Working in value‐discrepant environments inhibits clinicians’ ability to provide compassion and reduces well‐being: A cross‐sectional study

Abstract

Pavlova A, Paine S-J, Sinclair S, O'Callaghan A, Consedine NS. Working in valuediscrepant environments inhibits clinicians' ability to provide compassion and reduces wellbeing: A cross-sectional study.

Adaptation and validation of a patient‐reported compassion measure in the Spanish population: The Spanish version of the Sinclair Compassion Questionnaire (SCQesp)

“…Therefore, these results not only support the convergent validity of the SCQesp but confirm previous results on compassion's significant impact within English‐speaking populations. Compassion, as measured by the SCQ, is a significant driver of the overall patient experience, quality care ratings and various patient outcomes within Spanish patient populations, supporting recent discussions that compassion should be considered as a key performance indicator within healthcare organizations around the globe (Consedine & Pavlova, 2023; Malenfant et al, 2022; Pavlova et al, 2023; Trzeciak & Mazzarelli, 2019).…”

“…In this sense, compassion is not restricted to physical aspects of health but patients' multifactorial needs: physical, practical, psychological, social, and spiritual (Sinclair, Hack, et al, 2021). International practice guidelines and policies recognize compassion as a fundamental dimension of quality care and, therefore, must be taken into account both in the training of healthcare professionals and healthcare systems evaluation (Canadian Hospice and Palliative Care Association, 1995; Francis, 2013; Papadopoulos & Ali, 2016; Paterson, 2011; Pavlova et al, 2023; Sturgeon, 2008; Thienprayoon et al, 2022).…”

Do I care for you more when you really need help? An experimental test of the effect of clinical urgency on compassion in health care

“…However, as health care organizations increasingly put emphasis on efficiency and speed (Ahrweiler et al, 2014; Anandarajah & Roseman, 2014; Baker et al, 2018; Kerasidou, 2019; Kerasidou & Kingori, 2019; Peng et al, 2018; Rawal et al, 2020; Roze des Ordons et al, 2020) and when compassion as an outcome is not organizationally recognized or acknowledged (Molinsky et al, 2012; Singh et al, 2018), health care professionals might deprioritize compassion for those patients perceived as less urgent. In addition, personal versus organizational goals conflict (compassion vs. efficiency; Pavlova et al, 2023) might then be projected back onto patients, where being less urgent is also perceived as being more difficult.…”

The value of values alignment in healthcare

“…The classic Areas of Worklife framework developed by Maslach and Leiter suggests six dimensions to consider, where difficulties in any of these areas can worsen job burnout and threaten well-being: workload, control, reward, community, fairness, and values [3]. It is in this context that Pavlova et al conducted their study of the last of these contributors to distress and well-being [4].…”

“…It is in this context that Pavlova et al. conducted their study of the last of these contributors to distress and well‐being [4].…”