Empathy Scores Research Articles

Simulated communication skills training program effects using augmented reality with real‐time feedback: A randomized control study

AbstractBackgroundWhile communication with dementia patients is challenging, known educational methods to improve communication skill for medical professionals are lacking. Our study aimed to assess the efficacy of simulated communication skills training for nursing students using augmented reality (AR) with real‐time feedback.MethodsThis is a randomized control study. Twenty‐five nursing students enrolled and learned standardized multimodal comprehensive care communication skills through a self‐learning material, which includes pathophysiology and clinical manifestations of dementia. Subsequently, participants were randomly assigned to one of the two learning systems—AR training or conventional nursing mannequin training. Each group had the training intervention to change the clothes of mannequins for one hour. The mannequin of the AR group was a superimposed computer graphic of an elderly woman’s face which reacted to participants' communication. Further, the communication skills of gaze and voice were evaluated by artificial intelligence (AI) and feedbacked to the participants’ head‐mounted display in real‐time. The conventional training group had the self‐training with nursing mannequins. All participants performed basic nursing care, including changing clothes and bed bath, to simulated patients before and after the training intervention, which were video‐recorded by an eye‐tracking camera and a fixed camera, then the videos were analyzed the communication skills by AI. Additionally, participants' empathy to patients was evaluated by the Jefferson Scale of Empathy‐Health Professions Students Version (JSPE‐HSP). The primary outcome was the proportion of time spent in eye contact during the care to simulated patients. The secondary outcome was the empathy score of JSPE‐HSP.ResultsAfter the training intervention, the proportion of time spent in eye contact in the AR training group significantly increased than the conventional training group (eye contact 13.6% versus 4.4%, P<0.05). Moreover, the JSPE‐HSP score increased from pre‐training to post‐training in the AR training group, whereas it decreased in the conventional training group [Mean (SD): 9.1 (6.6) versus ‐1.3 (3.8), P<0.01].ConclusionsThe simulated communication skills training for nursing students using augmented reality with real‐time feedback was associated with increased interactive communication skills to simulated patients and the empathy to patients.

The influence of individual differences and local ecological conditions on emotional empathy, cognitive empathy, and harm avoidance towards nonhuman animals

Abstract Increased interest in the study of the relationships between human and nonhuman animals over the past few decades has often focused on what factors shape people’s attitudes and treatment towards nonhuman animals. Some scholars have focused on features of the nonhuman animals (cuteness, intelligence, and utility) and how those features predict human behavior while others have concentrated more on possible human individual differences that influence their attitudes and positive or negative actions towards nonhuman animals. In this study, with 978 participants from five different cross-cultural study sites (Arizona, California, Costa Rica, Mexico, and Spain), we utilized three superordinate categories of animal species representing three “Concentric Circles” surrounding our own (from Kith-Kin , to Domestic , to Wild Animals) to investigate the influence of individual differences and local ecological conditions on empathy and harm avoidance scores across these categories. Specifically, these variables were as follows: (1) a set of variables representing the cross-cultural study sites; (2) a second set of sociodemographic predictors; (3) a developmental Animal Exposure factor; (4) a Dark Inventory factor; (5) an Interpersonal Aggression factor; (6) a KithKin-Empathy factor, measuring emotional and cognitive empathy towards Kith-Kin animals; (7) a Domestic-Empathy factor, measuring emotional and cognitive empathy towards Domestic animals; (8) a Wild-Empathy factor, measuring emotional and cognitive empathy towards Wild animals; and (9) a Harm Avoidance factor. A Cascade Model approach allowed us to integrate many factors (individual differences and local ecological conditions) together in explaining empathy and harm avoidance that have previously been examined only in mutual isolation.

In their shoes: Health care professionals walking a day in the life of patients with short bowel syndrome & intestinal failure

Short bowel syndrome leading to intestinal failure (SBS-IF) is a condition characterised by the inability of the gut to absorb the amount of water, nutrients and micronutrients needed to survive and requires long term home parenteral nutrition (HPN) to sustain life. Health care professionals (HCPs) working with patients with SBS-IF are aware of the daily challenges patients face. However, few have experienced the condition first-hand and put themselves 'in the shoes' of their patients. In Their Shoes (ITS) is an immersive simulation delivered through a smartphone application (app), in which participants experience the typical real-life challenges that somebody with SBS-IF will experience over a 24-h period, including social and psychological challenges. This study evaluated the impact of ITS simulation on HCPs working with adults with SBS-IF. A representative sample of 27 multi-disciplinary team (MDT) members working on an Intestinal Failure Unit completed the ITS simulation over a 24-h period. A mixed methods design was used, which included participants completing a survey pre- and post-ITS experience, followed by focus groups and in-depth qualitative interviews. Pre- and post-intervention questions were analysed quantitively via paired t-tests and qualitative data arising from the focus groups and interviews were analysed using inductive thematic analysis. 25 participants (93%) completed 80% of the ITS challenges whilst 27 (100%) completed more than 50% challenges. Participants reported a 16% increase in knowledge, 18% increase in being able to talk to others about SBS and a 2% increase in empathy between pre- and post-simulation. Nineteen team members participated in focus groups and 10 in-depth interviews; qualitative analysis of digital recordings comprised four overarching themes: empathy; admiration and respect; empathy fatigue; learning experience. Despite the small and insignificant increase in empathy scores quantitatively, analysis of open-ended questions and qualitative data found that 74% of participants reported an increase in empathy levels whereas 26% felt it stayed the same. As a simulation-based learning method, ITS can have a positive impact on HCPs working into the SBS-IF setting. Positive benefits in clinical practice include increased levels of empathy, admiration and respect for patients amongst HCPs. Immersing into the ITS experience also allows HCPs to recognise the function and benefits to MDT working, both in terms of ensuring holistic patient centred care and managing HCP empathy fatigue.

Evaluation of pharmacy student empathy scores before and after a geriatrics advanced pharmacy practice experience (APPE)

IntroductionEmpathy from healthcare providers is associated with improved patient care and satisfaction, resulting in increased emphasis on empathy in pharmacy school curricula. Previous studies showed improvement in pharmacy student empathy after older adult-specific simulation activities in the didactic setting, but no such data exist for the practice environment. This study's purpose was to evaluate the impact of a geriatrics advanced pharmacy practice experience (APPE) on pharmacy student empathy toward older adults. MethodsAll fourth-year pharmacy students in a geriatrics APPE at one of four participating sites were offered to participate in the study at the beginning of the rotation. Empathy was measured at baseline and end of the rotation using the Kiersma-Chen Empathy Scale (KCES). Wilcoxon matched-pairs signed-ranks test was used to test differences from pre- to post-rotation. ResultsFifty-four of the 110 eligible students opted to participate in the study, and 46 completed both the pre- and post-surveys. Most students were female (55.6%), and the average age was 27.3 years. Mean empathy scores for all students increased significantly by 4.89 points (z = 4.17, P < .001, d = 0.97). Specific KCES items related to handling other's feelings and viewing another person's perspective also significantly improved. ConclusionsEmpathy is a key component to professional development in healthcare students, and a geriatrics APPE provides an opportunity for students to grow this soft skill. Although further study is warranted, older adult focused rotations may be considered by schools of pharmacy to aid in preparing “graduate-ready” pharmacists.

Association Between Physician Empathy and Difficult Patient Encounters: a Cross-Sectional Study.

Physicians frequently experience patients as difficult. Our study explores whether more empathetic physicians experience fewer patient encounters as difficult. To investigate the association between physician empathy and difficult patient encounters (DPEs). Cross-sectional study. Participants were 18 generalist physicians with 3-8 years of experience. The investigation was conducted from August-September 2018 and April-May 2019 at six healthcare facilities. Based on the Jefferson Scale of Empathy (JSE) scores, we classified physicians into low and high empathy groups. The physicians completed the Difficult Doctor-Patient Relationship Questionnaire-10 (DDPRQ-10) after each patient visit. Scores ≥ 31 on the DDPRQ-10 indicated DPEs. We implemented multilevel mixed-effects logistic regression models to examine the association between physicians' empathy and DPE, adjusting for patient-level covariates (age, sex, history of mental disorders) and with physician-level clustering. The median JSE score was 114 (range: 96-126), and physicians with JSE scores 96-113 and 114-126 were assigned to low and high empathy groups, respectively (n = 8 and 10 each); 240 and 344 patients were examined by physicians in the low and high empathy groups, respectively. Among low empathy physicians, 23% of encounters were considered difficulty, compared to 11% among high empathy groups (OR: 0.37; 95% CI = 0.19-0.72, p = 0.004). JSE scores and DDPRQ-10 scores were negatively correlated (r = -0.22, p < 0.01). Empathetic physicians were less likely to experience encounters as difficult. Empathy appears to be an important component of physician perception of encounter difficulty.

Burnout, mental health symptoms, and empathy in healthcare workers who care for children treated in a liver transplant center.

The healthcare workers in pediatric liver transplantation units are exposed to various stresses; however, their burnout has not been clarified yet. This study aimed to determine burnout, psychological symptoms and empathy levels in healthcare workers, to examine the relationship between these variables and to investigate the predictors of burnout. This cross-sectional study was conducted on healthcare workers in Turgut Özal Medical Center Pediatric Liver Transplant Institute. The participants filled out a questionnaire that investigating demographic and occupational characteristics, and including questions from Toronto Empathy Questionnaire, Maslach Burnout Inventory, and Brief Symptom Inventory. Fifty healthcare workers participated in the study. Based on moderate and higher severity scores, 48% of the participants were emotionally exhausted, 22% of them were depersonalized. All of them had a high perception of personal accomplishment. There was a correlation between psychological symptoms level and emotional exhaustion and personal accomplishment as well as empathy and personal accomplishment. Not choosing the profession and the department willingly, age, education level, marital status, duration of profession, unit, not receiving in-service training, empathy, depressive symptoms and hostility scores predicted different aspects of burnout. Considering that burnout and psychological stress lead to reduced professional abilities and the development of serious complications, the results obtained can guide managers on the measures to be taken.

Empathy level among the Nursing Workforce in the selected Health Institutes in Kathmandu consuming Toronto Empathy Scale

Introduction: Empathy is an essential ingredient of the nurse-patient relationship. The current study’s goal is to investigate empathy levels and associated demographic variables among the nursing workforce in Kathmandu's selected health institutions. Materials and Methods: cross-sectional study and purposive sampling technique; a total of 89 nursing workforce attained in this study; and online through the Google form was used to collect primary information. TEQ is made up of 16 items that are scored on a 5-point Likert scale as well as sociodemographic data (such as age, qualification, experience, and training). There are a total of 64. A score of &gt;45 shows that the person has a high level of empathy. The data was analyzed using descriptive and multiple regression techniques. Results: The descriptive analysis revealed that mostly 65.2% of the nursing workforce had below-average (&lt;45) empathy scores. In the regression analysis model, beta age had a value of 0.357 and beta education had a value of 0.028. It was discovered that education level and age have a significant impact on empathy. Conclusion: The study found that most of the nursing workforce had below-average empathy scores. However, it is an essential attribute for developing nurse-patient relationships at work. It can be learned and acquired. Key words: Empathy, Nursing Workforce, Toronto Empathy Scale

Implementation, results and face validity of the Consultation and Relational Empathy measure in a Canadian department of surgery.

The Consultation and Relational Empathy (CARE) Measure, a validated questionnaire designed to assess patients' perceptions of their physician's communication skills and empathy, has been used to assess empathy in medical specialties but has seldom been applied to surgery. We assessed empathy and communication skills among a group of surgeons within a single academic institution. All surgeons within our department of surgery were invited to participate. Patients seen in clinics of participating surgeons were recruited prospectively from July 2018 to February 2019. At the end of each clinical encounter, they were asked to complete a CARE survey. Surveys were analyzed according to previously validated inclusion and exclusion criteria. We calculated mean scores for each surgeon and surgical division. About 6 months after study completion, surgeons were provided with their individual score and de-identified division scores, and were asked to complete a follow-up survey assessing their attitudes toward the CARE Measure. Of the 82 surgeons invited, 51 (62%) agreed to participate; 7 had fewer than 25 completed surveys and were excluded from analysis. A total of 1801 surveys for 44 surgeons (33 male and 11 female) were included in the final analysis. The average CARE score across the department was 46.9 (95% confidence interval [CI] 46.6-47.1). Female surgeons received significantly higher scores than male surgeons (mean 47.6 [95% CI 47.1-48.0] v. 46.7 [95% CI 46.4-48.0]). Of the 35 surgeons who responded to the follow-up survey, 31 (89%) felt that the questions in the CARE Measure applied to their practice, and half of these reported that they intended to make changes in response to the feedback. We found high communication and empathy scores among surgeons in the outpatient setting, with enough variability to encourage continued improvement. The CARE Measure appears to have face validity among surgeons, and the vast majority found it relevant to their practice. Further study is needed to formally assess the relevance, performance, reliability and construct validity of this measure.

The negative impact of xenophobia on compassion with suffering out-group members is attenuated by trait empathy

Empathy enables human beings to understand and share the internal states of others. Studies show that empathy for pain is higher for in-group compared to out-group members. This might be driven by attitudes and biases towards out-groups. In a between subject design, N = 621 participants filled in questionnaires measuring xenophobia and trait empathy and were presented with photos of suffering individuals either from the in-group or an out-group, which had to be rated with respect to negative affect and the willingness to help the depicted persons. Results do not show more compassion with members of the in-group in general, but a negative effect of xenophobia on state empathy in the out-group condition. Additional moderation analyses show that this effect is less evident in presence of high trait empathy scores. Our results highlight the importance of empathy trainings to attenuate the effects of xenophobic attitudes on social cohabitation in our increasingly polarized and culturally diverse societies.

A developmental analysis of dimensions of empathy during early adolescence: Behavioral empathy but not cognitive empathy is associated with lower psychopathology.

Construct definitions of empathy have sought to distinguish between different dimensions of empathetic capacity that are significantly associated with psychological distress or wellbeing. Research has provided substantial evidence differentiating affective and cognitive empathy; however, more recent research has cited the importance of a third domain represented by empathetic behaviors and compassionate intent to comfort others. Examining developmental and maturational stage during the rapid transitional period of early adolescence is needed to model developmental trajectories, mechanisms of change and mental health outcomes. This study aims to assess relationships between pubertal developmental stage, dimensions of empathy, and depression, anxiety and externalizing behaviors among early adolescents. A cross-sectional survey among young adolescents ages 9-12 years was conducted in Dar es Salaam, Tanzania. The relationships between pubertal developmental stage, affective, cognitive, and behavioral empathy scores and internalizing and externalizing symptoms were evaluated using hierarchical regression modeling. Structural equation modeling was used to test a theoretical model of structural paths between these variables. A sample of 579 very young adolescents (270 boys and 309 girls) aged 9-12 years participated in the study. Pubertal development scale scores were associated with affective, cognitive, and behavioral empathy. Adolescents who had greater behavioral empathy scores reported lower internalizing and externalizing symptoms. Adolescents who had transitioned further through puberty and had higher cognitive empathy scores and reported higher internalizing symptoms. These findings support the importance of pubertal developmental stage in assessing risk and protective paths to mental health during adolescence. While empathetic capacity is widely perceived to be a positive trait, dimensional analysis of empathy among early adolescents indicates that behavioral skills and compassionate acts may be particularly protective and promote positive mental health outcomes.

Empathy level among Saudi medical students using the Toronto empathy scale

Background: Empathy is a crucial component of professionalism in medicine, having a solid relationship with improved patient outcomes. The current study aims to examine the factor structure of the Toronto Empathy Questionnaire (TEQ) with a sample of Saudi medical students and to assess the differences in empathy scores by gender, year of study, and future career preference. Methods: A cross-sectional study was performed using anonymous self-administered online questionnaires. The study tool targeted a random sample of medical students in public and private Saudi medical schools in five regions (North, South, East, West, and Central) of Saudi Arabia. Results: 941 Saudi medical students enrolled in the study. 52.3% were male students, and 30.6% of the students were from the central region of Saudi Arabia. The most desired specialties were general surgery (19.2%), internal medicine (12.5%), and family medicine 8.2%. The average TEQ score was 42.31%, with 67.1% scoring low to average empathy levels. About one-third (32.9%) scored high empathy levels; females scored a higher average on the empathy score compared to males (43.48 vs. 41.24) P-value &lt;0.001. The never-married studentsalso scored higher empathy than married students 42.53 vs. 38.78) P-value &lt;0.00. The region with the highest empathy scores was the central province, 44.72%. Conclusion: Different factors could influence empathy scores, such as gender, marital status, GPA, and study year. Female students had a higher empathy score compared to male students. Senior medical students scored lower on the scale than younger students, and could be associated with a higher level of burnout. Further empathy-based discussions should be inserted into the Saudi medical curricula. Keywords: professionalism, Toronto empathy scale, medical students, Saudi Arabia.

Humanitarian approach in medicine: A study on clinical empathy among medical students and graduates using the Jefferson Scale of Empathy.

Background Empathy is one of the pillars of professionalism in the medical field associated with better patient satisfaction and outcome. This study aimed to assess and compare the empathy score with other institutes within and outside India using the Jefferson Scale of Empathy-Student version (JSE-S). Methods We did a cross-sectional study for undergraduate medical students and interns of Pramukhswami Medical College, Karamsad, for 4 months from October 2019. Voluntary participants completed the JSE-S, an internationally validated 20-item survey questionnaire. Results The mean empathy score of 575 voluntary participants out of 631 was 100.75, with women having higher and significant scores than men (F 102.1 [11.5]; M 98.3 [12.5]; p<0.001). The highest empathy score was observed in the first year (102 [10.8]), which increased and decreased in different years of medical education with a maximum dip in the second year (99.4 [11.5]). The choice of specialty of participants showed a lower significant difference as per the JSE-S score. A lower empathy score was identified among participants compared to medical students studying in international medical institutes. Conclusion There is a need to organize workshops with training modules to cater to the empathy aspect of professional care, as a continuous process, starting from the first year till the completion of internship.

Project DABE: Empathy among Spanish Medical Students

IntroductionEmpathy refers to an aspect of personality, important in interpersonal relationships and in communication, considered to be an important value in the medical profession. In the present study, we have studied empathy in a sample of more than 5,000 medical students of all 43 medical schools in Spain. MethodsThe data belong to the DABE project, a study that included mental health variables and that was applied through a web survey just before COVID-19 pandemic restrictions started. To measure empathy, we used the Jefferson Empathy Scale (Student Version), which comprises 20 items relating to three underlying components, Perspective Taking, Compassionate Care, and Standing in the Patient’s Shoes. ResultsEmpathy global score was high and it increased progressively every year during medical school. Empathy score was greater in the female students, with a 20% of participants showed high levels of empathy, again more in women. High empathy was associated with students having greater social support, more interest and participation in everyday experiences and satisfaction with social activities. The three components of empathy were also greater in women than in men. Empathy scores were significantly lower in those students that reported smoking and also in the students that reported use of frequent use of cannabis. DiscussionEmpathy scores are high in the spanish medical students population, with a 20% of them showing high levels. Empathy scores increase longitudinally during medical school, are greater in female students and lower in those smoking either tobacco or cannabis.

Neural underpinnings of default mode network on empathy revealed by intracranial stereoelectroencephalography.

Empathy is the ability to understand and share the feelings of others. It is fundamental to emotional intelligence and social iterations. Neuroimaging studies have demonstrated that empathy activates brain regions associated with the social cognition network. To explore the neural underpinnings of empathy revealed by stereoelectroencephalography utilizing recurrence quantification analysis (RQA). This retrospective cohort included 38 epilepsy patients with stereoelectroencephalography implantation. RQA metrics were applied to parameterize the network organization of default mode network (DMN) brain regions. The relationships between DMN, seizure burden activity, and empathy, as measured using the Interpersonal Reactivity Index, were examined using partial least-square regression and mediation analysis. RQA metrics with DMN (R2 = 0.75, PBonferroni < 0.001) and its subsystems (medial temporal subsystem: R2 = 0.53, PBonferroni < 0.001; core subsystem: R2 = 0.70, PBonferroni < 0.001; dorsal medial subsystem: R2 = 0.48, PBonferroni < 0.001) were positively correlated with empathy scores. Of 13 RQA metrics, the mean diagonal line length, entropy of the diagonal line lengths, trapping time, maximal vertical line length, and recurrence time of second type were found to be statistically higher in patient cohorts with reportedly high empathy. Furthermore, DMN characteristics (b path: F= 3.69, P= 0.04), rather than seizure burdens (direct effect: t= 0.33, P= 0.74, c'= - 0.007), mediated empathy status. The present study used various RQA metrics to parameterize the network organization of DMN and determine the neural underpinning of DMN for empathy modulation.

Physician empathy during crisis: A survey of doctors in COVID-19 pandemic (COPE study)

BackgroundThere is a lack of research studies on physician empathy levels towards patients, which is a critical component of providing high-quality patient-care and satisfaction. Our study aimed at assessing the physician-reported empathy levels towards patients during a crisis like the ongoing COVID-19 pandemic. MethodsCross-sectional online-based survey was conducted among 409 practicing doctors from varied healthcare levels during the pandemic. We used a validated Jefferson Physician's Empathy (JPE) - Health Professional (HP) version questionnaire. Empathy score was expressed as a median and interquartile range, and the analysis was done in STATA 12.1 (StataCorp LP, Texas, USA). ResultsAmong the survey respondents, 55% were between 26–35 years, 56% were from the government health sector, and 57% were male doctors. Overall physicians’ empathy score was 100 (89, 113). The empathy score among physicians engaged in OPD duty was significantly higher (p = 0.022). A total of 70.0% of physicians consulting more than 50 patients/day reported a score ≤105 (p = 0.035). Physicians aged more than 40 years (AOR = 2.545, 95% CI = 1.1133, 5.8184) and those working in government healthcare centers (AOR = 2.711, 95% CI = 1.1372, 6.4616) were about three times more likely to have a score >105 compared to younger physicians (p = 0.027) and private practitioners (p = 0.024). ConclusionPhysician-reported empathy scores during the COVID pandemic were high. Middle-aged physicians involved in OPD consultation and those working in government healthcare recorded good scores. However, reporting lower empathy scores when the patient load increases highlights the need for administrative and medical education interventions.

Longitudinal Measurement of Empathy in Student Pharmacists

Objective. To assess empathy longitudinally in student pharmacists and describe how it changes during their four years of pharmacy education.Methods. The Jefferson Scale of Empathy Health Professions Student version (JSE-HPS) was completed by a cohort of student pharmacists at the beginning and end of their first year of pharmacy school (P1), then at the end of their second, third, and fourth years of pharmacy school (P2, P3, P4). Demographic data and information about students' previous pharmacy work experience and experience interacting with patients were also collected.Results. Student pharmacists' empathy scores were relatively high at the beginning of P1, comparable to scores reported for medical and other health professions students. Empathy scores declined over the first two years of the pharmacy curriculum but increased during both P3 and P4, recovering to the level observed at the beginning of P1. Factor analysis identified three factors, namely "perspective taking," "compassionate care," and "walking in a patient's shoes" that accounted for 26%, 19%, and 7% of the variance, respectively, and supported the construct validity of the JSE-HPS.Conclusion. Student pharmacists' empathy decreased during the early, primarily didactic years of the pharmacy curriculum but increased during the latter years that emphasize clinical experiences.

Utility of empathy informant report in FTD differential diagnosis.

Loss of empathy is a hallmark feature of behavioral variant frontotemporal dementia (bvFTD). Change in socioemotional functioning identified by others is often the primary initial presenting concern in this disorder, in contrast to more subtle early cognitive changes and limited patient insight. The present study examined the predictive utility of an empathy informant-report measure for discriminating clinician-diagnosed bvFTD from other dementia syndromes. Data from the National Alzheimer's Coordinating Center (NACC) database were used to study individuals with bvFTD (n = 406) and other dementia syndromes (n = 385). Participants were administered neuropsychological measures and collateral informants completed an informant-report of empathy. Informants reported that patients with bvFTD demonstrated significantly lower levels of empathic concern [F(1, 789) = 120.91, p < .001, η2 = 0.13] and perspective taking [F(1, 789) = 153.08, p < .001, η2 = 0.16] than patients with other dementia syndromes. These differences were not attributable to the level of global cognitive impairment. Empathy scores were not significantly associated with any neurocognitive measure when controlling for age. ROC curve analyses showed fair to good clinical utility of the informant-report empathy measure for distinguishing bvFTD from non-bvFTD, whereas a traditional measure of executive functioning failed to differentiate the groups. These findings indicate that informant ratings of empathy offer a unique source of clinical information that may be useful in detecting neurobehavioral changes specific to bvFTD before a clear neurocognitive pattern emerges on testing.

An Explainable Artificial Intelligence Approach for Detecting Empathy in Textual Communication

Empathy is a necessary component of human communication. However, it has been largely ignored in favor of other concepts such as emotion and feeling in Affective computing. Research that has been carried out regarding empathy in computer science lacks a method of measuring empathy based on psychological research. Likewise, it does not present an avenue for expanding knowledge regarding this concept. We provide a comprehensive study on the nature of empathy and a method for detecting it in textual communication. We measured empathy present in conversations from a database through volunteers and psychological research. Subsequently, we made use of a pattern-based classification algorithm to predict the Empathy levels in each conversation. Our research contributions are: the Empathy score, a metric for measuring empathy in texts; Empathetic Conversations, a database containing conversations with their respective Empathy score; and our results. We show that an explicative pattern-based approach (PBC4cip) is, to date, the best approach for detecting empathy in texts. This is by measuring performance in both nominal and ordinal metrics. We found a statistically significant difference in performance for our approach and other algorithms with lower performance. In addition, we show the advantages of interpretability by our model in contrast to other approaches. This is one of the first approaches to measuring empathy in texts, and we expect it to be useful for future research.

Profiles of GPs with high and low self-reported physician empathy—personal, professional, and antibiotic prescribing characteristics

BackgroundGeneral Practitioners’ (GPs) professional empathy has been hypothesized to have substantial impact on their healthcare delivery and medication prescribing patterns. This study compares profiles of personal, professional, and antibiotic prescribing characteristics of GPs with high and low empathy.MethodsWe apply an extreme group approach to a unique combined set of survey and drug register data. The survey included questions about demographic, professional, and antibiotic prescribing characteristics, as well as the Jefferson Scale of Empathy for Health Professionals (JSE-HP) to assess self-reported physician empathy. It was sent to a stratified sample of 1,196 GPs comprising 30% of the Danish GP population of whom 464 (38.8%) GPs responded. GPs in the top and bottom decile of empathy levels were identified. All intra- and inter-profile descriptive statistics and differences were bootstrapped to estimate the variability and related confidence intervals. Results61% of GPs in the top decile of the empathy score were female. GPs in this decile reported the following person-centered factors as more important for their job satisfaction than the bottom decile: The Patient-physician relationship, interaction with colleagues, and intellectual stimulation. High-empathy scoring GPs prescribed significantly less penicillin than the low-empathy GPs. This was true for most penicillin subcategories. There were no significant differences in age, practice setting (urban vs. rural), practice type (partnership vs. single-handed), overall job satisfaction, or GP’s value of prestige and economic profit for their job satisfaction. The intra profile variation index and confidence intervals show less prescribing uncertainty among GPs with high empathy.ConclusionsThis study reveals that high empathy GPs may have different personal, professional, and antibiotic prescribing characteristics than low empathy GPs and have less variable empathy levels as a group. Furthermore, person-centered high empathy GPs on average seem to prescribe less penicillins than low empathy GPs.

Implementation and evaluation of simulations in a required course to improve empathy of pharmacy students

IntroductionIt is essential for health care professionals to display empathy when communicating with patients. Therefore, empathy is an important skill to teach health care professional students. The objective of this study was to examine the effect of a course enhancement consisting of formal instruction and application-based simulations on empathy in pharmacy students. MethodsThe Jefferson Scale of Empathy for Health Profession Students (JSE-HPS) was administered at the start of the semester and again at the end of the 16-week required course for third-year pharmacy students. Differences in the mean scores were analyzed using a paired t-test. An inductive conventional content analysis approach was utilized to analyze end of the course reflections about empathy by two investigators. ResultsOn the pre-survey (n = 140), the empathy scores ranged from 86 to 140 (mean 113.8). On the postsurvey (n = 73), scores ranged from 93 to 137 (mean 117.5). A statistically significant increase in students' empathy scores on the JSE-HPS was observed following the completion of the course (P = .006). The main themes that emerged from the students' reflections were the impact of empathy on patient-centered care and the importance of patient-provider relationships. Students also discussed the development and use of empathy skills. ConclusionsA combination of didactic and skills-based training led to an improvement in empathy in third-year pharmacy students. Student comments highlighted the value of practicing empathy skills in a simulated environment.