Empathy and HealthCare
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Empathy and HealthCare
- CultureOfEmpathy.com
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How empathy can help physician burnout

How empathy can help physician burnout | Empathy and HealthCare | Scoop.it

Her words drew tears to my eyes. Twelve months of debilitating chronic pain had wrangled me to a prone position most hours of each day, had chewed my ability to work, and eroded much of my capacity to mother our young daughter. Dr. R. was the only doctor who conveyed empathy. That’s one out of ten.

Empathy is a vital component of care. According to the American Congress of Obstetricians and Gynecologists, “Providing empathic care improves the physician–patient relationship, resulting in improved patient outcomes and satisfaction.”

Is empathy a dying art in medicine? A study published in the Journal of Academic Medicine found that empathy erodes in medical students by the third year in medical school.

 

MARTINE EHRENCLOU,

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The Transformative Power of Empathy in Healthcare by Lorraine Aguilar 

The Transformative Power of Empathy” for healthcare workers at West Anaheim Medical Center, California. Lorraine Aguilar, CEO of Working Harmony, shares insights and techniques to compassionately connect to what matters without sacrificing efficiency.
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Cultivating Empathy: Inspiring Health Professionals to Communicate More Effectively by Kathleen Stephany

Research demonstrates that even if empathy – the capacity to perceive or share emotions with other beings – is not part of a person’s communication skill set, it can be taught. Empathy can, therefore be viewed as an acquired communication skill.

 

Cultivating and practicing the skill of empathy among health care providers enhances the quality of care experienced by their patients which, in turn, can even improve work satisfaction for health care providers.

 

http://ebooks.benthamscience.com/book/9781608059881/

 

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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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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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The Power of Empathy in Clinical Practice

The Power of Empathy in Clinical Practice | Empathy and HealthCare | Scoop.it
This 10-hour inter-professional workshop is designed for physicians, pharmacists, dentists, nurses, and all health-related professionals who care for patients.

Participants will:

  • Develop an understanding of the meaning and utility of empathic practice
  • Discover and learn about complex social and psychological issues related to inter-professional empathic practice
  • Identify psychological and systemic barriers to empathy in healthcare
  • Cultivate humanistic skills that allow healthcare providers to continuously improve empathic skills
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Drowning in Empathy: The Cost of Vicarious Trauma | Amy Cunningham | TEDxSanAntonio 

Caregivers and emergency responders are empathetic individuals who risk suffering from Compassion Fatigue, a form of PTSD that is treatable using the steps described in Amy’s presentation.
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Communicating with Empathy

Communicating with Empathy | Empathy and HealthCare | Scoop.it
Communicating with empathy consists of six sessions that have been developed to promote sensitive and effective communication in end of life care.


Each session offers valuable, interesting and accessible learning that will be useful for informal carers, agency and care home staff, healthcare assistants and other staff providing end of life care.


Each session is designed to take 20-30 minutes to complete and the sessions can be completed in any order. The content includes interviews with professionals, patients and family members, video clips of simulated conversations and interactive exercises and quizzes.


At the end of each session learners can print or save a certificate which summarises the essential learning points.
Sessions:
1. Introduction to communication skills and how these are applied in end of life care
2. Making the most of listening
3. What do we mean by body language?
4. Responding to challenges in end of life care
5. Assessing and responding to communication needs
6. Examples of communication challenges: distractions in the workplace and communicating when there are language barriers

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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.

 

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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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