Nurses’ experiences of compassion when giving palliative care at home

Background:Compassion is seen as a core professional value in nursing and as essential in the effort of relieving suffering and promoting well-being in palliative care patients. Despite the advances in modern healthcare systems, there is a growing clinical and scientific concern that the value of co...

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Bibliographic Details
Authors: Devik, Siri Andreassen (Author) ; Enmarker, Ingela (Author) ; Hellzen, Ove (Author)
Format: Electronic Article
Language:English
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Published: Sage 2020
In: Nursing ethics
Year: 2020, Volume: 27, Issue: 1, Pages: 194-205
Further subjects:B home nursing care
B secondary qualitative analysis
B quality of interaction
B Palliative Care
B Compassion
Online Access: Volltext (lizenzpflichtig)

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520 |a Background:Compassion is seen as a core professional value in nursing and as essential in the effort of relieving suffering and promoting well-being in palliative care patients. Despite the advances in modern healthcare systems, there is a growing clinical and scientific concern that the value of compassion in palliative care is being less emphasised.Objective:This study aimed to explore nurses’ experiences of compassion when caring for palliative patients in home nursing care.Design and participants:A secondary qualitative analysis inspired by hermeneutic circling was performed on narrative interviews with 10 registered nurses recruited from municipal home nursing care facilities in Mid-Norway.Ethical considerations:The Norwegian Social Science Data Services granted permission for the study (No. 34299) and the re-use of the data.Findings:The compassionate experience was illuminated by one overarching theme: valuing caring interactions as positive, negative or neutral, which entailed three themes: (1) perceiving the patient’s plea, (2) interpreting feelings and (3) reasoning about accountability and action, with subsequent subthemes.Discussion:In contrast to most studies on compassion, our results highlight that a lack of compassion entails experiences of both negative and neutral content.Conclusion:The phenomenon of neutral caring interactions and lack of compassion demands further explorations from both a patient – and a nurse perspective. 
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