Compassion in facilitating the development of person-centred health care practice

Famke Van Lieshout,Brendan Mccormack,Tanya Mccance,Angie Titchen

doi:10.1186/s40639-015-0014-3

Abstract

Person-centred practice, which includes compassion, needs to be well facilitated in order to flourish in healthcare settings. Facilitation is known to be complex and requires expert knowing and skills. The importance of adequate facilitator support is recognised. The literature however is unclear about the nature of this support and how it can be offered to facilitators while engaging with others in real world practice contexts. This paper presents a lived experience of a doctoral student working as a facilitator with clinical nurses and their leaders, to develop person-centred health care practice, through action research. Compassion with others and self is apparent throughout the experience. It illustrates a facilitator’s felt need to respond to this emotion that is triggered in the engagement with others, but which often is hindered by the context and perceptions of the situation. This causes imbalance within the facilitator, which in turn challenges the achievement of synchronous working with practitioners and the development of person-centred practice. A strong interplay between contextual and facilitator characteristics in the relationship with others impacts on the development of person-centredness in practice. Therefore compassion, as one of the attributes of person-centred practice, is fragile and fluid when lived in facilitative practice. A compassionate system of support is suggested to enable an understanding of context and self, in order to become and remain a person-centred, compassionate, facilitator in dynamic health care contexts. A compassionate system of support has the potential to help professionals to navigate the context, without losing oneself, in the process of enabling person-centred, compassionate practice to thrive. Such support suggest an ‘ethic of care’ for the facilitator in discovering and engaging with the emotional context of facilitating person-centred practice.

Highlights

Person-centred practice, which includes compassion, needs to be well facilitated in order to flourish in healthcare settings
Compassion, as one of the attributes of person-centred practice, is fragile and fluid when lived in facilitative practice
Drawing on the framework developed by McCormack & McCance [9, 10], care is delivered through a range of activities, including, working with patient’s beliefs and values, engagement, having sympathetic presence, sharing decision making and providing holistic care

Summary

Discussion

Person-centred practice and compassion are known to manifest differently in different contexts [13]. Conclusions and implications for policy and practice The findings of this study argue the value of a compassionate system of support for facilitators and/or practitioners to help them to engage with the complexity of culture in different contexts and the vital relationships inherent to this engagement while developing personcentred practice. It is argued that compassionate systems of support need to be acknowledged, created and facilitated to enable facilitators and practitioners to gain access to adequate support and to develop their expertise through the turbulence of practice change Such support can add to an ethic of care and lead to more humanistic health care practice contexts that benefit patients, clients and professionals. Person-Centred Leadership: A Critical Participatory Action Research Study Exploring and Developing a New Style of (Clinical) Nurse Leadership.

Conclusion

Background