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首页> 外文期刊>Nursing philosophy: an international journal for healthcare professionals >Cognition and the compassion deficit: the social psychology of helping behaviour in nursing
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Cognition and the compassion deficit: the social psychology of helping behaviour in nursing

机译：认知与同情心缺失：护理中帮助行为的社会心理学

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This paper discusses compassion failure and compassion deficits in health care, using two major reports by Robert Francis in the UK as a point of reference. Francis enquired into events at the Mid Staffordshire Hospital between 2005 and 2009, events that unequivocally warrant the description appalling care'. These events prompted an intense national debate, along with proposals for significant changes in the regulation of nursing and nurse education. The circumstances are specific to the UK, but the issues are international. I suggest that social psychology provides numerous hints about the mechanisms that might have been involved at Mid Staffs and about the reasons why outsiders are blind to these mechanisms. However, there have been few references to social psychology in the post-Francis debate (the Francis Report itself makes no reference to it at all). It is an enormously valuable resource, and it has been overlooked. Drawing on the social psychology literature, I express scepticism about the idea that there was a compassion deficit among the Mid Staff nurses - the assumption that the appalling care had something to do with the character, attitudes, and values of nurses - and argue that the Francis Report's emphasis on a culture of compassion and caring in nurse recruitment, training and education' is misconceived. It was not a failure of compassion' that led to the events in Mid Staffs but an interlocking set of contextual factors that are known to affect social cognition. These factors cannot be corrected or compensated for by teaching ethics, empathy, and compassion to student nurses.
机译：本文以英国罗伯特·弗朗西斯（Robert Francis）的两篇主要报告为参考，讨论了医疗保健中的同情失败和同情缺陷。弗朗西斯（Francis）在2005年至2009年期间调查了中斯塔福德郡医院的事件，这些事件明确地说明了令人震惊的描述。这些事件引发了激烈的全国性辩论，并提出了有关对护理和护士教育法规进行重大修改的提议。情况特定于英国，但问题是国际性的。我认为，社会心理学为中层员工可能涉及的机制以及局外人对这些机制视而不见的原因提供了许多暗示。但是，在弗朗西斯会议后的辩论中，很少提及社会心理学（《弗朗西斯报告》本身根本没有提及社会心理学）。它是一种非常宝贵的资源，已经被人们忽略了。我借鉴社会心理学文献，对中层护士之间存在同情心缺失的想法表示怀疑，即令人震惊的护理与护士的性格，态度和价值观有关。弗朗西斯·报告（Francis Report）在护士招聘，培训和教育中强调同情和关怀的文化是错误的。导致同仁中事的原因不是同情心的失败，而是一系列相互关联的情境因素，这些因素影响社会认知。这些因素不能通过对学生护士的道德，同理心和同情心进行纠正或补偿。

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