Compassion in healthcare has received significant attention recently, on an international scale, with concern raised about its absence during clinical interactions. As a concept, compassionate care has been linked to nursing. We examined historical discourse on this topic, to understand and situate current debates on compassionate care as a hallmark of high‐quality services. Documents we looked at illustrated how responsibility for delivering compassionate care cannot be consigned to individual nurses. Health professionals must have the right environmental circumstances to be able (...) to provide and engage in compassionate interactions with patients and their relatives. Hence, although compassionate care has been presented as a straightforward solution when crisis faces health services, this discourse, especially in policy documents, has often failed to acknowledge the system‐level issues associated with its provision. This has resulted in simplistic presentations of ‘compassion’ as inexpensive and the responsibility of individual nurses, a misleading proposal that risks devaluing the energy and resources required to deliver compassionate care. It also overlooks the need for organisations, not just individuals, to be charged with upholding its provision. (shrink)

Este artículo evalúa la idea de G. Lipovetsky y J. Serroy según la cual la modernidad ha favorecido una ampliación de la compasión. A la luz de las investigaciones sobre la naturaleza y estructura de la compasión, realizados por M. Nussbaum, y algunos estudios sobre cultura de consumo, se puede sostener que la compasión efectivamente se ha generalizado gracias a un conjunto de fenómenos característicos del mundo actual: la individualización, la globalización, la interconexión informativa y la extensión del presupuesto democrático (...) de la igualdad jurídica ante la ley. Sin embargo, el actual sistema económico y social promueve, al mismo tiempo: la competencia individual despiadada en todos los niveles, la fragmentación selectiva de la información en unidades mínimas, el aislamiento de los individuos y un temor paralizante a quedar por fuera del juego económico. Esta situación favorece una compasión poco profunda, que no necesariamente se convierte en acción efectiva, y, en ciertos casos, bloquea completamente su aparición. (shrink)