Weston Park Cancer Centre, Whitham Road, Sheffield S10 2SJ, UK.
Weston Park Cancer Centre, Whitham Road, Sheffield S10 2SJ, UK.
J Med Imaging Radiat Sci. 2020 Dec;51(4S):S59-S71. doi: 10.1016/j.jmir.2020.08.003. Epub 2020 Nov 13.
Providing high quality patient care is a worldwide standard of proficiency across the radiographic workforce. As compassion and compassionate behaviours are considered synonymous with patient-centred care, the focus of professional practice throughout healthcare should be on a system that places compassion at its heart. Inadequate care and dispassionate practice have been blamed for failings within the National Health Service. United Kingdom healthcare legislation has been criticised for its failure to provide meaning or clarity to practical compassionate care. Consequently, it has hindered the ability of National Health Service Trusts, service delivery managers and Medical Radiation Technologists to interpret and implement policy recommendations regarding compassionate practice at a local level.
To support the implementation of compassionate legislation, the study sought to understand the perspectives of those in receipt and those delivering compassionate practice. The research aimed to develop a context specific definition of compassion and identify commonly recognised compassionate behaviours. This article reports on the display of compassion through the behaviours of Medical Radiation Technologists.
METHODS/MATERIALS: Co-production underpinned the qualitative methodological inquiry and design of the research. Eleven focus groups were conducted, five with Medical Radiation Technologists three with cancer patients and care-givers and three with student Medical Radiation Technologists. On completion of thematic analysis from those groups, three co-production workshops were conducted, integrating the data to ensure the co-produced findings were equally representative of the perspectives of the three participant groups.
An understanding of compassionate display is illustrated through the construction of a conceptual framework. The findings established observable behaviours which a Medical Radiation Technologist must engage in to undertake compassionate display. Three compassionate behavioural classifications were established through the analysis; 'embodied connection', 'characteristic expression' and 'indicative communication'. A Medical Radiation Technologist must engage in all the three core behaviours to gain comprehension of the patient and person. Comprehension enables the Medical Radiation Technologist to establish practices that aim to address the compassionate needs of the patient.
DISCUSSION/CONCLUSION: Adoption of the behaviours by Medical Radiation Technologists should enhance compassionate care received by patients within clinical practice. The conceptual framework provides both a theoretical and practical understanding of compassionate display, making it a valuable tool for training and assessment.
提供高质量的患者护理是全球放射工作人员熟练程度的标准。由于同情心和富有同情心的行为被认为与以患者为中心的护理是同义词，因此整个医疗保健专业实践的重点应该放在一个将同情心置于核心地位的系统上。在国民保健制度中，护理不足和缺乏同情心的做法被归咎于失败。英国的医疗保健立法因未能为实际的富有同情心的护理提供意义或明确性而受到批评。因此，它阻碍了国民保健制度信托基金、服务提供经理和医疗放射技师在地方一级解释和执行有关富有同情心的实践的政策建议的能力。
为了支持富有同情心的立法的实施，本研究试图了解接受者和提供者的观点。该研究旨在为同情心制定一个特定于背景的定义，并确定常见的富有同情心的行为。本文报告了医疗放射技师通过行为表现出的同情心。
方法/材料：共同创作是定性方法调查和研究设计的基础。进行了 11 次焦点小组讨论，其中 5 次与医疗放射技师进行，3 次与癌症患者和护理人员进行，3 次与学生医疗放射技师进行。完成这些小组的主题分析后，进行了三次共同创作研讨会，整合数据以确保共同创作的发现同样代表了三个参与者群体的观点。
通过构建概念框架，说明了对富有同情心的表现的理解。研究结果确定了医疗放射技师必须采取的可观察行为，以进行富有同情心的表现。通过分析确定了三种富有同情心的行为分类；“体现的联系”、“特征表达”和“指示性沟通”。医疗放射技师必须参与所有这三种核心行为，才能理解患者和个人。理解使医疗放射技师能够建立旨在满足患者的富有同情心的需求的实践。
讨论/结论：医疗放射技师采用这些行为应该会增强患者在临床实践中接受的同情心护理。该概念框架为富有同情心的表现提供了理论和实践上的理解，使其成为培训和评估的有价值工具。
