Care, compassion and communication

Bloomfield, Jacqueline; Pegram, Anne

doi:10.7748/ns.29.25.45.e7653

Cited by 32 publications

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“…Communication skills are very important in intercultural relations. Effective communication and compassion are considered as important components of effective primary care [19]. Listening patiently and carefully to refugees expressing their concerns, as well as touching them carefully and showing them they care about their health problems is of paramount significance.…”

Section: Highlights From the Ecm: The Need For Compassionate Carementioning

confidence: 99%

“…Listening patiently and carefully to refugees expressing their concerns, as well as touching them carefully and showing them they care about their health problems is of paramount significance. Effective communication must be built in the framework of listening to them in an active way and posing questions by using the appropriate verbal and non-verbal communication skills [19].An initial step the PHC professionals may try to gain a better understanding and feeling of what these people have experienced and require, i.e., "getting into refugees shoes" is by specifically seeking their input asking them about their physical and emotional needs as well as their preferences of receiving health services. To successfully overcome language barriers, the PHC professional ought to consider the socio-cultural beliefs of the patient, as well as to overcome linguistic challenges [6,12].…”

Section: Highlights From the Ecm: The Need For Compassionate Carementioning

confidence: 99%

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Compassionate care provision: an immense need during the refugee crisis: lessons learned from a European capacity-building project

Mechili

Angelaki

Petelos

et al. 2018

J of Compassionate Health Care

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Background: The refugee crisis has resulted in massive waves of migration towards Europe. Besides sufficient and appropriate healthcare services, these vulnerable populations need kindness, respect, acceptance, empathy, and attention to basic needs. Healthcare professionals ought to have a respectful and compassionate approach to safeguard the dignity and interests of the people they care for. Aim: The overall aim of the European Refugees-Human Movement and Advisory Network (EUR-HUMAN) project was to provide good and affordable, comprehensive, person-centred, integrated and compassionate care for all ages and all ailments, taking into account the transcultural settings and the needs, wishes and expectations of the newly arriving refugees. This paper reports on findings to help establish what the nature of compassionate care for refugees consists of and implies and how its implementation could be promoted across European countries and healthcare settings. Methods: A two-day Expert Consensus Meeting (ECM) took place in order to reach consensus in different thematic areas including cultural issues in health care, continuity of care, information and health promotion, health assessment, mental health, mother and child care, infectious diseases, and vaccination coverage. Results: Notably, all experts stressed the need to address mental health problems. Interactions and input received during the meeting highlighted the urgent need for compassionate care for these vulnerable populations. Additionally, the needs reported by refugees and other migrants helped identify a serious gap in terms of compassionate attitudes exhibited by healthcare workers. Linguistic and cultural barriers exacerbate the effect of the lack of compassion, especially where healthcare information and psychological support are urgently needed but an appropriate supportive framework is missing. Conclusions: This European collaborative capacity-building project attempts to develop a long-term strategy to tackle this issue, focusing in particular on the design and delivery of appropriate person-centred and compassionate-based primary healthcare (PHC) services. A list of recommendations developed by this consensus panel may facilitate the design and implementation of similar capacity-building efforts, as well as the design of educational intervention programmers for a person-centred and compassionate PHC for vulnerable populations.

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Section: Highlights From the Ecm: The Need For Compassionate Carementioning

confidence: 99%

Section: Highlights From the Ecm: The Need For Compassionate Carementioning

confidence: 99%

Compassionate care provision: an immense need during the refugee crisis: lessons learned from a European capacity-building project

Mechili

Angelaki

Petelos

et al. 2018

J of Compassionate Health Care

View full text Add to dashboard Cite

show abstract

“…This finding is supported by the findings of Asmaningrum and Tsai (), who reported a pleasant speaking voice that allowed for comfortable communication and enabled patients to maintain their dignity. It is critical for nurses to be able to communicate with patients in order to provide care that is compassionate (Bloomfield & Pegram, ).…”

Section: Discussionmentioning

confidence: 99%

“…The perspectives of nurse and patient participants for undignified behaviours shed light on how patient dignity could be threatened in clinical care settings in Indonesian public hospitals. These five categories of nursing staff behaviours that threatened patient dignity distort the domains of caring, compassion and communication, which are fundamental elements of essential skills required for safe and effective nursing practice (Bloomfield & Pegram, ). Failure to respond to a patient's request, or negligence, was the undignified behaviour most frequently perceived as disrespectful, which has not been emphasised in other studies involving undignified care.…”

Section: Discussionmentioning

confidence: 99%

Threats to patient dignity in clinical care settings: A qualitative comparison of Indonesian nurses and patients

Asmaningrum

Kurniawati

Tsai

2020

Journal of Clinical Nursing

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Aims and objectives To explore and compare nurses’ and patients’ viewpoints of disrespectful behaviours that threaten patient dignity during hospitalised care. Background Patient's dignity is an important ethical consideration for nursing care practice. In clinical settings, nurse–patient interactions can generate behaviour considered disrespectful and undignified, often due to a disruptive hospital atmosphere and emotional frustrations of nurses and patients. How behaviours and attitudes threaten patient dignity in Indonesian clinical care settings has not been well studied. Design Qualitative descriptive study. Methods This multi‐site study purposively recruited nurses and inpatients from six public hospitals in four districts in Eastern Java, Indonesia. Individual, face‐to‐face semi‐structured interviews were conducted with 35 inpatients and 40 registered nurses from medical and surgical wards. Data from verbatim transcriptions of digital audio recordings were analysed with inductive content analysis. The COREQ checklist for qualitative research was used for reporting this study. Results Five categories emerged which described disrespectful behaviours that threaten patient dignity. Three categories were important for both nurses and patients: negligence, impoliteness and dismissal. Descriptions of the behaviours were comparable for both groups. The forth category, inattentiveness, was highlighted by nurses, while the fifth category, discrimination, was highlighted by patients. Conclusions Examining behaviours considered to be disrespectful in an Indonesian healthcare setting expand on perspectives towards dignity in care. The comparable viewpoints of nurses and patients provide knowledge of how undignified behaviours could be reduced in cross‐cultural healthcare settings. Behaviours perceived as undignified primarily by nurses or patients might result from differences in social roles and responsibilities. Relevance to clinical practice Understanding nurses’ and patients’ perspectives of undignified care is an important step in reducing behaviours that violate patient dignity in clinical practice. Nurses’ commitment to patient‐centred care should include being responsive, compassionate, communicative and attentive, which could ameliorate instances of undignified behaviours.

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“…(ANF 2012: 1) To summarise, the provision of holistic care requires knowledge of biological processes of health and illness, an inquisitive attitude to select the best evidencebased practice, and knowledge of psychosocial aspects of care including the ability (and willingness) to connect to patients at a personal level to adapt health care interventions to their particular situation and preferences. In fact, all of these aspects, including the 3 Cs (care, compassion and communication) are sine qua non requirements for nursing registration in the UK, New Zealand and Australia (Bloomfield & Pegram 2015). The question is now whether nursing textbooks contribute to the construal of these types of knowledge and attitudes.…”

Section: What Is This Discipline Called Nursing?mentioning

confidence: 99%

An exploratory account of the register of nursing textbooks

García

2019

LangCT

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Given the pressing issues that affect nursing education (e.g. higher attrition and plagiarism rates), this study aims to obtain initial insight on whether nursing textbooks meet the demands of their context of situation. These demands could be listed as: construing biomedical knowledge, establishing a pattern of evidence-based nursing practice and promoting the values of person-centred care. For this analysis, I draw on aspects of parameters of context developed by Hasan (2004), Butt (2004) and Matthiessen (2015), and relate them to their semantic and lexicogrammatical realisation across different metafunctions using corpus-based techniques and detailed manual analysis of short extracts. The results may suggest that nursing textbooks may be meeting the demands of nursing as a research-based discipline but failing to model empathetic communication.

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Care, compassion and communication

Cited by 32 publications

References 0 publications

Compassionate care provision: an immense need during the refugee crisis: lessons learned from a European capacity-building project

Compassionate care provision: an immense need during the refugee crisis: lessons learned from a European capacity-building project

Threats to patient dignity in clinical care settings: A qualitative comparison of Indonesian nurses and patients

An exploratory account of the register of nursing textbooks

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