Empathy and HealthCare
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What's happened to clinician empathy?

What's happened to clinician empathy? | Empathy and HealthCare | Scoop.it
In 2006, the Mayo Clinic asked 192 patients an important question: What makes an ideal physician? From their responses, several characteristics emerged. Among the top criteria, they wanted doctors to be “personal,” “empathetic” and “humane.” This shouldn’t come as much of a surprise.

Of course, we want doctors who relate to their patients as people instead of just another “case.” We want doctors to have sympathy for patients — to form real relationships with them. Empathetic physicians enjoy better patient compliance and better patient health outcomes. But medical training seems to push doctors in the opposite way. Doctors are emotionally drained, and unable to connect with patients. When patient care suffers, this is a major issue.
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Empathica | Medicine | University of Southampton

Empathica | Medicine | University of Southampton | Empathy and HealthCare | Scoop.it
This work aims to enable primary care practitioners to enhance the effectiveness of therapies for Osteoarthritis pain through the development of a brief digital intervention:  “Expectation Management for Patients with Osteoarthritis” (Empathica). 

 

Our research questions are:

  1. What strategies should we teach practitioners to use so that they will show more empathy and encourage patients to have realistic and positive expectations?
  2. What are patients’ and practitioners’ concerns and priorities, to address in our training?
  3. How can we make our training engaging and relevant for practitioners so that they use it?
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Empathy Circles as Imaginal Cells for a Regenerative and Co-creative Future

Empathy Circles as Imaginal Cells for a Regenerative and Co-creative Future | Empathy and HealthCare | Scoop.it

"In the last few years, I’ve been exploring the use of Empathy Circles with some of my organizational clients, with facilitator learning groups, and in communication workshops. I’ve been finding that it is a great introduction and warm-up for Dynamic Facilitation, one of my core practices, as it offers everyone in the room the opportunity to engage in offering listening reflections to one another.

At the same time, I’m totally excited to see that Edwin Rutsch, the creator of Empathy Circles, has been bringing his work into the arena healing political divides. My experience is that this simple-yet-powerful form is actually quite revolutionary, in the best sense of the word, and so I want to delve a bit into what I see as the underlying dynamics. But first, a brief description, followed by a distinction and clarification…"

by Rosa Zubizarreta
March 9, 2019 

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(Healthcare) New Podcast Teaches Lessons on the Value of Empathy

(Healthcare) New Podcast Teaches Lessons on the Value of Empathy | Empathy and HealthCare | Scoop.it

University of Toronto Department of Family and Community Medicine (DFCM) faculty members Dr. Giovanna Sirianni, Dr. Dori Seccareccia, and Dr. Irene Ying discuss the importance of practicing empathy in clinical encounters in their new podcast, About Empathy.

 

Each episode of the podcast features a powerful story from a guest – either a patient, caregiver or healthcare provider– on their experiences with serious illness, followed by an engaging discussion and reflection on how we could support empathic interactions in the healthcare community. 

 

Briefly describe the podcast and what it’s about.

Dr. Giovanna Sirianni (G): The podcast is called "About Empathy," and it's focused on patient, caregiver and healthcare providers' experiences with serious illness.

 

  • The first half of the podcast is an interview with the guest where we take time to talk to them about their story.
  • The second half of the podcast is a debrief between Dori, Irene, and myself, where we talk about what we learned or what we thought was interesting about that individual's story.  

 

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Enhancing cross-cultural empathy in nurses could help to improve their well-being 

Enhancing cross-cultural empathy in nurses could help to improve their well-being  | Empathy and HealthCare | Scoop.it
Developing greater empathy for patients and colleagues of different cultural background could help to boost the well-being of nurses.

According to a new Finnish study led by Tarja Heponiemi, Adjunct Professor from the National Institute for Health and Welfare (THL), registered nurses with more empathetic reactions, patience, and sensitivity towards cultural diversity reported lower levels of time pressure at work, distress, and sleep problems.
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Alan Alda - Dr. Helen Riess on Empathy and the Science of Emotion  

Alan Alda - Dr. Helen Riess on Empathy and the Science of Emotion   | Empathy and HealthCare | Scoop.it
Relating and communicating in the doctor’s office can sometimes be a matter of life or death.

 

Clear+Vivid with Alan Alda is devoting a special series of three shows to doctor-patient relations and how better understanding can be achieved through empathy and deeper listening.

 

First up is Dr. Helen Riess whose research has shown that not only is empathy important to the doctor-patient relationship, but that, when it’s lacking, empathy can be taught.

 

 

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Michael Goldstein's curator insight, December 26, 2018 8:34 PM
Great to see Empathy in health care and clinician-patient relationships make it onto a popular media personality broadcast!
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Compassion In Healthcare Conference New Zealand 2019

Compassion In Healthcare Conference New Zealand 2019 | Empathy and HealthCare | Scoop.it

Learn the science and practice of compassionate care.


The first ever compassion in healthcare conference in New Zealand. We are bringing together experts in compassionate care, from scientists to clinicians, to inspire, teach and share the practices of compassion in day to day clinical care.


This conference will benefit doctors, nurses, medical students, paramedics, social workers, psychologists, therapists, allied health providers and anyone involved in the caring profession.

 

Workshop 1: From mindfulness to compassion 
Facilitator: Dr Tony Fernando

Workshop 2: Self-compassion for clinicians 
Facilitator: Dr Anna Friis

Workshop 3: Compassionate Communication and the GRACE model of compassion 
Dr Anne O'Callaghan & Dr Ingo Lambecht

 

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RACGP - GPs more empathetic than they think, new research shows

RACGP - GPs more empathetic than they think, new research shows | Empathy and HealthCare | Scoop.it
Published in the British Journal of General Practice (BJGP), the study, which took place from December 2016 to February 2017, investigated the correlation between GP perception of delivered empathy and patient-perceived empathy.
 
Researchers found that GPs rate their delivered empathy during consultations consistently and significantly lower than their patients. And GPs’ impressions of the empathy delivered during the consultation do not predict the actual amount of empathy perceived by their patients.
 
The study, Differences between GP perception of delivered empathy and patient-perceived empathy: A cross-sectional study in primary care, obtained questionnaires from 147 consultations by 34 different GPs across 16 primary care practices, analysing all but four of the consultations.
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Pain is real to patient and provider when empathy is present

Pain is real to patient and provider when empathy is present | Empathy and HealthCare | Scoop.it

Developed by philosophers to communicate the idea that one person’s internal experience could be understood by an observer under certain conditions, one of those being empathy, intersubjectivity is a far more appropriate term to describe pain as we understand it today.

 

To declare pain ‘subjective’ perpetuates outdated and inhumane misconceptions, reflecting persistent denial of empathy combined with slow diffusion of knowledge. What is empathy? Listening to others when they tell us about their experiences; with compassion, we respond to alleviate pain.

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Doctors often lack empathy. Robots might have the answer

Doctors often lack empathy. Robots might have the answer | Empathy and HealthCare | Scoop.it
As AI becomes more pervasive in healthcare, can robots learn to show more empathy than doctors?

 

Except medicine requires more than just technical expertise: It needs empathy, too.

 

Empathy has been noticeably lacking in medicine as of late. In the past few decades, doctors have developed a reputation for being coldand aloof, for treating patients as numbers and objects, not human beings with valid lived experiences and unique histories. One of the most common complaints among patients today is the “clinical” attitude of their attending physicians. That word has become synonymous with detached, unempathetic, and impersonal treatment—everything many of us would much rather our attending physician not be.

 

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Can empathy be taught to physicians?

Can empathy be taught to physicians? | Empathy and HealthCare | Scoop.it
We want competent physicians, but we also want compassionate ones.
  • How do we get them?
  • Is it nature or is it nurture?
  • Is it more important to search out more compassionate students, or should we instill compassion somehow in the ones we start along the training pipeline?

 

I think the answer lies in nurturing what nature has already put there.

My background is in pediatric critical care, which I have practiced for thirty-five years. Throughout most of my career, I have taught medical students, residents, and fellows. So I have seen young physicians as they made their way as best they could through the long training process.

 

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Medical Program: An Epidemic of Empathy in Healthcare: How to Deliver Compassionate, Connected Patient Care

Medical Program: An Epidemic of Empathy in Healthcare: How to Deliver Compassionate, Connected Patient Care | Empathy and HealthCare | Scoop.it
Revolutionary advances in medical knowledge have caused doctors to become so focused on their narrow fields of expertise that they often overlook the simplest fact of all: their patients are suffering. 

Dr. John Russell welcomes Dr. Thomas Lee, Chief Medical Officer at Press Ganey and author of An Epidemic of Empathy in Healthcare: How to Deliver Compassionate, Connected Patient Care That Creates a Competitive Advantage. Their discussion focuses on the growing divide between world-class medical treatment and compassionate care, and why the two are not mutually exclusive.
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What's happened to clinician empathy?

What's happened to clinician empathy? | Empathy and HealthCare | Scoop.it
In 2006, the Mayo Clinic asked 192 patients an important question: What makes an ideal physician? From their responses, several characteristics emerged. Among the top criteria, they wanted doctors to be “personal,” “empathetic” and “humane.” This shouldn’t come as much of a surprise.

Of course, we want doctors who relate to their patients as people instead of just another “case.” We want doctors to have sympathy for patients — to form real relationships with them. Empathetic physicians enjoy better patient compliance and better patient health outcomes. But medical training seems to push doctors in the opposite way. Doctors are emotionally drained, and unable to connect with patients. When patient care suffers, this is a major issue.
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Exploring Empathy with Medical Students | David Ian Jeffrey  

Exploring Empathy with Medical Students | David Ian Jeffrey   | Empathy and HealthCare | Scoop.it
This book investigates new insights into the factors influencing empathy in medical students. Addressing the widely perceived empathy gap in teaching and medical practice, the book presents a new study into how this emotion is facilitated in the UK undergraduate medical curriculum, and its influence on doctor-patient relationships.

 

The author utilises Interpretative Phenomenological Analysis (IPA) to investigate how medical students’ perspective on empathy changed throughout their education. It presents the risks students perceive when connecting emotionally with patients; their use of detachment as a taught coping mechanism; and the question of how they regulate their emotions. 

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Defining therapeutic empathy: the philosopher’s perspective  

Defining therapeutic empathy: the philosopher’s perspective   | Empathy and HealthCare | Scoop.it
Abstract
In this paper, as part of our empathy series, we will introduce the notion of empathy and attempt to define “therapeutic empathy”. While the concept of “empathy” is an umbrella term that involves many different (and sometimes opposing) components, clinical or therapeutic empathy implies more specific characteristics. From a methodological point of view, we will use phenomenological notions and definitions to explore these. From a practical perspective, we will propose features which clinicians may utilise in order to practice therapeutic empathy.

 

Author: Hajira Dambha-Miller 
Author: Valeria Bizzari
Author: William Laughaey
Author: Claudia Carvalho
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'Please Empathize With Me, Doctor!'

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

The doctor/patient relationship has been the central instrument of healing throughout the history of medicine. Specific treatments come and specific treatments go. Some help patients; some hurt patients; many have no impact at all. But the constant of 4000 years of modern medicine has been the healing impact of the relationship with a doctor, however ineffective or harmful the type of treatment he provided.

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.

 

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Studies in Empathy: A Cleveland Clinic Podcast by Cleveland Clinic Patient Experience on

Studies in Empathy: A Cleveland Clinic Podcast by Cleveland Clinic Patient Experience on | Empathy and HealthCare | Scoop.it

A Cleveland Clinic Podcast exploring empathy and patient experience. Join Dr. Adrienne Boissy and a diverse group of guests as we delve into the human(e) experience in healthcare.

 

Thought leaders share insight, anecdotes, and perspectives on empathy as a functional concept for PE leadership, but also just about everything else we do in healthcare- quality, safety, burnout, and engagement leadership.

 

  

  1. Using Your Left and Right Brain: What Every Patient Experience Leader Needs to Know
  2. How Tennis and Maple Syrup Made Me a Better Doctor
  3. We All Cry Salt Water and Bleed Red: Spiritual Care in a Time of Crisis

 

 

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Empathy: Caring for Others Is Good for You

Empathy: Caring for Others Is Good for You | Empathy and HealthCare | Scoop.it
Empathy has complex neurological underpinnings that control the way our brains help us to care about other people


Humans have “mirror neurons” that react to others’ emotions and reproduce them; a deficit in mirror neuron receptors has been suggested as an explanation for narcissism and neurotic behaviors


Practicing empathy may help you relieve stress, strengthen your relationships and have a more satisfying work life

 

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Listening with Empathy | Patient Care | AMA STEPS Forward

Listening with Empathy | Patient Care | AMA STEPS Forward | Empathy and HealthCare | Scoop.it
How will this module help me listen with empathy?

 

  1. Eight STEPS to listening with empathy

  2. Answers to frequently asked questions about empathetic listening

  3. Tools and resources to help you and your team

 
Introduction

Empathy begins with “engaged curiosity about another's particular emotional perspective.”1Empathetic listening builds on the concept of empathy and allows one to be fully present for another person's experiences. When empathetic listening is used in health care, patients and families are often more satisfied and more open to hearing their physician's advice.

 

Listening with empathy can save time and effectively defuse difficult situations. It can forge deeper connections with patients, which leads to greater professional satisfaction and joy in work.

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Michael Goldstein's curator insight, December 26, 2018 8:37 PM
Empathy and Listening! Even stodgy old AMA is featuring empathy! 
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Compassion In Healthcare Conference New Zealand 2019

Compassion In Healthcare Conference New Zealand 2019 | Empathy and HealthCare | Scoop.it

Rekindle the fire.


Learn the science and practice of compassionate care.


The first ever compassion in healthcare conference in New Zealand. We are bringing together experts in compassionate care, from scientists to clinicians, to inspire, teach and share the practices of compassion in day to day clinical care.


This conference will benefit doctors, nurses, medical students, paramedics, social workers, psychologists, therapists, allied health providers and anyone involved in the caring profession.

 

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Empathetic listening can improve health care and treatment recommendations 

Empathetic listening can improve health care and treatment recommendations  | Empathy and HealthCare | Scoop.it
Empathy is an important part of healthcare, especially when treatment plans and decisions are being discussed. A recent study looked at how well pediatric physicians delivered empathetic statements during these care conferences and its influence on family-physician communication.


It is critical for physicians to respond appropriately with empathy to support families during a difficult time. Care conferences are discussions held between physicians and families to discuss medical treatment plans and decisions, and often involve high-stake decision-making, which can be emotionally stressing for the family. Past studies have found that physicians in the adult ICU setting do not commonly show empathy, and are often missing the opportunities to connect with families of the patient. However, this has not been well studied in the paediatric ICU setting.

 

September 24, 2018

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Med students learn empathy through improv 

Med students learn empathy through improv  | Empathy and HealthCare | Scoop.it
The second reason for simulated patients is to teach doctors to empathize and communicate with patients, Shannon said.

"If a health care provider is with a patient and they aren't in agreement, where can that relationship go?" she queried.

Drawing on her seven years of teaching theatre, she applies principals of improv to the exam room.

Improv puts a heavy emphasis on "yes, and."

"If we're in a scene together the only way we can elevate the scene and keep it going is by agreeing," Shannon said.

In theatre, that could look like following your scene partner's lead in a goofy improv exercise. In the exam room, "yes, and" involves listening to the patient and building and showing empathy with them. Empathy can be a gift, Shannon said.
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Empathy- an important tool for doctors - Health Files by Dr. Aruna Muralidhar  

Empathy- an important tool for doctors - Health Files by Dr. Aruna Muralidhar   | Empathy and HealthCare | Scoop.it
There are benefits of empathy for the clinicians as well. Those who have higher empathy levels (being more aware of patients’ emotional needs and responding appropriately to their concerns) experience lesser stress, cynicism and burnout than those with less empathy.

However, there are barriers to empathy. Time pressure and anxiety interfere with eliciting, acknowledging and listening to the concerns. Doctors need to include psychosocial dimensions of the patients’ life in the consultation to be able to communicate better. Cultural barriers, generation gap, preconceived notions on morality and also a prejudiced approach hinder empathy to a large extent. The negative emotions that arise due to tension between the patients and care providers make therapeutic outcomes difficult.
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(Empathic Healthcare) Teaching medical students empathy at URMC 

(Empathic Healthcare) Teaching medical students empathy at URMC  | Empathy and HealthCare | Scoop.it
The standardized patients at URMC this day were all playing the role of a person receiving a diagnosis of terminal, inoperable lung cancer. Their training instructs them to respond the way a real patient would: some cried; some acted numb; some told the students their diagnosis was wrong. After the simulation, they gave the students feedback.

"We get a chance to go back and talk to them after the scenario and tell them what could be different, what should be improved, how I felt about it, how they felt about it," said Ralph Dutcher, who has been acting as a patient in these simulations for years. 
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Characteristics of Physician Empathetic Statements During Pediatric Intensive Care Conferences With Family Members: A Qualitative Study | JAMA  

Conclusions and Relevance  In this analysis, physicians responded with empathy frequently, but responses were buried within other pieces of medical data or missed entirely in nearly one-third of conferences.

 

When physicians responded using unburied empathetic statements and allowed time for family members to respond, they were more likely to learn important information about the family’s fears, values, and motivations.

 

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