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Medical empathy

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https://www.readbyqxmd.com/read/29142560/changes-in-empathy-during-medical-education-an-example-from-turkey
#1
Fusun Artiran Igde, Mustafa Kursat Sahin
Objective: Empathy is a key element of patient- physician communication; it is relevant to and positively influences patients' health. In this study we aimed to present the Turkey example for the empathy change during the medical faculty training. Methods: This cross-sectional study was carried out at Ondokuz Mayis University, Faculty of Medicine, Department of Family Medicine, Samsun, Turkey. in first three years students of medicine during September 2014 to June 2015...
September 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29140917/medical-trainees-experiences-of-treating-people-with-chronic-pain-a-lost-opportunity-for-medical-education
#2
Kathleen Rice, Jae Eun Ryu, Cynthia Whitehead, Joel Katz, Fiona Webster
PURPOSE: Evidence suggests that physicians' opinions about chronic pain patients become progressively negative over the course of medical training, leading to a decline in empathy for these patients. Few qualitative studies have focused on this issue and thus the experiences shaping this process remain unexplored. This study addressed how medical trainees learn about chronic pain management through informal and formal curricula. METHOD: This study adopted a descriptive qualitative interview-based approach informed by the theoretical lens of the hidden curriculum...
November 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29136338/the-perspectives-of-medical-specialists-from-different-disciplines-on-the-management-of-systemic-lupus-erythematosus-an-interview-study
#3
David J Tunnicliffe, Davinder Singh-Grewal, Jonathan C Craig, Shilpanjali Jesudason, Peter Tugwell, Ming-Wei Lin, Sean G O'Neill, Daniel Sumpton, Allison Tong
OBJECTIVES: Systemic lupus erythematosus (SLE) is a complex autoimmune disease that can affect multiple organ systems, with specialists from many disciplines often involved, which may lead to inconsistent care. We aimed to describe the attitudes and perspectives of specialists from different medical disciplines on the management of people with SLE. METHODS: Face-to-face, semi-structured interviews were conducted with rheumatologists (n=16), nephrologists (n=16), and immunologists (n=11) providing care to adults with SLE from 19 centers across Australia in 2015...
November 14, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/29133515/-rather-one-more-chemo-than-one-less%C3%A2-oncologists-and-oncology-nurses-reasons-for-aggressive-treatment-of-young-adults-with-advanced-cancer
#4
Katsiaryna Laryionava, Pia Heußner, Wolfgang Hiddemann, Eva C Winkler
BACKGROUND: Empirical research demonstrates that there is a tendency to administer tumor-directed therapy to patients with advanced cancer close to death, especially if they are young. The aim of this qualitative study was to understand oncologists' treatment decisions and oncology nurses' perception of these decisions in young adult patients and to investigate the extent to which young age was a factor in cancer treatment decisions. MATERIALS AND METHODS: We conducted 29 face-to-face interviews with oncologists and oncology nurses at the Department of Hematology and Oncology at the University Hospital in Munich, Germany...
November 13, 2017: Oncologist
https://www.readbyqxmd.com/read/29132912/humanization-in-healthcare-arises-from-the-need-for-a-holistic-approach-to-illness
#5
C de la Fuente-Martos, M Rojas-Amezcua, M R Gómez-Espejo, P Lara-Aguayo, E Morán-Fernandez, E Aguilar-Alonso
Suffering is not only exclusive to patients or their relatives, but also to the health professionals, who feel to be at the center of the depersonalization process. Over-technification and the fact that the disease process is sometimes the only focal point of our activities, together with the ever-increasing influence of institutional power seen in recent times, all cause the health professional to be the first in demanding a change in health institution dynamics. Following initial reflection from one of the most technified medical specialties (Intensive Care Medicine), classically isolated from the rest of the Hospital and from the community, we implemented a project aimed at securing integration and empathy in our approach to patients and their relatives in the Intensive Care Unit (ICU) of Infanta Margarita Hospital...
November 10, 2017: Medicina Intensiva
https://www.readbyqxmd.com/read/29126410/more-than-visual-literacy-art-and-the-enhancement-of-tolerance-for-ambiguity-and-empathy
#6
Miriam Ethel Bentwich, Peter Gilbey
BACKGROUND: Comfort with ambiguity, mostly associated with the acceptance of multiple meanings, is a core characteristic of successful clinicians. Yet past studies indicate that medical students and junior physicians feel uncomfortable with ambiguity. Visual Thinking Strategies (VTS) is a pedagogic approach involving discussions of art works and deciphering the different possible meanings entailed in them. However, the contribution of art to the possible enhancement of the tolerance for ambiguity among medical students has not yet been adequately investigated...
November 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29124715/the-relationship-between-psychological-distress-and-perception-of-emotional-support-in-medical-students-and-residents-and-implications-for-educational-institutions
#7
Alan McLuckie, Katherine M Matheson, Ashley L Landers, Jeff Landine, Jason Novick, Tessa Barrett, Gina Dimitropoulos
OBJECTIVE: Psychological distress is pervasive among medical students and residents (MSR) and is associated with academic under-performance, decreased empathy, burnout, and suicidal ideation. To date, there has been little examination of how demographic and socioeconomic factors influence trainee's psychological distress levels, despite suggestion that financial concerns are a common source of stress. Recent Canadian studies examining the prevalence of distress, burnout, and resilience in MSR are limited...
November 9, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29101130/examining-the-effects-of-enhanced-provider-patient-communication-on-postoperative-tonsillectomy-pain-protocol-of-a-randomised-controlled-trial-performed-by-nurses-in-daily-clinical-care
#8
Liesbeth M van Vliet, Sandra van Dulmen, Bram Thiel, Gerard W van Deelen, Stephanie Immerzeel, Marc B Godfried, Jozien M Bensing
INTRODUCTION: Placebo effects (true biopsychological effects not attributable to the active ingredients of medical technical interventions) can be attributed to several mechanisms, such as expectancy manipulation and empathy manipulation elicited by a provider's communication. So far, effects have primarily been shown in laboratory settings. The aim of this study is to determine the separate and combined effects of expectancy manipulation and empathy manipulation during preoperative and postoperative tonsillectomy analgesia care on clinical adult patients' outcomes...
November 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29099474/nurses-perceptions-of-psychosocial-care-and-barriers-to-its-provision-a-qualitative-study
#9
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...
December 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29084323/measuring-multidimensional-empathy-theoretical-and-practical-considerations-for-osteopathic-medical-researchers
#10
Alison Jane Martingano, Daniel Martingano
Osteopathic physicians are increasingly recognizing the importance of empathy for improving patient satisfaction and clinical outcomes. This review advocates for a multidimensional perspective of empathy, encompassing both affective and cognitive empathy, and highlights situational and dispositional factors relevant to the curtailment of empathy. A review of the utility of self-report, behavioral, and physiological measures that researchers may use to quantify empathy in further research is also provided. The authors encourage members of the osteopathic medical profession to embrace a fuller understanding of empathy...
November 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29073339/autism-and-primary-care-dentistry-parents-experiences-of-taking-children-with-autism-or-working-diagnosis-of-autism-for-dental-examinations
#11
Nicole Thomas, Sharon Blake, Christopher Morris, David R Moles
BACKGROUND: Accessing and receiving preventative dental treatment can be difficult for children with autism due to sensory processing disorders and/or challenging behaviours coupled with a reported reluctance by dentists to treat these children. AIM: To gather dental experiences of UK parents of children with autism or working diagnosis of autism and explore how they feel primary care dental services can be improved. DESIGN: A total of 17 parents of children with a diagnosis or working diagnosis of autism took part in semi-structured interviews...
October 26, 2017: International Journal of Paediatric Dentistry
https://www.readbyqxmd.com/read/29068813/the-shared-goals-and-distinct-strengths-of-the-medical-humanities-can-the-sum-of-the-parts-be-greater-than-the-whole
#12
Jeremy A Greene, David S Jones
Since the 1960s, faculty from diverse fields have banded together under the banner of the medical humanities, a term which unites art, literature, history, anthropology, religious studies, philosophy, and other disciplines. Arguments for the relevance of medical humanities often emphasize contributions that any of these disciplines can make to medical education, whether those involve empathy, professionalism, critical reasoning, or tolerating ambiguity. The authors argue that the constituent disciplines of the medical humanities are not interchangeable parts, but represent different perspectives and methodologies that offer their own distinct contributions to medical training...
October 24, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29065810/teaching-health-care-trainees-empathy-and-homelessness-iq-through-service-learning-reflective-practice-and-altruistic-attribution
#13
Leanne Chrisman-Khawam, Neelab Abdullah, Arjun Dhoopar
This article describes a novel inter-professional curriculum designed to address the needs of homeless patients in a Midwestern region of the United States which has high rates of poverty. The curriculum is intended for healthcare trainees coming from undergraduate pre-medical programs, nursing, pharmacy, social work, clinical psychology, medical school and post-graduate medical training in family medicine, medicine-pediatrics, and psychiatry. The clinical component is specifically designed to reach destitute patients and the curriculum is structured to reverse commonly held myths about homelessness among the trainees, thereby improving their Homelessness Information Quotient, the ability to more fully understand homelessness...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29065755/improving-empathy-in-medical-students-the-role-of-patient-tutors
#14
Sian Narie Davies, Jonathan Maurice Durbin, Ahmed Elhussein, Raphael Paul Rifkin-Zybutz
No abstract text is available yet for this article.
October 24, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29059072/teaching-medical-students-to-communicate-with-empathy-and-clarity-using-improvisation
#15
Evonne Kaplan-Liss, Valeri Lantz-Gefroh, Elizabeth Bass, Deirdre Killebrew, Nicholas M Ponzio, Christine Savi, Christine O'Connell
PROBLEM: Medical educators widely accept that health care providers need strong communication skills. The authors sought to develop a course incorporating improvisation to teach health professions students communication skills and build empathy. APPROACH: Teaching health care professionals to communicate more effectively with patients, the public, and each other is a goal of the Alan Alda Center for Communicating Science at Stony Brook University. The authors designed an interprofessional elective for medical, nursing, and dental students that differed in several respects from traditional communication training...
October 20, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29035184/the-art-of-healing-through-narrative-medicine-in-clinical-practice-a-reflection
#16
Aeman Muneeb, Hena Jawaid, Natasha Khalid, Asad Mian
The art of medicine has roots that lie deep in developing the biopsychosocial connection. Understanding a human body (both its physiology and pathology) along with components of emotional and spiritual cores can lead to provision of excellent medical care and better outcomes. The harmonization of psychosocial consequences of a biological disease is helpful not just for health care professionals but also for patients. Where it keeps the empathy and compassion alive and results in greater patient satisfaction, it also helps boost the physician's morale...
2017: Permanente Journal
https://www.readbyqxmd.com/read/29028421/medical-student-reflections-on-geriatrics-moral-distress-empathy-ethics-and-end-of-life
#17
Mary E Camp, Haekyung Jeon-Slaughter, Anne E Johnson, John Z Sadler
Medical students' early clinical encounters may influence their perceptions of geriatrics. This study examines reflective essays written by 3(rd)-year medical students on required clinical rotations. Using content analysis, the authors analyzed the essays' thematic content. The authors then used chi-squared analysis to compare themes with geriatric patients (age 60+) to themes with other age groups. One hundred twenty out of 802 essays described a geriatric patient. The most common geriatric themes were (1) death and dying, (2) decision making, (3) meaningful physician-patient interactions, (4) quality of care, and (5) professional development...
October 13, 2017: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/29022148/utilizing-education-and-perspective-taking-to-remediate-the-stigma-of-taking-antidepressants
#18
Larry R Martinez, Shi Xu, Michelle Hebl
The incidence of depression has been increasing. One of the best interventions for depression is taking antidepressant medications. However, the stigma of taking antidepressants has been shown to be a barrier not only to seeking an antidepressant regimen but also adhering to it. This may have negative consequences for people who suffer from depression. Thus, in two studies, we investigate the incidence of felt stigma of taking antidepressants among clinically depressed individuals who take antidepressants and the effectiveness of two possible interventions to reduce this stigma among others...
October 11, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/29022041/empathy-and-burnout-a-study-on-residents-from-a-singapore-institution
#19
Phong Teck Lee, Julian Loh, Gerald Sng, Joshua Tung, Khung Keong Yeo
INTRODUCTION: Empathy and burnout are two entities that are important in a physician's career. They are likely to relate to one another and can be heavily influenced by surrounding factors, such as medical education, local practices and cultural expectations. Empathy and burnout studies have not been performed in Singapore. This study was designed to evaluate empathy and burnout levels using the Jefferson Scale of Physician Empathy (JSPE) and Maslach Burnout Inventory (MBI) among residents in Singapore, and compare them with US literature...
October 12, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28988744/management-of-endometriosis-toward-value-based-cost-effective-affordable-care
#20
REVIEW
Paolo Vercellini, Federica Facchin, Laura Buggio, Giussy Barbara, Nicola Berlanda, Maria Pina Frattaruolo, Edgardo Somigliana
Endometriosis management seems to be influenced by outcome-independent biomedical, pharmacological, and technological developments. The propensity towards doing more affects several aspects of care, sometimes translating into proposals that are not based on sound epidemiological principles and robust evidence. Different stakeholders share the interest for doing more testing and using novel and costly drugs or devices in patients with endometriosis. Although some women may benefit from such an approach, the majority do not, and some may be harmed...
October 5, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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