 106e109.
[45]  Bray L., O'Brien M.R., Kirton J., Zubairu K., and Christiansen A. (2014): 'The role of professional education in developing compassionate practitioners: A mixed methods study exploring the perceptions xof health professionals and pre-registration students', Nurse Education Today; 34(3): 480-486.
[46]  Henderson A., and Jones J. (2017): Developing and Maintaining Compassionate Care in Nursing. 2012 RCN Publishing Company Ltd. PMID: 29094531.
[47]  Coffey A., Saab M.M., and Landers M. (2019): The impact of compassionate care education on nurses: A mixed-method systematic review. J Adv Nurs.; 75(11): 2340-2351.
[48]  Hunter D., McCallum J., Howes D. (2018): Compassion in emergency departments. Part 1: nursing students' perspectives. Emerg Nurse.; 26(2): 25-30.
[49]  Giménez-Espert M.D.C., Valero-Moreno S., and Prado-Gascó V.J. (2019): Evaluation of emotional skills in nursing using regression and QCA models: A transversal study. Nurse Educ Today; 74: 31-37.