Dewar Belinda, Adamson Elizabeth, Smith Stephen, Surfleet Joyce, King Linda
Faculty of Education, Health and Social Sciences, Hamilton, UK.
J Adv Nurs. 2014 Aug;70(8):1738-47. doi: 10.1111/jan.12322. Epub 2013 Nov 28.
To discuss the meaning of compassionate care as it applies to staff, patients and families in health and social care settings, its application to practice and how organizational infrastructures affect the delivery of care.
The term compassion has assumed headline status and inclusion in current health and social care policy. Clarity of what the term means in practice is needed and may help to promote delivery of compassionate care consistently across health and social care settings.
Discussion paper.
This article draws on data from an action research programme (Leadership in Compassionate Care Programme, 2007-2011) that focused on embedding compassionate care into practice and education and related literature focused on compassionate person-centred care. A literature search was conducted and articles published in English relating to the terms compassionate, person-centred care between 1999-2011 were included.
Perceptions of compassion, practising compassion and the infrastructure to support compassion are discussed.
It is anticipated that this discussion will prompt further debate, raise awareness and help to clarify the meaning of compassion in everyday practice with patients, relatives and staff, so that it can be more clearly named, valued and defended.
This article challenges some of the beliefs and values that underpin the meaning of compassionate care and its application to practice. It brings greater clarity to the meaning of compassion, which could be used to form the basis of shared visions of caring, both strategic and operational, across organizations.
探讨关怀照护在健康与社会照护环境中对工作人员、患者及家属的意义,其在实践中的应用以及组织架构如何影响照护的提供。
“关怀”一词已成为当前健康与社会照护政策中的重点内容并被纳入其中。需要明确该词在实践中的含义,这可能有助于在健康与社会照护环境中持续推动关怀照护的提供。
讨论文件。
本文借鉴了一项行动研究项目(2007 - 2011年关怀照护领导力项目)的数据,该项目专注于将关怀照护融入实践与教育,以及聚焦于以患者为中心的关怀照护的相关文献。进行了文献检索,纳入了1999 - 2011年间以英文发表的与“关怀”“以患者为中心的照护”相关的文章。
探讨了对关怀的认知、践行关怀以及支持关怀的架构。
预计本次讨论将引发进一步辩论,提高认识,并有助于阐明在日常实践中对患者、亲属和工作人员而言关怀的意义,以便能更明确地界定、重视和维护关怀。
本文对一些支撑关怀照护含义及其在实践中应用的信念和价值观提出了挑战。它使关怀的含义更加清晰,可作为跨组织战略和运营层面共享关怀愿景的基础。