Multi-institutional intervention to improve patient perception of physician empathy in emergency care

被引：3

作者：

Pettit, Katie ^{[1
]}

Messman, Anne ^{[2
]}

Scott, Nathaniel ^{[3
]}

Puskarich, Michael ^{[3
]}

Wang, Hao ^{[4
]}

Alanis, Naomi ^{[5
,6
]}

Dehon, Erin ^{[7
]}

Konrath, Sara ^{[8
]}

Welch, Robert D. ^{[2
]}

Kline, Jeffrey ^{[2
]}

机构：

[1] Indiana Univ, Sch Med, Dept Emergency Med, Indianapolis, IN 46204 USA

[2] Wayne State Univ, Sch Med, Dept Emergency Med, Detroit, MI 48202 USA

[3] Hennepin Cty Med Ctr, Minneapolis, MN USA

[4] JPS Hlth Network, Dept Emergency Med, Ft Worth, TX USA

[5] John Peter Smith Hosp, Dept Emergency Med, Ft Worth, TX 76104 USA

[6] Integrat & Computat Neurosci Res Unit, Dept Emergency Med, Dallas, TX USA

[7] Univ Mississippi, Med Ctr, Jackson, MS 39216 USA

[8] Indiana Univ Purdue Univ, Indianapolis Lilly Family Sch Philanthropy, Indianapolis, IN 46202 USA

来源：

EMERGENCY MEDICINE JOURNAL | 2022年 / 39卷 / 06期

关键词：

emergency department; education; teaching; interpersonal; HEALTH; SCALE;

D O I：

10.1136/emermed-2020-210757

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background Physician empathy has been linked to increased patient satisfaction, improved patient outcomes and reduced provider burnout. Our objective was to test the effectiveness of an educational intervention to improve physician empathy and trust in the ED setting. Methods Physician participants from six emergency medicine residencies in the US were studied from 2018 to 2019 using a pre-post, quasi-experimental non-equivalent control group design with randomisation at the site level. Intervention participants at three hospitals received an educational intervention, guided by acognitivemap (the 'empathy circle'). This intervention was further emphasised by the use of motivational texts delivered to participants throughout the course of the study. The primary outcome was change in E patient perception of resident empathy (Jefferson scale of patient perception of physician empathy (JSPPPE) and Trust in Physicians Scale (Tips)) before (T1) and 3-6 months later (T2). Results Data were collected for 221 residents (postgraduate year 1-4.) In controls, the mean (SD) JSPPPE scores at T1 and T2 were 29 (3.8) and 29 (4.0), respectively (mean difference 0.8, 95% CI: -0.7 to 2.4, p=0.20, paired t-test). In the intervention group, the JSPPPE scores at T1 and T2 were 28 (4.4) and 30 (4.0), respectively (mean difference 1.4, 95% CI: 0.0 to 2.8, p=0.08). In controls, the TIPS at T1 was 65 (6.3) and T2 was 66 (5.8) (mean difference -0.1, 95% CI: -3.8 to 3.6, p=0.35). In the intervention group, the TIPS at T1 was 63 (6.9) and T2 was 66 (6.3) (mean difference 2.4, 95% CI: 0.2 to 4.5, p=0.007). Hierarchical regression revealed no effect of timexgroup interaction for JSPPPE (p=0.71) nor TIPS (p=0.16). Conclusion An educational intervention with the addition of text reminders designed to increase empathic behaviour was not associated with a change in patient-perceived empathy, but was associated with a modest improvement in trust in physicians.

引用

页码：420 / 426

页数：7

共 23 条

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