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.

Excellent view

Specializes in ICU, PACU, OR.

In addition-you never know what impact you make on others. Be patient. Someone may take tidbits of what you have to offer and use it. May not be immediate, but any progress to me is progress. So while we want things wrapped up in tidy packages, it doesn't always work that way. It's amazing but in celebration of Nurses' Week, just remember you go through life never knowing what people take from you and what you do. I learned from my Dad who turned 80 several years ago. He received well wishes from SOOO many people, some he vaguely remembered. But they remembered who is was and how he impacted their lives with vivid detail. He cried and was humbled by the experience. Don't ever think you don't make a difference. You do. Try to make a positive difference, because that may be the only time you meet that person and make an impression. Could be a life-changing impression. Nurses DO make a difference.

Specializes in Hospice.

I can't pretend to speak for Ruby, but it seems we're talking on opposite sides of the same subject. I don't think the OP was objecting to the role of compassion in the work of a nurse. What I have a problem with is when the word is used as a club.

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 agree that true compassion is central to the art of nursing.

Specializes in ICU, PACU, OR.

All I can say if you weren't shown compassion-or you perceived people were working you too hard ("Meanies")then you usually want to impart the same hard knocks you had to go through to get where you are today. True that the education today is not as hard-nosed as it used to be. Sometimes my immature self succumbs to being hard to others, but then I feel bad, cuz I didn't want to go through that kind of treatment myself. But maturity tells me that I was treated that way to teach me something. It's only when I look back at my life that I can see that. If you can be hard then justify why you were that way, maybe that shows compassion and caring. There were lots of comments in the original post-so the thread is running. Everyone may take different things out of the post. Sorry if I didn't relate to it the way others may. I still feel like saying something.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
i can't pretend to speak for ruby, but it seems we're talking on opposite sides of the same subject. i don't think the op was objecting to the role of compassion in the work of a nurse. what i have a problem with is when the word is used as a club.

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 agree that true compassion is central to the art of nursing.

you got it! it rather surprises me how many people didn't. i thought i was being fairly clear.

Dear No Stars In My Eyes:

Beautiful. You make me miss my mother, whom everyone referred to a Nanny. To the originator of this post: If someone asks you, "where is your compassion?" especially if you hear it more than very infrequently, it might be wise to ask yourself the same questions. Perhaps you are experiencing moral distress, which is not uncommon in nursing. Find a way to revitalize and care for yourself as well as everyone around you. It is an ethical mandate we have as nurses, and one we frequently overlook. God Bless.

Specializes in Hospice.
Dear No Stars In My Eyes:

Beautiful. You make me miss my mother, whom everyone referred to a Nanny. To the originator of this post: If someone asks you, "where is your compassion?" especially if you hear it more than very infrequently, it might be wise to ask yourself the same questions. Perhaps you are experiencing moral distress, which is not uncommon in nursing. Find a way to revitalize and care for yourself as well as everyone around you. It is an ethical mandate we have as nurses, and one we frequently overlook. God Bless.

I would suggest that in being able to perceive the difference between true compassion and the manipulative use of the word to enable abusive, incompetent or otherwise unacceptable behavior, the OP has a clearer understanding of compassion than those who would patronize her.

As a hospice nurse, I am saddled with the "angel of mercy" stereotype. When I'm able to suss out a difficult situation and provide relief, peace or facilitate a resolution, the gratitude rains down and it sure feels good. This ego gratification is one of the legitimate rewards of nursing. It's also a secondary gain from appearing to be compassionate.

When one is accused of lacking compassion, that ego boost is threatened. That threat is the club that some use to bully people into tolerating otherwise unacceptable behavior or performance. That is what both Ruby and I are talking about.

Specializes in Emergency & Trauma/Adult ICU.

Amen.

It's telling, isn't it, that the "where's your compassion?" cry is almost always used in conjunction with "I didn't get what I wanted."

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

!!!!UNCLE!!!!! I think maybe some of us were not always responding directly to Ruby"s thread, but to some of the responses TO that thread. Anyway, gotcha, now, however belatedly.

Specializes in Hospice.

Yep ... and that is why it makes an interesting discussion.

How does one differentiate between an attempt to bully from a real criticism.

It's no secret that many of us suffer from compassion fatigue sometime in our careers - usually more than once. Sometimes that fatigue is more apparent to others than it is to ourselves so being called on it really is a mitzvah.

Similarly, how do we defend ourselves from the bully who wants us to enable their poor behavior?

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

You know, now that I think of it, I WAS thinking of compassion in relation to my patients.And I think when it comes to co-workers bullying, or even bullying in general, I tend to feel distressed and try to keep my eyes down and stay out of the way.....not exactly a compassionate response. I guess it could be learned behavior ingrained in earlier years as a receiver of bullying from a parent and schoolmates. So, how does one approach this dilemma at the workplace? While I'm inclined to ignore it, isn't that a form of enabling? Also, is it MY place to step in and call someone on their behavior? Some workplaces are so fractious and it is not impossible that one's supervisor would not be the one to go to about it. Is it chicken**** wanting to keep out of it? Or should this be another thread entirely?:confused:

Specializes in Hospice.
You know, now that I think of it, I WAS thinking of compassion in relation to my patients.And I think when it comes to co-workers bullying, or even bullying in general, I tend to feel distressed and try to keep my eyes down and stay out of the way.....not exactly a compassionate response. I guess it could be learned behavior ingrained in earlier years as a receiver of bullying from a parent and schoolmates. So, how does one approach this dilemma at the workplace? While I'm inclined to ignore it, isn't that a form of enabling? Also, is it MY place to step in and call someone on their behavior? Some workplaces are so fractious and it is not impossible that one's supervisor would not be the one to go to about it. Is it chicken**** wanting to keep out of it? Or should this be another thread entirely?:confused:

First of all, make no mistake ... patients can be bullies, too.

As for how to respond to bullying of coworkers ... compassion is not the same as self-sacrifice. It's a fine line to walk ... how to be supportive to colleagues being unfairly targeted vs becoming a target yourself.

There's also a difference between supporting a colleague who's standing up for her/himself and trying to "rescue" them.

I don't think there's anything wrong with trying to stay out of it unless you're the one being bullied ... it's the opposite of enabling. Rather, you're refusing to give the participants the positive reinforcement of escalating the drama. Again, offering support to someone getting slammed is a whole 'nother thing.