Empathy and HealthCare
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Empathy and HealthCare
- CultureOfEmpathy.com
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The Healing Power of Empathy

The Healing Power of Empathy | Empathy and HealthCare | Scoop.it
"Alternative practitioners tend to express empathy, to allow for unhurried silences and to ask what meaning patients make of their pain," Johnson writes, and their clients feel better for it.


"Suffering people reflexively seek care, but in mainstream medicine, care tends to mean treatment and nothing more. Many patients who really need empathy and advice are instead given drugs and surgery."


By Gary Drevitch

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Yes, Empathy Can Be Taught!

This Compassion in Action webinar was presented by Helen Riess, MD, Director of the Empathy and Relational Science Program at Massachusetts General Hospital and Associate Professor of Psychiatry at Harvard Medical School. Dr. Riess is also the Co-Founder, Chief Scientific Officer and Chairman of Empathetics LLC, which offers scientifically based empathy education.


She has devoted her career to teaching and research on the neuroscience and art of the patient-doctor relationship

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Michael Goldstein's curator insight, September 12, 2015 1:45 PM

The Schwarz Center is a wonderful organization that supports and advocates for programs that support empathy and compassion in health care.

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Schwartz Center for Compassionate Healthcare: Kristin Neff: Self-Compassion and Psychological Well-Being

This Compassion in Action webinar was presented by Kristin Neff, PhD, Associate Professor of Human Development and Culture, Educational Psychology Department, University of Texas at Austin and Chris Germer, PhD, author of The Mindful Path to Self-Compassion.


Self-compassion involves treating ourselves kindly in times of emotional distress, just as we would a close friend we care about.


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Thought Leadership | The Schwartz Center for Compassionate Healthcare

Thought Leadership | The Schwartz Center for Compassionate Healthcare | Empathy and HealthCare | Scoop.it
The Schwartz Center brings together caregivers, patients, policymakers, educators and researchers with the goal to ensure that compassionate care is a national healthcare priority, and as such, is a fundamental element in the design of health systems, the provision of care, the measurement of outcomes, and medical education.

Building on nearly two decades of experience, the Schwartz Center is developing a body of evidence-based knowledge to advance the understanding and delivery of compassionate care. The following white papers and publications highlight the importance of compassionate healthcare, the impact of compassion on health outcomes, best practices and recommendations for creating a healthcare environment where caregivers, patients and families can benefit from compassion for themselves and each other.
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Empathy training makes a difference for doctors

Empathy training makes a difference for doctors | Empathy and HealthCare | Scoop.it
It’s hard to teach empathy in the classroom, yet it’s one of the foundations of the doctor–patient relationship. How well physicians can put themselves in their patients’ shoes is directly linked with patient satisfaction.


“When I was in med school, no one told me how to do that,” said Dennis Novack, professor of medicine and associate dean of medical education at Drexel University College of Medicine. “You could watch your mentors, if you were lucky. Or make mistakes.”


Numerous studies have shown patients with empathetic caregivers are more likely to stick to their doctor’s treatment plan, leading to better health results. Doctors who can better understand their patients also are more satisfied with their work. And hospitals know how important patient satisfaction is to their bottom line, now that it is a factor Medicare considers in reimbursement.


BY SHEENA FAHERTY

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Michael Goldstein's curator insight, September 12, 2015 1:54 PM

These new approaches to training are gaining ground because they are accessible, interactive and tailored. Feedback is provided by a live Standardized Patient utilizing an effective feedback process amplified with technology. I

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Empathize with me Doctor! (3rd training group)

16 medical undergraduates from the University of Ioannina, Greece, completed the 60 hour experiential training in empathy entitled "Empathize with me Doctor!


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Cadavers Are Teaching Doctors to Be More Empathetic

Cadavers Are Teaching Doctors to Be More Empathetic | Empathy and HealthCare | Scoop.it
Teaching doctors and officials at medical schools have been concerned with this element of the course since the 1950s, when a sociologist named Robert Merton found that hospitals were training doctors in a sterile and un-empathetic environment, Allen writes.


Even as medicine becomes more personalized through digital technology, doctors still struggle to connect with their patients as more than just a set of numbers, statistics and diagnoses.

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Empathetics - News & Events

Empathetics - News & Events | Empathy and HealthCare | Scoop.it

August 3, 2015 – AJOB Neuroscience
The Impact of Clinical Empathy on Patients and Clinicians: Understanding Empathy’s Side Affects?
 
August 1, 2015 – HCPro Residency Program Alert
Teaching Residents to Feel Empathy
 
July 8, 2015 – The Greater Good Science Center
Should We Train Doctors For Empathy?

June 25, 2015 – Deseret News National
The Key to Patient Satisfaction in the Healthcare System

June 17, 2015 – U.S. News and World Report
It’s Not Me, It’s You: When It’s Time to Break Up with Your Doctor

May 27, 2015 – BOSTON, May 27, 2015 PRNewswire
Empathetics, Inc. and Paul Ekman Group Announce Strategic Partnership
 
May 19, 2015 –Speak up and Stay Alive – Patient Safety Radio
Dr. Helen Riess Joins the Show

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Teaching Medical Students to Communicate with More Empathy

Drexel University College of Medicine's Dennis Novack, MD, Professor & Associate Dean of Medical Education, discusses how the College can teach students to communicate with patients and have more empathy.

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Building Empathy in Healthcare

Building Empathy in Healthcare | Empathy and HealthCare | Scoop.it
A Q&A with Dr. Helen Riess of Harvard Medical School about her efforts to nurture empathy among health care workers.


Communication in the doctor’s office is a hot topic right now. As a review by Health Affairs notes, “the quality of physician-patient interactions in primary care has been declining.

On the positive side, effective communication is a powerful—albeit underutilized—instrument in healthcare’s toolbox. It’s associated with higher patient satisfaction, better adherence to medications, lower likelihood of mistakes, and fewer malpractice cases. It even affects patient health outcomes; a review of research concluded that effective physician-patient communication improves patients’ emotional health, symptoms, physiologic responses, and pain levels.


By Kasley Killam 

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Empathy training for doctors

Empathy training for doctors | Empathy and HealthCare | Scoop.it

It’s hard to teach empathy in the classroom, yet it’s one of the foundations of the doctor-patient relationship. How well physicians can put themselves in their patients’ shoes is directly linked with patient satisfaction.

“When I was in med school, no one told me how to do that,” said Dennis Novack, professor of medicine and associate dean of medical education at Drexel University College of Medicine. “You could watch your mentors, if you were lucky. Or make mistakes.”

Numerous studies have shown patients with empathetic caregivers are more likely to stick to their doctor’s treatment plan, leading to better health results.

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How does physician empathy affect patient outcomes? - The Arnold P. Gold Foundation

How does physician empathy affect patient outcomes? - The Arnold P. Gold Foundation | Empathy and HealthCare | Scoop.it
Here are five studies that demonstrate that having an empathetic physician actually improves your health.


It is not just a “nice bonus” to have a humanistic physician; it actually improves your health.  Here are five studies that demonstrate that a doctor’s empathy level is related to patient outcomes:

  1. In a study of over 700 clinical encounters with patients who had the common cold, those patients who gave their clinician a perfect empathy score reported that their colds were less severe and lasted fewer days than patients who gave their clinicians less-than-perfect empathy scores.  In addition to their self-report of feeling better, these patients also showed a higher change in  both nasal neutrophils and the cytokine, IL-8.   See study
  2. In a study of 710 cancer patients in Germany, physician empathy was positively associated with improvement in patient-reported outcomes of depression and quality of life. See study
  3. In a study of over 20,000 patients with diabetes mellitus, researchers found that patients of physicians with high empathy scores (compared with patients of physicians with moderate and low empathy scores) had a significantly lower rate of acute metabolic complications. See study
  4. In a study of almost 900 diabetic patients, researchers found that patients of physicians with high empathy scores (compared to physicians with low empathy scores) were significantly more likely to have good control of hemoglobin A1c and good LDL-C control.  See study
  5. In a study of 185 patients being treated with cognitive-behavioral therapy (CBT), therapeutic empathy had a “moderate-to-large causal effect on recovery from depression.” See study

Brandy KingEmpathy

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Designing for Clinical Empathy: How can health systems use clinical empathy to support patients?

Designing for Clinical Empathy: How can health systems use clinical empathy to support patients? | Empathy and HealthCare | Scoop.it

This is the first of a series on Designing for Clinical Empathy,


An over of clinical empathy, how it can influence patient outcomes for the better and being implemented in different types of care systems.


Clinical Empathy

What this comes down to is a concept called clinical empathy, defined as “a cognitive attribute that involves an ability to understand the patient’s inner experiences and perspective and a capability to communicate this understanding.”


Clinical empathy has been linked to improved outcomes for patients with diabetes, colds, and depression. Yet many patients don’t experience it in their healthcare encounters: one study found that doctors interrupt patients within an average of 18 seconds.

To understand why, we must also empathize with doctors. In the 1950s and 60s, medical journals began spreading a concept called ‘neutral empathy,’ based on detached reasoning. They argued that truly experiencing the patient’s pain could bias decisions. In a 1963 article, “Training for Detached Concern,” 


By STEVE DANIELS

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Will doctors be more empathetic in the future?

Will doctors be more empathetic in the future? | Empathy and HealthCare | Scoop.it

New initiatives are encouraging doctors to be better listeners and more sensitive to patients.


The University of Michigan, the Cleveland Clinic and some Catholic health systems are among medical systems experimenting with techniques to encourage physicians to be more responsive, said Tim Vogus, an associate professor of management at Vanderbilt University who has researched the relationship between compassion initiatives and patient satisfaction scores.

His research found that hospitals that promote compassion -- especially with rewards -- are more likely to have higher patient satisfaction scores.

Partners HealthCare in Massachusetts and medical schools such as Duke are requiring some residents to take courses to help them be empathetic and offering training to practicing physicians. Other medical organizations encourage physicians to put personal details about patients in their medical charts so they can bond over topics like hobbies or sports teams.


By Shefali Luthra, Kaiser Health News


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Schwartz Center for Compassionate Healthcar : Stories of Compassionate Care with NPR's Robin Young

Schwartz Center for Compassionate Healthcare


NPR's Robin Young and five other amazing women shared their powerful stories and lessons of compassionate healthcare at our 12th Annual Celebration of Women in Healthcare last week at Tufts Health Plan. The following themes resonated with us:

• As hard as it is for patients to sometimes receive compassionate care, it can be equally challenging for caregivers to provide it.

• Compassionate care is not just about caring for the patient, it's about caring for the entire family.

• Compassionate care is overcoming your own prejudices and putting yourself in the patient's shoes.

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Schwartz Center for Compassionate Healthcare Webinar Series: Webinare: Yes, Empathy Can Be Taught!

Helen Reiss: The Schwartz Center for Compassionate Healthcare Webinar Series

January 14, 2014

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4 Traits You Want in a Doctor | Health Essentials from Cleveland Clinic

4 Traits You Want in a Doctor | Health Essentials from Cleveland Clinic | Empathy and HealthCare | Scoop.it
1. Active listening
When you leave an appointment, do you feel like you’re leaving a lecture or a conversation?

A conversation is much more productive. You want a doctor who respects your opinion, listens with attention as you describe your health challenges and symptoms, and asks follow-up questions that dig deeper.

Ultimately, your doctor needs to understand how you make decisions about your care. Some patients are really active in the joint decision-making process. They dig into online research before an appointment and come ready with talking points. Others are more likely to talk through issues, then lean on the expertise of a doctor for treatment options.

If your doctor is an active listener, he or she will know what type of patient you are — and act accordingly
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'Please Empathize With Me, Doctor!'

'Please Empathize With Me, Doctor!' | Empathy and HealthCare | Scoop.it

We need to combine the science of medicine with its art and to get our doctors and our patients back in sync. Medical schools are finally beginning to recognize this and are revising their entrance test to place more emphasis on the social, not just the biological sciences. It is crucial that we make medicine more humane.

The "Empathize With Me, Doctor!" project is a promising initiative in this direction, developed by Vassilios Kiosses and Ioannis Dimoliatis of the Medical Education Unit at the University of Ioannina in Greece. They write:


We provide an experiential training program aimed at improving health care professionals' empathy, based on the Person-Centered Approach (PCA) founded by Carl Rogers. Unconditional positive regard, empathy, and congruence are elements that can create a safe climate where students develop alternative ways to relate with each other and with their patients.


Allen Frances 

Professor Emeritus, Duke University


Image: http://bit.ly/dP1O76 

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What Does Empathy Contribute in This Age of Science and Technology? 

What Does Empathy Contribute in This Age of Science and Technology?  | Empathy and HealthCare | Scoop.it

Empathy is a tool that can be used in the patient-physician relationship to arrive at a mutually acceptable plan of action. Empathy is defined in the dictionary as “the action of understanding, being aware of, being sensitive to, and vicariously experiencing the feelings, thoughts, and experience of another of either in the past or present without having the feelings, thoughts, and experience fully communicated in an objectively explicit manner.”


However, I prefer the more simple explanation that empathy is engaged curiosity about another’s emotional perspective.2 It is not sympathy, which is sharing another person’s emotions with mutual susceptibility, and it is not compassion, which is the emotion that drives us to help someone in need. Instead, empathy is a form of knowledge, albeit reflexive and personal, as if the physician were momentarily in the place of the patient. An empathetic physician also retains a sense of self so that he/she can be purposeful and objective in examining the information gained in that moment.


Suzanne M. Olbricht, MD

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Instilling empathy among doctors pays off for patient care - CNN.com

Instilling empathy among doctors pays off for patient care - CNN.com | Empathy and HealthCare | Scoop.it
While some people are naturally better at being empathic, said Mohammadreza Hojat, a research professor of psychiatry at Jefferson Medical College in Philadelphia, empathy can be taught. "Empathy is a cognitive attribute, not a personality trait," said Hojat, who developed the Jefferson Scale of Empathy, a tool used by researchers to measure it.

"The pressure is really on," said psychiatrist Helen Riess. The director of the empathy and relational science program at Massachusetts General Hospital, she designed "Empathetics," a series of online courses for physicians. "The ACA and accountability for health improvement is really heightening the importance of a relationship" between patients and their doctors when it comes to boosting adherence to treatment and improving health outcomes.


By Sandra G. Boodman , Kaiser Health News


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Opinion: Student’s perspective of the teaching of empathy in medical school

Opinion: Student’s perspective of the teaching of empathy in medical school | Empathy and HealthCare | Scoop.it

My medical school’s curriculum includes several lectures on compassion and empathy in the clinical setting.


There has been much talk recently about the decline of empathy among physicians. Some have attributed this to a fault with the medical school admission process, arguing that the system does not adequately filter out students with certain personality deficits.


  • (1) Others have argued students possess most of the requisite social competencies to begin with, but lose them over the course of medical training
  • (2) Regardless of the cause, it is well-known empathy among medical students declines during the first year of clerkship
  • .(3) For many, this could be the first step down a long and slippery slope.


There is no denying that empathy, like the stethoscope or penlight, is an indispensable part of a good doctor’s tool kit. But like most other qualities, empathy can either be refined or lost.


 Shaurya Taran is a medical student at the University of Ottawa

 

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Study: Measuring the impact of a 3D simulation experience on nursing students' cultural empathy using a modified version of the Kiersma-Chen Empathy Scale

Study: Measuring the impact of a 3D simulation experience on nursing students' cultural empathy using a modified version of the Kiersma-Chen Empathy Scale | Empathy and HealthCare | Scoop.it

To determine the effect of immersive 3D cultural simulation on nursing students' empathy towards culturally and linguistically diverse patients.


BACKGROUND:
Accelerated globalisation has seen a significant increase in cultural diversity in most regions of the world over the past forty years. Clinical encounters that do not acknowledge cultural factors contribute to adverse patient outcomes and health care inequities for culturally and linguistically diverse people. Cultural empathy is an antecedent to cultural competence. Thus, appropriate educational strategies are needed to enhance nursing students' cultural empathy and the capacity to deliver culturally competent care.


RESULTS: Students' empathy towards culturally and linguistically diverse patients significantly improved after exposure to the 3D simulation experience. The mean scores for the Perspective Taking and Valuing Affective Empathy subscales also increased significantly postsimulation.


Slideshow: From culture shock to cultural empathy to cultural competence: An innovative 3D immersive simulation experience 

http://www.keele.ac.uk/nursingandmidwifery/newsevents/seminarprogramme/seminarsarchive2014/cultural%20empathy%20Levett-Jones.pdf


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Should We Train Doctors for Empathy?

Should We Train Doctors for Empathy? | Empathy and HealthCare | Scoop.it

Following a wave of research suggesting the benefits of emotionally attuned physicians, the medical field is exploring ways to cultivate empathy.

How to build empathy in medicine

...In addition, evidence suggests that physicians with higher empathy levels—meaning that they are aware of their patients’ emotional needs and respond appropriately to their concerns—experience less stress, cynicism, and burnout than those with less empathy.


... Mohammadreza Hojat, the director of Thomas Jefferson University’s Longitudinal Study of Medical Education, has shown that empathy levels tend to decrease as students go through medical school—especially during the third year, when they start to see patients—suggesting that the erosion of empathy may be more about what’s happening during training rather than the capabilities students possess upon admission.


By Jill Suttie


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Doctors getting empathy training

Doctors getting empathy training | Empathy and HealthCare | Scoop.it
It’s hard to teach empathy in the classroom, yet it’s one of the foundations of the doctor-patient relationship. How well physicians can put themselves in their patients’ shoes is directly linked with patient satisfaction.

“When I was in med school, no one told me how to do that,” said Dennis Novack, professor of medicine and associate dean of medical education at Drexel University College of Medicine. “You could watch your mentors, if you were lucky. Or make mistakes.”

Numerous studies have shown patients with empathetic caregivers are more likely to stick to their doctor’s treatment plan, leading to better health results. Doctors who can better understand their patients also are more satisfied with their work. And hospitals know how important patient satisfaction is to their bottom line, now that it is a factor Medicare considers in reimbursement.


by Sheena Faherty

Image http://bit.ly/dP1O76


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Study: Physician Empathy: Definition, Components, Measurement, and Relationship to Gender and Specialty:

Study: Physician Empathy: Definition, Components, Measurement, and Relationship to Gender and Specialty: | Empathy and HealthCare | Scoop.it

OBJECTIVE: There is a dearth of empirical research on physician empathy despite its mediating role in patient-physician relationships and clinical outcomes.


This study was designed to investigate the components of physician empathy, its measurement properties, and group differences in empathy scores.


METHOD: A revised version of the Jefferson Scale of Physician Empathy (with 20 Likert-type items) was mailed to 1,007 physicians affiliated with the Jefferson Health System in the greater Philadelphia region; 704 (70%) responded. Construct validity, reliability of the empathy scale, and the differences on mean empathy scores by physicians’ gender and specialty were examined.


CONCLUSIONS: Empathy is a multidimensional concept that varies among physicians and can be measured with a psychometrically sound tool. Implications for specialty selection and career counseling are discussed.


Mohammadreza Hojat, Ph.D., 

Joseph S. Gonnella, M.D., 

Thomas J. Nasca, M.D., 

Salvatore Mangione, M.D., 

Michael Vergare, M.D., 

Michael Magee, M.D.

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