1. Family Responses to Different Types of Clinician Empathy Expression in Pediatric Care Conferences.
- Author
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Olszewski, Aleksandra E., Bogetz, Jori, Bradford, Miranda C., Mercer, Amanda, Scott, Maya, Fields, Blanca, Williams, Kelli, Rosenberg, Abby R., and Trowbridge, Amy
- Subjects
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EMPATHY , *RESEARCH methodology , *CHILDREN'S hospitals , *PHYSICIANS' attitudes , *ACQUISITION of data , *PEDIATRICS , *FAMILY attitudes , *QUALITATIVE research , *SURVEYS , *PSYCHOSOCIAL factors , *PEDIATRICIANS , *MEDICAL records , *CULTURAL competence , *RESEARCH funding , *DECISION making , *PATIENT care conferences , *THEMATIC analysis , *ELECTRONIC health records , *CONTENT analysis , *PALLIATIVE treatment , *SECONDARY analysis , *LONGITUDINAL method , *CHILDREN - Abstract
Background: Clinician empathy positively impacts patient outcomes. Few studies have assessed the effects of different types of empathic expression. Objective: To describe how families respond when clinicians express empathy in different ways. Design: Prospective, mixed-methods cohort. Setting/Subjects: English and interpreted pediatric inpatient care conferences at a U.S. quaternary hospital between January 1, 2018 and January 1, 2021. Measurements: Directed content analysis of clinician empathic statements and family responses. Results: Of 29 patient-family dyads, 11 (39%) used language interpretation. In response to 80 clinician empathic statements, families expressed agreement or shared more 84% (67/80) of the time. Families shared more about their perspective in response to explore statements 71.4% (10/14) of the time, in response to validate statements 61% (17/28) of the time, and in response to respect/support statements 39% (11/28) of the time. Conclusion: Certain types of empathic statements may be more effective at prompting families to share more about their perspective, a key element of shared decision-making. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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