Empathy and HealthCare
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Medical students need to learn the potent medicine of empathy

Medical students need to learn the potent medicine of empathy | Empathy and HealthCare | Scoop.it

This purely technical approach can obscure the human side of medicine and erode empathy — the ability to understand and care about what makes a patient tick.

 

In fact, the empathy levels of medical students actually decline as they progress through school. Many become emotionally disengaged from the people they’re caring for — and that disconnect can impair care...

 

Without empathy, doctors run the risk of alienating their patients. The relationship can become one-sided, with the physician simply dictating treatments and the patient following orders.

 

By WOLFGANG GILLIAR

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Empathy a Key Component of Physician Job Satisfaction

Empathy a Key Component of Physician Job Satisfaction | Empathy and HealthCare | Scoop.it

Empathetic listening can help physicians navigate difficult situations and forge deeper connections with patients, leading to greater professional satisfaction and joy, according to the American Medical Association.


Noting that patients and their families are often more satisfied and more open to adopting advice when physicians show true empathy while listening, the article describes 5 ways for doctors to become better listeners and connect with empathy.

 

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Healthcare professionals need empathy too! 

Healthcare professionals need empathy too!  | Empathy and HealthCare | Scoop.it
Recently, a number of media reports and personal testimonies have drawn attention to the intense physical and emotional stress to which doctors and nurses working in the NHS are exposed on a daily basis. Medical professionals are increasingly reporting feelings of exhaustion, depression, and even suicidal thoughts.

 

Long working hours, decreasing numbers of staff, budget cuts and the lack of time to address patients’ needs are mentioned as some of the contributing factors (Campbell, 2015; The Guardian, 2016). Such factors have been linked with loss of empathy towards patients and, in some cases, with gross failures in their care (Francis, 2013).

We recently argued for the importance of professionals’ emotional wellbeing in the development and exercising of empathy (Kerasidou, Horn, 2016).

 

 

 Written by Angeliki Kerasidou & Ruth Horn, The Ethox Centre, Nuffield Department of Population Health, University of Oxford

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How Self-Compassion Can Help You Through a Breakup

How Self-Compassion Can Help You Through a Breakup | Empathy and HealthCare | Scoop.it
In his study, Sbarra measured how much self-compassion his participants brought into the lab, but it is not a fixed quality like eye color. You can cultivate self-compassion. Here are three ways to do that, excerpted from my new book, Splitopia: Dispatches from Today’s Good Divorce and How to Part Well.

1. See the universality of your experience

Suspecting that our suffering, failure, or loss is abnormal alienates us from others. In fact, suffering is part of the human experience (as is committing acts we later regret). Even your most successful, chipper friends have lost a loved one, made mistakes, or failed at a lifelong dream. You probably did behave less than perfectly in your marriage; it’s the rare person getting divorced—or staying married—who didn’t. But you also did many loving, lovely things over the years.
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 (Teaching Empathy) Mission impossible? Replacing abuse with empathy  - SOUTH AFRICA  

 (Teaching Empathy) Mission impossible? Replacing abuse with empathy  - SOUTH AFRICA   | Empathy and HealthCare | Scoop.it

Abused in labour, depressed after giving birth – pregnancy can be a nightmare for women. But an inexpensive intervention is trying to change this by teaching caregivers to listen, empathise, and identify depression. 

 

“The PMHP has developed empathic training to address obstetric violence – the habitualised culture that enables the abuse of pregnant women. We can’t just plop in mental health services for women without fixing the sick environment,” adds Honikman, who is based at the University of Cape Town...

 

Empathic training focuses on role play, realistic case scenarios and small group engagement to illustrate the different components of empathic engagement and possible interventions.

 

“Participants role-play, as a group, the experience of what it is like to be the vulnerable mother engaging with a care worker. We facilitate ‘outing’ the aggressive, disrespectful interactions – the screaming and swearing at each other – in a way that is cathartic and funny,” says Honikman.

 

 

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Study: Clarifying changes in student empathy throughout medical school: a scoping review

Study: Clarifying changes in student empathy throughout medical school: a scoping review | Empathy and HealthCare | Scoop.it

Despite the increasing awareness of the relevance of empathy in patient care, some findings suggest that medical schools may be contributing to the deterioration of students’ empathy. Therefore, it is important to clarify the magnitude and direction of changes in empathy during medical school.

 

We employed a scoping review to elucidate trends in students’ empathy changes/differences throughout medical school and examine potential bias associated with research design.

 

The literature published in English, Spanish, Portuguese and French from 2009 to 2016 was searched. Two-hundred and nine potentially relevant citations were identified. Twenty articles met the inclusion criteria. Effect sizes of empathy scores variations were calculated to assess the practical significance of results.

 

Our results demonstrate that scoped studies differed considerably in their design, measures used, sample sizes and results. Most studies (12 out of 20 studies) reported either positive or non-statistically significant changes/differences in empathy regardless of the measure used.

 

 

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(Empathhic Healthcare)  Chasing Empathy

(Empathhic Healthcare)  Chasing Empathy | Empathy and HealthCare | Scoop.it
Empathy doesn’t take more time to convey than indifference.

But first, a doctor has to feel it. During the last two decades, researchers have sought to understand the causes and remedies for the widely acknowledged dearth of empathy — what has informally been filed under the heading “bedside manners” — in the medical profession.

 

Until fairly recently, medical students were trained to respond with “detached concern,” an approach that would guard them from becoming emotionally affected by a patient’s struggle.

 

The rationale for detached concern was that resonating too deeply with a patient would cloud the doctor’s ability to diagnose and treat him with clinical objectivity. Recent research has debunked the benefits of detached concern, demonstrating that emotional empathy not only improves doctor-patient relationships and patient outcomes, but also is correlated with higher job satisfaction among medical practitioners.

 

Catherine Armsden

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Top ten scientific reasons why compassion is great medicine

Top ten scientific reasons why compassion is great medicine | Empathy and HealthCare | Scoop.it

References

1. Kemper KJ, Shaltout HA. Non-verbal communication of compassion: measuring psychophysiologic effects. BMC Complement Altern Med. 2011;11:132.

 

Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: The impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns. 2016;99(5):733-8.

 

2. Egbert LD, Battit GE, Welch CE, Bartlett MK. Reduction of Postoperative Pain by Encouragement and Instruction of Patients. A Study of Doctor-Patient Rapport. The New England Journal of Medicine. 1964;270:825-7.

 

3. Redelmeier DA, Molin JP, Tibshirani RJ. A randomised trial of compassionate care for the homeless in an emergency department. Lancet. 1995;345(8958):1131-4.

 

4. Dahlin CM, Kelley JM, Jackson VA, Temel JS. Early palliative care for lung cancer: improving quality of life and increasing survival. Int J Palliat Nurs. 2010;16(9):420-3.

 

5. Kelley JM, Kraft-Todd G, Schapira L, Kossowsky J, Riess H. The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2014;9(4):e94207.

 

...

 

Download the Compassion infographic here and feel free to share it.

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Dr. Theresa Kauffman's curator insight, July 11, 2016 9:36 AM
Compassion is an important element in teaching the whole child. These are great reminders about why it is important to encourage compassion among our students.
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Empathy Vision LLC provides empathy training for healthcare providers and hospitals

Empathy Vision LLC provides empathy training for healthcare providers and hospitals | Empathy and HealthCare | Scoop.it

Empathy Vision LLC provides empathy training for healthcare providers and hospitals. Empathy Vision LLC is the leader in innovative empathy training.

 

Empathy 101

As an introductory or a refresher course, Empathy 101 provides an in-depth survey of the eight basic dimensions of empathic experience and the three habits of empathy for personal and/or organizational growth...

 

Empathy and the HCAHPS
Addressing our current environment where improving value for patients is the top priority, this course explores the importance of patient centered care giving and helps organizations collectively raise their HCAHPS scores in order to exceed bottom line goals....

 

Virtual Empathy: Adopting the Perspective of the Patient
Drawing from common interactions between patients, doctors, and nurses, this course gives health care professionals the chance to adopt the perspective of a patient within multiple embodied VR experiences.  ..

 

Two or Four Hour Empathy Seminar...

Eight Hour Empathy Workshop...

Long Term Empathy Training....

Individualized Empathy Coaching Sessions...

 

 

 
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(Empathic Healthcare) Enhancing compassion in general practice: it’s not all about the doctor

(Empathic Healthcare) Enhancing compassion in general practice: it’s not all about the doctor | Empathy and HealthCare | Scoop.it
‘Patients were left lying in soiled sheets or sitting on commodes for hours. Some patients needing pain relief got it late or not at all.’1

 

Such were the findings from the Mid Staffordshire Inquiry with recommendations for recruiting compassionate staff and having clinician compassion training.2 However, this call for compassion is not new. Medical codes of practice require us to practise with compassion.

 

Compassionate care should be routine, a daily motivation and practice not unlike antisepsis and hand washing.

The crisis of compassion in medicine is multifaceted in origin and no universal panacea is likely to be found. Many of us cannot define compassion or articulate the differences between compassion and empathy.

 

Others might argue that compassion training is redundant as doctors are either compassionate or not. We remain remarkably ignorant about compassion, unsure of what it is, where it comes from, or what might influence compassion in our practices.

 

by 

Antonio T Fernando,

Bruce Arroll,

Nathan S Consedine

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Levels of Resilience Are Correlated With Distress and Empathy in Resident Physicians

Levels of Resilience Are Correlated With Distress and Empathy in Resident Physicians | Empathy and HealthCare | Scoop.it

For the study, resilience and distress were measured with the Connor–Davidson Resilience Scale and Impact of Events Scale – Revised, respectively, at the end of a routine hematology-oncology rotation. Rotation-specific information such as number of death encounters, death stress, and meaning were also obtained. Empathy was measured with the Interpersonal Reactivity Index before and after the rotation.

These researchers achieved a 58% overall response rate. Their findings demonstrated that distress had a negative impact on resilience but empathy did not , nor did change in empathy during the rotation. Resilience among male residents was negatively correlated with distress, but resilience among female residents was not.

Distress levels for residents were in the clinically significant (76%) or posttraumatic stress disorder (17%) range. In addition, resident empathy during the rotation decreased (P = .018).

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GSW to Explore Virtual Reality's Role in Empathy as Presenter at Cannes Lions 2016

GSW to Explore Virtual Reality's Role in Empathy as Presenter at Cannes Lions 2016 | Empathy and HealthCare | Scoop.it

 2016 Cannes Lions International Festival of Creativity. GSW will present "The Science and Art of Empathy"

 

Dave Sonderman, GSW Chief Creative Officer, will moderate a conversation between Jane Gauntlett, writer, producer and founder of the In My Shoes project, an internationally recognized empathy project, and Dr. Helen Riess, a psychiatrist, professor, entrepreneur and highly respected voice for healthcare transformation through empathy. Together, they will explore what future health content may look like.

 

 

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Showing empathy 2: How far should doctors express empathy?

How far should doctors express empathy? Here the doctor does not use classical active listening skills as much as she could - is she being appropriately selective in the level of empathy that she is demonstrating?

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Embracing Empathy: A Universal Approach To Person-Centred, Empathic Healthcare Encounters

Embracing Empathy: A Universal Approach To Person-Centred, Empathic Healthcare Encounters

 

This highly practical, user-friendly guide is based on a broad definition of relational empathy in the clinical context.

 

With a clear focus on understanding the patient's situation, perspective and feelings, and communicating and acting on that understanding in beneficial way, the book establishes the flexible, person-centred CARE Approach. Connecting, Assessing, Responding and Empowering are the four interacting components of the CARE Approach, a flexible framework which has been specifically developed to help practitioners reflect on, practice, maintain and improve their communication skills and to use these skills effectively in helping empower and enable the patient.

 

It is not rigid or prescriptive, rather it provides a broad set of guiding principles depending on the situation and circumstance.

 

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 Five ways to recognize patient cues, understand needs: When physicians show true empathy

 Five ways to recognize patient cues, understand needs: When physicians show true empathy | Empathy and HealthCare | Scoop.it

When physicians show true empathy while listening to their patients in the exam room, patients and their families are often more satisfied and more open to adopting their advice—and it builds a much stronger patient-physician relationship. Though it seems simple, empathetic listening requires understanding how to recognize the cues that patients offer.

Practicing empathy can save time and help physicians navigate difficult situations that arise in practice. It can also forge deeper connections with patients that lead to greater professional satisfaction and joy in work for physicians.

Listening with empathy, recognizing cues

 

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How Self-Compassion Can Help Teens De-stress

How Self-Compassion Can Help Teens De-stress | Empathy and HealthCare | Scoop.it
For instance, one of the practices the teens engaged in every afternoon was loving-kindness meditation. This meditation begins with cultivating an attitude of kindness towards oneself. Teens are encouraged to focus on their breath and repeat to themselves, “May I be happy, may I be safe, may I be at ease.

 

Then, the teens mentally extend that phrase to their loved ones, their acquaintances, and even people whom they feel negative emotions toward. The purpose of the practice is to create an atmosphere of acceptance and unconditional love starting from within.

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Embracing Empathy

Embracing Empathy | Empathy and HealthCare | Scoop.it
"This highly practical, user-friendly guide is based on a broad definition of relational empathy in the clinical context.

 

With a clear focus on understanding the patient's situation, perspective and feelings, and communicating and acting on that understanding in beneficial way, the book establishes the flexible, person-centred CARE Approach.

 

Connecting, Assessing, Responding and Empowering are the four interacting components of the CARE Approach, a flexible framework which has been specifically developed to help practitioners reflect on, practice, maintain and improve their communication skills and to use these skills effectively in helping empower and enable the patient.

 

It is not rigid or prescriptive, rather it provides a broad set of guiding principles depending on the situation and circumstance. It is highly recommended for all healthcare practitioners wanting to improve their patient interactions, and is ideal for individuals, groups or organisations. Easy-to-read and comprehend, it features suggested exercises throughout, and audio and video clips of simulated patient-practitioner encounters to illustrate certain points, and facilitate learning and reflection." --

 

Annemieke P. Bikker,

Philip Cotton,

Stewart W. Mercer

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Health Take-Away: Empathy in health care is a valuable tool

Health Take-Away: Empathy in health care is a valuable tool | Empathy and HealthCare | Scoop.it
Physicians may not think they have time for empathy. In the fast-paced world of healthcare, doctors typically have just minutes with the average patient to assess their condition, diagnose an illness, order tests or write prescriptions.

 

At the center of this encounter is a patient filled with emotion — fear of illness or death, anxiety about lost time at work, discomfort from pain and other symptoms, problems at home or work and even embarrassment, especially if the patient's illness is tied to self-defeating lifestyle choices such as smoking, drinking or obesity.

By acknowledging a patient's emotions in a non-judgmental way, ("drinking helped you cope with a stressful life") trust begins to build and better communication follows. The relationship between physician and patient becomes more productive, leading to better patient care and outcome.

 

By Newell Young, LICSW

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Truth and Empathy The Physician as the Caregiver - CureMed Assist - YouTube

Truth and Empathy The Physician as the Caregiver - CureMed Assist
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Tips for Communicating with Empathy - The Hospitalist

Tips for Communicating with Empathy - The Hospitalist | Empathy and HealthCare | Scoop.it

How I Do It

I start with mindfulness. I sustain eye contact, sit eye to eye, and give the person my undivided attention, listening to their words and nonverbal behavior—without judgment.

Then I draw on several techniques that express empathy. My favorites are these:

Technique/How this might sound

  • Acknowledging feelings: “You sound very worried.”, “You look relieved!”
  • Validating feelings, helping the person feel justified, normal, less alone, and understood:
     “I can certainly understand why you feel that way.”,
     “I’m so sorry this has been so painful for you.” (“blameless apology”)
  • Explaining my positive intent in a way that explains how my actions are for their sake:
    “I want to ease your mind.”,
     “I want to work together to make you more comfortable.”


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Enhancing compassion in general practice: it’s not all about the doctor

Enhancing compassion in general practice: it’s not all about the doctor | Empathy and HealthCare | Scoop.it
The crisis of compassion in medicine is multifaceted in origin and no universal panacea is likely to be found. Many of us cannot define compassion or articulate the differences between compassion and empathy.

 

Others might argue that compassion training is redundant as doctors are either compassionate or not. We remain remarkably ignorant about compassion, unsure of what it is, where it comes from, or what might influence compassion in our practices.

 

Antonio T Fernando,

Bruce Arroll,

Nathan S Consedine

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Empathy in Healthcare: Good for the Body and Good for Your Bottom Line.

Empathy in Healthcare: Good for the Body and Good for Your Bottom Line. | Empathy and HealthCare | Scoop.it


Exceeding bottom line goals in healthcare, however, is largely contingent upon an organization's ability to overcome a number of challenges, which include but are not limited to:

1. Low patient satisfaction scores
2. Physician burnout
3. Compassion fatigue
4. Mistakes and lawsuits as consequences of #2 and #3
5. High turnover rates
6. Unhealthy workplace environments; and
7. Poor medical outcomes resulting in excessive readmission.

Creating widespread empathy within an organization, which helps to overcome these challenges, is complicated primarily because “empathy” is defined and understood in many different ways (Fagiano, 2016).

MARK FAGIANO, PHD
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Improve Physician Empathy in 7 Simple Steps

Improve Physician Empathy in 7 Simple Steps | Empathy and HealthCare | Scoop.it
Bedside manner need work? Improving physician empathy can strengthen your patient relationships and impact both patient satisfaction and patient outcomes.

 

Physician empathy is so important in fact, that a wealth of recent studies have tied physician empathy to increased patient satisfaction and outcomes. In one example, patients of physicians with high empathy scores had greater control over their diabetes. This goes to show that kind words and a little emotional support from a doctor can have a measurable impact on patient outcomes.

As a busy doctor, you probably don’t have time to attend an empathy training that gives you the tools you need to improve your patient relationships. Don’t worry – if you follow all 7 steps below, you’ll be on your way to mastering an empathetic approach to patient care.

 

  1. Personal details are key....
  2. Spend an extra minute....
  3. Make eye contact...
  4. Show your support...
  5. Put yourself in your patients’ shoes....
  6. Get patient feedback on how you’re doing....

 

by Teresa Iafolla,

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(Empathic Healthcare) Sympathy vs. Empathy - Daily Nurse

(Empathic Healthcare) Sympathy vs. Empathy - Daily Nurse | Empathy and HealthCare | Scoop.it

For me, in nursing practice, sympathy is easy. It’s an, “Oh, I hope you feel better,” or “I’m sorry you’re hurting.” Empathy, though?  Empathy is hard.

 

It can be very uncomfortable to relate to patients in that way, and it can make it difficult to place boundaries around our work. Ask any nurse—a vocation often characterized by our ability to be caring—this career wouldn’t be possible if we weren’t able to construct empathetic boundaries.


I’m guilty of sympathy—I catch myself of wanting to comfort with an “at least…” or of “silver-lining it,” as Brown describes in the video. Especially in emergency nursing, it’s easy for the cynic within us to put up walls. But just as there is a difference between sympathy and empathy, there’s a difference between a boundary and a wall. Walls keep others out, whereas boundaries are erected to keep parts of us safe.

 

by Laura Kinsella

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A Syllabus For Empathy — Or Why Health Care Workers Should Read Poetry

A Syllabus For Empathy — Or Why Health Care Workers Should Read Poetry | Empathy and HealthCare | Scoop.it

I thought I was being empathic.

 

Empathy — a term we toss around all the time in the medical field — is a tough nut to crack, however. Some of us can draw on the memory of difficult or painful moments in our own lives to try to glean a patient’s experience of living with an illness, but it’s not easy.

 

Often, those raw moments callous over, and we’re left with a memory that’s more intellectual than emotional. We can try to imagine what a patient is going through, but it’s hard to actually feel a similar emotion.

And then I came across Hayden Carruth’s poem “Notes on Emphysema,” which consists of 48 stanzas, most of which are a sentence or two. Each is a quick reflection on how emphysema tinges every tiny moment of daily life.

 

by Anna Reisman

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