Abstract
Objective
To explore self-compassion and its role in supporting well-being, compassionate care, and the academic experience in undergraduate nursing students.
Method
Whittemore and Knafl’s (2005) integrative review methodology was used to search articles published between 2007 and 2020, which resulted in 36 articles meeting the inclusion criteria: compassion for self and others, strategies to support self-compassion; and self-compassion and student learning.
Result
Findings indicate that self-compassion may promote compassionate care, personal well-being, resilience, and emotional intelligence while supporting indicators of academic success. Compassion literacy, mindfulness training, and experiential exercises are some of the strategies that could be integrated into nursing curricula to enhance compassion in nursing students for self and others.
Conclusion
Integrating mindfulness and self-compassion in undergraduate curricula requires innovative teaching and learning approaches within a supportive organizational environment. To this end, a Self-Compassion Curricular Model to guide nursing programs is proposed.
Funding source: Associated Medical Services/Registered Nurses Association of Ontario
Research funding: Associated Medical Services/Registered Nurses Association of Ontario Advanced Clinical Practice Fellowship.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
References
Andrews, H., Tierney, S., & Seers, K. (2020). Needing permission: The experience of self-care and self-compassion in nursing: A constructivist grounded theory study. International Journal of Nursing Studies, 101, 1–10. https://doi.org/10.1016/j.ijnurstu.2019.103436.Search in Google Scholar
Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303. https://doi.org/10.1037/a0025754.Search in Google Scholar
Barratt, C. (2017). Exploring how mindfulness and self-compassion can enhance compassionate care. Nursing Standard, 31(21), 55–62. https://doi.org/10.7748/ns.2017.e10671.Search in Google Scholar
Barron, K., Deery, R., & Sloan, G. (2017). Community mental health nurses’ and compassion: An interpretative approach. Journal of Psychiatric and Mental Health Nursing, 24(4), 211–220. https://doi.org/10.1111/jpm.12379.Search in Google Scholar
Beanlands, H., McCay, E., Fredericks, S., Newman, K., Rose, D., Santa Mina, E., & Wang, A. (2019). Decreasing stress and supporting emotional well-being among senior nursing students: A pilot test of an evidence-based intervention. Nurse Education Today, 76, 222–227. https://doi.org/10.1016/j.nedt.2019.02.009.Search in Google Scholar
Beanlands, H., McCay, E., Wang, A., Aiello, A., Schwind, J., Schindel Martin, L., & Newman, K., et al.. (2020). Exploring undergraduate nursing students’ experiences of engaging with a Dialectical Behaviour Therapy-Skills Group intervention: Findings of a thematic analysis. Canadian Journal of Nursing Research, 1–8. https://doi.org/10.1177/0844562119896487.Search in Google Scholar
Beaumont, E., & Hollins Martin, C. J. (2016). A proposal to support student therapists to develop compassion for self and others through Compassionate Mind Training. The Arts in Psychotherapy, 50, 111–118. https://doi.org/10.1016/j.aip.2016.06.005.Search in Google Scholar
Beaumont, E., Irons, C., Rayner, G., & Dagnall, N. (2016). Does Compassion-Focused Therapy training for health care educators and providers increase self-compassion and reduce self-persecution and self-criticism? Journal of Continuing Education in the Health Professions, 36(1), 4–10. https://doi.org/10.1097/CEH.0000000000000023.Search in Google Scholar
Bevis, E. O., & Watson, J. (1989). Toward a caring curriculum: A new pedagogy for nursing. New York: National League of Nursing.Search in Google Scholar
Burridge, L. H., Winch, S., Kay, M., & Henderson, A. (2017). Building compassion literacy: Enabling care in primary health care nursing. Collegian, 24(1), 85–91. https://doi.org/10.1016/j.colegn.2015.09.004.Search in Google Scholar
Canadian Nurses Association. (2017). Code of ethics for registered nurses. https://www.cna-aiic.ca/∼/media/cna/page-content/pdf-en/code-of-ethics-2017-edition-secure-interactive.Search in Google Scholar
College of Nurses of Ontario. (2019). Code of conduct for nurses. https://www.cno.org/globalassets/docs/prac/49040_code-of-conduct.pdf.Search in Google Scholar
Critical Appraisal Skills Programme. (2018). CASP checklists. https://casp-uk.net/casp-tools-checklists/.Search in Google Scholar
Curtis, K. (2014). Learning the requirements for compassionate practice: Student vulnerability and courage. Nursing Ethics, 21(2), 210–223. https://doi.org/10.1177/0969733013478307.Search in Google Scholar
Dang, D., & Dearholt, S. (2017). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Sigma Theta Tau International. https://www.hopkinsmedicine.org/evidence-based-practice/ijhn_2017_ebp.html.Search in Google Scholar
Doane, G. H., & Varcoe, C. (2007). Relational practice and nursing obligations. Advances in Nursing Science, 30(3), 192–205 https://doi.org/10.1097/01.ans.0000286619.31398.fc.Search in Google Scholar
Doane, G. H., & Varcoe, C. (2015). How to nurse? Relational inquiry with individuals and families in changing health and healthcare contexts. Philadelphia: Lippincott, Williams & Wilkins.Search in Google Scholar
Dorian, M., & Killebrew, J. E. (2014). A study of mindfulness and self-care: A path to self-compassion for female therapists in training. Women & Therapy, 37(1–2), 155–163. https://doi.org/10.1080/02703149.2014.850345.Search in Google Scholar
Finlay‐Jones, A., Kane, R., & Rees, C. (2017). Self‐compassion online: A pilot study of an internet‐based self‐compassion cultivation program for psychology trainees. Journal of Clinical Psychology, 73(7), 797–816. https://doi.org/10.1002/jclp.22375.Search in Google Scholar
Gagnon, M.-P., Payne-Gagnon, J., Fortin, J.-P., Pare, G., Cote, J., & Courcy, F. (2015). A learning organization in the service of knowledge management among nurses: A case study. International Journal of Information Management, 35, 636–642. https://doi.org/10.1016/j.ijinfomgt.2015.05.001.Search in Google Scholar
Germer, C. K., & Neff, K. D. (2013). Self‐Compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867 https://doi.org/10.1002/jclp.22021.Search in Google Scholar
Gustin, L. W., & Wagner, L. (2013). The butterfly effect of caring – clinical nursing teachers understanding of self-compassion as a source to compassionate care. Scandinavian Journal of Caring Sciences, 27(1), 175–183 https://doi.org/10.1111/j.1471-6712.2012.01033.x.Search in Google Scholar
Heffernan, M., Griffin, M., McNulty, S., & Fitzpatrick, J. (2010). Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 16(4), 366–373 https://doi.org/10.1111/j.1440-172X.2010.01853.x.Search in Google Scholar
Henderson, A., & Jones, J. (2017). Developing and maintaining compassionate care in nursing. Nursing Standard, 32(4), 60–69 https://doi.org/10.7748/ns.2017.e10895.Search in Google Scholar
Hofmeyer, A., Toffoli, L., Vernon, R., Taylor, R., Klopper, H. C., Coetzee, S. K., & Fontain, D. (2018). Teaching compassionate care to nursing students in a digital learning and teaching environment. Collegian, 25(3), 307–312 https://doi.org/10.1016/j.colegn.2017.08.001.Search in Google Scholar
Ko, C. M., Grace, F., Chavez, G. N., Grimleya, S. J., Dalrymple, E. R., & Olson, L. E. (2018). Effect of seminar on compassion on student self-compassion, mindfulness and well-being: A randomized controlled trial. Journal of American College Health, 66(7), 537–545 https://doi.org/10.1080/07448481.2018.1431913.Search in Google Scholar
Krieger, T., Martig, D. S., van den Brink, E., & Berger, T. (2016). Working on self-compassion online: A proof of concept and feasibility study. Internet Interventions, 6, 64–70. https://doi.org/10.1016/j.invent.2016.10.001.Search in Google Scholar
Long, P., & Neff, K. D. (2018). Self-compassion is associated with reduced self-presentation concerns and increased student communication behavior. Learning and Individual Differences, 67, 223–231. https://doi.org/10.1016/j.lindif.2018.09.003.Search in Google Scholar
López, A., Sanderman, R., Ranchor, A. V., & Schroevers, M. J. (2018). Compassion for others and self-compassion: Levels, correlates, and relationship with psychological well-being. Mindfulness, 9(1), 325–331. https://doi.org/10.1007/s12671-017-0777-z.Search in Google Scholar
Lown, B. A. (2016). A social neuroscience‐informed model for teaching and practicing compassion in health care. Medical Education, 50(3), 332–342. https://doi.org/10.1111/medu.12926.Search in Google Scholar
Mirza, N., Manankil-Rankin, L., Prentice, D., Hagerman, L. A., & Draenos, C. (2019). Practice readiness of new nursing graduates: A concept analysis. Nurse Education in Practice, 37, 68–74. https://doi.org/10.1016/j.nepr.2019.04.009.Search in Google Scholar
National Collaborating Centre for Methods and Tools. (2008). Quality assessment tool for quantitative studies. Hamilton, ON: McMaster University. (Updated 13 April, 2010) https://dev.nccmt.ca/resources/search/14.Search in Google Scholar
Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1080/15298860309032.Search in Google Scholar
Neff, K. D., & Costigan, A. P. (2014). Self-compassion, wellbeing, and happiness. Psychologie in Osterreich, 2, 114–117.Search in Google Scholar
Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923.Search in Google Scholar
Neff, K. D., Hseih, Y., & Dejitthirat, K. (2005). Self-compassion, achievement goals, and coping with academic failure. Self and Identity, 4(3), 263–287. https://doi.org/10.1080/13576500444000317.Search in Google Scholar
Neff, K. D., & Pommier, E. (2012). The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity, 12(2), 160–176. https://doi.org/10.1080/15298868.2011.649546.Search in Google Scholar
Nelson, J. R., Hall, B. S., Anderson, J. L., Birtles, C., & Hemming, L. (2018). Self-compassion as self-care: A simple and effective tool for counselor educators and counseling students. Journal of Creativity in Mental Health, 13(1), 121–133. https://doi.org/10.1080/15401383.2017.1328292.Search in Google Scholar
Newsome, S., Waldo, M., & Gruszka, C. (2012). Mindfulness group work: Preventing stress and increasing self-compassion among helping professionals in training. Journal for Specialists in Group Work, 37(4), 297–311. https://doi.org/10.1080/01933922.2012.690832.Search in Google Scholar
Olson, K., & Kemper, K. J. (2014). Factors associated with well-being and confidence in providing compassionate care. Journal of Evidence-Based Complementary & Alternative Medicine, 19(4), 292–296. https://doi.org/10.1177/2156587214539977.Search in Google Scholar
Raab, K. (2014). Mindfulness, self-compassion, and empathy among health care professionals: A review of the literature. Journal of Health Care Chaplaincy, 20(3), 95–108. https://doi.org/10.1080/08854726.2014.913876.Search in Google Scholar
Rao, N., & Kemper, K. J. (2017). Online training in specific meditation practices improves gratitude, well-being, self-compassion, and confidence in providing compassionate care among health professionals. Journal of Evidence-Based Complementary & Alternative Medicine, 22(2), 237–241. https://doi.org/10.1177/2156587216642102.Search in Google Scholar
Reyes, D. (2012). Self-compassion: A concept analysis. Journal of Holistic Nursing, 30(2), 81–89. https://doi.org/10.1177/0898010111423421.Search in Google Scholar
Schwind, J. K., Beanlands, H., McCay, E., Schindel Martin, L., Wang, A., & Fredericks, S. (2019). A river journey: Metaphoric reflection on a study exploring Dialectical Behaviour Therapy – Skills Group with senior nursing students. Reflective Practice, 20(4), 469–482. https://doi.org/10.1080/14623943.2019.1638245.Search in Google Scholar
Schwind, J. K., & Manankil-Rankin, L. (2020). Using narrative reflective process to augment personal and aesthetic ways of knowing to support holistic person-centred relational practice. Reflective Practice, 21(4), 473–483https://doi.org/10.1080/14623943.2020.1777958.Search in Google Scholar
Schwind, J. K., McCay, E., Beanlands, H., Schindel Martin, L., Martin, J., & Binder, M. (2017). Mindfulness practice as a teaching-learning strategy in higher education: A qualitative exploratory pilot study. Nurse Education Today, 50, 92–96. https://doi.org/10.1016/j.nedt.2016.12.017.Search in Google Scholar
Schwind, J. K., Santa Mina, E., Metersky, K., & Patterson, E. (2015). Using the Narrative Reflective Process to explore how students learn about caring in their nursing program: An arts-informed Narrative Inquiry. Reflective Practice, 16(3), 390–402. https://doi.org/10.1080/14623943.2015.1052385.Search in Google Scholar
Simmonds, A. H. (2015). Leadership, education and awareness: A compassionate care nursing initiative. Nursing Leadership, 28(1), 53–64. https://doi.org/10.12927/cjnl.2015.24233.Search in Google Scholar
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. Applied Psychology: Health and Well‐Being, 9(2), 168–206. https://doi.org/10.1111/aphw.12086.Search in Google Scholar
Strauss, C., Taylor, B.L., Gu, J., Kuyken, W., Baer, R., & Jones, F. (2016). What is compassion and how can we measure it?. A review of definitions and measures. Clinical Psychology Review, 47, 15–27. https://doi.org/10.1016/j.cpr.2016.05.004.Search in Google Scholar
Varghese, B. (2020). Relationships between positive and negative attributes of self-compassion and perceived caring efficacy among psychiatric-mental health nurses. Journal of Psychosocial Nursing and Mental Health Services, 58(2), 32–40. https://doi.org/10.3928/02793695-20191022-01.Search in Google Scholar
Walker, M., & Mann, R. A. (2016). Exploration of mindfulness in relation to compassion, empathy and reflection within nursing education. Nurse Education Today, 40, 188–190. https://doi.org/10.1016/j.nedt.2016.03.005.Search in Google Scholar
Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x.Search in Google Scholar
Woo, K. (2019). Polit & Beck: Canadian essentials of nursing research (4th ed.) Philadelphia: Wolters Kluwer.Search in Google Scholar
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