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Related Concept Videos

Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Ethical Dilemmas I01:17

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Towards compassionate care through aesthetic rationality.

Pamela Fisher1, Dawn Freshwater

  • 1School of Heathcare, University of Leeds, Leeds, UK.

Scandinavian Journal of Caring Sciences
|January 7, 2014
PubMed
Summary

The Francis Report highlighted poor care standards despite compliance. This study explores how hospice volunteers sustain compassionate care through a "sociability of care" model, integrating emotional engagement and aesthetic rationality.

Keywords:
Francis reportaesthetic rationalitycompassionhospiceinformal and formal careresilience

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Area of Science:

  • Sociology of health
  • Organizational studies
  • Healthcare quality

Background:

  • The 2013 Francis Report revealed appalling patient care in the Staffordshire NHS Trust, despite apparent regulatory compliance.
  • Concerns about a lack of compassion in healthcare, particularly for older patients, were highlighted, partly attributed to a task-based culture prioritizing targets over quality.
  • Third sector organizations like hospices are recognized for emphasizing values such as altruism and goodwill, offering potential models for improving care quality.

Purpose of the Study:

  • To investigate how motivations for compassionate care can be sustained and enhanced within organizational contexts.
  • To explore the role of hospice volunteers in providing quality care and addressing concerns raised by the Francis Report.
  • To examine the potential of a
  • sociability of care
  • model in healthcare settings.

Main Methods:

  • Qualitative study focusing on hospice volunteers.
  • Sociological approach analyzing organizational contexts and motivations for care.
  • Application of feminist theory, specifically Roslyn Bologh's concept of aesthetic rationality.

Main Results:

  • Compassion and altruism can be fostered in organizational settings through a "sociability of care."
  • Integrating "aesthetic rationality" alongside traditional rationality can enhance compassionate care.
  • Authentic emotional engagement, typically seen in private relationships, is crucial for formal caregivers.

Conclusions:

  • Hospice volunteers demonstrate a model for sustaining compassionate care within organizations.
  • Organizational cultures can be adapted to promote a "sociability of care" by valuing emotional engagement and aesthetic rationality.
  • Addressing the lack of compassion in healthcare requires a shift towards valuing authentic emotional connection in formal care settings.