Compassion is identified by the National Health Service (NHS) (2016) as one of the 6Cs that form the basic values that are fundamental to providing effective nursing care. Defined by the NHS as ‘intelligent kindness’, compassion is considered a complex combination of emotions. Chochinov (2007) describes compassion as ‘a deep awareness of the suffering of another coupled with the wish to relieve it’. Similarly, the Nursing and Midwifery Council (NMC) (2009, p. 9) defines compassion as an extension of empathy and the ‘want to help and do something to make the situation better’. These theories suggest compassion is not simply a sympathising emotion, but a motivation to improve another’s wellbeing.
“A kind gesture can reach a wound only compassion can heal.” -Steve Maraboli. Our world is a place where everyone is left to fend for themselves in order to survive. Compassion is often forgotten when everyone focuses only on themselves until we witness the suffering of another human being.
Within literature, Compassion has been described in many ways though very few descriptions have agreed on how it is best identified (Volpintesta 2011). Crowther et al (2013) describe compassion as a deep emotion that is felt by the individual practitioner allowing them to understand what the patient may be experiencing. Nussbaum (2003) argues that compassion goes beyond just understanding and identifying that emotion, it requires the practitioner to produce a response to the feeling or emotion in order to improve the situation. Dewar (2011) points out that compassion is not only about the recognition of the patients suffering but includes small
Compassion is another valuable attribute of caring. Compassion is the sense of concern for others and their less than desirable situations. According to Perry (2009), compassion is the attention to minute details, generally exhibited in a face-to-face interaction with a patient/client (p. 18) and should be implemented when providing patient care and interventions. Attentiveness goes a long ways to enhance the well-being and quality of care provided to a patient/client. This in turn, establishes trust amongst a nurse/caregiver and a patient/client.
Compassion, or caring can be viewed as “nursing’s most precious asset” (Schantz, 2007), a fundamental element of nursing care (Dietze and Orb, 2000), and as one of the strengths of the profession. According to Torjuul et al (2007), it involves being close to patients and seeing their situation as more than a medical scenario and routine procedures. Compassion is to feel passion with someone, to enter sympathetically into their sorrow, suffering, pain or situation and desire and attempt to alleviate the sorrow, suffering, pain or need. Compassion knows when to be the shoulder to cry on and when to be the motivator for life changing health habits. Compassion is; treating not only the diagnosis but the person, the person with feelings, the person who is going to cry sometimes.
Health caregivers are the group of people mostly at risk of developing compassion fatigue. Most of the times, compassion fatigue may be as a result of the situations the care providers encountered and the pain they feel for their patients. One of the vital element of healthcare is providing a compassionate care. Compassion is defined as being aware of other people suffering, and desire to help to them reduce the suffering (Ruysschaert, 2009). Compassion fatigue is seen as a form of burnout that affect the health care provider which manifest itself as physical, emotional, and spiritual exhaustion (Lynch & Lobo, 2012). The four major factors that can lead to compassion fatigue are, giving others too much caring and not enough care to self, unresolved past trauma, inability to control stress at work, and lack of satisfaction in the work (Ruysschaert, 2009). Compassion fatigue occurs when the caregivers are milked of their sense of wellbeing, comfort, their purpose in life, strength and all the good qualities they have. It is important for those that caring for others to also pay attention to their own needs. Taking care of your own needs means that you will be healthy and therefore be more able to care for others. The caregiver needs to be able to recognize and discuss compassion in order to avoid it.
Compassion is a crucial aspect of nursing; it involves seeing the patients as more than just a medical problem. Patients look to nurses as a source of comfort to help them deal with their emotions and understand their medical problems. In Norway, a study was conducted to find the role of compassion in nursing and
Compassion impels us to work to alleviate the suffering of our fellow man, to remove ourselves from the center of our world and put another there, and to honor the sanctity of every single person treating everybody, without exception, with justice, equity and respect.
Are people born with a complete quandary when it comes to compassion or is it something that has always been there? Barbara Lazear Ascher, born in 1946, writes, “On Compassion.” Having lived in New York City, Ascher is able to take first hand examples from the city to show the affection people have towards each other. Ascher is able to illustrate that compassion is something that has to be taught because of the adversity at people’s heels by including tone, persuasive appeals, and the mode of comparing and contrast in her essay, “On Compassion.”
Healthcare providers are at increased risk for compassion fatigue (CF), which has also been called secondary traumatic stress, second hand shock syndrome, secondary stress reaction, and vicarious trauma (ABA, 2011). Compassion fatigue begins to become an issue when caregivers give too much of themselves to others and neglect to provide for their own needs. Neglecting one’s personal needs can be harmful, leading to destructive behaviors and patterns, such as over indulgence and increased sick calls. Over time the provider has a decreased ability to show compassion. This paper will discuss and describe compassion fatigue, warning signs of compassion fatigue, and discuss recovery options for those suffering from compassion fatigue.
A Paper Submitted in partial fulfillment of the requirements for NU 506 Theoretical Foundations of
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