Compassion: A Dirty Word

Language evolves, sometimes in unanticipated directions. The word "compassion", once used in a positive manner, now seems to be used mainly in bemoaning it's lack. Nurses Announcements Archive Article

I'm beginning to feel as though the word "compassion" is a dirty word. Maybe it's the way people use it these days. It doesn't seem to be about an actual feeling of empathy toward a patient, family member or even a colleague. It seems to be more about "ME ME ME." The word is used more as a bludgeon to impugn someone's character, motives or behavior than as a descriptor. It's used to induce -- or to attempt to induce -- feelings of guilt rather than to praise or validate.

"I'm pregnant and I don't think I should have to bend, lift, take isolation patients or work twelve hour shifts. My co-workers aren't helping me at all. Where is the compassion?" (Perhaps the co-workers are tired of being dumped on, of doing all the bending, lifting, taking isolation patients and doing 12 hour shifts while Princess is languishing at the nurses's station complaining about her nausea and regaling all with tales of her latest OB visit.)

"A mistake was made and a patient didn't die, but they're firing me anyway and I can't get unemployment. Why no compassion for me?" (Of course *I* didn't MAKE the mistake -- it just happened. Or if I did make it, it was because the charge nurse was mean to me, my Granny is in the hospital, I didn't get much sleep because the neighbors were so noisy and no one taught me how to give meds anyway. Just a wild guess, but no compassion for you because you're so busy feeling sorry for yourself that you're not taking personal responsibility for MAKING the mistake in the first place, and you don't seem to grasp the potential ramifications of the mistake.)

"The nurse wouldn't give me extra water after that doctor made me NPO, find a charger for my cell phone or a bed for my girlfriend to spend the night with me. She/he was polite and professional and all, but she/he wouldn't put out the warm fuzzies and the pillow fluffing. That nurse has no compassion!" (This usually comes after the patient in question has verbally and/or physically abused the nurse and questioned his/her parentage and sexual proclivities. Nurses, being human and all, aren't usually inclined to go above and beyond for people who aren't nice to them.)

"You are all MEAN! You're just jealous because I'm so much younger, smarter, better educated and more beautiful than you. It's true that nurses eat their young. And I thought nurses were supposed to be compassionate!" (Is it really "eating your young" if the "young" is so obnoxious, entitled, lacking in basic social graces and self-centered they cannot interact as adults and professionals with the adults and professionals around them? Trust me, Honey, if you were nicer to those old, fat, dumb, uneducated and ugly nurses who work at the same place you do, you might not have cause to complain about they way they treat you. Not that that would stop you from complaining anyway . . . . .)

"It has always been my dream to be an ER nurse, but you people are all scaring me! I never want to be as jaded and cynical as you! You should all quit and find another career because you have no compassion!" (Yes, it is my mission in life to avoid scaring anyone reading a vent thread and I'll hop right on that change of career thing -- as soon as the mortgage is paid, the bills go away and I have time and money to go back to school to learn to be something that requires no compassion!)

It's been a long time since I've seen anyone use the word "compassion" in a positive way. It's getting so I cringe when I see the word in type or hear it -- usually in a complaint because someone didn't get everything they wanted or felt entitled to.

Specializes in Hospice.
lol! As long as I'm the "Diner" and not the "Dinner," I think I'd be alright with that.

:hpygrp:

Where's the compassion???????????

It got lost at the potluck.

[color=#393733]a buddhist or a christian might say: compassion is a mind that is motivated by cherishing other living beings and wishes to release them from their suffering. humans have some degree of compassion. it is generally very biased and limited. when our family and friends are suffering we easily develop compassion for them, but we find it far more difficult to feel sympathy for people we find unpleasant or for strangers. furthermore, we feel compassion for those who are experiencing manifest pain, but not for those who are enjoying good conditions, and especially not for those who are engaging in harmful actions. if we genuinely want to realize our potential for compassion, we need to increase the scope of our compassion until it embraces all people without exception, just as a loving mother feels compassion for all her children irrespective of whether they are behaving well or badly.

[color=#393733]some might ask, "does that mean i should be a doormat?" a doormat is a person who is physicially weak and ineffectual. true compassion is neither. true compassion, as described above, seems to me to be a kind of horrible gift that drives a person to see the world as it really is and appreciate one's place within it with amazing and terrifying clarity. i have had glimpses of this in my life; moments where i knew i was experiencing (giving and receiving) true compassion, and let me tell you, these were not wholly comfortable experiences. however, those moments of true compassion caused a great swelling of gratitude within me such that i had never known before. i do not have any answers, but applaud all who ask the hard questions and seek the truth.

Specializes in Clinical Research, Outpt Women's Health.

Interesting thread. I like to think you can have compassion, but without being an absolute sucker. Ya know what I mean?

Specializes in ICU, PACU, OR.

I think you can be compassionate and not a doormat. You help people through situations-some may be of their own doing, or some may just be life happening, or genetic issues, but either way--you can show some understanding, but standing firm on your own abilities. Sometimes you can answer to colleagues in the same way--" I can see how this is tough for you, but these are the expectations...make a choice to do what is expected or move on to a better fit." Sometimes compassion can be demonstrated by just shutting up and listening and saying I hear you! I agree to tie compassion to "making it fit for me" selfish attitude does nothing but stir up anger in your co-workers. You tend to stay away from people like that. Usually someone will tell them what's what.

Specializes in Acute Care Hosp, Nursing Home, Clinics.
I think you can be compassionate and not a doormat. You help people through situations-some may be of their own doing, or some may just be life happening, or genetic issues, but either way--you can show some understanding, but standing firm on your own abilities. Sometimes you can answer to colleagues in the same way--" I can see how this is tough for you, but these are the expectations...make a choice to do what is expected or move on to a better fit." Sometimes compassion can be demonstrated by just shutting up and listening and saying I hear you! I agree to tie compassion to "making it fit for me" selfish attitude does nothing but stir up anger in your co-workers. You tend to stay away from people like that. Usually someone will tell them what's what.

Excellent response. You have eloquently captured the whole idea of this Post in this simple thought in a very gentle, careing way.

Sometimes you can answer to colleagues in the same way--" I can see how this is tough for you, but these are the expectations...make a choice to do what is expected or move on to a better fit."

Specializes in Geriatrics, Dialysis.
on nurses that eat their young and compassion; a friend came up with this reasoning: it is probably the nurses who are in nursing for the wrong reasons that may guilty of a percentage of the problems along with as "jealousy" and "stress." it is all interference to best outcomes. our responsibility is not to reason why but to be resourceful.

oh...thank you for clearing that up! i have never heard that nurses that lack compassion are in nursing for the wrong reasons!! or maybe just jealous of your superior skills/education/looks [take your pick!]. make sure and thank your "friend" for bringing this to your attention. i guess i will get right on that career change, before my lack of compassion causes me to turn cannibal. geez.... and some people wonder why the young occasioanlly get eaten!!

Specializes in ICU, PACU, OR.

All I know is that you never know why people have such bad attitudes. They could be having some HUGE issues outside the workplace that they cannot address, or is unresolved. Pushing buttons on people could push them over the edge. You just never know and that is the reason why compassion is needed. Long unresolved issues, personal or professional, take a toll on folks and the bystander and the patient sometime bear the brunt. Using compassion may be the answer to guiding that nurse to a better way to cope, either suggesting a change in the work environment, meeting with management to seriously discuss issues, suggesting counseling etc. The world is harsh and cold at times. The best we can do is understand that and try to lead the person who is so negative to a better fit for their situation. Listening is always good, giving advice only when asked, and gently leading to a better alternative, or when needed, a stern warning about what you have noted=especially when it comes to patient care are some of the things we can try. When you work with people over long periods of time you become a sort of family, and silence can kill. If a fool cannot recognize warnings, gentle reminders, or caring then the world will have it's way. Sad but true.

Specializes in Acute Care Hosp, Nursing Home, Clinics.
All I know is that you never know why people have such bad attitudes. They could be having some HUGE issues outside the workplace that they cannot address, or is unresolved. Pushing buttons on people could push them over the edge. You just never know and that is the reason why compassion is needed. Long unresolved issues, personal or professional, take a toll on folks and the bystander and the patient sometime bear the brunt. Using compassion may be the answer to guiding that nurse to a better way to cope, either suggesting a change in the work environment, meeting with management to seriously discuss issues, suggesting counseling etc. The world is harsh and cold at times. The best we can do is understand that and try to lead the person who is so negative to a better fit for their situation. Listening is always good, giving advice only when asked, and gently leading to a better alternative, or when needed, a stern warning about what you have noted=especially when it comes to patient care are some of the things we can try. When you work with people over long periods of time you become a sort of family, and silence can kill. If a fool cannot recognize warnings, gentle reminders, or caring then the world will have it's way. Sad but true.

If it is an isolated incident that is one thing but if it is ongoing that is another. How much time do you have to try and "Mother" this person back to health. How much bulling/abuse must others tolerate while you/we dabble in mental health issues? How does all that misplaced compassion effect patient care and does that make you/us enablers? I think you had it right in your previous post. Patient Care is the priority! That is what we signed up for. That is what we get paid for. That is what the Patient and the Governments pay the Facilities for.

"If a fool cannot recognize warnings, gentle reminders, or caring then the world will have it's way. Sad but true."

Is just not good enough. The World takes too long to figure it out and sometimes never gets it.

Specializes in ICU, PACU, OR.

You should at least give them a chance. Like I said if they don't take the compassionate directives, then you have to cut bait. I guess so many people just want warm bodies, but in my experience if the work balance isn't working, then time to do something.

Specializes in Acute Care Hosp, Nursing Home, Clinics.

I totally agree with you everyone deserves a second chance. Your comment

"I can see how this is tough for you, but these are the expectations...make a choice to do what is expected or move on to a better fit." Sometimes compassion can be demonstrated by just shutting up and listening and saying I hear you! I agree to tie compassion to "making it fit for me" selfish attitude does nothing but stir up anger in your co-workers."

is exactly the right tone to take with someone who deserves a second chance. I'm talking about someone who is abusive, rude or condesending to co-workers routinely. It is their M.O. This thread is filled with the frustrations of people who give real examples of how often they "go along to get along" just so they can get through their shift and worry about about losing their job. If only that approach was a universal standard in all phases of our nursing experience. Compassion is not a Dirty Word. It is a lost art. I was taught "Nursing is the Gentle Art of Careing." but that was in the 20th Century. This is a different time. We need to Raise the Bar of our Expectations and restore the Art of Careing.