School of Health, University of New England, Armidale, New South Wales, Australia.
Susan Wakil School of Nursing Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
J Adv Nurs. 2022 Apr;78(4):1112-1127. doi: 10.1111/jan.15089. Epub 2021 Nov 1.
To explore how compassion is received by patients in a hospital setting and how compassion is expressed by health professionals in a hospital setting.
Compassion is important to health professionals and patients. Perceived deficits in compassion in healthcare have led increasing concerns about the quality of care for patients. To better understand compassionate practice in a hospital setting we used narrative inquiry to explore the expression of compassion by health professionals and the experience of receiving compassion by patients.
Narrative Inquiry. Reported in line with Consolidated Criteria for Reporting Qualitative Research (COREQ).
Qualitative interviews were conducted with 24 patients and health professionals in Australia. Data were collected between August 2018 and August 2019. Narrative analysis processes were used to develop a thematic framework.
Compassionate practice is presented as an overarching theme and comprises of three themes: (1) Amalgamation of various knowledges and skills (2) Delivery of meaningful actions which alleviate suffering and (3) Meeting individual needs and prevention of further preventable suffering. The expression of compassion by health professionals involved the fusion of many skills and knowledges. Patients received compassion through the actions of the health professional which alleviated their suffering.
Compassionate practice is both important, and complex. Presence, skilled and purposeful action and the alleviation of suffering are essential to the expression and receipt of compassion in the hospital setting.
Findings from this study contribute to the growing body of literature on compassionate practice in health settings, specifically in how it is expressed and received in a hospital setting. The complexity of compassion is explained for health professionals. Compassion was shown to be embedded in the caring moments between health professionals and patients. This paper explains the different elements that comprise compassion which can guide health professional practice. The importance of seemingly small acts has a big impact on patients, families and health professionals. There is a need for greater stakeholder value and recognition of this aspect of practice.
探索在医院环境中患者如何接受同情心，以及医务人员如何在医院环境中表达同情心。
同情心对医务人员和患者都很重要。人们越来越关注医疗保健中同情心的缺失，这导致了对患者护理质量的担忧。为了更好地理解医院环境中的同情实践，我们使用叙事探究来探索医务人员表达同情的方式和患者接受同情的体验。
叙事探究。根据定性研究报告的统一标准（COREQ）进行报告。
在澳大利亚对 24 名患者和医务人员进行了定性访谈。数据收集于 2018 年 8 月至 2019 年 8 月。使用叙事分析过程来开发主题框架。
同情实践被呈现为一个总主题，包括三个主题：（1）各种知识和技能的融合；（2）实施有意义的行动减轻痛苦；（3）满足个人需求和预防进一步可预防的痛苦。医务人员表达同情心涉及许多技能和知识的融合。患者通过医务人员的行动接受了同情，这些行动减轻了他们的痛苦。
同情实践既重要又复杂。在场、熟练和有目的的行动以及减轻痛苦是在医院环境中表达和接受同情的关键。
本研究的结果为越来越多的关于卫生保健中同情实践的文献做出了贡献，特别是在医院环境中如何表达和接受同情方面。本研究为医务人员解释了同情的复杂性，说明了它是如何嵌入医务人员和患者之间的关怀时刻。本文解释了构成同情的不同要素，这可以指导医务人员的实践。看似微不足道的行为对患者、家属和医务人员都有很大的影响。需要更多的利益相关者的重视和认可这方面的实践。
