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Title: Obstacles to compassion-giving among nursing and midwifery managers: an international study
Authors: Papadopoulos, Irena 
Lazzarino, Runa 
Koulouglioti, Christina 
Aagard, Magdeline 
Akman, Ozlem 
Alpers, Lise-Merete 
Apostolara, Paraskevi 
Araneda Bernal, J. 
Biglete-Pangilinan, Sylvia 
Eldar-Regev, Orit 
González Gil, María Teresa 
Kouta, Christiana 
Krepinska, Radka 
Lesińska-Sawicka, Malgorzata 
Líšková, Miroslava 
López-Díaz, Alba Lucero 
Malliarou, Maria 
Martín-García, Ángel 
Muñoz-Salinas, M. 
Nagórska, Malgorzata 
Ngunyulu, Roinah N. 
Nissim, Sara 
Nortvedt, Line 
Oconer-Rubiano, M. F. 
Oter-Quintana, Cristina 
Ozturk, Candan 
Papp, Katalin 
Piratoba-Hernandez, B. 
Rousou, Elena 
Tolentino-Diaz, Maria Ymelda 
Tóthová, Valerie 
Zorba, Akile 
Major Field of Science: Medical and Health Sciences
Field Category: Health Sciences
Keywords: Compassion;Cultural competence;International survey;Leadership;Midwifery managers;Nursing;Obstacles
Issue Date: 2020
Source: International Nursing Review, 2020, vol. 67, no. 4, pp. 453-465
Volume: 67
Issue: 4
Start page: 453
End page: 465
Journal: International Nursing Review 
Abstract: Aim: To explore nursing and midwifery managers’ views regarding obstacles to compassion-giving across country cultures. Background: The benefit of compassionate leadership is being advocated, but despite the fact that health care is invariably conducted within culturally diverse workplaces, the interconnection of culture, compassion and leadership is rarely addressed. Furthermore, evidence on how cultural factors hinder the expression of compassion among nursing and midwifery managers is lacking. Methods: Cross-sectional, exploratory, international online survey involving 1 217 participants from 17 countries. Managers’ responses on open-ended questions related to barriers for providing compassion were entered and thematically analysed through NVivo. Results: Three key themes related to compassion-giving obstacles emerged across countries: 1. related to the managers’ personal characteristics and experiences; 2. system-related; and 3. staff-related. Conclusions: Obstacles to compassion-giving among managers vary across countries. An understanding of the variations across countries and cultures of what impedes compassion to flourish in health care is important. Implications for nursing practice and policy: Nursing mangers should wisely use their power by adopting leadership styles that promote culturally competent and compassionate workplaces with respect for human rights. Policymakers should identify training and mentoring needs to enable the development of managers’ practical wisdom. Appropriate national and international policies should facilitate the establishment of standards and guidelines for compassionate leadership, in the face of distorted organizational cultures and system-related obstacles to compassion-giving.
ISSN: 1466-7657
DOI: 10.1111/inr.12611
Rights: © The Authors.
Type: Article
Affiliation : Middlesex University 
Western Sussex Hospitals NHS Foundation Trust Worthing 
Walden University 
Istanbul Sabahattin Zaim University 
VID Specialized University 
University of West Attica 
Universidad Diego Portales 
Bataan Peninsula State University 
University of Haifa 
Universidad Autónoma de Madrid 
Cyprus University of Technology 
Havlíčkův Brod 
Stanisław Staszic State University of Applied Science 
Constantine the Philosopher University in Nitra 
Universidad Nacional de Colombia 
University of Thessaly 
San Blas Primary Healthcare Centre 
Medical College of Rzeszow University 
University of Johannesburg 
Wolfson Medical Center 
Oslo Metropolitan University 
Near East University 
University of Debrecen 
Clinic and Care Organization Innovation "Luisa Marano" Area 
University of South Bohemia Ceske Budejovice 
Eastern Mediterranean University 
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