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Medical empathy

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https://www.readbyqxmd.com/read/28899714/qualitative-evaluation-of-a-narrative-reflection-program-to-help-medical-trainees-recognize-and-avoid-overuse-am-i-doing-what-s-right-for-the-patient
#1
Tanner Caverly, Daniel Matlock, Jocelyn Thompson, Brandon Combs
OBJECTIVE: The Do No Harm Project is a novel reflective writing program that encourages medical trainees to reflect on and write up clinical narratives about instances of avoidable medical overuse. Our goal is to describe this program and to explore the effect of the program on those participating. METHODS: Semi-structured interviews were conducted to explore how participating in the project influenced the thinking, attitudes, and behaviors of participating internal medicine residents...
September 8, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28892175/-almost-forgetting-to-care-an-unanticipated-source-of-empathy-loss-in-clerkship
#2
Cheryl L Holmes, Harry Miller, Glenn Regehr
CONTEXT: The erosion of empathy in medical students is well documented. Both the hidden curriculum associated with poor role modelling and a sense of burnout have been proposed as key factors, but the precise mechanisms by which this loss of empathy occurs have not been elaborated. OBJECTIVES: In the context of a course designed to help students manage the hidden curriculum, we collected data that raised questions about current conceptualisations of the aspects of medical training that lead to loss of empathy...
July 2017: Medical Education
https://www.readbyqxmd.com/read/28884471/the-complexity-of-empathy-during-medical-school-training-evidence-for-positive-changes
#3
Karen E Smith, Greg J Norman, Jean Decety
CONTEXT: 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...
September 7, 2017: Medical Education
https://www.readbyqxmd.com/read/28883780/intended-career-choice-in-family-medicine-in-slovenia-an-issue-of-gender-family-background-or-empathic-attitudes-in-final-year-medical-students
#4
Marija Petek Ster, Polona Selic
BACKGROUND: Among a variety of complex factors affecting a decision to take family medicine as a future specialisation, this study focused on demographic characteristics and assessed empathic attitudes in final year medical students. METHODS: A convenience sampling method was employed in two consecutive academic years of final year medical students at the Faculty of Medicine in Ljubljana, Slovenia, in May 2014 and May 2015. A modified version of the 16-item Jefferson Scale of Empathy - Student Version (JSE-S) was administered to examine self-reported empathic attitudes...
June 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/28870022/playing-to-our-human-strengths-to-prepare-medical-students-for-the-future
#5
Julie Chen
We are living in an age where artificial intelligence and astounding technological advances are bringing truly remarkable change to healthcare. Medical knowledge and skills which form the core responsibility of doctors such as making diagnoses may increasingly be delivered by robots. Machines are gradually acquiring human abilities such as deep learning and empathy. What, then is the role of doctors in future healthcare? And what direction should medical schools be taking to prepare their graduates? This article will give an overview of the evolving technological landscape of healthcare and examine the issues undergraduate medical education may have to address...
September 2017: Korean Journal of Medical Education
https://www.readbyqxmd.com/read/28870019/the-mediating-effect-of-calling-on-the-relationship-between-medical-school-students-academic-burnout-and-empathy
#6
Su Jin Chae, So Mi Jeong, Yoon-Sok Chung
PURPOSE: This study is aimed at identifying the relationships between medical school students' academic burnout, empathy, and calling, and determining whether their calling has a mediating effect on the relationship between academic burnout and empathy. METHODS: A mixed method study was conducted. One hundred twenty-seven medical students completed a survey. Scales measuring academic burnout, medical students' empathy, and calling were utilized. For statistical analysis, correlation analysis, descriptive statistics analysis, and hierarchical multiple regression analyses were conducted...
September 2017: Korean Journal of Medical Education
https://www.readbyqxmd.com/read/28868237/examining-the-relationship-between-burnout-and-empathy-in-healthcare-professionals-a-systematic-review
#7
REVIEW
Helen Wilkinson, Richard Whittington, Lorraine Perry, Catrin Eames
OBJECTIVE: Empathy and burnout are two related yet distinct constructs that are relevant to clinical healthcare staff. The nature of their relationship is uncertain and this review aimed to complete a rigorous, systematic exploration of the literature investigating the relationship between burnout and empathy in healthcare staff. DESIGN: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance...
September 2017: Burnout Research
https://www.readbyqxmd.com/read/28867004/general-practitioner-and-registrar-involvement-in-refugee-health-exploring-needs-and-perceptions
#8
Catherine Harding, Alexa Seal, Geraldine Duncan, Alison Gilmour
Objective Despite the recognition that refugees should have equitable access to healthcare services, this presents considerable challenges, particularly in rural and regional areas. Because general practitioners (GPs) are critical to resettlement for refugees and play a crucial role in understanding their specific health and social issues, it is important to know more about the needs of GPs.Methods In-depth interviews were conducted with 14 GPs and GP registrars who trained with a New South Wales regional training provider with the aim of assessing the needs and attitudes of GPs in treating refugees and the perceived effect that refugees have on their practice...
September 4, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28861884/cross-cultural-differences-in-mental-health-quality-of-life-empathy-and-burnout-between-us-and-brazilian-medical-students
#9
Giancarlo Lucchetti, Rodolfo Furlan Damiano, Lisabeth F DiLalla, Alessandra Lamas Granero Lucchetti, Ivana Lúcia Damásio Moutinho, Oscarina da Silva Ezequiel, J Kevin Dorsey
OBJECTIVE: This study aimed to compare mental health, quality of life, empathy, and burnout in medical students from a medical institution in the USA and another one in Brazil. METHODS: This cross-cultural study included students enrolled in the first and second years of their undergraduate medical training. We evaluated depression, anxiety, and stress (DASS 21), empathy, openness to spirituality, and wellness (ESWIM), burnout (Oldenburg), and quality of life (WHOQOL-Bref) and compared them between schools...
August 31, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28861707/the-impact-of-a-required-longitudinal-stress-management-and-resilience-training-course-for-first-year-medical-students
#10
Liselotte N Dyrbye, Tait D Shanafelt, Ling Werner, Amit Sood, Daniel Satele, Alexandra P Wolanskyj
BACKGROUND: Although psychological distress is common among medical students, little remains known about effective interventions. One promising individual-focused approach is mindfulness-based stress management interventions; however, studies to date have relied on volunteers. OBJECTIVE: To determine whether a required longitudinal stress management and resilience course improves well-being among first-year medical students. DESIGN: A quasi-experimental study...
August 31, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28859007/developing-professional-practice-and-ethics-engagement-a-leadership-model
#11
Karen M Reilly, Martha Jurchak
Nurse leaders are responsible for a practice environment that fosters safe, quality patient outcomes through excellence in nursing practice. This article describes a reflective practice intervention in the Cardiac Intensive Care Unit of an urban academic medical center led by the unit nursing director and the hospital's nurse ethicist. The twice monthly case-based discussions, called "Nursing Practice and Ethics Rounds," were attended by staff and unit managers (nurse director, assistant nurse director, and clinical educator) and were facilitated by the nurse ethicist...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28857534/-postural-deformities-of-the-skull-advantages-of-protocolization-in-its-treatment
#12
A Y Molina Caballero, A Pérez Martínez, S Hernández Martín, L Ayuso González, J Pisón Chacón
INTRODUCTION: Since 2007, we have examined in our medical practice children with cranial deformities. The increasing demand and lack of professionals dedicated to it has forced us to assume the treatment of this disease. We present our experience. MATERIAL AND METHODS: Retrospective study of patients with cranial deformities treated from 2010 to 2015. We collected data as age at the first visit and at discharge, sequential measurements of the skull and cranial index, type of treatment prescribed (postural, orthosis or both) and consultation requested to other specialties...
April 20, 2017: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/28853531/-social-media-use-and-the-doctor-patient-relationship-is-progression-really-leading-us-forward
#13
Haggai Bar-Yoseph
Lately, social media have become a pivotal aspect in our communication with the world around us. It seems that it is only a matter of time until it will take a major role in the communication with our patients. Before we hand ourselves over to this new technology, it is necessary to examine the consequences that this media will have on this interaction and the changes that follow the utilization of this tool. This paper deals with the basic conflict that stands between the principles of medical practice and the nature of social media, focusing on the importance of boundaries, empathy and physical contact in the doctor-patient interaction...
August 2017: Harefuah
https://www.readbyqxmd.com/read/28843527/factors-associated-with-the-trend-of-physical-and-chemical-restraint-use-among-long-term-care-facility-residents-in-hong-kong-data-from-an-11-year-observational-study
#14
Kuen Lam, Joseph S K Kwan, Chi Wai Kwan, Alice M L Chong, Claudia K Y Lai, Vivian W Q Lou, Angela Y M Leung, Justina Y W Liu, Xue Bai, Iris Chi
BACKGROUND: Negative effects of restraint use have been well-documented. However, the prevalence of restraints use has been high in long-term care facilities in Hong Kong compared with other countries and this goes against the basic principles of ethical and compassionate care for older people. The present study aimed to review the change in the prevalence of physical and chemical restraint use in long-term care facilities (LTCFs) over a period of 11 years in Hong Kong and to identify the major factors associated with their use...
August 23, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28839311/measuring-empathy-of-medical-students-studying-different-curricula-a-causal-comparative-study
#15
Ayesha Ayub, Rehan Ahmed Khan
OBJECTIVE: To determine the difference in empathy level of undergraduate medical students studying two different curricula. METHODS: This cross-sectional study was conducted at Independent Medical College of Faisalabad and Islamic International Medical Collegeof Islamabad, both in Pakistan, from July to September 2016. The two medical colleges had two different types of curriculum systems; the integrated modular system and the discipline-based curriculum. The Toronto empathy questionnaire was used to calculate empathy scores...
August 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28819897/teachers-and-parents-perspectives-on-a-curricular-subject-of-religion-and-spirituality-for-indian-schools-a-pilot-study-toward-school-mental-health-program
#16
Parameshwaran Ramakrishnan, Andrew Baccari, Uma Ramachandran, Syed Faiz Ahmed, Harold G Koenig
Religious-spiritual (R/S) education helps medical students cope with caregiving stress and gain skills in interpersonal empathy needed for clinical care. Such R/S education has been introduced into K-12 and college curricula in some developed nations and has been found to positively impact student's mental health. Such a move has not yet been seen in the Indian education system. This paper aimed to examine perspectives of teachers and parents in India on appropriateness, benefits, and challenges of including R/S education into the school curriculum and also to gather their impressions on how a R/S curriculum might promote students' health...
August 17, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28813524/medical-student-nursing-student-and-non-health-care-respondents-implicit-attitudes-toward-doctors-and-patients-development-and-a-pilot-study-of-a-new-implicit-attitudes-test-iat
#17
Alan Schwartz, Abdelhamid Mazouni
INTRODUCTION: Medical educators have been concerned that medical students may decline in empathy for patients during the course of their training, based on studies measuring clinical empathy using psychometrically strong self-report measures. Clinical empathy is a complex construct, incorporating attitudes toward patients but also other components, such as professional detachment. Triangulation of extant measures with instruments based on nonreactive methods could provide a better understanding of whether and how physician attitudes toward patients may be changing during training...
2017: PloS One
https://www.readbyqxmd.com/read/28805316/promoting-empathy-using-video-based-teaching
#18
Kieran Sweeney, Paul Baker
BACKGROUND: Empathy is fundamental to patient-centred care. It has been shown to improve patient satisfaction and therapeutic outcomes. The success of educational interventions in enhancing students' empathy has been mixed, however, and a consensus on the most effective approach is lacking. METHODS: Patients were videoed discussing their hospital experiences and interactions with clinicians. These videos were shown to groups of medical students, who then took part in a facilitated discussion around themes of health care communication and patient experience...
August 14, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28803221/reflective-student-narratives-honing-professionalism-and-empathy
#19
Upreet Dhaliwal, Satendra Singh, Navjeevan Singh
The affective domain is not explicitly targeted during medical studies and poor skills in this domain may lead to conflict when dealing with patients. Reflective narratives are said to promote humanitarianism and professional development. We aimed to examine reflective narratives written by medical students in our institution for content relating to ethical and professional Attitude and Behaviour, Communication, respect for Diversity and Disability, and Empathy (the ABCDE paradigm). We were also interested in understanding how far the students enjoyed learning through the writing of narratives and in determining their perceived learning from the exercise...
July 18, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28799961/nurses-perceptions-of-psychosocial-care-and-barriers-to-its-provision-a-qualitative-study
#20
Cassandra Siyun Chen, Sally Wai-Chi Chan, Moon Fai Chan, Suk Foon Yap, Wenru Wang, Yanika Kowitlawakul
BACKGROUND: Psychosocial care is the culturally sensitive provision of psychological, social, and spiritual care through therapeutic communication. Current evidence suggests that effective psychosocial care improves patients' health outcomes and quality of life. PURPOSE: The aim of this study was to explore nurses' perceptions and experiences in providing psychosocial care to patients and to identify the related barriers and challenges. METHODS: An exploratory qualitative design using semistructured, individual, face-to-face interviews was adopted...
August 10, 2017: Journal of Nursing Research: JNR
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