The Effect of Compassionate Care Education on Nurses

Compassion is an important concept underlying relationships between people. Compassion is a complex, multifaceted psychological and social process. Professional values form the basis of nursing care. The concept of compassion is one of these professional values, as well as one of the essential components of care that facilitates nursing care. Compassion-based care provides patient-centered care with a holistic approach while increasing the quality of care. Despite this importance, many healthcare professionals remain inadequate regarding compassionate care. The idea that compassion is innate or learned in people causes various difficulties in teaching compassion. Compassionate care is an emotion that can be taught and developed with innovative interactive methods along with developing technology. Methods such as video-supported teaching and case analysis, which are widely used in nursing education, contribute to developing cognitive and affective skills such as interpretation, critical thinking, and problem-solving in nurses. In this context, our study aimed to determine the effect of compassionate care training to be given to nurses according to Watson's Human Caring Model by creating and providing it with video-supported teaching and case analysis methods, which are outside of traditional techniques and the effect of this training on the level of compassion.

The research will be conducted in a mixed design, including a single group pretest-posttest quasi-experimental and a qualitative study to determine the views of nurses on compassionate care education, using video-assisted teaching and case analysis methods according to Watson's Human Caring Model, in order to determine the effect of compassionate care education on nurses' compassion levels and their attitudes towards compassionate care.

The universe of the research will consist of 220 nurses working in the Surgery Clinic, Internal Medicine Clinic, Intensive Care Unit and Emergency Department at Kırıkkale University Faculty of Medicine Hospital between 02.06.2025 and 02.09.2025. The power of the study was measured with the G\*Power 3.1.9.2 package program. The sample size was calculated with a medium effect width. Accordingly, the minimum sample size to be studied for 95% power at a significance level of 0.05 and an effect width of 0.5 was predicted to be 54. The research aims to reach 60 people, considering the losses.

The sample will consist of nurses who meet the research criteria, are not on leave during the research period, and agree to participate in the research. When the themes repeat in the qualitative phase of the research and the data are saturated, the focus group interviews will be terminated.

Implementation of the Research:

Preparation phase:

"Preparation of the Content of the Compassionate Care Education Program to be Given According to Watson's Human Care Model" The steps of the compassionate care education to be given to nurses according to Watson's Human Care Model will be created in line with the literature. The first 3 weeks of the training are planned to be given theoretically. In the last week, videos of the prepared case scenarios will be watched. For the last week, 5 case scenarios containing compassionate care behaviors and 5 scenarios containing the negative aspects of the same scenario without compassionate care behaviors will be prepared. The videos of these prepared scenarios will be shot using experienced people who have previously received drama training, worked as standard patients. Expert opinions will be obtained from seven experts in the field about the prepared training programs.

Implementation of the Study In the implementation phase of the study, all nurses who have given their written consent will be asked to fill out the "Introductory Characteristics Form", "Compassion Compassion Scale" and "Compassionate Care Checklist" between 01.06.2025 and 01.09.2025 and pre-tests will be conducted. All nurses in the sample group will be provided with compassionate care training to be implemented according to Watson's Human Caring Model. After this four-week training program, they will be asked to fill out the "Compassion Compassion Scale" and "Compassionate Care Checklist" again and post-test measurements will be conducted. After the compassionate care training to be implemented according to Watson's Human Caring Model is provided, the "Compassion Compassion Scale" and "Compassionate Care Checklist" measurements will be repeated at the end of the 1st and 2nd months. All procedures will be carried out face-to-face with the nurses outside of working hours, during the hours when the nurses are available, in an empty nurses' room. In the qualitative part of the study, after the nurses are informed, focus group interviews will be conducted face to face with nurses who have received their written and verbal consents on a voluntary basis and who have agreed to participate in the study. After the compassionate care training, the nurses' opinions about the compassionate care training will be obtained. The interviews will be held outside of working hours, in a quiet and empty nurses' room where the nurses will feel comfortable, by determining the hours they are available. The focus group interviews will be terminated when the themes recur and the data are saturated. It is planned to last approximately 15 minutes.

Eligibility Criteria:
Inclusion Criteria:

* Volunteering to participate in the study,
* Understanding and using Turkish effectively,
* Not being on leave during the study.

Exclusion Criteria:

* Nurses who answered the data collection forms incompletely,
* Nurses who did not want to continue the study,
* Nurses who did not participate in even one of the compassionate care education programs of the study.