Exploring patient-centeredness: The relationship between self-reported empathy and patient-centered communication in medical trainees
Exploring patient-centeredness: The relationship between self-reported empathy and patient-centered communication in medical trainees
复制标题
DOI：
10.1016/j.pec.2018.01.016
复制
发表时间：
2018-06-01
影响因子：
3.5
通讯作者：
Roter, Debra L.
中科院分区：
文献类型：
--
作者：
LaNoue, Marianna D.;Roter, Debra L.
目的：探讨自我报告的共情和以病人为中心的沟通patterns of medicine initiatives.Methods之间的关系：“84名三年级医学生完成了杰斐逊共情量表（JSE -学生版），并记录了一个单一的欧安组织分析使用Roter Intermittent Analysis System（RIAS）。采用相关和回归分析方法探讨JSE总分、3个JSE分量表、10个供应商沟通复合代码和“以患者为中心的沟通”比率之间的关系，反映模拟患者和学生的心理社会和情感与生物医学沟通的平衡。结果表明，控制其他因素的学生沟通，RIAS复合代码反映了“情绪反应”，（以移情陈述、合法化、表示关心、伙伴关系陈述和医学相关的提供者自我披露为特征）与JSE总分呈正相关，而学生的“提问”和“生物医学咨询”与JSE总分呈负相关。RIAS编码的通信变量占32.4%的JSE总分。结论：学生的情绪反应性和预测的自我报告的移情表达之间的关系提供了并发验证证据JSE.Practice的影响：需要进一步的研究，以阐述和进一步探讨病人为中心的潜变量。(C)2018爱思唯尔B. V.保留所有权利。
Objective: To explore the relationships between self-reported Empathy and the patient-centered communication patterns of physician trainees.Methods: "Eighty-four 3rd year medical students completed the Jefferson Scale of Empathy (JSE - student version) and had recordings of a single OSCE analyzed using the Roter Interactional Analysis System (RIAS). Correlation and regression were employed to explore the relationships among JSE total score, 3 JSE subscales, 10 composite codes of provider communication, and a summary 'patient centered communication' ratio, reflecting the balance of psychosocial and emotional to biomedical communication of the simulated patient and student.Results: Results indicate that controlling for other elements of student communication, the RIAS composite of codes reflecting 'emotional responsiveness' (characterized by empathy statements, legitimization, showing concern, partnership statements and medically relevant provider self-disclosure) was positively related to the JSE Total Score while student 'question asking' and 'biomedical counseling' were negatively related to the JSE Score. RIAS-coded communication variables accounted for 32.4% of the JSE Total score.Conclusion: The relationship between student expressions of emotional responsiveness and predicted self-reported empathy provides concurrent validation evidence for the JSE.Practice implications: Further research is needed in order to elaborate and further explore a Patient-Centeredness latent variable. (C) 2018 Elsevier B.V. All rights reserved.