47 Figure 5 details the consequences which transpire when the five components (defining attributes) of compassion occur. A compassionate nurse is empathetic to the pain and suffering of her patients, which is vital to the patients’ well-being. Many questions arise around privacy, patient safety, those patients whose first language is not English, those people who are not digitally enabled, those with long-term conditions, mental health problems etc. and, if not, can it therefore be successfully promoted in practice.Reference Dewar Objectives The aim of this study was to … However, several high-profile inquiries into healthcare failures in the NHS suggest compassion is often absent in our hospitals. is having on the physical, emotional and social rudiments of their life.Reference Van Der Cingel Compassion; empathy; digital health; The devastating impact of COVID-19 has changed our day-to-day reality in a remarkably short timescale. Similarly, wildcards allowed for variances in spelling of common words, for example behavio#r or behavio?r. Reference Thorne, Kuo, Armstrong, McPherson, Harris and Hislop The literature utilised within this process has identified that there is no one agreed definition of compassion. Patients wanted to feel like their opinions, beliefs and preferences were not only known but valued by those responsible for their care.Reference Marchuck The PCN welcomes the move towards digital healthcare on the basis of a shared decision making and co-production model. 56 7 2 "metricsAbstractViews": false, Usher, Kim A study published by the Journal of Pain and Symptom Management has conducted the first empirically based clinical model of compassion in the treatment of advanced cancer patients. By Debra Wood, RN, contributor. Method: Study 1 (N = 58) had a quasi-experimental design and … Compassionate care has some dimensions including ethical, professional, effective communication, human, spiritual/religious and getting involve with patients. 30 John told Clive that it has sparked him and his girlfriend to think about their futures together and decided to get married. 35 1 Numerous definitions of compassionate care exist, incorporating a range of elements. Table 2 Resource categories used in concept analysis. Compassion in facilitating the development of person-centred health care practice. healthcare, ‘health profession*’, medic*, ‘clinical medic*’, ‘Medical car*’, ‘nurs* practice’, ‘allied health profession*’, ‘multidisciplinary team’, hospital*, ‘professional carer*’, ‘health service*’, ‘healthcare organisation’, ‘health person*’. All rights reserved. Tothova, V. In recent years, there has been a growing movement that recognizes the potential role of compassion and self-compassion practices in many fields, such as healthcare. stakeholders’ perspectives on compassion in healthcare and the development of a framework for compassionate interpersonal relations. , A building block approach as advocated by Booth (2008) provided a foundation to the search with the numerous facets connected or eliminated by the use of Boolean operators. The findings identify the complexity of the term and subjective nature in which it is displayed and in turn perceived. Classification of these not only enables the concept to be distinguished from other similar concepts,Reference Walker and Avant 49 Despite its putative centrality, including its institution in recent health care reform, an To promote quality research, originality, and utility in health care decisions in articles published in Value in Health. Introduction Compassion is a topic of great interest in recent healthcare research.1 Scholars, health professionals and patients across healthcare disciplines have agreed that compassion in health services is a necessary and critical component of healing.2–4 This value is reflected widely. Although most healthcare providers desire to provide compassion, and patients and families expect to receive it, an evidence-based understanding of the construct and its associated dimensions from the perspective of healthcare providers is needed. Compassion is an essential component of healthcare and in recent years there has been a drive to increase compassion awareness 1 within healthcare workers as a consequence of serious omissions in compassionate care 2.. Table 3 Defining attributes of compassion. Frank was attending his weekly review with the specialist radiographer; he had a review every week as part of his radiotherapy treatment for prostate cancer. 1.1 Launching the Journal of Compassionate Health Care With the launch of this new journal, we aim to address the concepts surrounding the notion of compassion and we hope that it will contribute to broader discussions of such Bleiker, Jill The central point of the patient-centred model of doctor–patient relationship is that medical competency should not be reduced to technical expertise, but must include relational moral competency, particularly empathy, compassion and trust.1, [Compassion includes] empathy, respect, a recognition of the uniqueness of another individual, and the willingness to enter into a relationship in which not only the knowledge but the intuitions, strengths, and emotions of both the patient and the physician can be fully engaged.2. Araneda Bernal, J. Reference Horsburgh and Ross 17 Walker and Avant’s eight-step model was used as the framework for the concept analysis. He’d been worried for some time about problems he was experiencing with his erection and had wanted to ask someone for a while but he had felt too embarrassed. All of these were deemed to display commitment and devotion by the health professional to what was being said, the significance of the topic and therefore demonstrated they were vested in them.Reference Marcum Despite its putative centrality, including its institution in recent health care reform, an empirical understanding based on the perspectives of patients, the recipients of compassion, is lacking-making compassion one of the most referenced yet poorly … Feature Flags last update: Fri Dec 04 2020 15:59:13 GMT+0000 (Coordinated Universal Time) "subject": true, healthcare provider(e.g.,personalandprofessionalwell-being and quality of life). Feature Flags: { Most importantly, digital health systems can empower and engage patients, making them co-designers of care and an integral part of the care team. 46 9, 10, 57 Smajdor 50 conflates compassion with emotional empathy and links it with distress and burnout. Part 1, Promoting compassionate care through learning journeys, The concept of caring: perceptions of radiation therapists, Compassion fatigue within nursing practice: a concept analysis, A concept analysis of compassionate midwifery, https://www.hee.nhs.uk/our-work/developing-our-workforce/clinical-academic-careers, https://www.youtube.com/watch?v=Be_nIItj8bs. 33 "isLogged": "0", , Reference Schapira, Lawrence, Blaszkowsky, Cashavelly, Kim, Riley, Wold, Ryan and Penson Full text views reflects PDF downloads, PDFs sent to Google Drive, Dropbox and Kindle and HTML full text views. To understand what compassion is and how it is displayed within a healthcare context by health professionals. Figure 4 Compassion’s defining attributes and their antecedents. , 38, One of the five defining attributes of compassion was a personal connection between the two parties.Reference Thorne, Kuo, Armstrong, McPherson, Harris and Hislop These provided background and rationale for the project in addition to helping to understand what is meant by compassion in healthcare. listening with full attentionReference Van Der Cingel Compassion involves sensitivity, recognition, understanding, emotional resonance, empathic concern and tolerance for the suffering of others, along with motivation and relational action to ease it (Gilbert, 2014; Jinpa, 2015 engaged body language,Reference Marchuck The compassion of healthcare workers towards patients is widely recognized, but research suggests a dearth of compassion among co-workers. and self-compassion.Reference Reyes } further amplified following a number of high-profile incidents in the UK where inadequate care and compassion reduced the quality of life of patients, with some instances resulting in death. Foundations, Techniques and Applications, A personal nursing philosophy in practice, Compassion in care: a qualitative study of older people with a chronic disease and nurses, ‘A patchwork of services’ – caring for women who sustain severe perineal trauma in New South Wales – from the perspective of women and midwives, Care and competence in medical practice: Francis Peabody confronts Jason Posner, Why physicians need to be more than automated medical kiosks, ‘Being known’: patients’ perspectives of the dynamics of human connection in cancer care, Care and compassion: the experiences of newly qualified staff nurses, Compassionate care for patients with complex regional pain syndrome, Communication: common challenging scenarios in cancer care, Conveying compassion through attention to the essential ordinary, Bereaved parents and siblings offer advice to health care providers and researchers, Clinical care for sexual assault survivors multimedia training: a mixed-methods study of effect on healthcare providers’ attitudes, knowledge, confidence, and practice in humanitarian settings, A window on professionalism in the emergency department through medical student narratives, Compassion: an evolutionary analysis and empirical review, Climbing Everest: oncology work as an expedition in caring, Acknowledging the person in the clinical encounter: whole person care for patients and clinicians alike. 29 Sacco TL, Copel LC (2018) Compassion satisfaction "metrics": true, Compassion and self-compassion in medicine: Self-care for the caregiver Jason Mills,1 Michael Chapman2 1. Reference Bynum However, a saturation of themes occurred across all of resource categories denoting that further resources would not have brought additional themes to the analysis. Reference Straughair Rousou, E. Providing high-quality compassionate care is a fundamental aim of the helping professions. Muñoz‐Salinas, M. They brought teams into the laboratory, had them perform a wide variety of tasks [6, 9], and found that … 34 Compassion is a central construct of quality healthcare. and facial expressions which matched the subject of conversation.Reference Priddis, Schmied, Kettle, Sneddon and Dahlen The other five terms were excluded from this concept analysis. This inborn emotion fosters interconnectedness and, as a result, brings deep satisfaction to both the giver and the recipient. , 32, 4, 60-69. doi: 10.7748/ns.2017.e10895. Towards the end of his review the radiographer asked him if there was anything else she could help him with. Their eight-step process (Table 1) was modified and simplified from Wilson’sReference Wilson The compassion of healthcare workers towards patients is widely recognized, but research suggests a dearth of compassion among co-workers. 33 26 She recalled her nurse ran her bath it was a hot, deep, bubbly bath, just the way she liked it (4, 5). Ngunyulu, R.N. Most include a cognitive element: understanding what is important to the other by exploring their perspective; a volitional element: choosing to act to try and alleviate the … Oter‐Quintana, C. allowing for the synthesis of existing views, enabling it to be distinguished from other similar and associated concepts thus resolving gaps or inconsistencies in the knowledge base of the discipline.Reference Knafl and Deatrick 1, 3, 4 Compassion is prominently featured in professional organizations' codes of ethics, 5, 6 including the first principle of the American Medical Association code of ethics which states, “A physician shall be … As we move into the NHS recovery and reset mode, the Royal College of Physicians’ (RCP's) Patient and Carer Network (PCN) has started the process of considering the detailed implications for patient-centred care within a digital healthcare … Context: Compassion is frequently referenced as a hallmark of quality care by patients, health care providers, health care administrators, and policy makers. 57 Tolentino‐Diaz, M. Y. Value-based healthcare is a healthcare delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes. 35, Compassionate behaviours included being provided with clear, non-jargon, individual patient-tailored information, being given time and the opportunity to ask questions, not being spoken over, the professionals asking questions of them about their preferences and level of understanding.Reference Priddis, Schmied, Kettle, Sneddon and Dahlen Kate was deteriorating; she had been diagnosed with advanced cancer and had been admitted to hospital, very ill with a serious infection. Eldar‐Regev, O. Faculty of Nursing and Midwifery, The University of Sydney 2. , 33 Reference Bleiker, Knapp, Hopkins and Johnston 37 Furthermore, it may be argued that the use of Twitter did not align with the original aim to review compassion within a healthcare context. This contributed to the development of behaviours and attributes associated with compassion, forming the basis of the antecedents. Skip to Main Content Skip to Search. 1. 23 The nurse who was looking after her could see (1) how vulnerable and frightened Kate was, so he gently placed his hand on her arm, knelt down beside her bed (2) and said to Kate we’re going to look after you (3). 2020. Published online by Cambridge University Press:  Compassion – both giving and receiving it – entails an emotional response.3. Their eight-step process was modified and simplified from Wilson’s Reference Wilson 24 original model and provides a more pragmatic and procedural format than other models which often place more emphasis on the philosophical and conceptual approaches. The radiographer exited the room into the main waiting area; leaving Frank sat alone with the door open. 18 The literature examined identified compassion in healthcare as comprising of five defining attributes (Figure 3 and Table 3). accepted use of the concept within healthcare: Compassion, Compassionate, Compassionate-care, Compassion satisfaction, Compassionate practice and compassionate caring. Nortvedt, L. Compassion fatigue and self-compassion (inner compassion) are heavily discussed in relation to compassion and compassionate care, but their focus is on the self rather than towards another. 14 46, Cutting across both verbal and non-verbal display was a display of warmth through touch, tone of voice and body language. 23 , ∙ reviewed compassion outside of healthcare practice, ∙ investigated/reported approaches to reduce compassion fatigue, ∙ solely addressed the management of patients receiving end of life/palliative medicine, ∙ related to professional practice issues outside of compassion, for example, medical errors which are not due to poor compassionate care. The databases were searched from October 2015 to June 2016 using a comprehensive search strategy and inclusion/exclusion criteria were applied to ensure only papers relevant to healthcare and with a focus on compassion were included (Appendix). Reference Goetz, Keltner and Simon-Thomas Informed by shared experiences of healthcare practice and authors' expertise, the reader is provided with an essential toolkit for developing a holistic, reflective, sensitive, value based approach to communicating in health care. Reference Santen and Hemphill Compassionate behaviours included eye contact,Reference Saunders Journal of Health Care Chaplaincy, Volume 26, Issue 4 (2020) Articles . Numerous recommendations were formulated following these transgressions, the most pertinent being that the NHS needs to put the patient first, ensuring that they receive services from caring, compassionate and committed staff. 27, Table 1 Eight steps of Walker and Avant’s concept analysisReference Walker and Avant , By demonstrating compassion, you provide your patients with the support and confidence they need to prepare for a … 23 By raising awareness of these concepts, as well as the challenges and changing nature of compassion, it is hoped that nurses’ capacity to provide compassionate care will be enhanced. On another evening she mentioned to the nurse that she had been struggling to sleep to which the nurse had replied don’t sit awake in the night, just buzz me and I’ll come and sit with you until you fall back to sleep (4, 5). The necessity to develop and subsequently utilise caring and compassionate behaviour within the healthcare workforce is central to radiographers’ professional policy and practice Commentary on Chochinov et al, Exploring compassion: implications for contemporary nursing. 25 Compassion represents a family of other-oriented emotions that includes empathic concern, caring, and tenderness for one who is suffering [ 1 ]. PLOS Medicinepublishes research and commentary of general interest with clear implications for patient care, public policy or clinical research agendas. Leaders in Health Care: Natalie Eddington and Leah Sera, University of Maryland School of Pharmacy. The pilot projects associated with the RCP's Future Hospital Programme have demonstrated many good examples of best practice. Therefore, findings will be transferable to all health professions where treatment and patient-centred care is an essential requirement of the role. Analysis of the literature provides understanding of the defining attributes of the concept,Reference Walker and Avant Warmth made patients feel comfortable and gave the feeling of being ‘cared for’ even if the health professional was not actively involved in their treatment.Reference Horsburgh and Ross Increases in patient complaints authenticated by Care Quality Commission reports of substandard care have raised concerns of malpractices, poor care and neglect. Total loading time: 1.055 Reference Santen and Hemphill Kate was distressed and felt very poorly. 7 Pages: 131-158. 7. and Studies comparing and contrasting patients’ perspectives of sympathy, empathy, and compassion are largely absent. 16 23. a 23, No. A Review of Outcome Studies. Figure 5 Consequences of the five components (defining attributes) of compassion. Lopez‐Diaz, A. L. Indeed, workplace bullying and negative employee outcomes are over-represented in the healthcare sector (including burnout and … Amanda.Henderson@health.qld.gov.au. Compassion is frequently referenced as a hallmark of quality care by patients, health care providers, health care administrators, and policy makers. Compassion and compassionate care are central to radiographers’ professional policy and practice and are congruent with the core values of the National Health Service (NHS) Constitution. Note the emphasis on the softer but crucially important elements of the interaction, and the implication that it's not a ‘one-way street’. Both Twitter and the dictionary definitions underpinned the review, clarified compassion outside of the healthcare environment by identifying patterns of useReference Cronin, Ryan and Coughlan Compassion is an element of care often referred to as major indicator on the quality of care that patients receive. and in the United Kingdom (UK) is congruent with the core values of the National Health Service (NHS) Constitution. • In pediatrics, compassion involves communication, continuity, and coordinated care. Compassion for those who suffer is fundamental to the purpose of healthcare. Abstract Objective: Two studies examined the efficacy of the Self-Compassion for Healthcare Communities (SCHC) program for enhancing wellbeing and reducing burnout among healthcare professionals. Figure 1 displays the stages of the review process. , Jackson, Debra Our focus will be to ensure that the emphasis is upon benefits for patients and carers, and that appropriate safeguards are built in to avoid pitfalls, especially for those who are vulnerable or disadvantaged. We need health professionals who are technically competent, but who can also demonstrate the virtues of compassion and empathy. Digital healthcare represents a cultural change as much as a technical change.

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