Recontextualizing Empathy: Empowerment Communication of Caregivers in a Social Nursing Home Setting

Authors

  • Nela Rizqilillah Universitas Padjadjaran
  • Deddy Mulyana
  • Yanti Setianti

DOI:

https://doi.org/10.33822/jep.v9i2.14191

Keywords:

Empathy, Empowerment communication, Caregivers, Social nursing home, Eldery autonomy

Abstract

The aging population phenomenon in Indonesia has led to an increasing need for long-term care services for the elderly, particularly within formal institutions such as social nursing homes. In this context, empathy is often understood as an affective response manifested as protection and total assistance from caregivers to the elderly. However, such an understanding has the potential to foster paternalistic relationships that may actually undermine the functional autonomy of the elderly. This article aims to explore and recontextualize the empathic communication practices of caregivers in social nursing homes through an empowerment lens. This research utilizes a qualitative approach, employing in-depth interviews and observations of caregivers and administrators at a social nursing home. The findings indicate that caregivers consistently encourage the elderly to remain independent in their daily activities, a practice interpreted as an attitude of tega. This represents a form of active empathy oriented toward empowerment rather than indulgence. Such communication practices are shown to contribute to the maintenance of physiological self-reliance as well as the psychological well-being of the elderly. This article offers a recontextualization of empathy, shifting from emotional resonance to wisdom in action, while proposing empowerment communication as a contextually grounded empathic framework in the context of geriatric care.

References

Adhrianti, L., Cucu, N., & Gritary, S. (2024). Therapeutic Communication in Midwife Counseling in the Implementation of Keluarga Berencana (KB) Services at the Lingkar Timur Public Health Center Bengkulu City. Ekspresi dan Persepsi : Jurnal Ilmu Komunikasi, 7(3), 554–569. https://doi.org/10.33822/jep.v7i3.6726

Badan Pusat Statistik (BPS). (2018). Proyeksi Penduduk Indonesia 2015–2045 (Hasil SUPAS 2015).

Castro, E. M., Van Regenmortel, T., Vanhaecht, K., Sermeus, W., & Van Hecke, A. (2016). Patient empowerment, patient participation and patient-centeredness in hospital care: A concept analysis based on a literature review. Patient Education and Counseling, 99(12), 1923–1939. https://doi.org/10.1016/j.pec.2016.07.026

Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113–126. https://doi.org/10.1037/0022-3514.44.1.113

Deci, E. L., & Ryan, R. M. (2000). The “What” and “Why” of Goal Pursuits: Human Needs and the Self-Determination of Behavior. Psychological Inquiry, 11(4), 227–268. https://doi.org/10.1207/S15327965PLI1104_01

Denzin, N. K., & Lincoln, Y. S. (2018). The SAGE Handbook of Qualitative Research. SAGE Publications.

Di Malta, G., Cooper, M., O’Hara, M. M., Gololob, Y., & Stephen, S. (2024). The handbook of person-centred psychotherapy and counselling. Bloomsbury Academic.

Direktorat Statistik Kesejahteraan Rakyat. (2023). Statistik Penduduk Lanjut Usia 2023. Badan Pusat Statistik.

Fernández-Ballesteros, R., Sánchez-Izquierdo, M., Olmos, R., Huici, C., Ribera Casado, J. M., & Cruz Jentoft, A. (2019). Paternalism vs. Autonomy: Are They Alternative Types of Formal Care? Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.01460

Höglander, J., Eklund, J. H., Spreeuwenberg, P., Eide, H., Sundler, A. J., Roter, D., & Holmström, I. K. (2020). Exploring patient-centered aspects of home care communication: a cross-sectional study. BMC Nursing, 19(1), 91. https://doi.org/10.1186/s12912-020-00483-1

Jack, K. (2022). Demonstrating empathy when communicating with older people. Nursing Older People, 34(1), 16–22. https://doi.org/10.7748/nop.2022.e1378

Liu, Z., Heffernan, C., & Tan, J. (2020). Caregiver burden: A concept analysis. International Journal of Nursing Sciences, 7(4), 438–445. https://doi.org/10.1016/j.ijnss.2020.07.012

Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative Data Analysis : A Methods Sourcebook. SAGE Publications, Inc.

Miller, W. R., & Seligman, M. E. (1975). Depression and learned helplessness in man. Journal of Abnormal Psychology, 84(3), 228–238. https://doi.org/10.1037/h0076720

Moilanen, T., Kangasniemi, M., Papinaho, O., Mynttinen, M., Siipi, H., Suominen, S., & Suhonen, R. (2021). Older people’s perceived autonomy in residential care: An integrative review. Nursing Ethics, 28(3), 414–434. https://doi.org/10.1177/0969733020948115

Ortman, J. M., Velkoff, V. A., & Hogan, H. (2014). An Aging Nation: The Older Population in the United States.

Patton, M. Q. (2015). Qualitative Research & Evaluation Methods (4th ed.). SAGE.

Rogers, C. R. (1951). Client-Centred Therapy : Its Current Practice, Implications And Therapy. Constable.

Rohimakumullah, M. A. A., Wisudawaty, H., Abdurrahman, M. S., Wahyuni, H. S., & Quddus, Z. A. (2025). In-Depth Analysis of Patient Experiences Through Health Communication. Ekspresi dan Persepsi : Jurnal Ilmu Komunikasi, 8(1), 13–23. https://doi.org/10.33822/jep.v8i1.9443

Rosihan, A., Sarwono, B. K., & Pasandaran, C. C. (2026). Negotiating Health Communication and Cultural Logics in Geographically Isolated Indonesia. Ekspresi dan Persepsi : Jurnal Ilmu Komunikasi, 9(1), 1–18. https://doi.org/10.33822/jep.v9i1.13181

Routledge, C., & Vess, M. (2019). Handbook of Terror Management Theory. Academic Press, an imprint of Elsevier.

Sinclair, S., Beamer, K., Hack, T. F., McClement, S., Raffin B. S., Chochinov, H. M., & Hagen, N. A. (2017). Sympathy, empathy, and compassion: A grounded theory study of palliative care patients’ understandings, experiences, and preferences. Palliative Medicine, 31(5), 437–447. https://doi.org/10.1177/0269216316663499

Suzina, A. C., & Tufte, T. (2020). Freire’s vision of development and social change: Past experiences, present challenges and perspectives for the future. International Communication Gazette, 82(5), 411–424. https://doi.org/10.1177/1748048520943692

Vansteenkiste, M., Ryan, R. M., & Soenens, B. (2020). Basic psychological need theory: Advancements, critical themes, and future directions. Motivation and Emotion, 44(1), 1–31. https://doi.org/10.1007/s11031-019-09818-1

Wiseman, T. (1996). A concept analysis of empathy. Journal of Advanced Nursing, 23(6), 1162–1167. https://doi.org/10.1046/j.1365-2648.1996.12213.x

World Health Organization. (2022, December 1). Long-term Care. WHO. https://www.who.int/europe/news-room/questions-and-answers/item/long-term-care

Yulianti, Putri, D. W., & Hamdan, S. R. (2025). Variations of Elderly Communication: Conversations and Conformity with Children, in-Laws, and Grandchildren. Ekspresi dan Persepsi : Jurnal Ilmu Komunikasi, 8(2), 120–135. https://doi.org/10.33822/jep.v8i2.9490

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Published

2026-05-31

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