Both HCP and patient participants emphasized clinical role-modeling, by compassionate HCPs, as being a salient means for improving compassion [50, 72, 80, 83, 100, 106]. Sinclair S, Jaggi P, Hack TF, McClement S, Raffin Bouchal S, Singh P. Assessing the credibility and transferability of the patient compassion model in non-cancer palliative populations. The lack of a sufficiently robust compassion measure in this and other intervention studies has been a significant impediment in the advancement of the field and the validity of these compassion interventions, further conflating the concepts of compassion and empathy in the process. Apart from the original scoping review [1] and a more recent review targeting compassion in the pediatric population [58], no other completed knowledge synthesis reviews were identified on this topic. Singh P, Raffin-Bouchal S, McClement S, Hack TF, Stajduhar K, Hagen NA, et al. For example, while there were similarities in how Greek and Cyprus participants perceived compassion, differences also persisted in their definitions, with more than half of the Cyprus participants defining compassion as empathy and kindness, whereas Greek participants were more likely to define it as a deep awareness of the suffering of others and a wish to alleviate it [88]. A few studies noted some subtle differences in the expressed relational needs of females versus males, which may impact compassion. patients and/or family members) (n=11). Compassion can be described as, feeling sympathy for someone else's misfortune (WordReference, 2015, cited in . Early in the pandemic, video conferencing became the only way many of us could work, socialize, see a doctor or take a yoga class, among many other activities. In contrast, clinicians in a study conducted by Roze des Ordons et al. With respect to the literature on challenges and enablers of compassion within practice settings, time constraints, workloads, and staff shortages, remained a prevalent issue in this updated review, as was the case in our original review [7274, 77, 79, 81, 84, 92, 94, 95, 100, 101, 106, 112]. . Can compassion be taught? [. More than half of the studies (n=30; 60%) identified various educational and/or practice-setting challenges and enablers to compassion (Table (Table3),3), with 11 studies specifically identifying the exploration of barriers and facilitators to compassion in hospital, critical care, palliative care, intensive care, mental health, acute care, long-term care, and medical-surgical contexts as a primary study aim [67, 68, 7274, 76, 84, 92, 100102]. Research published by the U.S. National Institutes of Healths National Library of Medicine (NIH/NLM) states that, The delivery of high quality compassionate care is also a significant patient reported outcome, which positively affects a patients perception of care and quality of life, while mitigating against patient complaints and malpractice suits.. Having even the slightest tone of sarcasm, irritation, or hostility in your voice when interacting with a patient will have noticeable effects on a patients trust in their caregivers. Utilizing a narrative synthesis approach, data were mapped onto the categories, themes, and subthemes that were identified in the original review. These terms, however, did not show up consistently in the 44 included studies of the original review and as such, were not included into the refined updated search strategy. Use phrases that validate their feelings such as I understand when they express anxiety or even if they lash out. mothers admitted to the Mother and Baby Unit) (, Hospital - Palliative care unit and hospital palliative care consult service, Women patients who self-identified as recipients of compassionate midwifery care during their pregnancy (, Acute care; Longterm care; Hospice; Home care. Raising the bar: the shape of caring review. The undercurrent of grief and loss Nurses and nursing staff treat everyone in their care with dignity and humanity - they understand their individual needs, show compassion and sensitivity, and provide care in a way that respects all people equally. Findings from Brennan et al. personal attitudes, virtues) as catalysts, but not preconditions to providing or enhancing compassion [45, 76, 80, 98, 106]. As such, systematic reviews, books, chapters, letters, commentaries, editorials, dissertations/theses, conference abstracts, and case studies were excluded [1]. If they seem concerned, scared, or anxious, recognize it. The effect of organizational and personal variables on the ability to practice compassionately. What was your patient's reaction? Antibiotics After Breast Cancer Linked to Poorer - Stanford Health Care PDF Status of Compassionate Health Care Practice and Associated Factors in The importance of compassion and respectful care for the health 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. A previous review on compassion in healthcare (1988-2014) identified several empirical studies and their limitations. Sustaining Compassion in Health Care - Greater Good Leaders for Compassionate Care Programme (LCCP): To embed and sustain a culture of compassionate care within the reality of modern health care environments, 1 group longitudinal (Mixed methods; 2 phases), 2 group (intervention or control) pre-post (quantitative), Creating Learning Environments for Compassionate Care. Demonstrate the ability to think critically and solve problems quickly to achieve high-yielding results in patient satisfaction and care. This entailed not only being physically present with the patient and addressing their medical needs, but seeking to understand their unique needs (e.g. Leo Buscaglia observed, Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around. From sharing real-life anecdotes with patients to respecting patients choices, there are a multitude of ways to be sensitive to patient needs and show compassion. Before Similar to the previous scoping review [1], perspectives on compassion were presented from either patients or HCPs, or a combination of participants (i.e. (2017) contained two eligible studies and have been reported herein separately [67, 68], Summary of studies that explored either perspectives of compassion or compassion interventions in healthcare. More efficacious and evidence-based interventions or training programs tailored towards improving compassion for patients in healthcare is required. Patience is a VirtueIts easy to get frustrated when juggling patients or having a chaotic workday. holding a patients hand, giving a back rub, placing a hand on the patient, healing touch, or human touch) to be paramount to relieving ones suffering and offering a sense of healing and comfort [87, 88]. Additionally, in a study by Tierney et al. National Library of Medicine 15 Words and Phrases for Compassionate Care - Power Thesaurus Congruent with our original review, the following databases were searched: MEDLINE(R) and Epub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily 1946 to November 16, 2020 (OVID), Embase 1974 to 2020 November 25 (OVID), EBM Reviews - Cochrane Central Register of Controlled Trials October 2020 (OVID), APA PsycInfo 1806 to November Week 32,020 (OVID), CINAHL Plus with Full Text (Ebsco), Academic Search Complete (Ebsco), and Scopus (Elsevier). What are healthcare providers' understandings and experiences of Patients and HCPs stipulated action-based components of compassion as quintessential, particularly those directed at proactively alleviating patient suffering and addressing their needs through tangible means [6, 44, 45, 50, 73, 81, 95, 101, 110, 111], whilst considering sensitivity to the patients condition [6, 45, 103]. Even the smallest of responses can convey compassion greeting patients with a smile or simply making eye contact. 1,2 Clinicians, policymakers, patients, and their families are calling for healthcare providers to move beyond the delivery of services and to more explicitly consider the preferences, needs, and values of the persons receiving these services. Teach Learn Med. Curricula for empathy and compassion training in medical education: a systematic review. Although this study and others focus exclusively on enhancing elements of affective compassion in HCPs [75, 93], viewing common humanity scenarios and interventions focused on perspective-taking of HCPs towards patients, fails to address the multiple domains that comprise compassion and the potential benefit of interventions aimed at enhancing patient perspective-taking towards HCPs [6, 45, 61]. ), for the sake of feasibility and in recognition that barriers and facilitators to compassion in healthcare primarily occur in ongoing clinical practice [60, 61]. Getting to know the patient and going through a process of knowing through recurrent interactions and building rapport was important to both patients and HCPs alike [84, 87, 98, 112]. Compassionate care makes patients more comfortable when they're in pain, feeling ill, or suffering from mental or emotional stress. Reynolds et al. Think of a time when you believe you delivered compassionate care. Healthcare providers (HCPs) are increasingly recognised as the primary, frontline conduits of compassionate care, and not surprisingly, the first target of criticism when compassion is lacking.1-8 Despite their instrumental role in delivering compassionate care within the healthcare system, research investigating . Background. Number of documents from 2000 to 2021 (Scopus search: Compassion in healthcare). The authors reported that while patients presenting with disgusting symptoms (i.e. McHugh ML. The draft search strategies were tested to ensure all the original included studies were captured. Compassionate Care in Healthcare Systems: A Systematic Review While various participants in a study by Kneafsey et al. Nurses must be able to discuss issues and indicate a clear vision of how compassionate organizations should function with both peers and leaders. Practical compassions: repertoires of practice and compassion talk in acute mental healthcare. Heyland DK, Dodek P, Rocker G, Groll D, Gafni A, Pichora D, et al. 10.1186/s12909-021-02863-w. Sinclair S, Russell LB, Hack TF, Kondejewski J, Sawatzky R. Measuring compassion in healthcare: a comprehensive and critical review. Importance of Compassion in Nursing A compassionate nurse is empathetic to the pain and suffering of her patients, which is vital to the patient's well-being. SS oversaw the entire study, conceptualized the study, developed the search strategy, screened titles and abstracts, provided guidance on data extraction, performed data analysis and provided interpretation of the data, and contributed to the writing of the manuscript. Department of Health and Social Care (UK). Interestingly, nurse participants in the rehabilitation setting thought that providing compassion should not be obligatory given its situational nature and should instead be delivered with discretion or tempered [90]. When nurses feel stressed, it becomes easy to rush through the routine care and leads to poor communication. For more information or additional questions, contact the Kirby Bates Associates team of experts today. The impact of patient-centered care on outcomes. Interestingly, patients themselves were widely underrepresented throughout the identified studies, with only 30% of them including patients, largely in a limited fashion, and the remainder focusing on clinicians, and/or students, and/or caregivers. Dont Invalidate Their FeelingsNurses and healthcare workers see injury and illness all day, every day. A decision-making trail was compiled for the placement of the data into their respective categories, themes, and subthemes. Other studies have also highlighted notable components of verbal and non-verbal communication in which HCPs can convey compassion to their patients, such as tone of voice, personalization, attentiveness, actively listening, body language (i.e. "Greg is a devoted advocate who keeps the patient at the center of our efforts," Kevin says. For example, a good technique for showing compassion, is simple: 3 T's. Talk or listen, take time and touch. Tarberg AS, Kvangarsnes M, Hole T, Throns M, Madssen TS, Landstad BJ. Physicians and/or Patients and/or Family Caregivers and/or students and/or residents and/or public members). It becomes mundane. Saab MM, Drennan J, Cornally N, Landers M, Hegarty J, Savage E, et al. Healthcare today is paying a great deal of attention to patient-reported outcomes and person-centered care delivery. Through consultation with a research librarian (KAH), a search for existing knowledge synthesis reviews on compassion in healthcare was performed using MEDLINE, Google Scholar, and Prospero. Compassion in healthcare is an indispensable part of nursing and patient outcomes. 1. Burridge L, Foster M. Compassion in rehabilitation nurses who provide direct patient care: principles to pragmatics. MacArthur J, Wilkinson H, Gray MA, Matthews-Smith G. Embedding compassionate care in local NHS practice: developing a conceptual model through realistic evaluation. The role of professional education in developing compassionate practitioners: a mixed methods study exploring the perceptions of health professionals and pre-registration students. The https:// ensures that you are connecting to the While the recent development of a psychometrically rigorous and robust patient-reported compassion measure has partially addressed this issue, there is now a critical need to further address this theory-practice gap through the development of evidence-based educational training programs that equip practicing HCP with the attitudes, knowledge, skills, and behaviours that comprehensively traverse each of the domains of compassion. | May 6, 2020, at 10:36 a.m. Reader TW, Gillespie A, Roberts J. OJIN. Background Compassion is considered a vital component of quality healthcare. Curr Opin Support Palliat Care. 5 Examples of Great Health Care Management - Harvard Business Review A supportive environment that is conducive to learning was another factor that patients thought to be advantageous in compassion training [50]. mindfulness-based stress reduction or compassion-focused therapies) were excluded. The concept of compassion within UK media-generated discourse: a corpus-informed analysis. Gould et al. Studies that fell within each of these categories were organized as per their themes and subthemes, according to those that were identified in the original scoping review (Table3). One study identified organizational threats (i.e. It provides patients with emotional support and the confidence they need to fight disease, prepare for recovery, or enter into a serious medical procedure. For Better Video Meetings, Try Taking Turns - Stanford Health Care
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