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Medical empathy

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https://www.readbyqxmd.com/read/28725865/the-science-of-empathy
#1
Helen Riess
Empathy plays a critical interpersonal and societal role, enabling sharing of experiences, needs, and desires between individuals and providing an emotional bridge that promotes pro-social behavior. This capacity requires an exquisite interplay of neural networks and enables us to perceive the emotions of others, resonate with them emotionally and cognitively, to take in the perspective of others, and to distinguish between our own and others' emotions. Studies show empathy declines during medical training...
June 2017: Journal of patient experience
https://www.readbyqxmd.com/read/28725864/dying-from-cancer-communication-empathy-and-the-clinical-imagination
#2
Larry D Cripe, Richard M Frankel
Medical oncologists and patients with advanced cancer struggle to discuss prognosis, goals, options, and values in a timely fashion. As a consequence, many patients die receiving aggressive treatment potentially inconsistent with their fully informed preferences and experience increased symptom burden and distress. The goals of patient - oncologist communication include exchanging information, building relationship, and engaging in shared decisions. Empathy is perhaps especially essential to effective patient - oncologist communication when the end of life is approaching...
June 2017: Journal of patient experience
https://www.readbyqxmd.com/read/28725863/empathy-in-the-clinician-patient-relationship-the-role-of-reciprocal-adjustments-and-processes-of-synchrony
#3
Arnstein Finset, Knut Ørnes
The clinician-patient relationship is asymmetric in the sense that clinicians and patients have different roles in the medical consultation. Yet, there are qualities of reciprocity and mutuality in many clinician-patient encounters, and we suggest that such reciprocity may be related to the phenomenon of empathy. Empathy is often defined as the capacity to place oneself in another's position, but empathy may also be understood as a sequence of reciprocal turns-of talk, starting with the patient's expression of emotion, followed by the perception, vicarious experience, and empathic response by the clinician...
June 2017: Journal of patient experience
https://www.readbyqxmd.com/read/28725313/the-influence-of-motivational-interviewing-on-patients-with-inflammatory-bowel-disease-a-systematic-review-of-the-literature
#4
REVIEW
Scott T Wagoner, Jan Kavookjian
Inflammatory bowel disease (IBD) is a condition accompanied by several physical and often psychological symptoms (e.g., depression). Treatments generally involve dietary modifications and prescription medications. Of concern, non-adherence rates with prescription medications for this population have been reported to be between 30% and 45%. In order to examine an intervention that has shown promise in improving adherence, researchers systematically reviewed the literature in order to determine the impact of a motivational interviewing (MI) intervention on outcomes for individuals diagnosed with IBD...
August 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28725136/sex-specific-effect-of-recalled-parenting-on-affective-and-cognitive-empathy-in-adulthood
#5
Minna T Lyons, Gayle Brewer, Emily J Bethell
Previous research has demonstrated the influence of parenting on the development of children's empathy. However, few studies have considered the impact of parents on empathy in adulthood, specific components of empathy, or the importance of parent and child biological sex. In the present study, 226 participants (71 men) completed online versions of the Parental Bonding Instrument (Parker et al. British Journal of Medical Psychology, 52, 1-10 1979), Empathy Quotient (Baron-Cohen and Wheelwright Journal of Autism and Developmental Disorders, 34, 163-175 2004), and Interpersonal Reactivity Index (Davis JSAS Catalog of Selected Documents in Psychology, 10, 85 1980)...
2017: Current Psychology
https://www.readbyqxmd.com/read/28717000/empathy-burnout-and-antibiotic-prescribing-for-acute-respiratory-infections-a-cross-sectional-primary-care-study-in-the-us
#6
Bob Z Sun, Alexander Chaitoff, Bo Hu, Kathleen Neuendorf, Mahesh Manne, Michael B Rothberg
BACKGROUND: The impact of physician-patient relationship factors, such as physician empathy and burnout, on antibiotic prescribing has not been characterised. AIM: To assess associations between physician empathy and burnout and antibiotic prescribing for acute respiratory infections (ARIs) in primary care. DESIGN AND SETTING: Cross-sectional study of primary care practices in the Cleveland Clinic Health System in the US. METHOD: Patient and prescribing data were obtained from the medical record...
July 17, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28716384/a-review-of-empathy-its-importance-and-its-teaching-in-surgical-training
#7
Jing L Han, Theodore N Pappas
BACKGROUND: There has been much discussion in the medical literature about the importance of empathy and physician communication style in medical practice. Empathy has been shown to have a very real positive effect on patient outcomes. Most of the existing literature speaks to its role in medical education, with relatively little empiric study about empathy in the surgical setting. OBJECTIVE: Review of empathy and its importance as it pertains to the surgeon-patient relationship and improving patient outcomes, and the need for increased education in empathy during surgical training...
July 14, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28707631/-in-our-own-words-defining-medical-professionalism-from-a-latin-american-perspective
#8
Klaus Puschel, Paula Repetto, Margarita Bernales, Jorge Barros, Ivan Perez, Linda Snell
BACKGROUND: Latin America has experienced a tremendous growth in a number of medical schools, and there are concerns about their quality of training in critical areas such as professionalism. Medical professionalism is a cultural construct. The aim of the study was to compare published definitions of medical professionalism from Latin American and non-Latin American regions and to design an original and culturally sound definition. METHODS: A mixed methods approach was used with three phases...
January 2017: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/28704204/psychometric-analysis-of-the-swedish-version-of-the-general-medical-council-s-multi-source-feedback-questionnaires
#9
Jan-Eric Olsson, Fan Yang Wallentin, Eva Toth-Pal, Solvig Ekblad, Bo Christer Bertilson
Objectives: To determine the internal consistency and the underlying components of our translated and adapted Swedish version of the General Medical Council's multisource feedback questionnaires (GMC questionnaires) for physicians and to confirm which aspects of good medical practice the latent variable structure reflected. Methods: From October 2015 to March 2016, residents in family medicine in Sweden were invited to participate in the study and to use the Swedish version to perform self-evaluations and acquire feedback from both their patients and colleagues...
July 10, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28704203/nurturing-virtues-of-the-medical-profession-does-it-enhance-medical-students-empathy
#10
Marcelo Schweller, Diego Lima Ribeiro, Eloisa Valer Celeri, Marco Antonio de Carvalho-Filho
Objectives: To examine if the empathy levels of first-year medical students are amenable to didactic interventions idealized to promote values inherent to medical professional identity. Methods: This is a pretest-posttest study designed to assess the empathy levels of first-year medical students (n=166) comprising two consecutive classes of a Brazilian medical school, performed before and after a didactic intervention. Students attended a course based on values and virtues related to medical professional identity once a week over four months...
July 11, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28700021/nursing-management-practicum-impact-to-the-team-in-medical-surgical-units
#11
Clarice Maria Dall'Agnol, Andréia Peres de Oliveira, Adriana Serdotte Freitas Cardoso
Objective: Learn the perceptions of nursing professionals of a university hospital regarding the interactive process with nursing management practicum students. Methods: A qualitative, exploratory, descriptive study was conducted by means of 11 semi-structured interviews with nurses, nursing technicians and nursing aides in medical-surgical units. The information, collected between December 2013 and January 2014, was submitted to a thematic analysis and discussed according to Pichon-Rivière...
July 6, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28679379/impact-of-a-narrative-medicine-programme-on-healthcare-providers-empathy-scores-over-time
#12
Po-Jui Chen, Chien-Da Huang, San-Jou Yeh
BACKGROUND: The cultivation of empathy for healthcare providers is an important issue in medical education. Narrative medicine (NM) has been shown to foster empathy. To our knowledge, there has been no research that examines whether a NM programme affects multi-professional healthcare providers' empathy. Our study aims to fill this gap by investigating whether a NM programme effects multi-professional healthcare providers' empathy. METHODS: A pre-post questionnaire method was used...
July 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28661890/reflective-practice-and-social-responsibility-in-family-medicine-effect-of-performing-an-international-rotation-in-a-developing-country
#13
Christine Loignon, Thomas Gottin, Carol Valois, François Couturier, Robert Williams, Pierre-Michel Roy
OBJECTIVE: To explore the perceived effect of an elective international health rotation on family medicine resident learning. DESIGN: Qualitative, collaborative study based on semistructured interviews. SETTING: Quebec. PARTICIPANTS: A sample of 12 family medicine residents and 9 rotation supervisors (N = 21). METHODS: Semistructured interviews of residents and rotation supervisors. MAIN FINDINGS: Residents and supervisors alike reported that their technical skills and relationship skills had benefited...
November 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28659209/-approaching-psychological-problems-like-a-general-practitioner
#14
P L B J Lucassen, S Postma, T C Olde Hartman, H van Ravesteijn, M J Linssen, J Wolf, D L Gerritsen
An important cause of the high prescription levels of psychotropic medication for psychological symptoms is that these symptoms are assessed according to the same model as applied for physical symptoms, the disease model. This has led to a one-sided medical approach to psychological symptoms. A person-centred approach offers an alternative; the positive aspects of the disease-centred approach are retained and attention for the patient and his/her context become the central focal point for the general practitioner...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28657557/enhancing-student-empathetic-engagement-history-taking-and-communication-skills-during-electronic-medical-record-use-in-patient-care
#15
Alisa Alfonsi LoSasso, Courtney E Lamberton, Mary Sammon, Katherine T Berg, John W Caruso, Jonathan Cass, Mohammadreza Hojat
PURPOSE: To examine whether an intervention on proper use of electronic medical records (EMRs) in patient care could help improve medical students' empathic engagement, and to test the hypothesis that the training would reduce communication hurdles in clinical encounters. METHOD: Seventy third-year medical students from the Sidney Kimmel Medical College at Thomas Jefferson University were randomly divided into intervention and control groups during their six-week pediatric clerkship in 2012-2013...
July 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28645236/a-quantitative-study-of-empathy-in-pakistani-medical-students-a-multicentered-approach
#16
Nabia Tariq, Tariq Rasheed, Mohsen Tavakol
OBJECTIVE: To examine the empathy level of undergraduate medical students in Pakistan. Three hypotheses are developed based on the literature review. (1) Female medical students have a higher level of empathy than do male students. (2) Empathy scores vary during the medical school years in Pakistani students. (3) Medical students interested in people-oriented specialties would score higher than the students interested in technology-oriented specialties. METHODS: This is a quantitative inquiry approach using a cross-sectional design of 1453 students from 8 Pakistani medical schools, both private and state...
June 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28643399/distributed-health-literacy-among-people-living-with-type-2-diabetes-in-portugal-defining-levels-of-awareness-and-support
#17
Liliana Abreu, João Arriscado Nunes, Peter Taylor, Susana Silva
This study embraces a patient-centred and narrative-oriented notion of health literacy, exploring how social networks and personal experiences constitute distributed health literacy (DHL) by mapping out health literacy mediators of each individual and how they enable self-management skills and knowledge of health conditions. Semi-structured interviews with 26 patients with type 2 diabetes were conducted in a Primary Care Center of Porto (Portugal) from October 2014 to December 2015. Data were collected based on McGill Illness Narrative Interview (MINI)...
June 22, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28638517/writing-well-the-long-term-effect-on-empathy-observation-and-physician-writing-through-a-residency-writers-workshop
#18
Megan Lemay, John Encandela, Lisa Sanders, Anna Reisman
BACKGROUND: Writing narratives during medical training can provide a way to derive meaning from challenging experiences, enhance reflection, and combat burnout. The Yale Internal Medicine Residency Writers' Workshop, an annual 2-day intensive workshop followed by faculty-guided writing revision and publication, has been training resident physicians in the craft of writing since 2003. OBJECTIVE: The study aimed to assess the long-term effects of a craft-focused writers' workshop for residents on empathy, observation skills, and future writing...
June 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28633172/burnout-and-depression-in-ms1-and-ms3-years-a-comparison-of-cohorts-at-one-medical-school
#19
Cinthia Elkins, Kyle P Plante, Lauren J Germain, Christopher P Morley
BACKGROUND: Losses of idealism, empathy, and professionalism over the course of medical education have been described previously in the literature. A 2012 national survey of medical students estimated 37%-44% with burnout, 58% screen positive for depression, and 9.4% with suicidal ideation in the past 12 months. Given changes in related traits, we sought to explore whether burnout and symptoms of depression change over time. The objectives of this study were to assess the differences in medical student burnout and symptoms of depression between first year (MS1) and third-year (MS3) medical students at one medical college...
June 2017: Family Medicine
https://www.readbyqxmd.com/read/28619270/what-is-symptom-meaning-a-framework-analysis-of-communication-in-palliative-care-consultations
#20
Celina F Estacio, Phyllis N Butow, Melanie R Lovell, Skye T Dong, Josephine M Clayton
OBJECTIVE: There is a limited understanding of symptom meaning and its significance to clinical practice within symptom experience literature. This study aims to qualitatively explore the ways in which symptom meanings are discussed by patients and responded to by palliative care physicians during consultations. METHODS: Framework analysis was conducted with 40 palliative care consultation transcripts. RESULTS: 55% of consultations discussed symptom meaning...
May 5, 2017: Patient Education and Counseling
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