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.

I was just accepting into a nursing program, and feel one of my strongest character traits is my compassion for others, which is my drive for choosing nursing as a career. Everyone has a story and a past that shapes them, not everyone has been lucky enough to be well round by their past. We as humans are flawed, some may be more so when ill or in distress; i try to remember that, when faced with different points of view, or a challanging individual. Interesting posts and comments.

"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!"

I was reading this story with great empathy for its writer having never looked to see the OP's name, when I came across the above part and my heart sank. It would appear the quote was from a post I had made a few weeks ago. It was ALMOST verbatim (and can be seen here https://allnurses.com/emergency-nursing/rules-er-long-170440-page84.html) - except the last sentence was NEVER said. Maybe there is another post floating around almost identical to mine where the OP insisted people needed to find new jobs because they have no compassion, but IF it was in reference to mine, I take exception to it. The post had been misinterpretted, with people adding their own meanings and reasonings, and anyone who bothered to read on would have seen that I explained what I was talking about and where those feelings came from.

Regardless... I do not "scare" easily, but I AM smart enough to know when to walk away from an ugly situation where there are clearly no winners.

So this is me, walking away. I'd have something much more flippant to say about what you can do to my backside while I walk away, but I like to abide by the rules of not being offensive...

Specializes in Med nurse in med-surg., float, HH, and PDN.

heron--thanx for the clarification ; nice to know my instincts aren't too off kilter. I can be supportive to another. I don't think I've had too much trouble from bullying patients tho' maybe I've just softened the memories over the years.I know there's a difference between a bullying patient and a crabby one, but I kinda like winning over the grumps. Generally at work I'm concentrating on my work and my patients, and I"m most always surprised when I find out "late in the game" what has been going on between co-workers. Sometimes I am aware of weird undercurrents, other times it kind of helps to be "dumb". Not that I play it that way, it's a genuine innocence (not being naive) of relationsips between people who've been there longer than me. And , of course, not WANTING to know! Working through an agency makes the entanglements a little easier to stay out of, not being palsy-walsy . I aim at cordiality, but can listen. I can listen without trying to rescue, thank goodness, and like I said in an earlier post, I can thank my mother for providing me with a really good template to guide me.

Specializes in Acute Care Hosp, Nursing Home, Clinics.

"Too often, it's trotted out like the victim card or the abuse excuse to allow its wielder to get away with unacceptable behavior or poor performance. Any attempt to call him/her out on his/her nonsense is met with cries of "where's the compassion!". :uhoh3: Like it's compassionate to allow a person to labor under the delusion that what they're doing is anywhere near OK ... take a look at Ruby's examples and you'll see what I mean. Compassion is not the same as enabling."

I get it too. Big Time. Learning how to separate the Wheat from the Shaft is an intragal part of solving the problem of "Why do nurses eat their young" Too much touchy - feely gets in the way of common sense solutions to complex problems. Sounds like many of those responding to this post are struggling with their own feelings. I will be the first to help and I will go the extra mile to help anyone who shows me they want to learn or they really need help. but I'm not going to be empathic to anyone who is trying to "Work the System". Somehow the needs of the Patient gets lost in the needs of the staffer worker.

My attitude is when you come to work your first priority is your Patient. Does that make me a mean nurse? yes. some think so. But they didn't last on my Unit. Why because they were out of step with the rest of us if they couldn't or wouldn't carry their load, thought they were they were smarter than the rest of us or went crying to the D.O.N. or Admin. for sympathy it just didn't work. Why? because we worked as a team and we watched each others back. You either fit in or you were left out. Some took us to the Labor Board. We never lost a case. Why? Document, Document, Document. Enough already. If you're not up to the job stay home or get another job. When someone was really sick or had a real problem we were there to help. We have given up our vacation days when they were sick or had a child or parent sick, and invited people into our homes who were having personal problems, help out when someone had a fire in their home. We were a team and we treated each other with respect and didn't put up with BS. Focus on what you are there to do. Focus, Focus, Focus on the Patient and you will find Time To Smile at the end of the day.

Compassionate behavior is to care for, protect and nourish. This can be for either the body and mind or both. If you are doing these things then you are being compassionate-recognizing and alleviating suffering. If you are secure in this understanding then when someone tells you that you are not being compassionate you will be able to evaluate the truth of what they say for yourself.

At home my family tries to make the lowest level of behavior to be pleasant. That is as loving members of our family we seek to be pleasant to each other and we have developed ways of achieving this goal. We like to be happy at home and this helps us do that. At work you may not have rules as to what the lowest level of professional behavior is supposed to be so it just keeps going down. This is a leadership and group issue. I think your unit could use some professional boundaries to at least have a low bar for behavior. It should not be a punitive boundary but a point the person can look at and determine if they need to rethink the level of behavior on which they are functioning. I hope your unit can come up with some strategies to make it a happier place.

Specializes in Hospice.
"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!"

I was reading this story with great empathy for its writer having never looked to see the OP's name, when I came across the above part and my heart sank. It would appear the quote was from a post I had made a few weeks ago. It was ALMOST verbatim (and can be seen here https://allnurses.com/emergency-nursing/rules-er-long-170440-page84.html) - except the last sentence was NEVER said. Maybe there is another post floating around almost identical to mine where the OP insisted people needed to find new jobs because they have no compassion, but IF it was in reference to mine, I take exception to it. The post had been misinterpretted, with people adding their own meanings and reasonings, and anyone who bothered to read on would have seen that I explained what I was talking about and where those feelings came from.

Regardless... I do not "scare" easily, but I AM smart enough to know when to walk away from an ugly situation where there are clearly no winners.

So this is me, walking away. I'd have something much more flippant to say about what you can do to my backside while I walk away, but I like to abide by the rules of not being offensive...

You're having ideas of reference.

The problem is that the nursing student who's outraged by nurses making statements they find objectionable is a common phenomenon on this site. Ruby was describing a generic example of that. It's not Ruby's fault that the phenomenon has become a cliche or that it fits you.

So ... if the shoe fits, wear it ... and don't let the door hit ya where the Good Lord split ya.

Specializes in Acute Care Hosp, Nursing Home, Clinics.
Compassionate behavior is to care for, protect and nourish. This can be for either the body and mind or both. If you are doing these things then you are being compassionate-recognizing and alleviating suffering. If you are secure in this understanding then when someone tells you that you are not being compassionate you will be able to evaluate the truth of what they say for yourself.

At home my family tries to make the lowest level of behavior to be pleasant. That is as loving members of our family we seek to be pleasant to each other and we have developed ways of achieving this goal. We like to be happy at home and this helps us do that. At work you may not have rules as to what the lowest level of professional behavior is supposed to be so it just keeps going down. This is a leadership and group issue. I think your unit could use some professional boundaries to at least have a low bar for behavior. It should not be a punitive boundary but a point the person can look at and determine if they need to rethink the level of behavior on which they are functioning. I hope your unit can come up with some strategies to make it a happier place.

What ever floats your boat. Our strategy was to raise the bar of expectations and to determine what the best approach to patient care would be for that day. After Report and Rounds we planned the responsibilities for the shift. Everyone knew what the plan was and how it would be executed. First and foremost follow the Pt's plan of Care. Second. Plan your work with you Hall Partner so you are available to help each other if needed. Third. Patients first paperwork second. Fourth. Patients first, Patients first, Patients first. and always, always, come and get me when you have a problem. No excuses. That was the way we started the shift and we dealt with distractions and emergencies as they occured. We had a happy, good natured team. We all wanted to do our best and that's what makes the difference.

... and don't let the door hit ya where the Good Lord split ya.

Well, aren't you so very clever. At least I had the decency to "hold my tongue" and not make it a personal attack (as the Comment Policy clearly forbids "Advertising or personal attacks are NOT allowed.")

But Kudos to you and your absolutely brilliant response...! :yeah:

(P.S. Being a nursing STUDENT is also not a dirty word, nor does it infer that the person has ZERO experience in the medical profession.)

Specializes in Hospice.

So ... your snark is an opinion but mine is a violation of TOS?

I see a thread about nurses eating their young in your future.

I see a thread about nurses eating their young in your future.

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

:hpygrp:

Specializes in NICU, Infection Control.

Please try to keep the debate on topic and not get personal, 'K??? thnx

Specializes in ICU, PACU, OR.

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