RNOtherPatient education and counseling2020

Are clinicians' self-reported empathic concern and perspective-taking traits associated with their response to patient emotions?: Communication Studies.

Jenny Park, Somnath Saha, Dingfen Han and 4 others

PMID 32362523

WHAT IT FOUND

In HIV visits, clinician empathy traits were not associated with the main emotional response categories.

Higher empathic concern was associated with fewer patient emotional expressions and more information or advice.

Key findings

01Clinician empathic traits were not associated with the main coded response categories, including explicit versus non-explicit responses or providing versus reducing emotional space.

02Higher empathic concern was associated with fewer patient emotional expressions; perspective-taking showed a similar trend that did not reach significance.

03Empathic concern was associated with more information or advice responses; perspective-taking showed a similar trend that did not reach significance.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only verbal behavior from transcripts was coded, so nonverbal emotional cues and responses were not captured. The recorders may have changed patient or clinician behavior. Empathic concern and perspective-taking were self-reported and may be overestimated or underestimated. The clinician sample was small, and the two empathy scales were strongly correlated, so the study cannot separate their independent effects. The sample was mostly white, female clinicians and African American, male patients, which may affect emotional communication through racial and gender discordance. The visits were from HIV specialty centers at two urban academic medical centers in the United States, so results may not apply elsewhere. The study did not measure whether patients perceived responses as empathic or whether advice improved patient outcomes.

Declared interests

The supplied text does not include an author conflict-of-interest statement. The publication types list NIH extramural and U.S. government non-PHS research support.

The easy way to misread this

Do not conclude that giving information or advice is helpful or that fewer patient emotional expressions are good. The study did not measure patient perceptions or outcomes, and the main response categories showed no association with empathy traits.

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