Collective Compassion: Responding to Structural Barriers to Compassion With Agentic Action in Healthcare Organizations

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-21 DOI:10.1177/08933189231209724

Rebecca B. Leach, Alaina C. Zanin, Sarah J. Tracy, Elissa A. Adame

引用次数: 0

Abstract

This study investigates compassion among coworkers in healthcare organizations through a lens of structuration theory. The purpose of this study is to examine how healthcare workers exercise agency to (re)produce or transform structures related to the communication of compassion in the workplace, particularly in the context of COVID-19. This study utilizes a phronetic iterative approach and data collected through in-depth, semi-structured interviews with healthcare workers ( N = 27). Qualitative data revealed how healthcare workers responded to structural constraints in managed care through agentic action such as earnest script-breaking, creating spiral time, and coordinating compassion as a collective. Extending compassion scholarship, this study highlights compassion as a communicative, collective, and co-constructed process. Theoretical and practical implications are discussed, followed by directions for future research.

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集体同情:应对结构性障碍，同情与代理行动在医疗机构

本研究透过结构理论探讨医疗机构同事间的同情心。本研究的目的是研究卫生保健工作者如何行使代理权(重新)产生或改变与工作场所同情沟通相关的结构，特别是在COVID-19的背景下。本研究采用了一种快速迭代的方法，并通过对卫生保健工作者(N = 27)的深入、半结构化访谈收集了数据。定性数据揭示了医疗工作者如何通过代理行动，如认真打破剧本，创造螺旋时间，协调同情作为一个集体，对管理式医疗中的结构性约束作出反应。本研究延伸慈悲学术，强调慈悲是一个沟通、集体和共同建构的过程。讨论了理论和实践意义，并展望了未来的研究方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.