Compassion is the core of nursing care and the basis of ethical codes. Due to the complex and abstract nature of this concept, there is a need for further investigations to explore the meaning and identify compassionate nursing care.
Objectives:
The purpose of this study was to identify and describe compassionate nursing care based on the experiences of nurses, patients, and family caregivers.
Research design:
This was a qualitative exploratory study. Data were analyzed using the conventional content analysis method.
Participants and research context:
Nurses, hospitalized patients, and family caregivers in different educational hospitals in an urban area of Iran were selected from February 2016 to December 2017 using a purposeful sampling method (n = 34). In-depth and semi-structured interviews, focus group interviews, and field notes were used for data collection.
Ethical considerations:
The study was approved by the University’s Ethics Committee. The participants were informed about the aim and method of the study, reasons for recording the interviews, confidentiality of data, and voluntary nature of participation in this study.
Findings:
Data from interviews and filed notes were analyzed and classified into three themes: “effective interaction,” “professionalism,” and “continuous comprehensive care.”
Discussion and conclusion:
Emerged themes of this study involved holistic care in the current literature on nursing with an emphasis on effective interaction and professionalism. Nurses can understand patients’ and family caregivers’ comprehensive needs through interaction skills. In addition, clinical proficiency, maintaining professional ethics’ standards along with holism, and continuity in care are examples of compassionate care. Education program about compassionate care can enhance the quality of nursing care.
AdamsonEDewarB. Compassionate care: student nurses’ learning through reflection and the use of story. Nurse Educ Pract2015; 15(3): 155–161.
2.
HorsburghDRossJ. Care and compassion: the experiences of newly qualified staff nurses. J Clin Nurs2013; 22(7–8): 1124–1132.
3.
BloomfieldJPegramA. Care, compassion and communication. Nurs Stand2015; 29(25): 45–50.
4.
McCaffreyGMcConnellS. Compassion: a critical review of peer-reviewed nursing literature. J Clin Nurs2015; 24(19–20): 3006–3015.
5.
Van der CingelM. Compassion in care: a qualitative study of older people with a chronic disease and nurses. Nurs Ethics2011; 18(5): 672–685.
6.
SchantzML. Compassion: a concept analysis. Nurs Forum2007; 42(2): 48–55.
7.
LownBA. Compassion is a necessity and an individual and collective responsibility: comment on “why and how is compassion necessary to provide good quality healthcare?”Int J Health Policy Manag2015; 4(9): 613–614.
8.
FotakiM. Why and how is compassion necessary to provide good quality healthcare?Int J Health Policy Manag2015; 4(4): 199–201.
9.
LownBAMuncerSJChadwickR. Can compassionate healthcare be measured?The Schwartz Center Compassionate Care Scale™. Patient Educ Couns2015; 98(8): 1005–1010.
SinclairSMcClementSRaffin-BouchalS, et al.Compassion in health care: an empirical model. J Pain Symptom Manage2016; 51(2): 193–203.
12.
FramptonSBGuastelloSLeporeM. Compassion as the foundation of patient-centered care: the importance of compassion in action. J Comp Eff Res2013; 2(5): 443–455.
13.
OmbudsmanH. Care and compassion? Report of the health service ombudsman on ten investigations into NHS care of older people, http://www.ombudsman.org.uk(accessed 14 February 2011).
14.
BlombergKGriffithsPWengströmY, et al.Interventions for compassionate nursing care: a systematic review. Int J Nurs Stud2016; 62: 137–155.
15.
LloydMCarsonA. Making compassion count: equal recognition and authentic involvement in mental health care. Int J Consum Stud2011; 35(6): 616–621.
16.
PapadopoulosIAliS. Measuring compassion in nurses and other healthcare professionals: an integrative review. Nurse Educ Pract2016; 16(1): 133–139.
17.
SinclairSNorrisJMMcConnellSJ, et al.Compassion: a scoping review of the healthcare literature. BMC Palliat Care2016; 15(1): 1.
18.
PerryB. Conveying compassion through attention to the essential ordinary. Nurs Older People2009; 21(6): 14–21.
19.
FrieleRDSluijsEMLegemaateJ. Complaints handling in hospitals: an empirical study of discrepancies between patients’ expectations and their experiences. BMC Health Serv Res. Epub ahead of print 30 September. DOI: 10.1186/1472-6963-8-199.
20.
YoderEA. Compassion fatigue in nurses. Appl Nurs Res2010; 23(4): 191–197.
21.
CircenisKMillereI. Compassion fatigue, burnout and contributory factors among nurses in Latvia. Procedia Soc Behav Sci2011; 30: 2042–2046.
22.
DewarBNolanM. Caring about caring: developing a model to implement compassionate relationship centred care in an older people care setting. Int J Nurs Stud2013; 50(9): 1247–1258.
CrowtherJWilsonKCHortonS, et al.Compassion in healthcare—lessons from a qualitative study of the end of life care of people with dementia. J Royal Soc Med2013; 106(12): 492–497.
25.
ValizadehLZamanzadehVDewarB, et al.Nurse’s perceptions of organizational barriers to delivering compassionate care: a qualitative study. Nurs Ethics2018; 25: 580–590.
26.
WallisM. Caring and evidence-based practice: the human side of critical care nursing. Intens Crit Care Nurs2005; 2: 265–267.
27.
GoodrichJ. Compassionate care and Schwartz rounds: the nature of the work—acknowledging it is hard. Nurse Educ Today2014; 34(9): 1185–1187.
28.
GuastelloSFramptonSB. Patient-centered care retreats as a method for enhancing and sustaining compassion in action in healthcare settings. J Compassionate Health Care2014; 1(1): 2.
29.
CrawfordPBrownBKvangarsnesM, et al.The design of compassionate care. J Clin Nurs2014; 23(23–24): 3589–3599.
30.
MillsJWandTFraserJA. On self-compassion and self-care in nursing: selfish or essential for compassionate care?Int J Nurs Stud2015; 52(4): 791–793.
31.
CurtisKHortonKSmithP. Student nurse socialisation in compassionate practice: a grounded theory study. Nurse Educ Today2012; 32(7): 790–795.
32.
NewdickCDanburyC. Culture, compassion and clinical neglect: probity in the NHS after Mid Staffordshire. J Med Ethics2015; 41(12): 956–962.
33.
DewarBPullinSTocherisR. Valuing compassion through definition and measurement. Nurs Manag2011; 17(9): 32–37.
34.
GilgunJF. Qualitative methods and the development of clinical assessment tools. Qual Health Res2004; 14(7): 1008–1019.
35.
BurnsNGroveSK. Understanding nursing research: building an evidence-based practice. 5th ed. New York: Elsevier Health Sciences, 2011, p. 73.
StreubertHJCarpenterDR. Qualitative research in nursing: advancing the humanistic imperative. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2011.
40.
EloSKääriäinenMKansteO, et al.Qualitative content analysis: a focus on trustworthiness. Sage Open. Epub ahead of print 11 February 2014. DOI: 10.1177/2158244014522633.
41.
PolitDFBeckCT. Nursing research: generating and assessing evidence for nursing practice. 10th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2017, p. 521.
42.
GraneheimUHLundmanB. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today2004; 24(2): 105–112.
43.
LincolnYSGubaEG. Naturalist inquiry. Newbury Park, CA: Sage, 1985, p. 289.
44.
TorjuulKElstadISørlieV. Compassion and responsibility in surgical care. Nurs Ethics2007; 14(4): 522–534.
45.
YoungAA. Exploring the concept of compassion in nursing: a qualitative study. PhD Thesis, Northcentral University, Scottsdale, AZ, 2015.
46.
FryMMacGregorCRupertoK, et al.Nursing praxis, compassionate caring and interpersonal relations: an observational study. Australas Emerg Nurs J2013; 16(2): 37–44.
47.
SinclairSTorresM-BRaffin-BouchalS, et al.Compassion training in healthcare: what are patients’ perspectives on training healthcare providers?BMC Med Educ2016; 16: 169.
48.
DewarBAdamsonESmithS, et al.Clarifying misconceptions about compassionate care. J Adv Nurs2013; 70: 1738–1747.
49.
AlligoodMRTomyAM.Nursing theorists and their work. 7th ed. St. Louis, MO: Mosby Elsevier, 2010; pp. 95–98, 143–148.
50.
PapadopoulosITaylorGAliS, et al.Exploring nurses’ meaning and experiences of compassion: an international online survey involving 15 countries. J Transcult Nurs2017; 28(3): 286–295.
51.
LeeYSeomunG. Compassion competence in nurses. Adv Nurs Sci2016; 39(2): E54–E66.
52.
TierneySSeersKTuttonE, et al.Enabling the flow of compassionate care: a grounded theory study. BMC Health Serv Res2017; 17(1): 174.
53.
BurnellLAganDL. Compassionate care: can it be defined and measured? The development of the compassionate care assessment tool. Int J Soc Res Methodol2013; 6(2): 180–187.
54.
NewhamRA. Virtue ethics and nursing: on what grounds?Nurs Philos2015; 16(1): 40–50.
55.
ZamanzadehVValizadehLRahmaniA, et al.Factors facilitating nurses to deliver compassionate care: a qualitative study. Scand J Caring Sci2017; 32: 92–97.
56.
BabaeiSTaleghaniFKeyvanaraM. Contextual facilitators and maintaining of compassion-based care: an ethnographic study. Iran J Nurs Midwifery Res2017; 22(2): 91–96.
57.
BadgerKRoyseD. Describing compassionate care: the burn survivor’s perspective. J Burn Care Res2012; 33(6): 772–780.
58.
ProctorS. Can Nurses Show Compassion? Sue Proctor warns of the danger to the nursing profession of “compassion fatigue.”J Nurs Manag2007; 14(8): 10–11.
Van der CingelM. Compassion and professional care: exploring the domain. Nurs Philos2009; 10: 124–136.
61.
BennerPHughesRGSutphenM. Clinical reasoning, decisionmaking, and action: thinking critically and clinically. In: HughesRG (eds) Patient safety and quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality, 2008, pp. 87–105.
KvangarsnesMTorheimHHoleT, et al.Nurses’ perspectives on compassionate care for patients with exacerbated chronic obstructive pulmonary disease. J Allergy Ther2013; 4(6): 1000158.
64.
RobinsonS. Holistic health promotion: putting the art into nurse education. J Nurs Educ Pract2007; 7(3): 173–180.
65.
UdoCDanielsonEMelin-JohanssonC. Existential issues among nurses in surgical care—a hermeneutical study of critical incidents. J Adv Nurs2013; 69(3): 569–577.
66.
ZamanzadehVAzimzadehRRahmaniA, et al.Oncology patients’ and professional nurses’ perceptions of important nurse caring behaviors. BMC Nurs2010; 9(1): 10.
67.
PattonMQ. Qualitative research & evaluation methods, integrating theory and practice. 4th ed. London: Sage, 2015.
