Abstract
The care of older people was described as involving substantial emotion-related affordances. Scholars in vocational training and nursing disagree whether emotion-related skills could be conceptualized and assessed as a professional competence. Studies on emotion work and empathy regularly neglect the multidimensionality of these phenomena and their relation to the care process, and are rarely conclusive with respect to nursing behavior in practice. To test the status of emotion-related skills as a facet of client-directed geriatric nursing competence, 402 final-year nursing students from 24 German schools responded to a 62-item computer-based test. 14 items were developed to represent emotion-related affordances. Multi-dimensional IRT modeling was employed to assess a potential subdomain structure. Emotion-related test items did not form a separate subdomain, and were found to be discriminating across the whole competence continuum. Tasks concerning emotion work and empathy are reliable indicators for various levels of client-directed nursing competence. Claims for a distinct emotion-related competence in geriatric nursing, however, appear excessive with a process-oriented perspective.
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Akerjordet, K., & Severinsson, E. (2010). The state of the science of emotional intelligence related to nursing leadership: An integrative review. Journal of Nursing Management, 18(4), 363–382. doi:10.1111/j.1365-2834.2010.01087.x.
Arora, S., Ashrafian, H., Davis, R., Athanasiou, T., Darzi, A., & Sevdalis, N. (2010). Emotional intelligence in medicine: A systematic review through the context of the ACGME competencies. Medical Education, 44(8), 749–764. doi:10.1111/j.1365-2923.2010.03709.x.
Ashforth, B. E. (1995). Emotion in the workplace: A reappraisal. Human Relations, 48(2), 97–125. doi:10.1177/001872679504800201.
Ashforth, B. E., & Humphrey, R. H. (1993). Emotional labor in service roles: The influence of identity. The Academy of Management Review, 18(1), 88–115. doi:10.5465/AMR.1993.3997508.
Batson, C. D. (1991). The altruism question: Toward a social–psychological answer. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.
Beauvais, A. M., Brady, N., O’Shea, E. R., & Griffin, M. T. Q. (2011). Emotional intelligence and nursing performance among nursing students. Nurse Education Today, 31(4), 396–401. doi:10.1016/j.nedt.2010.07.013.
Bechtoldt, M. N., Rohrmann, S., de Pater, I. E., & Beersma, B. (2011). The primacy of perceiving: Emotion recognition buffers negative effects of emotional labor. Journal of Applied Psychology, 96(5), 1087–1094. doi:10.1037/a0023683.
Benner, P. (1982). From novice to expert. The American Journal of Nursing, 82(3), 402–407.
Bischoff-Wanner, C. M. (2002). Empathie in der Pflege [Empathy in nursing]. Bern: Huber.
Böhle, F., & Glaser, J. (Eds.). (2006). Arbeit in der Interaktion - Interaktion als Arbeit [Work in interaction—Interaction as work]. Wiesbaden: VS Verlag für Sozialwissenschaften.
Bolton, S. C. (2000). Who cares? Offering emotion work as a ‘gift’ in the nursing labour process. Journal of Advanced Nursing, 32(3), 580–586. doi:10.1046/j.1365-2648.2000.01516.x.
Bolton, S. (2001). Changing faces: Nurses as emotional jugglers. Sociology of Health & Illness, 23(1), 85–100. doi:10.1111/1467-9566.00242.
Büssing, A., & Glaser, J. (2000). Four-stage process model of the core factors of burnout: The role of work stressors and work-related resources. Work & Stress, 14(4), 329–346. doi:10.1080/02678370110041884.
Cronin, S. N., & Harrison, B. (1988). Importance of nurse caring behaviors as perceived by patients after myocardial infarction. Heart & Lung, 17(4), 374–380.
Curtis, K., Horton, K., & Smith, P. (2012). Student nurse socialisation in compassionate practice: A grounded theory study. Nurse Education Today, 32(7), 790–795. doi:10.1016/j.nedt.2012.04.012.
Delaney, K. R., Robinson, K. M., & Chafetz, L. (2013). Development of integrated mental health care: Critical workforce competencies. Nursing Outlook, 61(6), 384–391. doi:10.1016/j.outlook.2013.03.005.
Dingwall, R., & Allen, D. (2001). The implications of healthcare reforms for the profession of nursing. Nursing Inquiry, 8(2), 64–74. doi:10.1046/j.1440-1800.2001.00100.x.
Döring, O., Möllers, M., & Schöpf, N. (2014). Qualitätssicherung durch Kompetenzmessung: Technologiebasierte Kompetenzmessung am Beispiel der Altenpflege [Quality assurance by competence assessment: Technology-based competence assessment in geriatric care]. W&B-Wirtschaft und Beruf, 66, 34–43.
Eisenberg, N., & Miller, P. A. (1987). The relation of empathy to prosocial and related behaviors. Psychological Bulletin, 101(1), 91–119. doi:10.1037/0033-2909.101.1.91.
Ewers, P., Bradshaw, T., McGovern, J., & Ewers, B. (2002). Does training in psychosocial interventions reduce burnout rates in forensic nurses? Journal of Advanced Nursing, 37(5), 470–476. doi:10.1046/j.1365-2648.2002.02115.x.
Federal Ministry of Education and Research Training Policy Division. (2012). Vocational skills and competencies made visible: The ASCOT research initiative. (Bonn, Berlin: Federal Ministry of Education and Research). Retrieved January 8, 2015 from http://www.ascot-vet.net/_media/ascot__MASTER_Broschuere_Projekte_EN_V06.pdf.
Fischbach, A. (2003). Determinants of emotion work. Dissertation, Georg-August-Universität Göttingen. Retrieved from http://hdl.handle.net/11858/00-1735-0000-000D-F17D-D.
German Federal Ministry of Education and Research (BMBF) and Standing Conference of the Ministers of Education and Cultural Affairs of the Länder in the Federal Republic of Germany (KMK). (2013). German EQF referencing report. Retrieved November 13, 2014 from https://ec.europa.eu/ploteus/sites/eac-eqf/files/German_EQF_Referencing_Report.pdf.
Hacker, W. (1986). Complete vs. incomplete working tasks—A concept and its verification. In G. Debus & H.-W. Schroiff (Eds.), The psychology of work and organization. Current trends and issues (pp. 23–36). Amsterdam: North-Holland.
Hackman, J. R. (1969). Toward understanding the role of tasks in behavioral research. Acta Psychologica, 31(2), 97–128.
Hochschild, A. R. (2003). The managed heart: Commercialization of human feeling. Berkeley, CA: University of California Press. (20th anniversary ed).
Hojat, M., Gonnella, J. S., Mangione, S., Nasca, T. J., & Magee, M. (2003). Physician empathy in medical education and practice: Experience with the Jefferson scale of physician empathy. Seminars in Integrative Medicine, 1(1), 25–41. doi:10.1016/S1543-1150(03)00002-4.
Kaspar, R., Döring, O., Wittmann, E., Hartig, J., Weyland, U., Nauerth, A., et al. (submitted). Competencies in geriatric nursing: Empirical evidence from a computer based large scale assessment calibration study. Vocations and Learning.
Katz, J. R., Woods, S. L., Cameron, C. A., & Milam, S. (2004). Essential qualifications for nursing students. Nursing Outlook, 52(6), 277–288. doi:10.1016/j.outlook.2004.06.006.
Kiefer, T., Robitzsch, A. & Wu, M. (2014). TAM: Test analysis modules. R package version 1.1. Retrieved January 10, 2015 from http://CRAN.R-project.org/package=TAM.
Kim, H. S., & Kollak, I. (1999). Nursing theories: Conceptual and philosophical foundations. New York: Springer.
Lazenby, M. (2013). On the humanities of nursing. Nursing Outlook, 61(1), e9–e14. doi:10.1016/j.outlook.2012.06.018.
Lyneham, J., Parkinson, C., & Denholm, C. (2009). Expert nursing practice: A mathematical explanation of Benner’s 5th stage of practice development. Journal of Advanced Nursing, 65(11), 2477–2484. doi:10.1111/j.1365-2648.2009.05091.x.
Masters, G. N. (1982). A Rasch model for partial credit scoring. Psychometrika, 47(2), 149–174. doi:10.1007/BF02296272.
McLaughlin, K., Moutray, M., & Muldoon, O. T. (2008). The role of personality and self-efficacy in the selection and retention of successful nursing students: A longitudinal study. Journal of Advanced Nursing, 61(2), 211–221. doi:10.1111/j.1365-2648.2007.04492.x.
Meleis, A. I. (2012). Theoretical nursing: Development and progress (5th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Morse, J. M., Anderson, G., Bottorff, J. L., Yonge, O., O’Brien, B., Solberg, S. M., et al. (1992). Exploring empathy: A conceptual fit for nursing practice? Image, 24(4), 273–280.
Moyer, B. A., & Wittmann-Price, R. A. (Eds.). (2008). Nursing education: Foundations for practice excellence. Philadelphia: F.A. Davis Company.
Murphy, F., Jones, S., Edwards, M., James, J., & Mayer, A. (2009). The impact of nurse education on the caring behaviours of nursing students. Nurse Education Today, 29(2), 254–264. doi:10.1016/j.nedt.2008.08.016.
Neumann, M., Bensing, J., Mercer, S., Ernstmann, N., Ommen, O., & Pfaff, H. (2009). Analyzing the “nature” and “specific effectiveness” of clinical empathy: A theoretical overview and contribution towards a theory-based research agenda. Patient Education and Counseling, 74(3), 339–346. doi:10.1016/j.pec.2008.11.013.
Neumann, M., Edelhäuser, F., Tauschel, D., Fischer, M. R., Wirtz, M., Woopen, C., et al. (2011). Empathy decline and its reasons: A systematic review of studies with medical students and residents. Academic Medicine: Journal of the Association of American Medical Colleges, 86(8), 996–1009. doi:10.1097/ACM.0b013e318221e615.
Olbrich, C. (2010). Pflegekompetenz [Nursing competence]. Bern: Huber.
Rauner, F., Heinemann, L., & Hauschildt, U. (2013). Measuring occupational competences: Concept, method and findings of the COMET Project. In L. Deitmer, U. Hauschildt, F. Rauner, & H. Zelloth (Eds.), Technical and vocational education and training: Issues, concerns and prospects (pp. 159–176). Dordrecht: Springer.
Reynolds, W. J., Scott, B., & Jessiman, W. C. (1999). Empathy has not been measured in clients’ terms or effectively taught: A review of the literature. Journal of Advanced Nursing, 30(5), 1177–1185. doi:10.1046/j.1365-2648.1999.01191.x.
Robitzsch, A. (2014). sirt: Supplementary item response theory models. R package version 1.0-3. Retrieved January 10, 2015 from http://CRAN.R-project.org/package=sirt.
Rogers, C. R. (1961). On becoming a person: A therapist’s view of psychotherapy. Oxford, England: Houghton Mifflin.
Schmitt, S., Stöver, M., & Görres, S. (2010). Measuring competence to ensure sustainable training structures in the context of integrative nursing education: The Stuttgart model—External evaluation results of the second course [German]. Pflegewissenschaft, 12(2), 69–74. doi:10.3936/986.
Schwarz-Govaers, R. (2005). Subjektive Theorien als Basis von Wissen und Handeln [Subjective theories as a basis for knowledge and action]. Bern: Huber.
Simon, J., Rechenbach, S., Kaspar, R., Möllers, M., & Worofka, I. (in press). Theoretische Anforderungen an die Kompetenzmodellierung unter Berücksichtigung domänenspezifischer Besonderheiten in der Pflege älterer Menschen [Theory implications for modelling domain-specific competencies in the care of older people]. bwp@Spezial “Berufsbildungsforschung im Gesundheitsbereich”.
Strauss, A., Fagerhaugh, S., Suczek, B., & Wiener, C. (1982). Sentimental work in the technologized hospital. Sociology of Health & Illness, 4(3), 254–278.
Sturgeon, D. (2010). ‘Have a nice day’: Consumerism, compassion and health care. British Journal of Nursing, 19(16), 1047–1051. doi:10.12968/bjon.2010.19.16.78198.
Takase, M. (2013). The relationship between the levels of nurses’ competence and the length of their clinical experience: A tentative model for nursing competence development. Journal of Clinical Nursing, 22(9–10), 1400–1410. doi:10.1111/j.1365-2702.2012.04239.x.
Torres Irribarra, D. & Freund, R. (2014). Wright map: IRT item-person map with ConQuest integration. R package. Retrieved January 10, 2015 from http://github.com/david-ti/wrightmap.
Watson, R., Deary, I. J., & Hoogbruin, A. L. (2001). A 35-item version of the Caring Dimensions Inventory (CDI-35): Multivariate analysis and application to a longitudinal study involving student nurses. International Journal of Nursing Studies, 38(5), 511–521. doi:10.1016/S0020-7489(00)00107-3.
Wittmann, E., Weyland, U., Nauerth, A., Döring, O., Rechenbach, S., Simon, J., et al. (2014). Kompetenzerfassung in der Pflege älterer Menschen: Theoretische und domänenspezifische Anforderungen der Aufgabenmodellierung [Competence assessment in geriatric nursing: Theoretical and domain-specific challenges in task modelling]. In J. Seifried, U. Faßhauer, & S. Seeber (Eds.), Jahrbuch der berufs- und wirtschaftspädagogischen Forschung 2014 (pp. 53–66). Leverkusen: Budrich.
Wolf, Z. R., Giardino, E. R., Osborne, P. A., & Ambrose, M. S. (1994). Dimensions of nurse caring. Image, 26(2), 107–111.
Woodward, V. M. (1997). Professional caring: A contradiction in terms? Journal of Advanced Nursing, 26(5), 999–1004. doi:10.1046/j.1365-2648.1997.00389.x.
Wu, L.-M., Chin, C.-C., & Chen, C.-H. (2009). Evaluation of a caring education program for Taiwanese nursing students: A quasi-experiment with before and after comparison. Nurse Education Today, 29(8), 873–878. doi:10.1016/j.nedt.2009.05.006.
Yen, W. M. (1984). Effects of local item dependence on the fit and equating performance of the three-parameter logistic model. Applied Psychological Measurement, 8(2), 125–145. doi:10.1177/014662168400800201.
Yu, J., & Kirk, M. (2008). Measurement of empathy in nursing research: Systematic review. Journal of Advanced Nursing, 64(5), 440–454. doi:10.1111/j.1365-2648.2008.04831.x.
Yu, J., & Kirk, M. (2009). Evaluation of empathy measurement tools in nursing: Systematic review. Journal of Advanced Nursing, 65(9), 1790–1806. doi:10.1111/j.1365-2648.2009.05071.x.
Zapf, D. (2002). Emotion work and psychological well-being: A review of the literature and some conceptual considerations. Human Resource Management Review, 12(2), 237–268. doi:10.1016/S1053-4822(02)00048-7.
Zapf, D., Vogt, C., Seifert, C., Mertini, H., & Isic, A. (1999). Emotion work as a source of stress: The concept and development of an instrument. European Journal of Work and Organizational Psychology, 8(3), 371–400. doi:10.1080/135943299398230.
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This research has been funded by the German Federal Ministry of Education and Research (01DB1111). We are indebted to our consortium partners from the Research Institute for Vocational Education and Training (f-bb, Ottmar Döring), Bamberg University (Eveline Wittmann) and Bielefeld University of Applied Science (Ulrike Weyland, Annette Nauerth) for their helpful comments on an earlier version of this manuscript.
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Kaspar, R., Hartig, J. Emotional competencies in geriatric nursing: empirical evidence from a computer based large scale assessment calibration study. Adv in Health Sci Educ 21, 105–119 (2016). https://doi.org/10.1007/s10459-015-9616-y
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DOI: https://doi.org/10.1007/s10459-015-9616-y