The document discusses care and compassion in nursing. It summarizes a report that found poor care in UK hospitals, including patients not having their needs met. It then outlines a nursing campaign and principles of nursing practice focused on treating patients with dignity, taking responsibility for care, managing risk, involving patients in decisions, communicating effectively, having skills and working as a team. The campaign aims to show nursing's skill and compassion. The document concludes by discussing the importance of communication, information sharing and compassion for patients.

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2. LEARNING OUTCOMES
By the end of this chapter you will have an
understanding of the meaning of care and
compassion in nursing.

3. One of the most important reports in the history of the NHS is
what has become known as the Francis Report (Mid
Staffordshire NHS Foundation Trust Public Inquiry 2013).
 staff being rude to patients and visitors
 meals being placed out of sick patients’ reach
 staff being too busy to toilet patients
 staff being too busy to change soiled bed sheets
 patients not being given their prescribed medication
 patients becoming extremely dehydrated due to not being given water to drink
 the list goes on

4. CARE AND COMPASSION
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.

5. The principles of nursing practice
A. Nurses and nursing staff treat everyone in their care with
dignity and humanity – they understand their individual needs,
show compassion and sensitivity, and provide care in a way that
respects all people equally.
B. Nurses and nursing staff take responsibility for the care they
provide and answer for their own judgements and actions – they
carry out these actions in a way that is agreed with their
patients, and their families and carers of their patients, and in a
way that meets the requirements of their professional bodies
and the law.
C. Nurses and nursing staff manage risk, are vigilant about risk,
and help to keep everyone safe in the places they receive health
care.
D. Nurses and nursing staff provide and promote care that puts
people at the centre, involves patients, service users, their
families and their carers in decisions and helps them make
informed choices about their treatment and care.

6. The principles of nursing practice
E. Nurses and nursing staff are at the heart of the
communication process: they assess, record and
report on treatment and care, handle information
sensitively and confidentially, deal with complaints
effectively, and are conscientious in reporting the
things they are concerned about.
F. Nurses and nursing staff have an up-to-date
knowledge and skills, and use these with
intelligence, insight and understanding in line with
the needs of each individual in their care.

7. G. Nurses and nursing staff work closely with their own team and with
other professionals, making sure patients’ care and treatment is co-
ordinated, is of a high standard and has the best possible outcome.
H. Nurses and nursing staff lead by example, develop themselves and
other staff, and influence the way care is given in a manner that is
open and responds to individual needs.

8. The culture of compassionate
care: the six Cs
1. Care
2. Compassion
3. Competence
4.Communication
5. Courage
6. Commitment

9. Communication with patients and those closest to them
requires staff to have ready access to the relevant
information, and the time to impart it. This requires good
record-keeping, proper handovers and a caring attitude,
promoting the easy recall of particular patients and their
problems.

10. It is an intrinsic and vital part of the process of treatment. Patients are
entitled to information enabling them to judge the progress of their
treatment and to make relevant decisions about it. Those closest to them
may be able to assist in the assessment of the best interests of those who
cannot make decisions for themselves. Treatment and care are matters in
which the patient should be involved in partnership, along with those that
he or she aggress to be involved.

11. Being in hospital can be a lonely experience. The simple reassurance
that some other human being cares about the patient, and identifies
with what he or she is going through, is tremendously important.
Such compassion can be shown by any member of staff: it merely
requires thoughtfulness and recognition of the human needs of
others, qualities which surely every member of a hospital’s staff
should share.