Connecting with Older People: Multiple Transitions in Same Place

  • Fiona Marshall


In this chapter, Marshall considers the challenges of sustaining dignified care for stroke patients nearing the end of their hospital stay. The chapter focuses on the conceptualisation of empathy in relation to patient recovery as developed across multiple care transitions and hospital discharge. Broadly speaking, these in-hospital care transitions concretise a cumulative change process in the preparation and initiation of hospital discharge, and patient recovery. However, minimal attention has been given to the emotional impact of multiple care transitions, which are characteristic of lengthy hospital stays. This chapter draws on extensive observations and interviews undertaken as part of an ethnographic study within two UK stroke units. Participants included patients and staff who contributed towards the development of a definition of empathy in practice.



The study was supported by Professor Justin Waring and Dr. Simon Bishop who graciously gave their academic support.


  1. Ballet, J., & Campling, P. (2011). Intelligent kindness. London: RC Psych Publications.Google Scholar
  2. Chadwick, R. (2016). Compassion: Hard to define, impossible to mandate. BMJ, 351, h3991.Google Scholar
  3. Chowdry, S. (2010). Exploring the concept of empathy in nursing: Can it lead to abuse of patient trust? Nursing Times, 106(42), 22–25.Google Scholar
  4. Clarke, D. J., & Forster, A. (2015). Improving post-stroke recovery: The role of the multidisciplinary health care team. Journal of Multidisciplinary Healthcare, 8, 433–442.CrossRefGoogle Scholar
  5. Cole-King, A., & Gilbert, P. (2011). Compassionate care: The theory and the reality. Journal of Holistic Healthcare, 8(3), 29–37.Google Scholar
  6. Firth-Cozens, J., & Cornwell, J. (2009). The point of care. Enabling compassionate care in acute hospital settings. London: The King’s Fund.Google Scholar
  7. Golis, C. C. (1995). Empathy selling: New sales techniques for the 21st century. Berkshire: McGraw-Hill Education.Google Scholar
  8. Haslam, D. (2015). More than kindness. Journal of Compassionate Care, 2(6).Google Scholar
  9. Higgs, R., & Rees Jones, I. (2009). Medical sociology and old age, towards a sociology of health in later life. London: Routledge.Google Scholar
  10. Murray, J., & Young, J. (2007). Review of longer-term problems after a disabling stroke. Reviews in Clinical Gerontology, 17(4), 277–292.CrossRefGoogle Scholar
  11. Parliamentary and Health Service Ombudsman. (2016). A report of investigations into unsafe discharge from hospital. London: PHSO.Google Scholar
  12. Seager, M. (2014). Mind as a dimension & compassion as a relationship issue. Journal of Compassionate Health Care, 1(3), 1–6.Google Scholar
  13. Sinclair, S., et al. (2016). Compassion: A scoping review of the healthcare literature. BMC Palliative Care, 15(6), 1–16.Google Scholar
  14. Taylor, B. J. (1994). Being human, ordinariness in nursing. London: Churchill Livingstone.Google Scholar
  15. von Dietze, E. V., & Orb, A. (2000). Compassionate care: A moral dimension in nursing. Nursing Inquiry, 7(3), 166–174.CrossRefGoogle Scholar
  16. Waring, J., & Marshall, F. (2014). An ethnographic study of knowledge sharing across the boundaries between care processes, services and organisations: The contributions to ‘safe’ hospital discharge. Southampton: NIHR Journals Library.Google Scholar
  17. Yashin, A., et al. (2010). Trends in survival and recovery from stroke: Evidence from the national long-term care survey/medicare data. Stroke, 41, 563–565.CrossRefGoogle Scholar
  18. Yu, J., & Kirk, M. (2008). Measurement of empathy in nursing research: Systematic review. Journal of Advanced Nursing, 64(5), 440–454.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2017

Authors and Affiliations

  • Fiona Marshall
    • 1
  1. 1.University of NottinghamNottinghamUK

Personalised recommendations