A four phase Delphi process was conducted: (1) Literature review of contemporary research in the field (2) Engaging stakeholders with an open ended questionnaire (n=9); (3) content analysis of open ended questionnaire results and synthesis with literature to form Round 2 questionnaire; (4) gaining consensus on key characteristics of the expression and receipt of compassion via a two round Delphi approach (Round 1 n=8; Round 2 n=6)

You would be hard-pressed in 2019 not to be aware of the worldwide social movement and protests relating to climate change. In September this year, millions of school children and adults around the world took to the street demanding urgent action in response to escalating concerns relating to the environment. Furthermore, the United Nations Climate Summit in New York described climate change as the defining issue of our time and the Australian Medical Association recently declared climate change as a health emergency following the lead of many international medical bodies. Clearly, our climate is changing; we are experiencing weather events that are more frequent and intense, and last longer (Jackman et al. 2018). As a result, all health professionals have an important role to play in this regard in the future.

Aims and objectives: To provide a review of empirical research investigating how compassion is expressed by nurses and received by patients in hospital settings. Background: Compassion is viewed as an important and fundamental part of a health professional practice. Universally, reports from both media and government agencies have addressed perceived deficits of compassion in healthcare with nurses accused of a lack of compassion. Research into compassion to date has largely focused on the problematic nature of compassion such as burnout, fatigue and other negative personal and work-related outcomes. Design: A systematic literature review of empirical research guided by a meta-ethnographic approach supported the systematic comparison and translation of the included studies. Six online databases were searched from January 2006–December 2016. Methods: This review was carried out according to the PRISMA-P reporting guidelines. How compassion in healthcare was defined was extracted alongside findings on how compassion was expressed by nurses and received by patients. Synthesis of the research was completed resulting in new interpretations. Results: Eleven papers met the inclusion criteria and were included in the review. Multiple differing definitions of compassion in healthcare were applied. Nurses embody and enact compassion through behaviours such as spending time with patients and communicating effectively with patients. Patients experience compassion through a sense of togetherness with nurses. Conclusion: Existing research demonstrated dissonance between the expression of compassion by nurses and how compassion is experienced by patients. The themes identified in this review should be considered by health professionals providing patient care. Relevance to clinical practice: Health providers should acknowledge and account for the time that nurses need with patients to demonstrate compassion in practice. Nursing education relating to the expression of compassion should articulate both the subjectivity and ambiguity of the term and examine the relationship between compassion and suffering.

Background Consensus methods such as Delphi studies or the group nominal method have long been used in healthcare research to develop services, processes or policies and inform further research. However, concept analysis and meta-synthesis tools are used more frequently to seek a collective understanding of subjective terms.
Aim To examine the use of consensus methods to develop linguistic clarity in healthcare research.
Discussion The authors argue that consensus methods are appropriate for determining linguistic clarity when researching subjective terms. The paper includes a sample research design that incorporates this approach. Consensus methods, supported by interpretive synthesis of the concept and research, can enrich our understanding of subjective terms used in healthcare research.
Conclusion Understanding the importance of linguistic clarity is an important step for healthcare researchers. Consensus methods, if managed effectively and conducted in line with the appropriate research guidelines, can bring a richer understanding to concepts.
Implications for practice This paper presents a research example that incorporates the use of a consensus method and which healthcare researchers can use to reduce the potential ambiguity of subjective terms in their research.