Family Responses to Different Types of Clinician Empathy Expression in Pediatric Care Conferences.

Background: Clinician empathy positively impacts patient outcomes. Few studies have assessed the effects of different types of empathic expression. Objective: To describe how families respond when clinicians express empathy in different ways. Design: Prospective, mixed-methods cohort. Setting/Subjects: English and interpreted pediatric inpatient care conferences at a U.S. quaternary hospital between January 1, 2018 and January 1, 2021. Measurements: Directed content analysis of clinician empathic statements and family responses. Results: Of 29 patient-family dyads, 11 (39%) used language interpretation. In response to 80 clinician empathic statements, families expressed agreement or shared more 84% (67/80) of the time. Families shared more about their perspective in response to explore statements 71.4% (10/14) of the time, in response to validate statements 61% (17/28) of the time, and in response to respect/support statements 39% (11/28) of the time. Conclusion: Certain types of empathic statements may be more effective at prompting families to share more about their perspective, a key element of shared decision-making.

背景：临床医生同理心对患者的预后产生积极影响。很少有研究评估了不同类型的移情表达的影响。目的：描述当临床医生以不同方式表达同理心时，家庭的反应。设计：前瞻性，混合方法队列。设置/受试者：2018年1月1日至2021年1月1日之间在美国第四纪医院举行的英语和解释的小儿住院会议。结果：在29名患者家庭二元组中，有11个（39％）使用语言解释。为了响应80个临床医生的移情声明，家庭表示同意或共享84％（67/80）的时间。家庭分享了有关探索陈述的更多观点的更多信息，以响应验证陈述的时间为61％（17/28）的时间，以及对尊重/支持陈述的回应为39％（11/28）。结论：某些类型的移情陈述可能更有效地促使家庭分享有关他们的观点的更多信息，这是共同决策的关键要素。