Compassionate Care Challenges and Barriers in Clinical Nurses: A Qualitative Study
- PMID: 31057638
- PMCID: PMC6485023
- DOI: 10.4103/ijnmr.IJNMR_100_18
Compassionate Care Challenges and Barriers in Clinical Nurses: A Qualitative Study
Abstract
Background: Compassion is the heart of nursing care. Barriers to compassion in nursing may be influenced by the prevailing culture and religion of a society. Determining the barriers to providing compassion-based care would help nurses to plan better and more appropriate interventions. This study aimed to explore the challenges and barriers to compassionate care in nurses.
Materials and methods: This ethnographic study was performed in 2014-2016. The study participants consisted of 40 nurses, 16 patients, and 8 family members in medical and surgical wards. Data collection was performed through observations and interviews. Data analysis was performed based on Strauss and Corbin's constant comparative method.
Results: Data analysis defined three themes as the challenges and barriers to compassionate care; challenges and barriers related to the contextual environment of hospitals, sociocultural challenges and barriers, and challenges; and barriers related to staff.
Conclusions: This study described the challenges and barriers to compassionate care. Therefore, to eliminate these barriers and challenges, corrective action should be taken by managers. Attention to teaching the concept of compassion and patient-centered care and increasing the number of nurses and positive attitude toward the nursing profession in clinical environment can be effective in providing compassionate care.
Keywords: Challenges; Iran; compassion; ethnography; nursing.
Conflict of interest statement
Nothing to declare.
References
-
- Dewar B, Nolan M. Caring about caring: Developing a model to implement compassionate relationship centered care in an older people care setting. Int J Nurs Stud. 2013;50:1247–58. - PubMed
-
- Davison N, Williams K. Compassion in nursing 1: Defining, identifying and measuring this essential quality. Nurs Times. 2009;105:8–16. - PubMed
-
- Burnell L. Compassionate care: Can it be defined and measured? The development of the compassionate care assessment tool. Int J Caring Sci. 2013;6:180–7.
-
- National Healthcare disparities report. Washington: Department of Health and Human Services; 2013. [Last accessed on 2017 Oct 06]. Agency for Healthcare Research and Quality (AHRQ) Available from: http://www.ahrq.gov/research/mccrn.htm .
-
- Adult Inpatient Survey: Quality and Methodology Report. Care Quality Commission. 2017. [Last accessed on 2018 Oct 24]. Available from: http://www.cqc.org.uk/content/surveys .
