Improving the Quality of Patient Care and Healthcare Staff Well-Being through an Empathy Immersion Educational Programme in New Zealand: Protocol of a Feasibility and Pilot Study
Abstract
:1. Introduction
1.1. Background and Rationale
1.2. Objectives
2. Method
2.1. Design
2.2. Participants
2.3. Procedure
2.4. Intervention
3. Measures and Outcomes
3.1. Feasibility Outcomes
3.2. Efficacy Outcomes
3.3. Sample Size Calculation
3.4. Data Management and Analysis Plan
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Dissemination Policy
Abbreviations
CCDHB | Capital Coast District Health Board |
CCSH | Collaborating Centres for Safe Healthcare |
CRT | Cluster Randomised Trial |
EmpEd | Empathy Education Programme |
HC | Healthcare Consumer |
HW | Healthcare Worker |
HQSC | Health Quality & Safety Commission |
Appendix A. Weekly Topics of the Aroha Passport
- Week 1: Self Compassion—Caring for self
- Week 2: The people you work with—Getting to know those around you
- Week 3: The people who access healthcare—Getting to know patients, family and whānau
- Week 4: Difference—Getting to know your values and the values of others
- Week 5: Kindness—Ways to show kindness towards self and others
- Week 6: Choosing Empathy—Building awareness of your feelings and thoughts about your ability to understand and share in the feelings of others
- Week 7: Listening and noticing—Enhancing communication
- Week 8: Self Compassion Revisited—Caring for self
References
- Shanafelt, T.D.; West, C.; Zhao, X.; Novotny, P.; Kolars, J.; Habermann, T.; Sloan, J. Relationship between increased personal well-being and enhanced empathy among. J. Gen. Intern. Med. 2005, 20, 559–564. [Google Scholar] [CrossRef]
- Lamothe, M.; Boujut, E.; Zenasni, F.; Sultan, S. To be or not to be empathic: The combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Fam. Pract. 2014, 15, 15. [Google Scholar] [CrossRef]
- Adamson, K.; Loomis, C.; Cadell, S.; Verweel, L.C. Interprofessional empathy: A four-stage model for a new understanding of teamwork. J. Interprof. Care 2018, 32, 752–761. [Google Scholar] [CrossRef]
- Derksen, F.; Bensing, J.; Lagro-Janssen, A. Effectiveness of empathy in general practice: A systematic review. Br. J. Gen. Pract. 2013, 63, e76–e84. [Google Scholar] [CrossRef]
- Flickinger, T.E.; Saha, S.; Roter, D.; Korthuis, P.; Sharp, V.; Cohn, J.; Eggly, S.; Moore, R.D.; Beach, M.C. Clinician empathy is associated with differences in patient–clinician communication behaviors and higher medication self-efficacy in HIV care. Patient Educ. Couns. 2016, 99, 220–226. [Google Scholar] [CrossRef] [Green Version]
- Levinson, W.; Roter, D. Physicians’ psychosocial beliefs correlate with their patient communication skills. J. Gen. Intern. Med. 1995, 10, 375–379. [Google Scholar] [CrossRef] [PubMed]
- Roter, D.L.; Frankel, R.M.; Hall, J.A.; Sluyter, D. The expression of emotion through nonverbal behavior in medical visits. Mechanisms and outcomes. J. Gen. Intern. Med. 2006, 21 (Suppl. S1), S28–S34. [Google Scholar] [CrossRef]
- Hojat, M.; Louis, D.Z.; Markham, F.W.; Wender, R.; Rabinowitz, C.; Gonnella, J.S. Physicians’ Empathy and Clinical Outcomes for Diabetic Patients. Acad. Med. 2011, 86, 359–364. [Google Scholar] [CrossRef] [PubMed]
- Rakel, D.; Barrett, B.; Zhang, Z.; Hoeft, T.; Chewning, B.; Marchand, L.; Scheder, J. Perception of empathy in the therapeutic encounter: Effects on the common cold. Patient Educ. Couns. 2011, 85, 390–397. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Lown, B.A.; Dunne, H.; Muncer, S.J.; Chadwick, R. How important is compassionate healthcare to you? A comparison of the perceptions of people in the United States and Ireland. J. Res. Nurs. 2017, 22, 60–69. [Google Scholar] [CrossRef] [Green Version]
- Wensing, M.; Jung, H.P.; Mainz, J.; Olesen, F.; Grol, R. A systematic review of the literature on patient priorities for general practice care. Part 1: Description of the research domain. Soc. Sci. Med. 1998, 47, 1573–1588. [Google Scholar] [CrossRef]
- Vedsted, P.; Heje, H.N. Association between patients’ recommendation of their GP and their evaluation of the GP. Scand. J. Prim. Health Care 2008, 26, 228–234. [Google Scholar] [CrossRef] [PubMed]
- Doohan, I.; Saveman, B.-I. Need for compassion in prehospital and emergency care: A qualitative study on bus crash survivors’ experiences. Int. Emerg. Nurs. 2015, 23, 115–119. [Google Scholar] [CrossRef] [PubMed]
- Levinson, W.; Chaumeton, N. Communication between surgeons and patients in routine office visits. Surgery 1999, 125, 127–134. [Google Scholar] [CrossRef]
- Lown, B.A.; Rosen, J.; Marttila, J. An Agenda For Improving Compassionate Care: A Survey Shows About Half Of Patients Say Such Care Is Missing. Health Aff. 2011, 30, 1772–1778. [Google Scholar] [CrossRef] [Green Version]
- Bellini, L.M. Variation of mood and empathy during internship. JAMA 2002, 287, 3143. [Google Scholar] [CrossRef] [Green Version]
- Chen, D.; Lew, R.; Hershman, W.; Orlander, J. A cross-sectional measurement of medical student empathy. J. Gen. Intern. Med. 2007, 22, 1434–1438. [Google Scholar] [CrossRef] [Green Version]
- Dilalla, L.F.; Hull, S.K.; Dorsey, J.K. Effect of gender, age, and relevant course work on attitudes toward empathy, patient spirituality, and physician wellness. Teach. Learn. Med. 2004, 16, 165–170. [Google Scholar] [CrossRef]
- Lim, B.T.; Moriarty, H.; Huthwaite, M.; Gray, L.; Pullon, S.; Gallagher, P. How well do medical students rate and communicate clinical empathy? Med. Teach. 2013, 35, e946–e951. [Google Scholar] [CrossRef] [PubMed]
- Collier, V.U.; McCue, J.D.; Markus, A.; Smith, L. Stress in medical residency: Status quo after a decade of reform? Ann. Intern. Med. 2002, 136, 384–390. [Google Scholar] [CrossRef]
- West, C.P.; Huschka, M.M.; Novotny, P.J.; Sloan, J.A.; Kolars, J.C.; Habermann, T.M.; Shanafelt, T.D. Association of perceived medical errors with resident distress and empathy. JAMA 2006, 296, 1071. [Google Scholar] [CrossRef] [Green Version]
- Singer, T.; Klimecki, O.M. Empathy and compassion. Curr. Biol. 2014, 24, R875–R878. [Google Scholar] [CrossRef] [Green Version]
- Teding van Berkhout, E.; Malouff, J.M. Link to external site this link will open in a new window. The efficacy of empathy training: A meta-analysis of randomized controlled trials. J. Couns. Psychol. 2016, 63, 32–41. [Google Scholar] [CrossRef]
- Riess, H.; Kelley, J.M.; Bailey, R.W.; Dunn, E.J.; Phillips, M. Empathy training for resident physicians: A randomized controlled trial of a neuroscience-informed curriculum. J. Gen. Intern. Med. 2012, 27, 1280–1286. [Google Scholar] [CrossRef]
- Levett-Jones, T.; Cant, R.; Lapkin, S. A systematic review of the effectiveness of empathy education for undergraduate nursing students. Nurse Educ. Today 2019, 75, 80–94. [Google Scholar] [CrossRef] [Green Version]
- Weisz, E.; Zaki, J. Empathy-building interventions: A review of existing work and suggestions for future directions. In The Oxford Handbook of Compassion Science; Seppala, E., Simon-Thomas, E., Brown, S.L., Worline, M.C., Cameron, C.D., Doty, J.R., Eds.; Oxford University Press: Oxford, UK, 2017; pp. 205–218. [Google Scholar]
- Health and Disability System Review. Health and Disability System Review—Interim Report. In Hauora Manaaki ki Aotearoa Whānui—Pūrongo mō Tēnei Wā. Wellington. 2019. Available online: https://systemreview.health.govt.nz/assets/HDSR-interim-report/5b33db77f5/H-and-D-full-interim-report-August-2019.pdf (accessed on 15 December 2021).
- Segal, E.A.; Cimino, A.N.; Gerdes, K.E.; Harmon, J.K.; Wagaman, M.A. A confirmatory factor analysis of the Interpersonal and Social Empathy Index. J. Soc. Soc. Work Res. 2013, 4, 131–153. [Google Scholar] [CrossRef]
- Stamm, B.H. Professional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (ProQOL). 2009. Available online: www.isu.edu/~bhstamm (accessed on 15 December 2021).
- Mercer, S.W.; Murphy, D.J. Validity and reliability of the CARE Measure in secondary care. Clin. Gov. Int. J. 2008, 13, 269–283. [Google Scholar] [CrossRef]
- Mercer, S.W. The consultation and relational empathy (CARE) measure: Development and preliminary validation and reliability of an empathy-based consultation process measure. Fam. Pract. 2004, 21, 699–705. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Australian Commission on Safety and Quality in Health Care. Available online: https://www.safetyandquality.gov.au/our-work/indicators-measurement-and-reporting/australian-hospital-patient-experience-question-set (accessed on 15 December 2021).
- Health Quality & Safety Commission New Zealand. Measuring Culturally Safe Care through the Patient Experience Surveys. 2021. Available online: https://www.hqsc.govt.nz/our-programmes/health-quality-evaluation/publications-and-resources/publication/4242/ (accessed on 15 December 2021).
- Braun, V.; Clarke, V. Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern-based qualitative analytic approaches. Couns. Psychother. Res. 2021, 21, 37–47. [Google Scholar] [CrossRef]
- Braun, V.; Clarke, V. Using thematic analysis in psychology. Qual. Res. Psychol. 2006, 3, 77–101. [Google Scholar] [CrossRef] [Green Version]
- Korstjens, I.; Moser, A. Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. Eur. J. Gen. Pract. 2018, 24, 120–124. [Google Scholar] [CrossRef] [PubMed] [Green Version]
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Hales, C.; Deak, C.K.; Popoola, T.; Harris, D.L.; Rook, H. Improving the Quality of Patient Care and Healthcare Staff Well-Being through an Empathy Immersion Educational Programme in New Zealand: Protocol of a Feasibility and Pilot Study. Methods Protoc. 2021, 4, 89. https://doi.org/10.3390/mps4040089
Hales C, Deak CK, Popoola T, Harris DL, Rook H. Improving the Quality of Patient Care and Healthcare Staff Well-Being through an Empathy Immersion Educational Programme in New Zealand: Protocol of a Feasibility and Pilot Study. Methods and Protocols. 2021; 4(4):89. https://doi.org/10.3390/mps4040089
Chicago/Turabian StyleHales, Caz, Chris K. Deak, Tosin Popoola, Deborah L. Harris, and Helen Rook. 2021. "Improving the Quality of Patient Care and Healthcare Staff Well-Being through an Empathy Immersion Educational Programme in New Zealand: Protocol of a Feasibility and Pilot Study" Methods and Protocols 4, no. 4: 89. https://doi.org/10.3390/mps4040089