Missed Opportunities for Interval Empathy in Lung Cancer Communication
Archives of Internal MedicinePublished 22 September 2008Open access
Diane S. Morse, Elizabeth A. Edwardsen, Howard S. Gordon
Citations227
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Physicians rarely responded empathically to the concerns raised by patients with lung cancer, and empathic responses that did occur were more frequently in the last third of the encounter.
Abstract
Physicians rarely responded empathically to the concerns raised by patients with lung cancer, and empathic responses that did occur were more frequently in the last third of the encounter. Our results may provide a typologic approach to help physicians recognize empathic opportunities and with further development may aid in improving physicians' communication skills.
Keywords
PsychologyMedicineHealth Professions
Phenomenological research methods
13,453 Citations1994Clark E. Moustakas
JAMAMindful Practice
997 Citations1999Ronald M. Epstein
Mindful practitioners attend in a nonjudgmental way to their own physical and mental processes during ordinary, everyday tasks, enabling physicians to listen attentively to patients' distress, recognize their own errors, refine their technical skills, make evidence-based decisions, and clarify their values so that they can act with compassion, technical competence, presence, and insight.
Annual Review of SociologySequence Analysis: New Methods for Old Ideas
949 Citations1995Andrew Abbott
The LancetEfficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial
864 Citations2002Lesley Fallowfield, Valerie Jenkins +4 more
This trial shows that training courses significantly improve key communication skills and more resources should be allocated to address doctors' training needs in this vital area.
JAMAA Model of Empathic Communication in the Medical Interview
783 Citations1997Anthony L. Suchman
Based on observations, the basic empathic skills seem to be recognizing when emotions may be present but not directly expressed, inviting exploration of these unexpressed feelings, and effectively acknowledging these feelings so the patient feels understood.
BMJStigma, shame, and blame experienced by patients with lung cancer: qualitative study
767 Citations2004Alison Chapple, Sue Ziébland +1 more
Efforts to help people to quit smoking are important, but clinical and educational interventions should be presented with care so as not to add to the stigma experienced by patients with lung cancer and other smoking related diseases.
JAMAA Study of Patient Clues and Physician Responses in Primary Care and Surgical Settings
663 Citations2000Wendy Levinson
It is suggested that physicians in both primary care and surgery can improve their ability to respond to patient clues even in the context of their busy clinical practices.
Journal of General Internal MedicineHow Do Distress and Well-being Relate to Medical Student Empathy? A Multicenter Study
617 Citations2007Matthew R. Thomas, Liselotte N. Dyrbye +5 more
Both distress and well-being are related to medical student empathy, and efforts to reduce student distress should be part of broader efforts to promote student well- Being, which may enhance aspects of professionalism.
Journal of Clinical OncologyCan 40 Seconds of Compassion Reduce Patient Anxiety?
549 Citations1999Linda Fogarty, Barbara Curbow +3 more
The enhanced compassion segment was short, simple, and effective in decreasing viewers' anxiety and is needed to translate these findings to the clinical setting, where reducing patient anxiety is a therapeutic goal.
JAMAPhysician Scores on a National Clinical Skills Examination as Predictors of Complaints to Medical Regulatory Authorities
460 Citations2007Robyn Tamblyn, Michał Abrahamowicz +12 more
After adjusting for the predictive ability of the clinical decision-making score in the traditional written examination, the patient-physician communication scores in the clinical skills examination remained significantly predictive of retained complaints.
Social Science & MedicineWhat is a successful doctor-patient interview? a study of interactions and outcomes
405 Citations1984Moira Stewart
The study suggests the importance in the setting of family practice of a patient-centred approach, one which is similar to models such as the negotiated approach to patienthood, described by psychiatrists.
Journal of Clinical OncologyOncologist Communication About Emotion During Visits With Patients With Advanced Cancer
404 Citations2007Kathryn I. Pollak, Robert M. Arnold +7 more
To reduce patient anxiety and increase patient satisfaction and adherence, oncologists may need training to encourage patients to express emotions and to respond empathically to patients' emotions.
PubMedRelationship between increased personal well-being and enhanced empathy among internal medicine residents.
377 Citations2005Tait D. Shanafelt, Colin P. West +5 more
This study aims to establish a baseline level of understanding of resident distress and its potential to negatively effect patient care and to investigate the mechanisms behind resident well-being problems.
Annals of Internal MedicineWhat Is Empathy and Can It Be Taught?
366 Citations1992Howard M. Spiro
Conversations about experiences, discussions of patients and their human stories, more leisure and unstructured contemplation of the humanities help physicians to cherish empathy and to retain their passion.
CancerRacial differences in doctors' information‐giving and patients' participation
357 Citations2006Howard S. Gordon, Richard L. Street +2 more
Whether doctor‐patient communication differs by race was investigated in patients with pulmonary nodules or lung cancer and it was found that communication between doctors and patients with lung cancer is influenced by race.
Annals of Internal Medicine“Let Me See If I Have This Right …”: Words That Help Build Empathy
319 Citations2001John L. Coulehan, Frederic W. Platt +5 more
Empathy is the ability to understand the patient's situation, perspective, and feelings and to communicate that understanding to the patient and the effective use of empathy promotes diagnostic accuracy, therapeutic adherence, and patient satisfaction, while remaining time-efficient.
Annals of Internal MedicineThe Medical Interview: The Three-Function Approach
311 Citations1991
Three Functions of the Medical Interview: Build the Relationship, Assess and Understand, and Learning to Interview Using the Three Function Approach.
PubMedImproving physicians' interviewing skills and reducing patients' emotional distress. A randomized clinical trial.
253 Citations1995Debra Roter, Judith A. Hall +4 more
Journal of General Internal Medicine“Could this Be Something Serious?”
204 Citations2007Ronald M. Epstein, Taj Hadee +4 more
Empathy is associated with higher patient ratings of interpersonal care, especially when expressed in situations involving ambiguity, and should be expressed early after patient expressions of worry.
Medical CarePhysician Satisfaction With Primary Care Office Visits
197 Citations1993Anthony L. Suchman, Debra Roter +2 more
This study of physician satisfaction represents an effort to incorporate knowledge about physicians' subjective experiences into a systematic understanding of the dynamics of the medical interview.
Journal of Bone and Joint SurgeryCOMMUNICATION SKILLS FOR PATIENT-CENTERED CARE
194 Citations2005John R. Tongue, Howard R. Epps +1 more
During the past twenty years, effective tools for teaching and assessing physician communication skills have been developed and communication skills are being taught in medical schools and residency programs.
Archives of Internal MedicineBad News: Delivery, Dialogue, and Dilemmas
112 Citations1991Timothy E. Quill
The narrative from a real patient encounter is used to illustrate the powerful effect that delivering bad news can have on both patient and physician.
Social Science & MedicinePhysician–patient communication following invasive procedures: an analysis of post-angiogram consultations
87 Citations2005Howard S. Gordon, Richard L. Street +3 more
JAMAThe Value of Assessing and Addressing Communication Skills
65 Citations2007Gregory Makoul, Raymond H. Curry
Palliative MedicineCancer patients' interpretations of verbal expressions when given information about ending cancer treatment
59 Citations2002Maria Friedrichsen, Peter Strang +1 more
The understanding of the significance of words to tailor the information to patients helps the physician to use forewarnings and fortifying words and to identify and avoid the use of threatening words.
The Journal of Social PsychologyBelief in a Just World and Attitudes toward AIDS Sufferers
56 Citations1990John Connors, Patrick C. L. Heaven
Journal of General Internal MedicineToward a Biopsychosocial Understanding of the Patient–Physician Relationship: An Emerging Dialogue
53 Citations2007Herbert M. Adler
Patients and physicians must likewise be influencing each other’s psychobiology, and this mutual influence may be subjectively experienced as empathy, and may be skillfully employed by the clinician to directly improve the patient”s psychOBiology.
Behavioral Sciences & the LawAttribution of blame to rape victims among therapists and non‐therapists
50 Citations2007Yael Idisis, Sarah Ben‐David +1 more
Results support the theories of modular judgment and of defensive attribution and suggest further investigation of the connection between blame attribution and rape myths, which may facilitate blaming the victim.
OMEGA - Journal of Death and DyingCoping Mechanisms of Physicians Who Routinely Work with Dying Patients
49 Citations2003Dena Schulman‐Green
Improvement of support mechanisms would provide a forum for physicians to speak about discomfort and would encourage the development and sharing of productive coping mechanisms.
Journal of PersonalityRelative preference and adaptiveness of behavioral blame for observers of rape victims
44 Citations1984Jurgis Karuza, Thomas O. Carey
Observers viewed one of nine dramatized videotaped interviews of a rape victim describing her rape and found behavioral blame was significantly greater than characterological blame when the victim was careless or when no information was provided about behavior, regardless of the victim's character.
British Journal of Clinical PsychologyStaff attitudes towards patients: The influence of causal attributions for illness
40 Citations1992Theresa M. Marteau, Danny C. Riordan
It is suggested that information about a patient's health habits prior to illness influence staff attitudes to that patient, and that the effect of this information is mediated by perceived controllability of the illness, as predicted by an attributional model of helping behaviour.
Lung CancerSeverely diseased lung cancer patients narrate the importance of being included in a helping relationship
36 Citations2005Pär Salander, Roger Henriksson
It emerged that 'being connected to health care' and being 'acknowledged as a person' were by far the most prominent dimensions and suggest that in oncology it is important to call attention to the fact that the patient-physician relationship cannot be reduced to the communication of information.
Journal of General Internal MedicineThe importance of spirituality in African-Americans’ end-of-life experience
24 Citations2006William T. Branch, Alexia M. Torke +1 more
A profound and moving spirituality provided emotional and psychological support for most terminally ill patients at Grady Memorial Hospital and almost all patients were willing to share their beliefs with the authors in long bedside interviews.
Communication & MedicineThe unjust world problem: Towards an ethics of advocacy for healthcare providers and researchers
12 Citations2004Elliot G. Mishler
By suggesting that an ethics of advocacy that is attentive to both humane care and social justice is considered, this article hopes to raise questions for further discussion, such as: when the authors learn to communicate better and to listen to patients and research subjects, are they prepared to become advocates with them not only for more humane health care but for social justice?