Ethical sensitivity and compassion in home care: Leaders’ views

Abstract

Background With an increasing older population, the pressure on home care resources is growing, which makes it important to ensure the maintenance of quality care. It is known that compassion and ethical sensitivity can improve the quality of care, but little is known about care leaders’ perceptions on ethical sensitivity and compassion in home care and how it is associated with staff competence and thus quality of care. Aim The aim of the study was to explore home care leaders’ perceptions of ethical sensitivity and compassion associated with care quality in home care. Research design, participants, and research context A hermeneutical approach with a qualitative explorative design was used. The data consists of texts from 10 in-depth interviews with home care leaders. Content analysis was used as a method. Ethical considerations The study was conducted following the ethical guidelines of the Declaration of Helsinki and the Finnish Advisory Board of Research Ethics. Research ethics permission was applied for from a Research Ethics Board. Findings One overall theme and four subthemes were found. The overall theme was: “Compassion provides deeper meaning and ethical sensitivity provides means for knowing how to act”. Discussion If nurses fail to be sensitive and compassionate with patients, good and high qualitative home care cannot be achieved. Ethical sensitivity and compassion can be seen as resources in home care but the organization and the care leaders need to provide the support for these to develop. Conclusion This study provides an understanding of the meaning of ethical sensitivity and compassion as sources of strength and their link to quality of care in a home care context. Further studies could focus on how to build compassion and ethical sensitivity into home-based care and how to ensure adequate support for healthcare professionals’ compassion and ethical sensitivity.

Applying a Human Rights-Based Approach to Formal Care and Support Provided in the Home: A Narrative Review

“…Of the 16 studies included, 13 were primary qualitative studies, with the majority using focus groups and interviews for data collection [22,[38][39][40][41][42][43][44][45][46][47][48][49], followed by three primary quantitative studies (n = 3) comprising a discrete choice experiment [50], a retrospective cohort study [51], and a descriptive cross-sectional study [52].…”

“…Te studies were conducted in Australia (n � 5) [39,[42][43][44]49], the Netherlands (n � 2) [40,45], the United Kingdom (n � 1) [22], Norway (n � 2) [38,48], the United States of America (n � 1) [41], Canada (n � 3) [47,51,52], Finland (n � 1) [46], and Ireland (n � 1) [50]. Cumulatively, the studies represented a total of 121,303 participants.…”

“…Te theme, dignity, and respect emerged from eight studies [22,38,39,42,43,46,47,50]. Recognising the meaning of the home and homecare to a person underpinned dignity and respect.…”

“…Recognising the meaning of the home and homecare to a person underpinned dignity and respect. Respect for a person was infuenced by values, beliefs, and ethical sensitivity in human dignity [42,46]. Ethical sensitivity was described as respecting a person's integrity, being open and honest, compassionate, and attentive to the needs of the person [46].…”

“…Respect for a person was infuenced by values, beliefs, and ethical sensitivity in human dignity [42,46]. Ethical sensitivity was described as respecting a person's integrity, being open and honest, compassionate, and attentive to the needs of the person [46]. Tere was a strong connection among who the person was, that being their identity, their dignity, and their home.…”