Beyond Compassion: Replacing a Blame Culture With Proper Emotional Support and Management Comment on "Why and How Is Compassion Necessary to Provide Good Quality Healthcare?".

The absence of compassion, argues the author, is not the cause of healthcare failures but rather a symptom of deeper systemic failures. The clinical encounter arouses strong emotions of anxiety, fear, and anger in patients which are often projected onto the clinicians. Attempts to protect clinicians through various bureaucratic devices and depersonalization of the patient, constitute as Menzies noted in her classic work, social defences, aimed at containing the anxieties of clinicians but ending up in reinforcing these anxieties. Instead of placing additional burdens on clinicians by bureaucratizing and benchmarking compassion, the author argues that proper emotional management and support is a precondition for a healthcare system that offers humane and effective treatment to patients and a humane working environment for those who work in it.

Configurações de poder organizacional e estilos de caráter

Contemplando diferentes níveis de análise e diferentes metodologias, o estudo tem por objetivo investigar as relações entre as configurações de poder organizacional - autocracia, missionária, instrumento partidário, sistema fechado e meritocracia - e os estilos de caráter narcisista, obsessivo, coletivista, individualista heróico e cívico, considerando o caráter como uma manifestação do comportamento organizacional, quando estabelecidas relações simbólicas entre o indivíduo e a organização, e o poder como a capacidade de afetar os resultados organizacionais.Realizado em duas etapas, o primeiro estudo tem por finalidade analisar as configurações citadas; usa a Escala de Configuração do Poder Organizacional aplicada em duzentos empregados de uma empresa, 15% da sua população, que compuseram a amostra estratificada. O segundo estudo usa entrevistas coletivas e semi-estruturadas para identificar os estilos de caráter predominantes na empresa, tendo participado 16 funcionários divididos em dois grupos - chefes e subordinados. De acordo com os resultados, os indivíduos percebem sua organização como Sistema Fechado, com forte coalizão interna, tendo padrões de comportamentos associados ao estilo de caráter coletivista, que prima pela coesão grupal e homogeneidade organizacional.

Contemplating different analysis levels and different methodologies, the study objectives to investigate the relationships between Organizational Power Configurations - autocracy, missionary, instrument, closed system, and meritocracy and narcissist, obsessive, collectivist, heroic and civic individualist Character Styles, considering character as a manifestation of organizational behavior, when established symbolic relationships between individual and organization, and power as an ability to affect organizational results.Undertaken in two stages, the first study aims to analyze power configurations, it uses the Scale of Power Configuration applied in two hundred employees of a company, 15% of its population, which composed stratified sample. The second study uses semi-structured and collective interview with 16 employees divided in two groups - bosses and subordinates to identify predominant character styles in the company. To regard the results, individuals perceive their organization as Closed System, with strong interns coalition, and experience behaviors patterns associated to collectivist character style, which have as feature group cohesion and organizational homogeneity.