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CARE AND COMPASSION IN NURSING

Addressing the care and compassion issue in health

care has instigated the RCN to launch a campaign to

show the ‘skill and compassion’ of today’s nurses, as well

as exploring the reasons behind failures in care (see

the This is Nursing website; Royal College of Nursing

2012).This campaign, developed jointly with the Royal College

of Nursing, The Nursing and Midwifery Council and the

Department of Health, has produced the Principles of

Nursing Practice, which tell us what patients, colleagues,

families and carers can expect from nursing. These

principles are reproduced in Table 14.1.

TABLE 14.1 THE PRINCIPLES OF NURSING PRACTICENURSING PRACTICE

A Nurses and nursing staff treat everyone in their care with dignity andhumanity – they understand their individual needs, show compassion andsensitivity, and provide care in a way that respects all people equally.

B Nurses and nursing staff take responsibility for the care they provideand answer for their own judgements and actions – they carry out theseactions in a way that is agreed with their patients, and their families andcarers of their patients, and in a way that meets the requirements of theirprofessional bodies and the law.

C Nurses and nursing staff manage risk, are vigilant about risk, and help tokeep everyone safe in the places they receive health care.

D Nurses and nursing staff provide and promote care that puts people at thecentre, involves patients, service users, their families and their carers indecisions and helps them make informed choices about their treatmentand care.

E Nurses and nursing staff are at the heart of the communication process:they assess, record and report on treatment and care, handle informationsensitively and confi dentially, deal with complaints effectively, and areconscientious in reporting the things they are concerned about.

F Nurses and nursing staff have an up-to-date knowledge and skills, and usethese with intelligence, insight and understanding in line with the needsof each individual in their care.

CompassionA feeling of distress and pity for the suffering ormisfortune of others. This often includes the desire toalleviate it.

The Department of Health and the NHS CommissioningBoard have developed a consultation/discussion paper(see Department of Health and NHS Commissioning Board2012) to emphasise values and behaviours in the NHS,public health and in social care.

If you go to any care setting in the NHS – into care homes,healthcare clinics and individual’s own homes – you will seeabundant examples of excellent care and compassion given

tothose in need. Unfortunately it is the relatively few cases,

oftenshocking in their brutality, that are publicised in the media.

PATIENTS’ COMPLAINTSChapter 12 looked at the complaints

procedure andexamples investigated by the

Parliamentary and HealthService Ombudsman.The Patients Association, a charitable

organisation thataims to tackle poor care and the causes

of poor care,published their report entitled We’ve

Been Listening, HaveYou Been Learning? in 2011, and gave the

four mostfrequent complaints received by The

Patients Association,from patients. What do you think they

were?How many of you have groaned when you

have lookedat your weekly timetable to see that you

have yet anothercommunications lecture or seminar! But

as the number onecomplaint from patients is concerned with

communications,it is quite obvious we are not getting this

aspect right!

THE FRANCIS REPORTThe Francis Report looked at the ‘appalling care’

receivedby the people of Stafford during the period 2005–

2008by the Mid Staffordshire NHS Foundation Trust.

RobertFrancis QC and his team collected over 1 million

pagesof documentary material, gathered information from

250witnesses and undertook 139 days of oral hearings.

Fromthis 290 recommendations were produced. We will

nowlook at a very small part of the Francis Report; thoseaspects relationing to communication (see Mid

StaffordshireNHS Foundation Trust Public Inquiry 2013).

Communication with patients andthose closest to them requires staff to have

ready accessto the relevant information, and the time to

impart it. Thisrequires good record-keeping, proper

handovers and acaring attitude, promoting the easy recall of

particularpatients and their problems. Provision of

informationshould not be treated as a nuisance to be fi

tted inwhenconvenient to staff. It is an intrinsic and vital

part of theprocess of treatment. Patients are entitled to

informationenabling them to judge the progress of their

treatment andto make relevant decisions about it. Those

closest to themmay be able to assist in the assessment of the

best interestsof those who cannot make decisions for

themselves.Treatment and care are matters in which the

patient shouldbe involved in partnership, along with those

that he or sheaggress to be involved.

Being in hospital can be a lonelyexperience. The simple reassurance that

some otherhuman being cares about the patient, and

identifi es withwhat he or she is going through, is

tremendously important.The relative of one patient remarked:

CARE AND COMPASSION IN NURSING

[A member of the nursing staff] who was in

training doing the university course, I think, and

she was doing a little spell on the ward, and on

my fi rst day she came and sat and chatted with

me and talked about my experiences and my

problem, and I enjoyed that, but that was the only

time while I was in there that anybody came and

talked to me.

The manner in which staffcommunicated information could

also pay insuffi cient regardto the patient’s condition. I heard

from the daughter of apatient who was partially deaf. She

recalls that staff took thepatient’s failure to respond as

indication of her dementia asopposed to a hearing problem.

Another family told me aboutthe language used to communicate

with their mother andthat the nurse was patronising,

referring to her mother ashaving been ‘naughty’, affording

her little dignity and respect.

BibliographyDepartment of Health (2013a) Caldicott Review: Information Governance in

theHealth and Care System. Department of Health, London.

Department of Health (2013b) Delivering High Quality, Effective, Compassionate

Care: Developing the Right People with the Right Skills and the Right Values –a Mandate from the Government to Health Education England: April 2013 to

March 2015. Department of Health, London.

Nb. Hope you can understand about Care and Compassion In Nursing