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Understanding Shame as an Obstacle: Toward a Global Perspective
Jeanne Cummings1, Steven L Baumann2
1Post-doctoral student, The Graduate School of The City University of New York, USA.
Nursing Science Quarterly
|March 22, 2021
Summary
Shame and vicarious shame hinder patients from disclosing trauma histories to healthcare providers. This emotional barrier impacts accurate patient assessment, diagnosis, and treatment, affecting the nurse-patient relationship.
Area of Science:
- Nursing
- Psychology
- Healthcare Studies
Background:
- Shame can prevent patients from disclosing trauma histories to healthcare professionals.
- Healthcare providers may experience vicarious shame, contributing to information withholding.
- This dynamic negatively impacts the therapeutic nurse-patient relationship and clinical assessment accuracy.
Purpose of the Study:
- To explore shame and vicarious shame as barriers in trauma disclosure within healthcare settings.
- To analyze the impact of these emotions on patient assessment, diagnosis, and treatment.
- To consider these issues through the lens of the Roy adaptation model and a global perspective.
Main Methods:
- Conceptual analysis of shame and vicarious shame in the context of trauma disclosure.
- Exploration of the Roy adaptation model's relevance to patient-provider emotional dynamics.
- Discussion of global perspectives on shame in healthcare interactions.
Main Results:
- Shame and vicarious shame significantly impede open communication about trauma.
- These emotional barriers reduce the accuracy of healthcare assessments and diagnostic capabilities.
- The nurse-patient relationship and overall treatment efficacy are compromised.
Conclusions:
- Addressing shame and vicarious shame is crucial for effective trauma-informed care.
- Educational and practice interventions are needed to mitigate these barriers in nursing.
- Further research is recommended to develop strategies for overcoming shame in healthcare settings.
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