Although I may agree that staffing levels and added pressures have contributed to a changed climate on the wards I feel the biggest contributor to a lack of compassion and dignity for patients is the attitudes and treatment of staff by management. When staff are not treated with dignity and respect by management it takes a lot to continually go out on the ward and block that out. Perhaps this is a bad comparison but, if you treat a dog badly long enough (despite how loving and docile he/she was before) the dog in time becomes a completely different animal. Likewise if nurses are constantly badgered, conjoled, threatened and made to work longer hours with fewer and fewer resources the nurses become unhappy creatures. As professionals we try to put the nonsense and stressors behind us but I firmly believe compassion and respect for patients would greatly improve if it started from the top with how management treat staff. If you are treated with kindness and respect and not bullying tactics I feel it would naturally flow over to patient care.