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Patients' and Clinicians' Perceptions of Clinician-Expressed Empathy in Advanced Cancer Consultations and Associations with Patient Outcomes
Background: Empathy is a cornerstone of effective communication. However, clinicians' and patients' perceptions of clinician-expressed empathy might differ. The independent perceptions of patients and clinicians on clinician-expressed empathy in advanced cancer consultations and the associ...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mary Ann Liebert, Inc., publishers
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8241346/ https://www.ncbi.nlm.nih.gov/pubmed/34223461 http://dx.doi.org/10.1089/pmr.2020.0052 |
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author | Hoffstädt, Hinke Stouthard, Jacqueline Meijers, Maartje C. Westendorp, Janine Henselmans, Inge Spreeuwenberg, Peter de Jong, Paul van Dulmen, Sandra van Vliet, Liesbeth M. |
author_facet | Hoffstädt, Hinke Stouthard, Jacqueline Meijers, Maartje C. Westendorp, Janine Henselmans, Inge Spreeuwenberg, Peter de Jong, Paul van Dulmen, Sandra van Vliet, Liesbeth M. |
author_sort | Hoffstädt, Hinke |
collection | PubMed |
description | Background: Empathy is a cornerstone of effective communication. However, clinicians' and patients' perceptions of clinician-expressed empathy might differ. The independent perceptions of patients and clinicians on clinician-expressed empathy in advanced cancer consultations and the associations of these perceptions with patient outcomes are unknown. Objective: We assessed (1) patients' and clinicians' independent perceptions of clinician-(self-)expressed empathy in advanced cancer consultations and (2) the associations between these perceptions and affective patient outcomes. Methods: This observational study included data from 41 consultations in the advanced breast cancer setting. Postconsultation, patients' and clinicians' perceptions of clinician-expressed empathy were assessed, as well as patients' (1) pre–post anxiety, (2) post-anxiety, (3) emotional well-being, and (4) satisfaction. Multilevel regression analyses were run to draw conclusions. Results: Patients perceived higher levels of empathy than clinicians, without a significant relationship between the two (mean [M] = 85.47, standard deviation [SD] = 14.00 vs. M = 61.88, SD = 15.30, 0–100 scale; β = 0.14, p < 0.138, 95% confidence interval [CI] = −0.04 to 0.32). Higher patient-perceived empathy was associated with decreased anxiety [(1) β = −0.67, p = 0.039, 95% CI = −1.30 to −0.03; (2) β = −0.15, p = 0.042, 95% CI = −0.30 to −0.01], higher satisfaction (β = 0.05, p < 0.001, 95% CI = 0.03 to 0.08), and lower emotional distress (β = −0.32, p < 0.001, 95% CI = −0.48 to −0.16). There were no associations with clinicians' perceptions [(1) β = −0.34, p = 0.307, 95% CI = −1.00 to 0.31; (2) β = −0.02, p = 0.824, 95% CI = −0.17 to 0.14; (3) β < 0.01, p = 0.918, 95% CI = −0.03 to 0.02; (4) β = 0.08, p = 0.335, 95% CI = −0.08 to 0.25]. Conclusions: Patients' and clinicians' empathy perceptions differed. In improving patient outcomes, the focus should be on patients' perceptions of clinician-expressed empathy. Future research could focus on ways to elicit patients' perceptions of empathy with the higher aim of improving patient outcomes. |
format | Online Article Text |
id | pubmed-8241346 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Mary Ann Liebert, Inc., publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-82413462021-07-02 Patients' and Clinicians' Perceptions of Clinician-Expressed Empathy in Advanced Cancer Consultations and Associations with Patient Outcomes Hoffstädt, Hinke Stouthard, Jacqueline Meijers, Maartje C. Westendorp, Janine Henselmans, Inge Spreeuwenberg, Peter de Jong, Paul van Dulmen, Sandra van Vliet, Liesbeth M. Palliat Med Rep Original Article Background: Empathy is a cornerstone of effective communication. However, clinicians' and patients' perceptions of clinician-expressed empathy might differ. The independent perceptions of patients and clinicians on clinician-expressed empathy in advanced cancer consultations and the associations of these perceptions with patient outcomes are unknown. Objective: We assessed (1) patients' and clinicians' independent perceptions of clinician-(self-)expressed empathy in advanced cancer consultations and (2) the associations between these perceptions and affective patient outcomes. Methods: This observational study included data from 41 consultations in the advanced breast cancer setting. Postconsultation, patients' and clinicians' perceptions of clinician-expressed empathy were assessed, as well as patients' (1) pre–post anxiety, (2) post-anxiety, (3) emotional well-being, and (4) satisfaction. Multilevel regression analyses were run to draw conclusions. Results: Patients perceived higher levels of empathy than clinicians, without a significant relationship between the two (mean [M] = 85.47, standard deviation [SD] = 14.00 vs. M = 61.88, SD = 15.30, 0–100 scale; β = 0.14, p < 0.138, 95% confidence interval [CI] = −0.04 to 0.32). Higher patient-perceived empathy was associated with decreased anxiety [(1) β = −0.67, p = 0.039, 95% CI = −1.30 to −0.03; (2) β = −0.15, p = 0.042, 95% CI = −0.30 to −0.01], higher satisfaction (β = 0.05, p < 0.001, 95% CI = 0.03 to 0.08), and lower emotional distress (β = −0.32, p < 0.001, 95% CI = −0.48 to −0.16). There were no associations with clinicians' perceptions [(1) β = −0.34, p = 0.307, 95% CI = −1.00 to 0.31; (2) β = −0.02, p = 0.824, 95% CI = −0.17 to 0.14; (3) β < 0.01, p = 0.918, 95% CI = −0.03 to 0.02; (4) β = 0.08, p = 0.335, 95% CI = −0.08 to 0.25]. Conclusions: Patients' and clinicians' empathy perceptions differed. In improving patient outcomes, the focus should be on patients' perceptions of clinician-expressed empathy. Future research could focus on ways to elicit patients' perceptions of empathy with the higher aim of improving patient outcomes. Mary Ann Liebert, Inc., publishers 2020-06-11 /pmc/articles/PMC8241346/ /pubmed/34223461 http://dx.doi.org/10.1089/pmr.2020.0052 Text en © Hinke Hoffstädt et al., 2020; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Hoffstädt, Hinke Stouthard, Jacqueline Meijers, Maartje C. Westendorp, Janine Henselmans, Inge Spreeuwenberg, Peter de Jong, Paul van Dulmen, Sandra van Vliet, Liesbeth M. Patients' and Clinicians' Perceptions of Clinician-Expressed Empathy in Advanced Cancer Consultations and Associations with Patient Outcomes |
title | Patients' and Clinicians' Perceptions of Clinician-Expressed Empathy in Advanced Cancer Consultations and Associations with Patient Outcomes |
title_full | Patients' and Clinicians' Perceptions of Clinician-Expressed Empathy in Advanced Cancer Consultations and Associations with Patient Outcomes |
title_fullStr | Patients' and Clinicians' Perceptions of Clinician-Expressed Empathy in Advanced Cancer Consultations and Associations with Patient Outcomes |
title_full_unstemmed | Patients' and Clinicians' Perceptions of Clinician-Expressed Empathy in Advanced Cancer Consultations and Associations with Patient Outcomes |
title_short | Patients' and Clinicians' Perceptions of Clinician-Expressed Empathy in Advanced Cancer Consultations and Associations with Patient Outcomes |
title_sort | patients' and clinicians' perceptions of clinician-expressed empathy in advanced cancer consultations and associations with patient outcomes |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8241346/ https://www.ncbi.nlm.nih.gov/pubmed/34223461 http://dx.doi.org/10.1089/pmr.2020.0052 |
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