In this study, we investigated how empathic neural responses unfold over time in different empathy networks when viewing same-race and other-race individuals in dynamic painful conditions. We recorded magnetoencephalography signals from Chinese adults when viewing video clips showing a dynamic painful (or non-painful) stimulation to Asian and White models' faces to trigger painful (or neutral) expressions. We found that perceived dynamic pain in Asian models modulated neural activities in the visual cortex at 100 ms-200 ms, in the orbitofrontal and subgenual anterior cingulate cortices at 150 ms-200 ms, in the anterior cingulate cortex around 250 ms-350 ms, and in the temporoparietal junction and middle temporal gyrus around 600 ms after video onset. Perceived dynamic pain in White models modulated activities in the visual, anterior cingulate, and primary sensory cortices after 500 ms. Our findings unraveled earlier dynamic activities in multiple neural circuits in response to same-race (vs other-race) individuals in dynamic painful situations.
Adult ; Humans ; Brain Mapping ; Pain ; Empathy ; Racism ; Gyrus Cinguli/physiology* ; Magnetic Resonance Imaging ; Brain/physiology*

Radical gastrectomy combined with perioperative comprehensive treatment is the main curable strategy for gastric cancer patients, and postoperative complications are the issue that gastric surgeons have to face. Complications not only affect the short-term postoperative recovery, but also facilitate tumor recurrence or metastasis, thus resulting in poor prognosis. Therefore, unifying the diagnostic criteria for postoperative complications, bringing the surgeons' attention to complications, and understanding the potential mechanism of complications undermining long-term survival, will be helpful to the future improvement of the clinical diagnosis and treatment as well as prognosis for gastric cancer patients in China. Meanwhile, surgeons should constantly hone their operative skills, improve their sense of responsibility and empathy, and administer individualized perioperative management based on patients' general conditions, so as to minimize the occurrence of postoperative complications and their influence on prognosis.
Humans ; Stomach Neoplasms/pathology* ; Empathy ; Neoplasm Recurrence, Local/surgery* ; Prognosis ; Gastrectomy/methods* ; Postoperative Complications/etiology* ; Surgeons ; Retrospective Studies

People as third-party observers, without direct self-interest, may punish norm violators to maintain social norms. However, third-party judgment and the follow-up punishment might be susceptible to the way we frame (i.e., verbally describe) a norm violation. We conducted a behavioral and a neuroimaging experiment to investigate the above phenomenon, which we call the "third-party framing effect". In these experiments, participants observed an anonymous perpetrator deciding whether to keep her/his economic benefit while exposing a victim to a risk of physical pain (described as "harming others" in one condition and "not helping others" in the other condition), then they had a chance to punish that perpetrator at their own cost. Our results showed that the participants were more willing to execute third-party punishment under the harm frame compared to the help frame, manifesting a framing effect. Self-reported anger toward perpetrators mediated the relationship between empathy toward victims and the framing effect. Meanwhile, activation of the insula mediated the relationship between mid-cingulate cortex activation and the framing effect; the functional connectivity between these regions significantly predicted the size of the framing effect. These findings shed light on the psychological and neural mechanisms of the third-party framing effect.
Empathy ; Female ; Gyrus Cinguli ; Humans ; Neuroimaging ; Pain ; Punishment/psychology*

Objective: To systematically evaluate the impact of psychological intervention on nursing staff' compassion fatigue. Methods: From March to May 2020, PubMed, Cochrane Library, EMbase, Web of Science, CNKI, VIP, Wanfang and other databases were electronically searched to collect randomized controlled trials (RCTs) on the influence of psychological intervention on nursing staff' compassion fatigue with the main search terms including compassion fatigue, nurs*, psychological intervention, mental intervention, RCT and so on from inception to March 31, 2020. Screened literature, extracted data and assessed the risk of bias of included studies. The Stata 16.0 software was used to calculate the pooled effectiveness of psychological intervention on nursing staff' compassion fatigue. Results: All 13 RCTs were enrolled, including 940 nursing staff. Meta-analysis results demonstrated that the psychological intervention group was superior to the control group in the improvement of the compassion fatigue score (SMD=-0.96, 95%CI: -1.17-0.74, P=0.001) , compassion satisfaction score (SMD=0.61, 95%CI: 0.45-0.77, P=0.002) , burnout score (SMD=-0.46, 95%CI: -0.62-0.29, P=0.006) , secondary trauma score (SMD=-0.40, 95%CI: -0.68-0.12, P=0.020) , and the difference was statistically significant. Subgroup analysis found that the psychological intervention group was more effective than the control group in improving compassion satisfaction score, reducing burnout score and secondary trauma score, and the differences were statistically significant (P<0.05) in different intervention time (<8 weeks and ≥8 weeks) and intervention methods. Conclusion: The psychological intervention can improve the level of compassion satisfaction, and reduce the compassion fatigue among nursing staff, and have a certain preventive effect on compassion fatigue.
Burnout, Professional/prevention & control* ; Compassion Fatigue/prevention & control* ; Empathy ; Humans ; Nursing Staff ; Psychosocial Intervention ; Quality of Life

Humans ; Empathy ; Brain Mapping ; Pain

Altruism ; COVID-19/epidemiology* ; Delivery of Health Care/ethics* ; Empathy ; Ethics, Medical ; Global Health ; Humans ; International Cooperation ; Physicians ; World Health Organization

Caring is the fundamental essence of nursing practice. Swanson's theory of caring provides the process of care for women who have experienced miscarriage. However, there is a gap in theory and knowledge in providing care to fathers experiencing a miscarriage. Studies have shown that the experience of fathers during a miscarriage is different from their wives. According to Jones et al (2019), fathers' experience during a neonatal loss is different from their partners. They feel isolated. Thus, men feel that they are disconnected from their partners, and also are not involved in the caring process, are overwhelmed by the situation, fathers feel that the role fathers play as a protector for their partner was not done well and they experience a lack of support from healthcare providers during that period. This concept of paternal care during a miscarriage is to help fathers who are experiencing neonatal loss by applying the appropriate nursing action to provide the necessary nursing care. The concept analysis methodology from Walker and Avant (2005) would define the concept, attributes, antecedents, consequences, cases, and empirical referent on paternal care during a miscarriage. This paper concludes that providing paternal care to fathers during miscarriage helps them deal with the loss and understand the process they are going through. Therefore, there is a need to develop a theory that provides the care process to fathers going through a miscarriage. Hence, the theory of paternal care during a miscarriage is proposed.
Abortion, Spontaneous ; Empathy ;

Virginia Henderson defined that the primary role of nurses for individuals, whether sick or well, is to assist them in regaining their health and promoting their independence in activities of daily living (Halloran, 2018). The gap that is noted in the definition of Henderson’s role of nurses is the lack of direction as to how will a nurse render care that is unique and satisfying to an individual, knowing that the demand of expectation rises. Thus, it motivated this paper to study the concept of the dynamic care nurse. This concept paper utilized Walker and Avant (2005) method of analysis. The attributes associated with the dynamic care nurse are (1) continuous learning; and (2) the utilization of best practices. The antecedents identified include (1) initiative, and (2) compassion (ICN, 2012, Hemberg et al., 2020, Kroning, et al., 2019). Dynamic care nurse exemplifies the attributes of continuous learning and the utilization of best practices. Nurses can bridge the gaps in the practice through these attributes and by possessing initiative and compassion, it is not by afar to achieve a better health care service and positive health outcomes.
Practice Guidelines as Topic ; Education, Continuing ; Nursing Care ; Empathy

This study was conducted to clarify the idea of caring for non-professional family caregivers and identify their vulnerabilities while caring for their patients. This concept was developed because of the non-availability of structured caregiving programs for nonprofessional family caregivers in the hospitals and community. This issue might lead to potential health and safety hazards for patients and caregivers. Nurses and non-professional family caregivers can co-create a safe and loving environment ideal for patient care. Nurses are essential to upholding the health and safety of non-professional family caregivers while developing their confidence and care performance. Moreover, training the non-professional family caregivers in the hospital and communities would promote safe and effective nursing practice in preparation for a smooth patient transition at home.
Caregivers ; Nursing ; Empathy ; Collaboration

The imposition of community quarantine due to COVID-19 transformed nursing campuses from traditional teaching and learning to flexible learning and distance teaching. The shift in the approach is a big challenge because teaching caring behaviors often require face-to-face patient interactions. This research note presents teaching and learning strategies in cultivating caring behaviors in nursing academia during the COVID-19 pandemic. Journals articles were read to identify teaching and learning strategies in cultivating caring behaviors. Strategies identified include simulation-based learning, advocacy, professional mentoring, and service-learning. Nursing is caring; despite the limitations posed by this pandemic, there are available teaching and learning strategies to cultivate caring behaviors. Considering the current context, flexibility, sensibility, and equity in teaching and learning should be of prime concern.
Empathy ; Education, Nursing ; Mentoring ; COVID-19