1. Report on state of the art of education delivering compassionate and culturally competent care in each country Prepared by Prof. Irena Papadopoulos

2. The British National Health I. Papadopoulos, IENE3 Inaugural meeting, London 2013

3. Presentation http://bma.org.uk/working-for-change/the-changing-nhs/nhs-structure I. Papadopoulos, IENE3 Inaugural meeting, London 2013

4. Compassion in Practice – New NHS strategy Presentation http://tinyurl.com/phnulyv HIGHLY RECOMMENDED SITES FOR UK NHS COMPASSION STRATEGY http://www.england.nhs.uk/nursingvision/ CULTURALLY COMPETENT CARE See the Papadopoulos Tilki &Taylor/IENE model at: www.ieneproject.eu I. Papadopoulos, IENE3 Inaugural meeting, London 2013

5. THE NEED FOR COMPASSION IN THE UK  Major scandals of poor nursing care in NHS services and private nursing homes have resulted in many questions about:  Nursing education  Nursing and wider NHS management  The way quality and standards of care are monitored by the responsible bodies  Government funding  A number of inquires have made numerous recommendations for change I. Papadopoulos, IENE3 Inaugural meeting, London 2013

6. Presentation The literatures reviews I have conducted indicate the following: Compassionate care, leads to higher levels of patient/family satisfaction. Higher levels of satisfaction contribute to faster more effective healing and higher levels of compliance. The results from No2 (above) lead to better use of resources and may even lower costs. Practicing nurses' and midwives' reported burnout has strong links to an environment and an organisation devoid of compassion. The impact of No4 (above) is higher sick leave and likelihood of unsafe practice and the provision of care that lacks compassion. An organisation with high patient care standards has leaders who are compassionate. Compassionate leaders make the best role models to nurses and midwives in practice, who in their turn become compassionate role models to students. Nursing and midwifery education must have as its key priority the promotion of compassionate individuals who have the capacity to provide compassionate care. A compassionate and courageous workforce is more creative and innovative. There is a massive gap between the theoretical knowledge about compassion and the practice of it. We know very little about how compassion is taught in the classroom, even less on how its learning is facilitated in practice, and nothing about how this is measured. Although all humans have the capacity to be compassionate, how this is demonstrated and understood varies between individuals and between cultural groups. I. Papadopoulos, IENE3 Inaugural meeting, London 2013

7. How is compassion being taught to nurses in the British universities ? NOBODY KNOWS EXACTLY! –At Middlesex we believe that compassion is part of everything we teach…but is it? –Where is the evidence? IENE3 will provide some explicit ways of teaching, learning and assessing compassion. I. Papadopoulos, IENE3 Inaugural meeting, London 2013

8. How are we doing with cultural competence? A bit better! Many of the topics encompassed in models of cultural competence and transcultural nursing are embedded in the nursing curricula. At Middlesex we do not have specific modules about cultural competence but we have specific sessions in many modules. I. Papadopoulos, IENE3 Inaugural meeting, London 2013

9. How are we doing with cultural competent compassion? We know almost nothing about this topic. This is why IENE3 must try and bring the two concepts together... Cultural competence Compassion I. Papadopoulos, IENE3 Inaugural meeting, London 2013