Compassion in Health Care: An Empirical Model
| Autor: | Shelagh McConnell, Neil A. Hagen, Shane Sinclair, Harvey Max Chochinov, Thomas F. Hack, Susan McClement, Shelley Raffin-Bouchal |
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| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty Canada Palliative care animal structures Urban Population media_common.quotation_subject Nursing(all) Clinical Neurology Compassion Context (language use) Grounded theory Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing Neoplasms Health care medicine Humans 030212 general & internal medicine General Nursing media_common Inpatients model palliative care 030504 nursing business.industry Middle Aged Models Theoretical Hospice and palliative medicine 3. Good health Anesthesiology and Pain Medicine oncology Female Neurology (clinical) Health care reform Empathy 0305 other medical science business Psychology empirical qualitative research Clinical psychology Qualitative research |
| Zdroj: | Journal of Pain and Symptom Management. (2):193-203 |
| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2015.10.009 |
| Popis: | Context. Compassion is frequently referenced as a hallmark of quality care by patients, health care providers, health care administrators, and policy makers. Despite its putative centrality, including its institution in recent health care reform, an empirical understanding based on the perspectives of patients, the recipients of compassion, is lackingdmaking compassion one of the most referenced yet poorly understood elements of quality care. Objectives. The objective of this study was to investigate palliative cancer patients’ understanding and experiences of compassion to provide a critical perspective on the nature and importance of compassion. Methods. This grounded theory study used semi-structured interviews to investigate how patients understand and experience compassion in clinical care. Using convenience and theoretical sampling, 53 advanced cancer inpatients were recruited over a seven-month period from a specialized palliative care unit and hospital-wide palliative care service within a Canadian urban setting. Data were analyzed by four members of the research team through the three stages of Straussian grounded theory. Results. Qualitative analysis yielded seven categories, each containing distinct themes and subthemes. Together, they constitute components of the compassion modeldthe first empirically based clinical model of compassion. The model defines compassion as a virtuous response that seeks to address the suffering and needs of a person through relational understanding and action. Conclusion. The components of the compassion model provide insight into how patients understand and experience compassion, providing the necessary empirical foundation to develop future research, measures, training, and clinical care based on this vital feature of quality care. J Pain Symptom Manage 2016;51:193e203. 2016 The Authors. Published by Elsevier Inc. on behalf of American Academy of Hospice and Palliative Medicine. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Databáze: | OpenAIRE |
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