Compassion in healthcare

Zulueta, Paquita de

doi:10.1177/1477750913506484

Cited by 25 publications

(25 citation statements)

References 16 publications

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“…9 Zulueta 10 identifies the overemphasis of the biomedical model in medicine as another factor threatening the delivery of good psycho-social care. 10 Although the lapses in care reported by Francis and others are not entirely due to a 'compassion deficit', the general consensus is that there is a problem in the provision of psycho-social care in all settings and an urgent need to address the balance between scientific and psycho-social care. 10 Concern about a deficit of empathy in clinical practice is mirrored in medical undergraduate education, where there is conflicting evidence of a decline in empathy as students move through their training.…”

Section: Is There a Problem?mentioning

confidence: 99%

“…Some authors argue that a motivation to help creates a distinction between compassion and empathy, but this paper argues that a motivation to help others is integral to empathy. 10 The empirical nature of compassion is not well understood, it involves the presence of suffering and a desire to relieve it in a dynamic relationship which may change over time. There is a debate as to whether it can be nurtured or is simply an innate quality of the person.…”

Section: The Differencesmentioning

confidence: 99%

“…Empathy, sympathy and compassion are often confused with each other and with a number of other processes involving sharing in another person's feelings especially of distress or suffering. 10,16 Compassion and empathy are often used interchangeably and the close link between them is reflected in Maxwell's term 'compassionate empathy' which represents his attempt to clarify the confusion by adopting the broadest term.…”

Section: Is There a Problem?mentioning

confidence: 99%

“…9 Mechanistic organisational healthcare systems create a risk of dehumanisation, with a loss of empathy, which can alienate clinicians from patients. 5,[9][10][11] Commercialisation of healthcare leaves people vulnerable to being treated instrumentally, not as ends in themselves in a culture which fosters competition rather than collaboration. 9 Zulueta 10 identifies the overemphasis of the biomedical model in medicine as another factor threatening the delivery of good psycho-social care.…”

Section: Is There a Problem?mentioning

confidence: 99%

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Empathy, sympathy and compassion in healthcare: Is there a problem? Is there a difference? Does it matter?

2016

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Section: Is There a Problem?mentioning

confidence: 99%

Section: The Differencesmentioning

confidence: 99%

Section: Is There a Problem?mentioning

confidence: 99%

Section: Is There a Problem?mentioning

confidence: 99%

See 2 more Smart Citations

Empathy, sympathy and compassion in healthcare: Is there a problem? Is there a difference? Does it matter?

2016

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“…Similarly, research in psychology and medical ethics suggests the value of compassion to both receiving and giving care while noting that compassion takes many forms (e.g. Gilbert, 2011;de Zulueta, 2013) and hence that there is no panacea when it comes to training (Gallagher, 2013).…”

Section: Coupling Compassion and Quantificationmentioning

confidence: 99%

Critical compassion: Affect, discretion and policy–care relations

Singleton

Mee

2017

The Sociological Review

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Care has become a focus of debate in feminist technoscience studies, with a recent call for researchers to be care-full about the politics of research and theorising and also to challenge 'care' as a taken-for-granted good (Martin et al., 2015). Care is a current focus of concern in Britain, where a crisis has been declared in national health and social care, and where previous policy has focused on quantity at the expense of quality (Keogh, 2013). The influential, government-commissioned Francis Report documents 'appalling and unnecessary patient suffering' and calls for action to put 'compassion at the heart of healthcare' (DOH, 2013a, p. 3-4). The report's conclusions are widely supported, and there are new policy interventions to promote compassionate care (DOH, 2013b(DOH, , 2013c(DOH, , 2013d DOH, 2014). However, policy/care tensions exist; for example, the legislative responses are critiqued as meaningless to the realities of practice and as attempting to control rather than to support practitioners. In order to explore how compassion is being done differently in diverse instantiations and enactments, we juxtapose feminist technoscience studies on the politics of care with an analysis of health policy and with vignettes of located practices. The vignettes articulate affects, materials and relations of compassion in locations of practice and explore not only the good of what is considered compassion, but also possible harms, contestation and vulnerabilities. Thereby, the analytical approach aligns with Martin et al.'s (2015, p. 627) call for 'critical care' research that understands care as an 'affectively charged and selective mode of attention' and that exposes the dark side of care. The analysis also reflects on possibilities for formulating policy as a form of care that attends to situatedness and to affective and discretionary aspects of compassion as ethical relating.

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Questions and Answers on the Belgian Model of Integral End-of-Life Care: Experiment? Prototype?

Bernheim

Distelmans²,

Mullie

et al. 2014

Bioethical Inquiry

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This article analyses domestic and foreign reactions to a 2008 report in the British Medical Journal on the complementary and, as argued, synergistic relationship between palliative care and euthanasia in Belgium. The earliest initiators of palliative care in Belgium in the late 1970s held the view that access to proper palliative care was a precondition for euthanasia to be acceptable and that euthanasia and palliative care could, and should, develop together. Advocates of euthanasia including author Jan Bernheim, independent from but together with British expatriates, were among the founders of what was probably the first palliative care service in Europe outside of the United Kingdom. In what has become known as the Belgian model of integral end-of-life care, euthanasia is an available option, also at the end of a palliative care pathway. This approach became the majority view among the wider Belgian public, palliative care workers, other health professionals, and legislators. The legal regulation of euthanasia in 2002 was preceded and followed by a considerable expansion of palliative care services. It is argued that this synergistic development was made possible by public confidence in the health care system and widespread progressive social attitudes that gave rise to a high level of community support for both palliative care and euthanasia. The Belgian model of so-called integral end-of-life care is continuing to evolve, with constant scrutiny of practice and improvements to procedures. It still exhibits several imperfections, for which some solutions are being developed. This article analyses this model by way of answers to a series of questions posed by Journal of Bioethical Inquiry consulting editor Michael Ashby to the Belgian authors.

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Compassion in healthcare

Cited by 25 publications

References 16 publications

Empathy, sympathy and compassion in healthcare: Is there a problem? Is there a difference? Does it matter?

Empathy, sympathy and compassion in healthcare: Is there a problem? Is there a difference? Does it matter?

Critical compassion: Affect, discretion and policy–care relations

Questions and Answers on the Belgian Model of Integral End-of-Life Care: Experiment? Prototype?

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