Helping Student Nurses Learn the Craft of Compassionate Care: A Relational Model

Authors

  • Elizabeth Adamson edinburgh Napier University

DOI:

https://doi.org/10.14297/jpaap.v6i3.376

Keywords:

craftsmanship, compassionate pedagogy, nursing, tacit knowledge, craft mastery

Abstract

This on the horizon article proposes a relational model for enabling the development of skills and attributes associated with ‘compassionate craftsmanship’ in the developing nurse. This pedagogic model was informed by findings from the author’s research with patients, nurses and students, all of which focused on aspects of care and compassion. While the studies were located in varying contexts and involved diverse stakeholders, findings consistently revealed a connection between the provision of compassionate person-centred care and the development of tacit knowledge in the nursing profession. These will be teased out and explicated in a future paper; this article focuses on the proposed model.

The proposed model was developed by drawing on the literature of craftsmanship in a range of disciplines, where tacit knowledge is commonly regarded as a vital underpinning factor. In consequence, the compassionate craftsmanship model emphasises the importance of tacit knowledge in the design of appropriate pedagogic approaches to foster an ethos of compassionate craftsmanship in nursing. The very nature of tacit knowledge, however, means it is a challenging educational area to address. Hence the model, which illuminates a series of inter-related enabling factors that underpin the development of key abilities associated with compassionate craftsmanship. It also highlights anticipated long-term outcomes for those who develop and apply these in clinical practice.

The model will be of particular interest to healthcare practitioners, nurse leaders and those working in higher education. While the underpinning abilities and associated outcomes are specific to nursing, they are likely to be relevant to different disciplines where effective interaction with others is essential.

Author Biography

Elizabeth Adamson, edinburgh Napier University

Elizabeth Adamson is an Associate Professor in the School of Health and Social Care at Edinburgh Napier University. She has 19 years of experience in education both within clinical practice and higher education. l.adamson@napier.ac.uk

References

Adamson, E., & Dewar, B. (2011). Compassion in the nursing curriculum: making it more explicit. Journal of Holistic Healthcare, 8(3), 42. Retrieved from: http://www.napier.ac.uk/~/media/worktribe/output-200046/ccarticlefinal151111docx.docx.
Adamson, E., & Dewar, B. (2015). Compassionate Care: Student nurses' learning through reflection and the use of story. Nurse education in practice, 15(3), 155-161.
doi: https://doi.org/10.1016/j.nepr.2014.08.002
Adamson, E., Pow, J., Houston, F., & Redpath, P. (2017). Exploring the experiences of patients attending day hospitals in the rural Scotland: capturing the patient's voice. Journal of Clinical Nursing, 26(19-20), 3044-3055.
doi: https://doi.org/10.1111/jocn.13651
Benner, P., Tanner, C., Chesla, C., & Dawson Books. (2012). Expertise in nursing practice : Caring, clinical judgment & ethics (2nd ed.). United Kingdom: Dawson Books
Berger, R. (2003). An Ethic of Excellence: Building a Culture of Craftsmanship with Students: ERIC.
Browning, D. M., Meyer, E. C., Truog, R. D., & Solomon, M. Z. (2007). Difficult conversations in health care: cultivating relational learning to address the hidden curriculum. Academic Medicine, 82(9), 905-913.
doi: https://doi.org/10.1097/ACM.0b013e31812f77b9
Carmel, S. (2013). The craft of intensive care medicine. Sociology of health & illness, 35(5), 731-745.
doi: https://doi.org/10.1111/j.1467-9566.2012.01524.x
Coeckelbergh, M. (2014). Moral craftsmanship. In The ethics of creativity (pp. 46-61 ): Springer.
Cruickshank, S., Adamson, E., Logan, J., & Brackenridge, K. (2010). Using syringe drivers in palliative care within a rural, community setting: capturing the whole experience. International Journal of Palliative Nursing, 16(3), 126-132.
doi: https://doi.org/10.12968/ijpn.2010.16.3.47324
Davin, L., Thistlethwaite, J., & Bartle, E. (2018). 'Compassion, the first emotion ditched when I’m busy’. The struggle to maintain our common humanity. MedEdPublish, 7.
Dewar, B., Adamson, E., Smith, S., Surfleet, J., & King, L. (2014). Clarifying misconceptions about compassionate care. Journal of Advanced Nursing, 70(8), 1738-1747.
doi: https://doi.org/10.1111/jan.12322
Dewar, B., & Nolan, M. (2013). Caring about caring: developing a model to implement compassionate relationship centred care in an older people care setting. International journal of nursing studies, 50(9), 1247-1258.
doi: https://doi.org/10.1016/j.ijnurstu.2013.01.008
Edinburgh Napier University, & NHS Lothian. (2012). Leadership in compassionate care: final report. Edinburgh.
Edwards, S. D. (1998). The art of nursing. Nursing ethics, 5(5), 393-400.
doi: https://doi.org/10.1177/096973309800500503
Frayling, C. (2012). On Craftsmanship: towards a new Bauhaus: Oberon Books.
Green, R., & Bull, R. (2014). Simulated community spaces and nurses' practice preparedness: a thematic inquiry. Clinical Simulation in Nursing, 10(3), e111-e117.
doi: https://doi.org/10.1016/j.ecns.2013.09.001
Grimley, K. A. (2017). Never Assume: The Search for Shared Descriptions of Quality Nursing Care. Nurse Leader, 15(6), 413-418.
doi: https://doi.org/10.1016/j.mnl.2017.08.005
Janssen, P. P., De Jonge, J., & Bakker, A. B. (1999). Specific determinants of intrinsic work motivation, burnout and turnover intentions: a study among nurses. Journal of Advanced Nursing, 29(6), 1360-1369
doi: https://doi.org/10.1046/j.1365-2648.1999.01022.x
Jenner, C. A. (1997). The art of nursing: A concept analysis. Paper presented at the Nursing Forum.
doi: https://doi.org/10.1111/j.1744-6198.1997.tb00970.x
LeVasseur, J. J. (1999). Toward an understanding of art in nursing. Advances in nursing science, 21(4), 48-63
doi: https://doi.org/10.1097/00012272-199906000-00009
MacArthur, J., Wilkinson, H., Gray, M. A., & Matthews-Smith, G. (2017). Embedding compassionate care in local NHS practice: developing a conceptual model through realistic evaluation. Journal of Research in Nursing, 22(1-2), 130-147. doi:http://dx.doi.org.ezproxy.napier.ac.uk/10.1177/1744987116679052 .
Mackintosh, C. (2006). Caring: the socialisation of pre-registration student nurses: a longitudinal qualitative descriptive study. International journal of nursing studies, 43(8), 953-962.
doi: https://doi.org/10.1016/j.ijnurstu.2005.11.006
McSherry, R., Timmins, F., de Vries, J. M., & McSherry, W. (2018). A reflective qualitative appreciative inquiry approach to restoring compassionate care deficits at one United Kingdom health care site. Journal of Nursing Management.
doi: https://doi.org/10.1111/jonm.12630
Meal, A. G., & Timmons, S. J. (2012). Reclaiming craftsmanship in nursing. Nurse education today, 32(5), 479-481.
doi: https://doi.org/10.1016/j.nedt.2012.03.006
Nonaka, I. (1994). A dynamic theory of organizational knowledge creation. Organization science, 5(1), 14-37
doi: https://doi.org/10.1287/orsc.5.1.14
Nonaka, I., & Von Krogh, G. (2009). Perspective—Tacit knowledge and knowledge conversion: Controversy and advancement in organizational knowledge creation theory. Organization science, 20(3), 635-652.
doi: https://doi.org/10.1287/orsc.1080.0412
Parliamentary Health Service Ombudsman. (2011). Care and Compassion: Report of the Health Service Ombudsman on ten investigations into NHS Care of Older People. London.
Polanyi, M. (2009). The tacit dimension: University of Chicago press.
doi: https://doi.org/10.1891/9780826125453
Raingruber, B., & Wolf, T. (2015). Nurse perspectives regarding the meaningfulness of oncology nursing practice. Clinical journal of oncology nursing, 19(3), 292-296.
doi: https://doi.org/10.1188/15.CJON.292-296
Sennett, R. (2008). The craftsman: Yale University Press.
Sinclair, S., Norris, J. M., McConnell, S. J., Chochinov, H. M., Hack, T. F., Hagen, N. A., . . . Bouchal, S. R. (2016). Compassion: a scoping review of the healthcare literature. BMC palliative care, 15(1), 6.
doi: https://doi.org/10.1186/s12904-016-0080-0
Stucki, G., Bickenbach, J., Gutenbrunner, C., & Melvin, J. (2018). Rehabilitation: the health strategy of the 21st century. Journal of rehabilitation medicine, 50(4), 309-316.
doi: https://doi.org/10.2340/16501977-2200
Taylor, S. (2012). Leadership craft, leadership art: Springer.
doi: https://doi.org/10.1057/9781137012784
Thorlindsson, T., Halldorsson, V., & Sigfusdottir, I. D. (2018). The Sociological Theory of Craftsmanship: An Empirical Test in Sport and Education. Sociological Research Online, 23(1), 114-135
doi: https://doi.org/10.1177/1360780418754564
Timmins, F., & de Vries, J. M. (2015). Follow the yellow brick road‐the compassion deficit debate where to from here? Journal of Clinical Nursing, 24(19-20), 2689-2694.
doi: https://doi.org/10.1111/jocn.12917

Downloads

Published

2018-09-25