Fernando Antonio, Rea Conor, Malpas Phillipa J
Department of Psychological Medicine, The University of Auckland, Auckland.
FMHS University of Auckland, Auckland.
N Z Med J. 2018 Jan 19;131(1468):25-32.
Compassion is a core virtue in medicine and lies at the heart of good medical care. It connects us to each other and reflects our need for relationships with others.
Our aim is to explore how palliative care patients perceive, understand and experience compassion from health professionals, and to inform clinical practice.
Seven hospice managers in the North Island of New Zealand were contacted and invited to join the study. Twenty participants expressed a desire to participate and were involved in semi-structured face-to-face interviews. A set of questions guided the interviewers with interviews lasting between 15-60 minutes.
In regards to the question, what is your understanding of compassion?, four central themes emerged: connection, presence and warmth, respect and caring. When asked, what advice can you give to trainee health professionals?, participants articulated four themes: connecting with patients and talking in a way they can understand, treating the person with respect, showing interest in them and being a positive presence for them.
Compassion was seen as a connection between the carer and the patient. Compassion is having a positive presence and warmth; an attitude of respect and caring. The main advice given by research participants to enhance compassion is for doctors and nurses to connect, to talk in a way that can be understood, and show interest and respect to patients facing the end of their lives.
同情心是医学中的一项核心美德，是优质医疗护理的核心所在。它将我们彼此相连，反映了我们对人际关系的需求。
我们的目的是探究姑息治疗患者如何看待、理解和体验来自医疗专业人员的同情心，并为临床实践提供信息。
联系了新西兰北岛的七位临终关怀机构经理，并邀请他们参与研究。二十名参与者表示愿意参与，并接受了半结构化的面对面访谈。一组问题指导访谈者进行访谈，访谈持续15至60分钟。
关于“你对同情心的理解是什么？”这个问题，出现了四个核心主题：联系、陪伴与温暖、尊重和关怀。当被问及“你能给实习医疗专业人员什么建议？”时，参与者阐述了四个主题：与患者建立联系并以他们能理解的方式交谈、尊重患者、对他们表现出兴趣并成为他们的积极陪伴者。
同情心被视为护理人员与患者之间的一种联系。同情心是拥有积极的陪伴和温暖；是一种尊重和关怀的态度。研究参与者给出的增强同情心的主要建议是，医生和护士要建立联系，以能被理解的方式交谈，并对面临生命终点的患者表现出兴趣和尊重。
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