Paley John
Visiting Fellow, Centre for Health and Social Care Research, Sheffield Hallam University, Montgomery House, 32 Collegiate Crescent, Collegiate Campus, Sheffield S10 2BP, United Kingdom.
Nurse Educ Today. 2015 Apr;35(4):543-8. doi: 10.1016/j.nedt.2014.12.006. Epub 2014 Dec 18.
Timmins & de Vries are more sympathetic to my editorial than other critics, but they take issue with the details. They doubt whether the bystander phenomenon applies to Mid Staffs nurses; they believe that cognitive dissonance is a better explanation of why nurses fail to behave compassionately; and they think that I am 'perhaps a bit rash' to conclude that 'teaching compassion may be fruitless'. In this comment, I discuss all three points. I suggest that the bystander phenomenon is irrelevant; that Timmins & de Vries give an incomplete account of cognitive dissonance; and that it isn't rash to propose that educating nurses 'for compassion' is a red herring. Additionally, I comment on the idea that I wish to mount a 'defence of healthcare staff'.
廷明斯和德弗里斯比其他批评者更认同我的社论，但他们对细节提出了异议。他们怀疑旁观者现象是否适用于米德斯塔福郡的护士；他们认为认知失调能更好地解释护士为何未能表现出同情心；他们还认为我得出“教导同情心可能毫无成效”的结论“或许有点轻率”。在这篇评论中，我将讨论这三点。我认为旁观者现象并无关联；廷明斯和德弗里斯对认知失调的描述并不完整；提出对护士进行“同情心教育”是转移注意力的话题并非轻率之举。此外，我还对我希望为“医护人员辩护”这一观点发表评论。
