Empathy is a fundamental concept in health care and nursing. In academic literature, it has been primarily defined as a personal ability, act or experience. The relational dimensions of empathy have received far less attention. In our view, individualistic conceptualizations are restricted and do not adequately reflect the practice of empathy in daily care. We argue that a relational conceptualization of empathy contributes to a more realistic, nuanced and deeper understanding of the functions and limitations of empathy in professional care (...) practices. In this article, we explore the relational aspects of empathy, drawing on sources that offer a relational approach, such as the field of care ethics, the phenomenology of Edith Stein and qualitative research into interpersonal and interactive empathy. We analyse the relational aspects of three prevalent components of empathy definitions: the underlying ability or act (i.e. the cognitive, affective and perception abilities that enable empathy); the resulting experience (i.e. empathic understanding and affective responsivity) and the expression of this experience (i.e. empathic expression). Ultimately, we propose four inter‐related understandings of empathy: (a) A co‐creative practice based on the abilities and activities of both the empathizer and the empathee; (b) A fundamentally other‐oriented experience; (c) A dynamic, interactive process in which empathizer and empathee influence each other's experiences; (d) A quality of relationships. (shrink)

Background: More and more adults in their fifties and sixties are confronted with the need to support their ageing parents. Although many aspects of filial caregiving have been researched, a well-documented and comprehensive overview of the caregiving experience is lacking. Aim: This study aims for a better understanding of the caregiving experience of adult children by generating an overview of main themes in international research. Method: A literature review of qualitative studies, focusing on the experiences of adult children caring for (...) their ageing parents, was performed. The electronic EBSCO databases Academic Search Premier, CINAHL and PsycINFO, and Google Scholar were searched to identify relevant qualitative studies published between 2000 and 2017. The ‘SPIDER’ eligibility criteria directed the approach. The quality of studies included was screened with the assessment sheet designed by Hawker and colleagues. The experiences reported were analysed and themes were synthesized. Ethical consideration: Ethical requirements were respected in every phase of the research process. Findings: Nineteen qualitative studies met the inclusion criteria. The quality of the relationship with the parent appears to be an important determinant of the children’s caregiving experience. Within this context, three themes were found: caregiving as an emotional rollercoaster, a normatively demanding experience and an opportunity for personal development. Discussion: Children caring for their ageing parents have to deal with a wide range of contradicting and conflicting norms and values. Implications for healthcare professionals and future research have been discussed. Conclusion: Caring for ageing parents is a continuous quest for giving the best possible care and living up to one’s personal values, within the context of the parent’s declining health. Professionals who support filial caregivers should address not only practical responsibilities but also the normative questions and moral considerations caregivers are dealing with. (shrink)

In recent years, reports on youth sports excesses and abuses of minors underscore the need for a safer sport environment. However, the way in which parents guide their children in dealing with winning and losing in sports is less understood. A care ethical inquiry into sport parenting might contribute to a better understanding of the role parents play in creating a safe sport environment for their children. This study applies theoretical perspectives from care ethics into practical context focusing on the (...) relationship between parents and their sporting children through the lens of relational identity. An interpretative phenomenological study was conducted into the meaning of competitiveness amongst Dutch parents of children aged eleven and twelve, who play hockey and are in the midst of transitioning from sport as a game to competitive sport. This article concludes that the meaning of competitiveness for these parents is twofold. On the one hand there is a desire to be proud of your child’s success, fuelled by meritocratic ideals. On the other hand, parents desire their child’s ongoing commitment to sport, which they consider a return investment for the sacrifices they make to support their child’s sport participation. From a care ethical stance of relational responsibility, parents should not solely view sport as a quid pro quo concept in which desires are fulfilled or battles settled, but rather as a game that is enjoyed by both parents and children. Mature sport parenting can only emerge once the tensions resulting from parental sacrifices on the one hand and the child’s loyalty to meet parental expectations on the other are overcome through dialogue and reflection, aimed at elucidating responsibilities within the relationship. More research is needed to gain insight into the significance of this relational connection for the youth sports climate. (shrink)