The design of compassionate care (original) (raw)
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A Concept Analysis of Compassion in Healthcare Practice
University of Plymouth, 2020
The literature review was carried out following searches of relevant health related databases and once relevant inclusion and exclusion criteria had been met, the resultant literature (n = 160) was analysed using the evolutionary method detailed by Rodgers (2000). Healthcare staff (n = 23) were recruited and asked to recount a story of when either they or a colleague had behaved in a compassionate way within a healthcare setting. Service users (n = 14) were also recruited and asked to tell their story of when they had experienced compassionate care. The data from both cohorts of study participants was then analysed using a phenomenological approach based on a modified version of the methodology described by Moustakas (1994). The final concept is based on a synthesis of the findings from the literature review with those of the fieldwork elements of the study. Analysis of this data has demonstrated that compassion can be defined, that much that is written about allied subjects can be seen as synonymous and that the antecedent conditions needed to enable compassion can be described. Importantly, for future practice, education and research, compassionate behaviours and attributes have been identified.
Journal of clinical nursing, 2015
To report findings from a qualitative study of key stakeholders' perspectives on 'compassion' in the health care context. To present the 'Framework for Compassionate Interpersonal Relations'. Although many research articles, health policies and health care strategies identify compassion as an underpinning value and key component of health care quality, identifying a unified definition of compassion is challenging. For Higher Education Institutions implementing 'values-based' recruitment processes, a clearer understanding of this core concept is vital. Exploratory, qualitative design. Academic staff, health care students, clinicians and service users (n = 45), participated in nine focus groups where they were asked to define compassion in the context of health care. Data were transcribed verbatim and analysed using thematic analysis. Four overarching themes were drawn from the data. The first theme centred on the participants' definitions of compassion...
Health Professions Education, 2017
Concerns have been periodically raised about care that lacks compassion in health care settings. The resulting demands for an increase in consistent compassionate care for patients have frequently failed to acknowledge the potentially detrimental implications for health care professionals including compassion fatigue and a failure to care for oneself. This communication suggests how mindfulness and self-compassion may advance means of supporting those who care for a living and extends the call for greater compassion to include people working within a contemporary health care setting in the United Kingdom. The potential benefits for both health professionals and patients is implied, and may well help to create a healthier, more authentically compassionate environment for all. & 2016 King Saud bin AbdulAziz University for Health Sciences. Production and Hosting by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Concerns about deficits of compassionate practice in contemporary UK health care have been widely discussed in policy reports, research and media. 1 To address these concerns, a number of policy directives and training have been planned and actioned including value based recruitment , 2 an e-learning program called Compassion in Practice 3 and the adoption of the 6 C's as part of a national strategy i.e., Care, Compassion, Competence, Communication, Courage and Commitment. 4,5 Therefore, the expectation for UK NHS staff to act compassionately is now mandatory, whether it is possible to train people to become (more) compassionate is a separate issue that has been explored in the literature. 6 The emerging question now is how can staff be enabled and supported to consistently act with compassion towards their patients without detriment to their own wellbeing. Recent suggestions and directives aimed at improving the health and wellbeing of healthcare workers, 7 whilst having the primary aim of reducing staff absence, could also be seen as a way of demonstrating care for NHS staff. These initiatives include plans to www.elsevier.com/locate/hpe http://dx.
Compassion: a scoping review of the healthcare literature
Background: Recent concerns about suboptimal patient care and a lack of compassion have prompted policymakers to question the preparedness of clinicians for the challenging environment in which they practice. Compassionate care is expected by patients and is a professional obligation of clinicians; however, little is known about the state of research on clinical compassion. The purpose of this scoping review was to map the literature on compassion in clinical healthcare.
Compassion Versus Care in Healthcare Institutions: What’s the Difference?
IntechOpen Book Series, 2021
In February 2013, the Francis Report outlined what it described as ‘systematic failings’ at Mid Staffordshire NHS Foundation Trust resulting in the death and suffering of many patients through neglect (in the UK context, hospitals can apply to gain foundation trust status. Foundation trust hospitals are part of the National Health Service (NHS) but are not directed by central government and have greater freedom to decide the way services are delivered. They adhere to core NHS principles of free medical treatment based on need and not the ability to pay.) A lack of compassion, particularly among nursing staff, was identified as one of the contributing factors to poor care. The NHS was founded on the core value of compassion that today is one of six values all NHS staff are expected to demonstrate. Frequently invoked as a means to ensuring good patient care, it is a concept that is contested by a number of writers who argue that such moral emotions are not only unnecessary but dangero...
Compassion in 21st century medicine: Is it sustainable?
Clinical Ethics, 2013
Philosophical and scientific understandings of compassion converge, both stressing its necessity for the moral life and human flourishing. I conceptualise a dynamic and frangible account of professional virtues, including compassion, and propose that mechanistic organisational systems of care and the biomedical paradigm create a strong risk of dehumanisation and the obliteration of compassion in healthcare. Additionally, the neoliberal market ideology, with its instrumental approach to individuals and commodification of healthcare creates a corrosive influence that alienates clinicians from their patients and severely curtails the scope for compassionate practice. The tension between efficiency and patient orientated care -although they need not be mutually exclusive -has become more acute in the current economic climate, at a time when the boundaries of medicine have broadened and expectations for healthcare have risen. This has created an unsustainable dynamic within which alienated healthcare professionals struggle to fulfil their healing roles and patients experience abandonment and more anxiety.
Compassion: Wherefore Art Thou?
International Journal of Practice-based Learning in Health and Social Care, 2014
Compassion is a health professional value that has received a lot of attention recently. In this paper we consider the nature of compassion, its definition and its expression in practice. We further link compassion to patient-centred care. There is debate about whether compassion can be learned, and therefore assessed. There are similar discussions in relation to 'professionalism' and the effects of the hidden curriculum. We conclude that compassion is everyone's business and that learners require early and sustained patient and client contact with time for reflection to enable the delivery of compassionate care.
Ceeing compassion in care: more than ‘Six C'S’?
Nursing Philosophy, 2015
The delivery of care with compassion has been a priority for healthcare professionals for a number of years and is epitomised in the "6 c's" of care. However, the findings of a number of recent reports have highlighted the importance of ensuring that patients consistently receive care with compassion. This article proposes a broader conceptualisation of compassion in practice with many more "c's" as a more effective way of ensuring that patient consistently receive safe, high quality care with compassion.