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Schwartz rounds® – promoting compassionate care and healthy organisations

This article reviews evidence about the factors that can make it difficult for healthcare staff to provide compassionate care for individuals and their families. These relate to the intrinsic strain of caring for people who are suffering both physically and existentially, and the pressure of working conditions including high workloads, lack of support and continuing change. It presents Schwartz Rounds as an intervention that responds directly to these factors and has been found to be of significant benefit in hospitals, hospices and other health care settings in the USA and UK. It describes how this intervention is based on techniques that are integral to the practice of many social workers and draws attention to the fact that palliative care social workers have played a significant role in establishing the rounds in end of life services. It suggests that Schwartz Rounds could be helpfully introduced in other areas of activity where social workers and others are employed to provide care and protection for vulnerable people, including children and young people, where similar pressures and limitations have been identified.