Discourses of compassion from the margins of health care: the perspectives and experiences of people with a mental health condition

Bond, Carmel; Hui, Ada; Timmons, Stephen; Wildbore, Ellie; Sinclair, Shane

doi:10.1080/09638237.2022.2118692

Cited by 4 publications

(2 citation statements)

References 43 publications

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“…Furthermore, their joy not only changed their motivation to support but also enriched their sensitivity. The feeling of sympathy had a positive impact on the personal recovery of the PMD [58]. Thus, their personal recovery benefited both the PMD and HVNs.…”

Section: 3mentioning

confidence: 90%

The Process of Home-Visiting Nurses Supporting People with Mental Disorders

Ohtake,

Noguchi-Watanabe,

Morita

2023

IJERPH

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The number of people with mental disorders (PMD) living in the community is increasing; however, it is unclear how home-visiting nurses (HVNs) supporting them in the community acquire their support skills. This study aimed to reveal the process of how HVNs learn support skills for PMD. Semi-structured interviews were conducted with 14 HVNs supporting PMD living in the community. The grounded theory approach was used for data analysis. As a result, two stages were present: “Explore the personal recovery of PMD” and “Believe in the potential of PMD and accompanying them”. The first stage is further divided into two themes: “Overlapping the worlds of PMD and HVNs”, and “Easing difficulty in living for PMD”. In the first stage, HVNs gained a better understanding of PMD and obtained insight into the support they needed in their daily lives. In the second stage, HVNs became to provide the support that PMD truly needed. HVNs gained a deeper understanding of the reality of PMD through their support. After HVNs found the support PMD required, they sought to provide it, ultimately resulting in finding ways to facilitate the personal recovery of PMD.

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Section: 3mentioning

confidence: 90%

The Process of Home-Visiting Nurses Supporting People with Mental Disorders

Ohtake,

Noguchi-Watanabe,

Morita

2023

IJERPH

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“…Compassion—defined as ‘a sensitivity to suffering […] with a commitment to try to alleviate and prevent it’ (Gilbert, 2013)—is valued by patients (Bond et al, 2022), motivates and is expected from health care professionals (Baguley et al, 2020; Frampton et al, 2013; Goel et al, 2018), predicts better clinical outcomes (Fogarty et al, 1999; Kelley et al, 2014; Trzeciak et al, 2017) and forms an integral part of professional code of practice worldwide (American Medical Association, 2016; New Zealand Medical Association, 2020; NHS, 2022). Unfortunately, patients' experiences of compassion vary.…”

Section: Introductionmentioning

confidence: 99%

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

Pavlova,

Paine,

Cavadino

et al. 2023

British J Health Psychol

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ObjectivesTo experimentally investigate whether more urgent patient presentations elicit greater compassion from health care professionals than less urgent, facilitating future research and thinking to address systemic barriers to compassion in health care.DesignThis is a pre‐registered online study with an experimental, within‐subjects repeated‐measure study design. Two clinical vignettes that systematically varied the urgency of patient presentation were utilized. Both vignettes depicted a patient with difficult behaviours typically associated with lower compassion.MethodsHealth care professionals (doctors, nurses and allied health practitioners) recruited from all 20 District Health Boards across Aotearoa/New Zealand completed two vignettes in a counterbalanced order. Paired‐sample t‐tests were used to test the effect of the presentation urgency on indices of compassion.ResultsA total of 939 participants completed the vignettes (20% doctors, 47%, nurses and 33% allied health professionals). As expected, participants reported greater care and motivation to help the more urgent patient. However, the more urgent patient was also perceived as less difficult, and exploratory analyses showed that perceived patient difficulty was associated with lower caring and motivation to help, particularly in the less urgent patient.ConclusionsThis is the first work to experimentally test the relationship between the urgency of patient presentation and compassion in health care. Although the association between urgency and difficulty is complex, our findings are consonant with evolutionary views in which urgent distress elicits greater compassion. A system‐wide orientation towards efficiency and urgency may exacerbate this ‘bias’ which must be addressed to ensure more equitable compassion in health care.

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What are nurse practice assessors’ priorities when assessing student mental health nurses? A qualitative content analysis

Painter,

Bond

2023

Nurse Education in Practice

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Discourses of compassion from the margins of health care: the perspectives and experiences of people with a mental health condition

Cited by 4 publications

References 43 publications

The Process of Home-Visiting Nurses Supporting People with Mental Disorders

The Process of Home-Visiting Nurses Supporting People with Mental Disorders

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

What are nurse practice assessors’ priorities when assessing student mental health nurses? A qualitative content analysis

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