The design of compassionate care
Article first published online: 19 MAY 2014
© 2014 John Wiley & Sons Ltd
Journal of Clinical Nursing
Volume 23, Issue 23-24, pages 3589–3599, December 2014
How to Cite
Crawford, P., Brown, B., Kvangarsnes, M. and Gilbert, P. (2014), The design of compassionate care. Journal of Clinical Nursing, 23: 3589–3599. doi: 10.1111/jocn.12632
- Issue published online: 17 NOV 2014
- Article first published online: 19 MAY 2014
- Manuscript Accepted: 24 MAR 2014
- organisational design;
- position paper;
Aims and objectives
To investigate the tension between individual and organisational responses to contemporary demands for compassionate interactions in health care.
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.
This is a position paper informed by a narrative literature review.
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.
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.
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.