PDF(Pubmed)
Abstract：
BACKGROUND: Although compassion is a crucial element of physicians\' professional performance and high-quality care, research shows it often remains an unmet need of patients. Understanding patients\' and physicians\' perspectives on compassionate care may provide insights that can be used to foster physicians\' ability to respond to patients\' compassion needs. Therefore, this study aims to understand how both patients and physicians experience the concept and practice of compassionate care.
METHODS: We conducted semi-structured interviews with eight patients and ten resident physicians at a University Medical Center in the Netherlands. Using thematic analysis, we separately coded patient and resident transcripts to identify themes capturing their experiences of compassionate care. This study was part of a larger project to develop an educational intervention to improve compassion in residents.
RESULTS: For both patients and residents, we identified four themes encompassing compassionate care: being there, empathizing, actions to relieve patients\' suffering, and connection. For residents, a fifth theme was professional fulfillment (resulting from compassionate care). Although patients and residents both emphasized the importance of compassionate care, patients did not always perceive the physician-patient encounter as compassionate. According to residents, high workloads and time pressures hindered their ability to provide compassionate care.
CONCLUSIONS: Patients and residents have similar and varying understandings of compassionate care at the same time. Understanding these differences can aid compassion in medical practice. Based on the findings, three topics are suggested to improve compassion in residents: (1) train residents how to ask for patients\' compassion needs, (2) address residents\' limiting beliefs about the concept and practice of compassion, and (3) acknowledge the art and science of medicine cannot be separated.
METHODS: We conducted semi-structured interviews with eight patients and ten resident physicians at a University Medical Center in the Netherlands. Using thematic analysis, we separately coded patient and resident transcripts to identify themes capturing their experiences of compassionate care. This study was part of a larger project to develop an educational intervention to improve compassion in residents.
RESULTS: For both patients and residents, we identified four themes encompassing compassionate care: being there, empathizing, actions to relieve patients\' suffering, and connection. For residents, a fifth theme was professional fulfillment (resulting from compassionate care). Although patients and residents both emphasized the importance of compassionate care, patients did not always perceive the physician-patient encounter as compassionate. According to residents, high workloads and time pressures hindered their ability to provide compassionate care.
CONCLUSIONS: Patients and residents have similar and varying understandings of compassionate care at the same time. Understanding these differences can aid compassion in medical practice. Based on the findings, three topics are suggested to improve compassion in residents: (1) train residents how to ask for patients\' compassion needs, (2) address residents\' limiting beliefs about the concept and practice of compassion, and (3) acknowledge the art and science of medicine cannot be separated.
摘要：
背景：尽管同情心是医生的专业表现和高质量护理的关键要素，研究表明，它通常仍然是患者未满足的需求。了解患者和医生对同情心护理的看法可能会提供见解，可用于培养医生对患者的同情心需求做出反应的能力。因此,本研究旨在了解患者和医生如何体验同情护理的概念和实践。
方法：我们对荷兰一所大学医学中心的8名患者和10名住院医师进行了半结构化访谈。使用主题分析，我们分别对患者和住院医师的成绩单进行编码，以确定主题，以捕捉他们的同情心护理经验。这项研究是一个更大的项目的一部分，该项目旨在开发一种教育干预措施，以提高居民的同情心。
结果：对于患者和居民，我们确定了四个包含同情关怀的主题:在那里，同情，减轻病人痛苦的行动，和连接。对于居民来说,第五个主题是职业成就感（来自富有同情心的关怀）。尽管患者和居民都强调了同情护理的重要性，患者并不总是认为医患相遇是富有同情心的.据居民说,高工作量和时间压力阻碍了他们提供富有同情心的护理的能力。
结论：患者和居民同时对同情护理有相似和不同的理解。了解这些差异可以帮助医疗实践中的同情心。根据调查结果,提出了三个主题来提高居民的同情心：（1）培训居民如何询问患者的同情心需求，(2)解决居民对同情心概念和实践的限制性信念，（3）承认医学的艺术和科学不能分开。
方法：我们对荷兰一所大学医学中心的8名患者和10名住院医师进行了半结构化访谈。使用主题分析，我们分别对患者和住院医师的成绩单进行编码，以确定主题，以捕捉他们的同情心护理经验。这项研究是一个更大的项目的一部分，该项目旨在开发一种教育干预措施，以提高居民的同情心。
结果：对于患者和居民，我们确定了四个包含同情关怀的主题:在那里，同情，减轻病人痛苦的行动，和连接。对于居民来说,第五个主题是职业成就感（来自富有同情心的关怀）。尽管患者和居民都强调了同情护理的重要性，患者并不总是认为医患相遇是富有同情心的.据居民说,高工作量和时间压力阻碍了他们提供富有同情心的护理的能力。
结论：患者和居民同时对同情护理有相似和不同的理解。了解这些差异可以帮助医疗实践中的同情心。根据调查结果,提出了三个主题来提高居民的同情心：（1）培训居民如何询问患者的同情心需求，(2)解决居民对同情心概念和实践的限制性信念，（3）承认医学的艺术和科学不能分开。
