Maddox Lucy, Barreto Manuela
Department of Psychology, University of Bath, 10 West, Claverton Down, Bath, BA2 7AY, UK.
Department of Psychology, University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG, UK.
BMC Nurs. 2022 Aug 1;21(1):206. doi: 10.1186/s12912-022-00994-z.
Compassion is vital in healthcare. Current understandings of the nature of compassionate care, its aids and barriers, are more theoretically developed than grounded in staff experience. This study explores staff perceptions of compassionate care in child and adolescent mental health wards.
Three focus groups were conducted with a total of 35 staff from adolescent mental health wards (10-12 people in each group), on the nature of compassionate care, aids and barriers. Transcripts were analysed using thematic analysis. A follow-up survey with 36 workers from other UK child and adolescent mental health wards was completed and means and standard deviations of responses were analysed to confirm wider resonance of themes.
Elements of compassionate care fell into six themes relating to individual, team and organisational factors: emotional connection, sense of being valued, attention to the whole person, understanding, good communication, and practical help/resources. Aids and barriers mirrored each other, and showed that what staff think is key to the nature of compassionate care for patients is also what they feel they need to receive to be able to show compassionate care.
This study suggests that staff need the same elements of compassion as those which they seek to provide. A greater emphasis needs to be placed on providing staff with individual, team and organisational level resources which help them to feel compassionately held within the interconnected systems in which they work, in order to be able to continue to provide high level compassionate care. Staff need to be nourished, valued and compassionately cared for in order to be able to care compassionately for the patients they look after.
同情心在医疗保健中至关重要。目前对同情护理的本质、其促进因素和障碍的理解，在理论上的发展多于基于员工经验的实际情况。本研究探讨了儿童和青少年心理健康病房工作人员对同情护理的看法。
对来自青少年心理健康病房的35名工作人员（每组10 - 12人）进行了三个焦点小组讨论，内容涉及同情护理的本质、促进因素和障碍。使用主题分析法对访谈记录进行分析。对来自英国其他儿童和青少年心理健康病房的36名工作人员进行了后续调查，并对回答的均值和标准差进行了分析，以确认这些主题具有更广泛的共鸣。
同情护理的要素分为与个人、团队和组织因素相关的六个主题：情感联系、被重视感、关注整个人、理解、良好沟通以及实际帮助/资源。促进因素和障碍相互呼应，表明工作人员认为对患者进行同情护理的关键所在，也是他们觉得自己需要得到才能表现出同情护理的东西。
本研究表明，工作人员需要与他们试图提供的同情要素相同的东西。需要更加重视为工作人员提供个人、团队和组织层面的资源，帮助他们在工作所在的相互关联系统中感受到被同情对待，以便能够继续提供高水平的同情护理。工作人员需要得到滋养、重视和同情关怀，以便能够同情地照顾他们所护理的患者。
