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The design of compassionate care

Author

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  • Paul Crawford
  • Brian Brown
  • Marit Kvangarsnes
  • Paul Gilbert

Abstract

Aims and objectives To investigate the tension between individual and organisational responses to contemporary demands for compassionate interactions in health care. Background Health care is often said to need more compassion among its practitioners. However, this represents a rather simplistic view of the issue, situating the problem with individual practitioners rather than focusing on the overall design of care and healthcare organisations, which have often adopted a production‐line approach. Design This is a position paper informed by a narrative literature review. Methods A search of the PubMed, Science Direct and CINAHL databases for the terms compassion, care and design was conducted in the research literature published from 2000 through to mid‐2013. Results There is a relatively large literature on compassion in health care, where authors discuss the value of imbuing a variety of aspects of health services with compassion including nurses, other practitioners and, ultimately, among patients. This contrasts with the rather limited attention that compassionate practice has received in healthcare curricula and the lack of attention to how compassion is informed by organisational structures and processes. We discuss how making the clinic more welcoming for patients and promoting bidirectional compassion and compassion formation in nursing education can be part of an overall approach to the design of compassionate care. Conclusions We discuss a number of ways in which compassion can be enhanced through training, educational and organisational design, through exploiting the potential of brief opportunities for communication and through initiatives involving patients and service users, as well as practitioners and service leaders. Relevance to clinical practice The development of contemporary healthcare systems could usefully address the overall design of compassionate care rather than blame individual practitioners for a lack of compassion.

Suggested Citation

  • Paul Crawford & Brian Brown & Marit Kvangarsnes & Paul Gilbert, 2014. "The design of compassionate care," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(23-24), pages 3589-3599, December.
  • Handle: RePEc:wly:jocnur:v:23:y:2014:i:23-24:p:3589-3599
    DOI: 10.1111/jocn.12632
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    References listed on IDEAS

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    1. Brown, Phillip & Lauder, Hugh & Ashton, David, 2011. "The Global Auction: The Broken Promises of Education, Jobs, and Incomes," OUP Catalogue, Oxford University Press, number 9780199731688.
    2. Carmel, Sara & Glick, Seymour M., 1996. "Compassionate-empathic physicians: Personality traits and social-organizational factors that enhance or inhibit this behavior pattern," Social Science & Medicine, Elsevier, vol. 43(8), pages 1253-1261, October.
    3. Ann Bradshaw, 2011. "Editorial: The future of clinical nursing: meeting the needs of patients for compassionate and skilled nurses?," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(13‐14), pages 1797-1800, July.
    4. Dorothy Horsburgh & Janis Ross, 2013. "Care and compassion: the experiences of newly qualified staff nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(7-8), pages 1124-1132, April.
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    1. Anett Skorpen Tarberg & Bodil J. Landstad & Torstein Hole & Morten Thronæs & Marit Kvangarsnes, 2020. "Nurses’ experiences of compassionate care in the palliative pathway," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(23-24), pages 4818-4826, December.
    2. Carmel Bond & Gemma Stacey & Sarah Field‐Richards & Patrick Callaghan & Philip Keeley & Joanne Lymn & Sarah Redsell & Helen Spiby, 2018. "The concept of compassion within UK media‐generated discourse: A corpus‐informed analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(15-16), pages 3081-3090, August.
    3. Joanne Durkin & Kim Usher & Debra Jackson, 2019. "Embodying compassion: A systematic review of the views of nurses and patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1380-1392, May.
    4. María Dolores Ruiz‐Fernández & Juan Diego Ramos‐Pichardo & Olivia Ibáñez‐Masero & José Cabrera‐Troya & María Inés Carmona‐Rega & Ángela María Ortega‐Galán, 2020. "Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID‐19 health crisis in Spain," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4321-4330, November.
    5. Eva Kahana, 2021. "Improving the End‐of‐Life Experience of Elderly Patients and Their Families: Policy and Practice Fall Short of Providing Comfort and Support," Journal of Elder Policy, John Wiley & Sons, vol. 1(2), pages 1-29, March.

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