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Cultivating emergency physician behavioral empathy to improve emergency department care for pain and prescription opioid misuse

Clinical empathy is the ability to understand the patient's experience, communicate that understanding, and act on it. There is evidence that patient and physician benefits are associated with more empathic communications. These include higher patient and physician satisfaction, improved qualit...

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Autores principales: Kazimi, Maher, Terndrup, Thomas, Tait, Raymond, Frey, Jennifer A., Strassels, Scott, Emerson, Geremiah, Todd, Knox H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771829/
https://www.ncbi.nlm.nih.gov/pubmed/33392553
http://dx.doi.org/10.1002/emp2.12086
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author Kazimi, Maher
Terndrup, Thomas
Tait, Raymond
Frey, Jennifer A.
Strassels, Scott
Emerson, Geremiah
Todd, Knox H.
author_facet Kazimi, Maher
Terndrup, Thomas
Tait, Raymond
Frey, Jennifer A.
Strassels, Scott
Emerson, Geremiah
Todd, Knox H.
author_sort Kazimi, Maher
collection PubMed
description Clinical empathy is the ability to understand the patient's experience, communicate that understanding, and act on it. There is evidence that patient and physician benefits are associated with more empathic communications. These include higher patient and physician satisfaction, improved quality of life, and decreased professional burnout for physicians, as well as increased patient compliance with care plans. Empathy appears to decline during medical school, residency training, and early professional emergency medicine practice; however, brief training has the potential to improve behavioral measures of empathy. Improvements in emergency department physician empathy seems especially important in managing patients at elevated risk for opioid‐related harm. We describe our conceptual approach to identifying and designing a practice improvement curriculum aimed to cultivate and improve behavioral empathy among practicing emergency physicians. Emergent themes from our preliminary study of interviews, focus groups, and workshops were identified and analyzed for feasibility, sensitivity to change, and potential impact. A conceptual intervention will address the following key categories: patient stigmatization, identification of problematic pain‐subtypes, empathic communication skills, interactions with family and friends, and techniques to manage inappropriate patient requests. The primary outcomes will be the changes in behavioral empathy associated with training. An assessment battery was chosen to measure physician psychosocial beliefs, attitudes and behavior, communication skills, and burnout magnitude. Additional outcomes will include opioid prescribing practice, naloxone prescribing, and referrals to addiction treatment. A pilot study will allow an estimation of the intervention impact to help finalize a curriculum suitable for web‐based national implementation.
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spelling pubmed-77718292020-12-31 Cultivating emergency physician behavioral empathy to improve emergency department care for pain and prescription opioid misuse Kazimi, Maher Terndrup, Thomas Tait, Raymond Frey, Jennifer A. Strassels, Scott Emerson, Geremiah Todd, Knox H. J Am Coll Emerg Physicians Open Pain Management and Sedation Clinical empathy is the ability to understand the patient's experience, communicate that understanding, and act on it. There is evidence that patient and physician benefits are associated with more empathic communications. These include higher patient and physician satisfaction, improved quality of life, and decreased professional burnout for physicians, as well as increased patient compliance with care plans. Empathy appears to decline during medical school, residency training, and early professional emergency medicine practice; however, brief training has the potential to improve behavioral measures of empathy. Improvements in emergency department physician empathy seems especially important in managing patients at elevated risk for opioid‐related harm. We describe our conceptual approach to identifying and designing a practice improvement curriculum aimed to cultivate and improve behavioral empathy among practicing emergency physicians. Emergent themes from our preliminary study of interviews, focus groups, and workshops were identified and analyzed for feasibility, sensitivity to change, and potential impact. A conceptual intervention will address the following key categories: patient stigmatization, identification of problematic pain‐subtypes, empathic communication skills, interactions with family and friends, and techniques to manage inappropriate patient requests. The primary outcomes will be the changes in behavioral empathy associated with training. An assessment battery was chosen to measure physician psychosocial beliefs, attitudes and behavior, communication skills, and burnout magnitude. Additional outcomes will include opioid prescribing practice, naloxone prescribing, and referrals to addiction treatment. A pilot study will allow an estimation of the intervention impact to help finalize a curriculum suitable for web‐based national implementation. John Wiley and Sons Inc. 2020-05-17 /pmc/articles/PMC7771829/ /pubmed/33392553 http://dx.doi.org/10.1002/emp2.12086 Text en © 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Pain Management and Sedation
Kazimi, Maher
Terndrup, Thomas
Tait, Raymond
Frey, Jennifer A.
Strassels, Scott
Emerson, Geremiah
Todd, Knox H.
Cultivating emergency physician behavioral empathy to improve emergency department care for pain and prescription opioid misuse
title Cultivating emergency physician behavioral empathy to improve emergency department care for pain and prescription opioid misuse
title_full Cultivating emergency physician behavioral empathy to improve emergency department care for pain and prescription opioid misuse
title_fullStr Cultivating emergency physician behavioral empathy to improve emergency department care for pain and prescription opioid misuse
title_full_unstemmed Cultivating emergency physician behavioral empathy to improve emergency department care for pain and prescription opioid misuse
title_short Cultivating emergency physician behavioral empathy to improve emergency department care for pain and prescription opioid misuse
title_sort cultivating emergency physician behavioral empathy to improve emergency department care for pain and prescription opioid misuse
topic Pain Management and Sedation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771829/
https://www.ncbi.nlm.nih.gov/pubmed/33392553
http://dx.doi.org/10.1002/emp2.12086
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