Empathy and HealthCare
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(Empathy in Healthcare) Report Looks At Student's Level Of Empathy Throughout Medical School

(Empathy in Healthcare) Report Looks At Student's Level Of Empathy Throughout Medical School | Empathy and HealthCare | Scoop.it
Now there is a new report that says that one of the most important measures of empathy is called cognitive empathy.

 

Over the years there have been numerous studies which have looked at medical students and the training that they receive. These studies have said that students become less empathetic as the years of medical school go by.

Now there is a new report in the journal medical education conducted by sociologists at the University of Chicago and they say that one of the most important measures of empathy called cognitive empathy may actually improve.

Cognitive empathy is the ability to recognize and understand another person’s experience and to communicate and confirm that understanding and finally — to act in an appropriate and helpful manner.

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(Empathic Healthcare) Study challenges perception that empathy erodes during medical school

(Empathic Healthcare) Study challenges perception that empathy erodes during medical school | Empathy and HealthCare | Scoop.it
The relationship between a doctor and patient relies heavily on the physician's capacity to empathize with or be sensitive to a patient's emotional state. Empathy has been associated with patients' increased adherence to treatment, fewer malpractice complaints, improved patient satisfaction and favorable health outcomes.

Some studies have documented troubling declines in empathy during medical training -- the steepest of which are believed to occur between the second and third years of medical school, when students begin clinical training and empathetic communication is critical. But a new study by social neuroscientists at the University of Chicago, published Sept. 7 in Medical Education, challenges the common perception that empathy declines during medical training
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(Empathic Healthcare) Kansas City University Board of Trustees Member to Study Empathy in Medical Students

(Empathic Healthcare) Kansas City University Board of Trustees Member to Study Empathy in Medical Students | Empathy and HealthCare | Scoop.it
How much does a physician’s ability to empathize impact the process of healing?


Quite a bit according to world-renowned HIV researcher and Kansas City University of Medicine and Biosciences Board of Trustees member and alum, Leonard Calabrese, DO.


“Empathy is the driver of healing,” Calabrese said.


Calabrese, an immunologist at the Cleveland Clinic is leading a groundbreaking nationwide project to study empathy and its relationship to osteopathic medicine. The study, sponsored by: The American Association of Colleges of Osteopathic Medicine (AACOM) in collaboration with Sidney Kimmel Medical College of Thomas Jefferson University will involve 28,000 first year medical students including both KCU campuses in Kansas City and Joplin.

 

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"Empathy is the driver of healing."
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(Empathic Healthcare) (Teaching Empathy) Patients Are People First — Teaching Empathy To Jefferson University Students: 

(Empathic Healthcare) (Teaching Empathy) Patients Are People First — Teaching Empathy To Jefferson University Students:  | Empathy and HealthCare | Scoop.it
Jefferson University brings students and patients with dementia together for a lesson that’s often missing from healthcare: Empathy.

 

There are more than just feel-good reasons for teaching empathy to medical students. Doctors experience professional burnout at a higher rate than other American workers, partly because over time, they start to feel disconnected from what they’re doing, to lose the meaning of their work, the reason they started practicing medicine to begin with. Voeller says connecting more meaningfully with their patients, and with each other, has shown to reduce this effect.

 

And studies have shown that the patients of doctors who have high levels of empathy fare significantly better, including those with diabetes and the common cold. “When there’s an empathetic relationship between doctors and patients, there’s more trust,” says Mohammadreza Hojat, a Jefferson professor who has long studied empathy.

 

JUL. 26, 2017

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(Empathic Healthcare) Oxford Empathy Programme: International Colloquium — University of Oxford, Nuffield Department of Primary Care Health Sciences

(Empathic Healthcare) Oxford Empathy Programme: International Colloquium — University of Oxford, Nuffield Department of Primary Care Health Sciences | Empathy and HealthCare | Scoop.it

What kind of empathy is beneficial to patients and practitioners?

A growing body of evidence suggests that when healthcare practitioners enhance the way they express empathy, that this may improve healthcare outcomes. Specifically, enhanced empathy appears to:

  • reduce patient pain, depression, anxiety
  • increase patient satisfaction
  • and improve patient well-being
  • improve medication adherence
  • reduce practitioner burnout
  • reduce patient complaints and medico-legal risk
  • reduce medication use


How has empathy been defined in clinical studies that evaluate practitioner empathy and/or its impact on patient care?
How does empathy differ from compassion, and ‘patient-centred care’?

  • When is empathy (according to the definitions above) helpful/harmful to (a) patients, and (b) practitioners?
  • Through group discussions, plenary sessions and poster presentations, we will explore these questions with a view to collating our findings and publishing a report on our colloquium.

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(Empathic Healthcare) Does Empathy and Warmth Make a Physician Seem More Competent?

(Empathic Healthcare) Does Empathy and Warmth Make a Physician Seem More Competent? | Empathy and HealthCare | Scoop.it

Thus, we arrive at our study’s central question: Is there a warmth/competence trade-off in people’s perceptions of doctors displaying empathic nonverbal behavior?

 

This problem might sound like academic musing but it has major real-world impact. First and foremost, physician empathy (typically perceived as warmth) is associated with positive health outcomes, increased diagnostic accuracy and more patient adherence to treatment—for example, sticking to a cholesterol-lowering diet.

 

Medical education has been much maligned for ignoring “soft” relational skills, but if empathy is associated with better patient health outcomes, there is a compelling case to include such training in formal curricula.


Second, physician empathy is associated with increased patient satisfaction. As a patient, you would thus probably have enjoyed the second version of the scenario above more than the first.

 

Training doctors to be more empathic may thus benefit the “public good” in that we would all be slightly happier.

 

Gordon Kraft-Todd is a PhD Student in the Human Cooperation Laboratory at Yale University.

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(Empathic Healthcare) (Empathic Design) 2017 Patient Experience Summit Recap: Deeply Meaningful Conference Focuses on “Empathy by Design”

(Empathic Healthcare) (Empathic Design) 2017 Patient Experience Summit Recap: Deeply Meaningful Conference Focuses on “Empathy by Design” | Empathy and HealthCare | Scoop.it

A community of experts and learners came together at Cleveland Clinic’s eighth annual Patient Experience Summit: Empathy + Innovation to examine how the concept of design thinking can improve healthcare.

 

Organized along its “Empathy by Design” theme, the conference focused on topics ranging from quality and safety, high-reliability organizations, burnout and engagement to end-of-life perspectives – all in the context of a constantly changing healthcare environment.

 

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(Empathic Healthcare) Driving Physician Empathy Amidst Push for Health IT Use

(Empathic Healthcare) Driving Physician Empathy Amidst Push for Health IT Use | Empathy and HealthCare | Scoop.it
June 28, 2017 - In the healthcare space, there are currently two prevailing themes – the drive for patient-centered care with provider empathy and the push for more health IT use. Although both goals are integral parts of hospital missions and healthcare policy, they do not always go hand-in-hand.

On the surface interpersonal patient-provider relationships and health IT appear to work against one another. How can a provider be empathetic when she is fulfilling reporting requirements on her EHR? How can a patient forge a deep relationship with his primary care physician when he primarily relies on patient portal interactions?
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(Empathic Healthcare) The Erosion of Empathy in Medicine 

(Empathic Healthcare) The Erosion of Empathy in Medicine  | Empathy and HealthCare | Scoop.it

What Happened to the Doctors?

Something is drastically wrong with medical education as it currently stands, and the effects flow into the professional arena. For decades medical students have been notorious for having abnormally high rates of illness, both physical and mental compared with the rest of the population. Depression is one problem that is well known.

 

Dr Robert Mendelsohn stated in Confessions of a Medical Heretic (1979) that he saw a higher rate of illness in first year medical students than any other subgroup. At the time his book was published, medical students’ suicide rates in the US were reportedly second only to American Indian children who were sent away from their reservations to attend high school.

 

Brendan D. Murphy, 

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(Empathic Healthcare) Technology should be used to boost empathy-based medicine

(Empathic Healthcare) Technology should be used to boost empathy-based medicine | Empathy and HealthCare | Scoop.it

Existing digital technologies must be exploited to enable a paradigm shift in current healthcare delivery which focuses on tests, treatments and targets rather than the therapeutic benefits of empathy. Writing in the Journal of the Royal Society of Medicine, Dr Jeremy Howick and Dr Sian Rees of the Oxford Empathy Programme, say a new paradigm of empathy-based medicine is needed to improve patient outcomes, reduce practitioner burnout and save money.

Empathy-based medicine, they write, re-establishes relationship as the heart of healthcare. "Time pressure, conflicting priorities and bureaucracy can make practitioners less likely to express empathy. By re-establishing the clinical encounter as the heart of healthcare, and exploiting available technologies, this can change", said Dr Howick, a Senior Researcher in Oxford University's Nuffield Department of Primary Care Health Sciences.

June 27, 2017
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(Empathic Healthcare) (Empathic Design) Designing of Healthcare Centres with Empathy - Healthcare Executive

(Empathic Healthcare) (Empathic Design) Designing of Healthcare Centres with Empathy - Healthcare Executive | Empathy and HealthCare | Scoop.it

For healthcare to be effective, services offered need to satisfy both functional and emotional needs of individuals. The individual user needs to feel that the services rendered have been designed ‘just for them’. If the design of a healthcare center is not inclusive, patients will feel less compelled to use them. This applies more so to patients with special needs who might often go through traumatic experiences. It also holds true for marginalized factions of society such as the LGBTQ community who are already battling with societal stigma. ...

 

Another set of examples of empathy-based design, is the extraordinary collection of Maggie Keswick Jencks’ cancer centres throughout the United Kingdom, now steadily spreading across the world.

 

Smaller in scale in comparison the Mayo Clinic, Maggie’s Centres aim provide sympathetic professional advice by trained oncology nurses who staff them but do so mainly through architecture .

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(Empathy in Healthcare) Hospitals Address Physician Burnout By Focusing On Mindfulness, Empathy

(Empathy in Healthcare) Hospitals Address Physician Burnout By Focusing On Mindfulness, Empathy | Empathy and HealthCare | Scoop.it

By CASS HERRINGTON 

 

Hospitals and medical schools in Peoria and nationwide are beginning to address an issue that’s ailing the healthcare industry. Rates of physician burnout,

 

Physicians who suffer feelings of burnout and depression provide less quality care for their patients. That’s according to the latest research, which also finds that doctors’ ability to empathize directly impacts patient outcomes.

Bento Soares saw that correlation play out in a deeply personal case.

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(Empathic Healthcare) Cleveland Clinic's Boissy: Empathy Is Key to Patient Experience

(Empathic Healthcare) Cleveland Clinic's Boissy: Empathy Is Key to Patient Experience | Empathy and HealthCare | Scoop.it

And, Boissy discovered, the lynchpin in meaningful patient experience is empathy.

Boissy helps run empathy training for Cleveland Clinic caregivers, focusing not only on demonstrated empathy in patient interactions but also in interactions with caregivers themselves. Modeling empathy to caregivers – who frequently have emotional and draining conversations with patients – increases the effectiveness of the training, Boissy says.
 
"That attention to [caregivers'] experience and their own suffering is incredibly powerful as you're trying to drive behavior change," Boissy says. "Rather than just putting up a bunch of slides and telling them what words they can be using, we instead model those skills in very intentional ways, so that they know what it feels like to be seen and valued emotionally."

 By Claire Hansen,
Oct. 26, 2017, 

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The complexity of empathy during medical school training: evidence for positive changes

The complexity of empathy during medical school training: evidence for positive changes | Empathy and HealthCare | Scoop.it

Empathy is an essential aspect of clinical care, associated with improved patient satisfaction, increased adherence to treatment, and fewer malpractice complaints. Previous studies suggest that empathy declines during medical training.

 

However, past research relied on a single narrowly operationalised, self-report measure of empathy. As empathy is a complex socio-emotional construct, it is critical to assess changes across its distinct components using multiple measures in order to better understand how it is influenced by medical training. 

 

 

Karen E Smith, Greg J Norman, Jean Decety. The complexity of empathy during medical school training: evidence for positive changesMedical Education, 2017; DOI: 10.1111/medu.13398

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(Empathic Healthcare) Empathy levels of doctors ‘not properly tested’ in entry exam

(Empathic Healthcare) Empathy levels of doctors ‘not properly tested’ in entry exam | Empathy and HealthCare | Scoop.it

Empathy levels and emotional intelligence are not being properly assessed under the Health Professions Admission Test (Hpat) which was introduced to make medical school more accessible to aspiring doctors, researchers claim.


Doctors from University College Cork (UCC) say results from the Hpat assessment, which is a requirement for students hoping to pursue a career in medicine, were not consistent with students’ self-reported empathy levels.


They said a review of the Hpat assessment was needed to ensure the State’s future doctors have the necessary emotional intelligence to communicate with patients in highly stressful and difficult situations.

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(Empathic Healthcare) Drugmakers turn to tech to better demonstrate empathy

(Empathic Healthcare) Drugmakers turn to tech to better demonstrate empathy | Empathy and HealthCare | Scoop.it

It's no secret that American healthcare suffers from an empathy deficit. While brusque doctors have been blighting patient-satisfaction surveys for years, providers themselves increasingly say it's a problem: In a Harvard Medical School survey, 53% of doctors reported declining levels of patient empathy.

Pharma is increasingly unhappy with the status quo. In conjunction with their health-tech peers, more organizations are leaping into the empathy breach, using new approaches that go beyond the emotional and theoretical underpinnings of human kindness.

Rather than asking non-patients to imagine what it's like to have Parkinson's disease, Klick Labs' SymPulse tele-empathy device wirelessly transmits patient tremors to another individual so that person can try to clutch a coffee cup with trembling hands.

 

SARAH MAHONEY
JULY 31, 2017

 

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(Empathic Healthcare) STUDY: Perception of empathy in the therapeutic encounter: effects on the common cold. 

(Empathic Healthcare) STUDY: Perception of empathy in the therapeutic encounter: effects on the common cold.  | Empathy and HealthCare | Scoop.it
OBJECTIVE:
To evaluate the effects of patient-practitioner interaction on the severity and duration of the common cold.

METHODS:
We conducted a randomized controlled trial of 719 patients with new cold onset. Participants were randomized to three groups: no patient-practitioner interaction, "standard" interaction or an "enhanced" interaction. Cold severity was assessed twice daily. Patients randomized to practitioner visits used the Consultation and Relational Empathy (CARE) measure to rate clinician empathy. Interleukin-8 (IL-8) and neutrophil counts were obtained from nasal wash at baseline and 48 h later.

CONCLUSIONS:

When patients perceive clinicians as empathetic, rating them perfect on the CARE tool, the severity, duration and objective measures (IL-8 and neutrophils) of the common cold significantly change.

 

 

Rakel D1, Barrett BZhang ZHoeft TChewning BMarchand LScheder J.

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(Empathic Healthcare) Embracing Empathy: A Universal Approach to Person-Centred, Empathic Healthcare Encounters 

(Empathic Healthcare) Embracing Empathy: A Universal Approach to Person-Centred, Empathic Healthcare Encounters  | 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

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(Empathic Healthcare) The Need for Empathy-Based Medicine

(Empathic Healthcare) The Need for Empathy-Based Medicine | Empathy and HealthCare | Scoop.it
A new article, published in the Journal of the Royal Society of Medicine, encourages more empathy in healthcare.

 

A new article, published in the Journal of the Royal Society of Medicine, encourages more empathy in healthcare. The authors address barriers empathic care and also provide recommendations for how to provide ‘empathy-based medicine.’

 

The authors, led by Jeremy Howick, Director of the Oxford

Empathy Programme at the University of Oxford, write:

“The current healthcare paradigm is causing practitioner burnout and sub-optimal patient outcomes. Given that enhanced empathic communication benefits patients, and that it is not being implemented consistently, a change is needed and has been called for.”

 

July 12, 2017

 

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(Empathic Healthcare) Tech's Role in Empathy-based Medicine

(Empathic Healthcare) Tech's Role in Empathy-based Medicine | Empathy and HealthCare | Scoop.it
According to  Dr Jeremy Howick and Dr Sian Rees of the Oxford Empathy Programme, existing digital technologies need to be exploited to enable a paradigm shift in current healthcare delivery that focuses on tests, treatments and targets as opposed to the therapeutic benefits of empathy. The article is published in the Journal of the Royal Society of Medicine.

The authors believe that a new paradigm of empathy-based medicine is essential for improving patient outcomes, reducing practitioner burnout and saving money.
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(Empathic Healthcare) Boosting empathy-based medicine - The Hippocratic Post

(Empathic Healthcare) Boosting empathy-based medicine - The Hippocratic Post | Empathy and HealthCare | Scoop.it
Dr Jeremy Howick and Dr Sian Rees of the Oxford Empathy Programme, say a new paradigm of empathy-based medicine is needed to improve patient outcomes, reduce practitioner burnout and save money.

Empathy-based medicine, they write, re-establishes relationship as the heart of healthcare. “Time pressure, conflicting priorities and bureaucracy can make practitioners less likely to express empathy. By re-establishing the clinical encounter as the heart of healthcare, and exploiting available technologies, this can change”, said Dr Howick, a Senior Researcher in Oxford University’s Nuffield Department of Primary Care Health Sciences.

 

Existing digital technologies must be exploited to enable a paradigm shift in current healthcare delivery which focuses on tests, treatments and targets rather than the therapeutic benefits of empathy. 

 

Overthrowing barriers to empathy in healthcare: empathy in the age of the Internet (DOI: 10.1177/0141076817714443) by J Howick and S Rees was published this week by the Journal of the Royal Society of Medicine.

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(Empathic Healthcare) Doctors need to develop broader skill of empathy

(Empathic Healthcare) Doctors need to develop broader skill of empathy | Empathy and HealthCare | Scoop.it
Developing a broader skill of empathy is a more realistic goal for medical students and doctors than urging them to be more compassionate. Writing in the Journal of the Royal Society of Medicine, Dr David Jeffrey, an honorary lecturer in palliative medicine at the Centre for Population Health Sciences in Edinburgh, says that doctors are at risk not only of personal distress but eventually burnout if their feelings of sympathy and compassion for patients override the more nuanced stance of empathy.
December 6, 2016

More information: Empathy, sympathy and compassion in healthcare: Is there a problem? Is there a difference? Does it matter? DOI: 10.1177/0141076816680120 


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(Empathic Healthcare) Overthrowing barriers to empathy in healthcare: empathy in the age of the Internet  - J Howick, S Rees

(Empathic Healthcare) Overthrowing barriers to empathy in healthcare: empathy in the age of the Internet  - J Howick, S Rees | Empathy and HealthCare | Scoop.it

Empathy-based medicine re-establishes relationship as the heart of healthcare. Practitioners often complain that their capacity to practise empathically is undermined by ‘tyrannical guidelines’, insufficient time and an ever-increasing burden of paperwork. 

 

Clinicians often see this system as lacking empathy – uninterested in practitioners’ perspectives, health or welfare. Within this context, it is unsurprising that NHS staff have significant work-related stress and ill health.  As a result, patients suffer, claiming clinicians do not communicate adequately, often leaving their needs and concerns insufficiently addressed.

 

J HowickS Rees

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(Empathic Healthcare) Empathy Can Be a Breakthrough In The Field of Medical Science

(Empathic Healthcare) Empathy Can Be a Breakthrough In The Field of Medical Science | Empathy and HealthCare | Scoop.it
Emotional support can not only heal mental stress but can also effect upon the physical aspects. Empathy and daily emotional interactions with the spouses had been really effective to cure osteoarthritis among patients. This proves that nerves that react to emotional sensitivity and chemical or hormonal changes are also connected to the physical aspects.

This builds a bridge between cognitive sphere and the physical sphere of a body. Hence Wilson also stated that remaining attached emotionally is having colossal effects upon the life span as metabolic activities and fundamental functions can be controlled by emotional support and empathy.

 

June 22, 2017

 

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(Empathic Healthcare) The Erosion of Empathy in Medicine 

(Empathic Healthcare) The Erosion of Empathy in Medicine  | Empathy and HealthCare | Scoop.it

In a study by M. Hojat et al. called The Devil is in the Third Year: A Longitudinal Study of Erosion of Empathy in Medical School the question of empathy was investigated. The results

…consistently showed no substantial change in empathy between orientation (year 0) and the end of year 2. However, a considerable decline in mean empathy scores occurred in the third year of medical school. No significant trend toward improvement in empathy scores was observed in the fourth year. The decline in mean empathy score from year 0 to the end of year 3 is greater than one-half standard deviation unit (0.54), which is considered substantial and practically important.

Conclusions: It is ironic that the erosion of empathy occurs during a time when the curriculum is shifting toward patient-care activities; this is when empathy is most essential.[vii]  (emphasis added)

Brendan D Murphy

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