Determining the effect of developmental ‘HR nurturing connect’ interventions on compassion and empathy in physicians and surgeons
DOI:
https://doi.org/10.18203/2320-6012.ijrms20242666Keywords:
Empathy, Compassion, Doctors, Training, Kindness, UnderstandingAbstract
Background: Empathy in healthcare, particularly therapeutic empathy, is vital for understanding and validating patients' emotions, leading to better patient care and outcomes. Despite its benefits, empathy often declines during medical training. While various training programs aim to enhance empathy are designed, there is a need for standardized methods and more qualitative research to address this. Therefore, in the current study, to enhance the combined concept of empathy and compassion, developmental interventions called "HR nurturing connects” (HRNC) were implemented.
Methods: This two-arm, prospective, randomized study involving 28 doctors. 14 doctors in the intervention group underwent the HRNC training which focused on enhancing empathy and compassion through training modules and constructive feedback. Whereas the control group received no developmental intervention. Evaluation for parameters of empathy and compassion were evaluated by using the cumulative Bhaktivedanta’s index of compassion and empathy in physicians and surgeons (BICEPS) score which involved assessments from doctors and 2 nurses, 2 ward clerks working with respective doctors at multiple time points.
Results: The intervention significantly increased empathy and compassion (p<0.001) of the doctors randomized in intervention group, with BICEPS scores rising from 66.51±3.87 (baseline) to 84.12±7.43 (12 months). In contrast, the control group showed minimal changes, with scores increasing from 63.48±4.56 (baseline) to 69.5±4.87 (12 months).
Conclusions: The ‘HRNC’ program has proven effective in enhancing empathy, compassion, kindness, and understanding in doctors, resulting in better patient outcomes, an improved workplace environment, and higher overall healthcare quality.
References
Smith KA, Bishop FL, Dambha-Miller H, Ratnapalan M, Lyness E, Vennik J, et al. Improving Empathy in Healthcare Consultations—a Secondary Analysis of Interventions. J Gen Int Med. 2020;35(10):3007-14.
Hirsch EM. The Role of Empathy in Medicine: A Medical Student’s Perspective. AMA J Ethics. 2007;9(6):423-7.
Riess H, Kelley JM, Bailey RW, Dunn EJ, Phillips M. Empathy Training for Resident Physicians: A Randomized Controlled Trial of a Neuroscience-Informed Curriculum. J Gen Int Med. 2012;27(10):1280-6.
Yu CC, Tan L, Le MK, Tang B, Liaw SY, Tierney T, et al. The development of empathy in the healthcare setting: a qualitative approach. BMC Med Educ. 2022;22(1):245.
Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, et al. Empathy Decline and Its Reasons: A Systematic Review of Studies With Medical Students and Residents. Acad Med. 2011;86(8):996-1009.
Riess H, Kelley JM, Bailey R, Konowitz PM, Gray ST. Improving Empathy and Relational Skills in Otolaryngology Residents. Otolaryngol Head Neck Surg. 2010;144(1):120-2.
Phillips M, Lorie A, Kelley J, Gray S, Riess H. Long-term effects of empathy training in surgery residents: a one-year follow-up study. Eur J Person Centred Healthcare. 2013;1(2):326-32.
Boissy A, Windover AK, Bokar D, Karafa M, Neuendorf K, Frankel RM, et al. Communication Skills Training for Physicians Improves Patient Satisfaction. J Gen Int Med. 2016;31(7):755-61.
Kelm Z, Womer J, Walter JK, Feudtner C. Interventions to cultivate physician empathy: a systematic review. BMC Med Educ. 2014;14(1):219.
Gribben JL, Kase SM, Waldman ED, Weintraub AS. A Cross-Sectional Analysis of Compassion Fatigue, Burnout, and Compassion Satisfaction in Pediatric Critical Care Physicians in the United States. Pediatric Crit Care Med. 2019;20(3):213-22.
Eikeland HL, Ørnes K, Finset A, Pedersen R. The physician’s role and empathy – a qualitative study of third year medical students. BMC Med Educ. 2014;14(1):165.
Al Barmawi MA, Subih M, Salameh O, Sayyah Yousef Sayyah N, Shoqirat N, Abdel‐Azeez Eid Abu Jebbeh R. Coping strategies as moderating factors to compassion fatigue among critical care nurses. Brain Behav. 2019;9(4).
Bonvicini KA, Perlin MJ, Bylund CL, Carroll G, Rouse RA, Goldstein MG. Impact of communication training on physician expression of empathy in patient encounters. Patient Educ Counsel. 2009;75(1):3-10.
Krasner MS. Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians. JAMA. 2009;302(12):1284-93.
Barbosa P, Raymond G, Zlotnick C, Wilk J, Toomey III R, Mitchell III J. Mindfulness-based stress reduction training is associated with greater empathy and reduced anxiety for graduate healthcare students. Educ Health. 2013;26(1):9-14.
Wündrich M, Schwartz C, Feige B, Lemper D, Nissen C, Voderholzer U. Empathy training in medical students – a randomized controlled trial. Med Teacher. 2017;39(10):1096-8.
