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. 2023 Mar;30(2):180-196.
doi: 10.1177/09697330221122965. Epub 2022 Oct 14.

Ethical sensitivity and compassion in home care: Leaders' views

Heidi Blomqvist  1 , Elisabeth Bergdahl  2 , Jessica Hemberg  1
Affiliations

Ethical sensitivity and compassion in home care: Leaders' views

Heidi Blomqvist et al. Nurs Ethics. 2023 Mar.

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.

Keywords: Caring; compassion; ethical sensitivity; home care leaders; home-based care.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

The study was conducted in accordance with good scientific practice by following the ethical guidelines of the Declaration of Helsinki and the Finnish Advisory Board of Research Ethics during all stages of the study. Research ethics permission was applied for from the Research Ethics Board at the university setting where the researchers were employed. Research permission to conduct the interviews for the study was granted by the four included organizations from which the participants were recruited. Written informed consent regarding participation in the study and handling of data for research purposes was obtained from all participants. The participants received information about the study both orally and in writing before the interviews began.

Figures

Figure 1.
Figure 1.
Overview of the findings.
See this image and copyright information in PMC

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