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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Compassion in the Clinical Context: Constrained, Distributed, and Adaptive.

Amanda L Roze des Ordons1,2, Lori MacIsaac3, Jacqueline Hui4,3

  • 1Cumming School of Medicine, University of Calgary, Calgary, AB, Canada. amanda.rozedesordons@ucalgary.ca.

Journal of General Internal Medicine
|October 23, 2019
PubMed
Summary

Context significantly impacts clinician compassion in critical and palliative care. Teamwork is crucial for identifying and addressing compassion gaps to support patients and colleagues.

Keywords:
critical care, palliative caredoctor-patient relationshipsmedical culturepatient-centered care

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Area of Science:

  • Healthcare delivery
  • Clinical psychology
  • Medical ethics

Background:

  • Compassion's contextual nature is under-researched.
  • Understanding contextual influences on compassion is vital.

Purpose of the Study:

  • To describe how individual and contextual challenges affect compassion.
  • Focus on critical care and palliative care settings.

Main Methods:

  • Qualitative study using phenomenology and autoethnography.
  • Data from observations, interviews, and focus groups.
  • Analysis via constructivist grounded theory.

Main Results:

  • Identified four phenomena: individual gaps, relational challenges, contextual constraints, and distributed compassion.
  • Individual factors include attention, capacity, and personal toll.
  • Contextual factors involve situational pressures and organizational culture.
  • Team dynamics and distributed compassion play a key role.

Conclusions:

  • Context profoundly shapes compassion in clinical settings.
  • Teamwork is essential for managing compassion challenges.
  • Effective teamwork supports patients, families, and clinicians.