Empathy, burn-out and the use of gut feeling: a cross-sectional survey of Danish general practitioners
| Autor: | Peter Vedsted, Mads Lind Ingeman, Anette Fischer Pedersen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Cross-sectional study Denmark media_common.quotation_subject Empathy Burnout 03 medical and health sciences 0302 clinical medicine Social skills General Practitioners Diagnosis Humans Medicine 030212 general & internal medicine Practice Patterns Physicians' Burnout Professional media_common clinical decision-making general practice Response rate (survey) Physician-Patient Relations Primary Health Care business.industry Research 030503 health policy & services Questionnaire General Medicine Middle Aged self-report Cross-Sectional Studies Logistic Models Feeling Quartile Female Self Report General practice / Family practice 0305 other medical science business early diagnosis Clinical psychology |
| Zdroj: | BMJ Open Pedersen, A F, Ingeman, M L & Vedsted, P 2018, ' Empathy, burn-out and the use of gut feeling : a cross-sectional survey of Danish general practitioners ', BMJ Open, vol. 8, no. 2, pp. e020007 . https://doi.org/10.1136/bmjopen-2017-020007 |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2017-020007 |
| Popis: | Alment praktiserende læger baserer af og til deres kliniske beslutninger på deres mavefornemmelse (engelsk: gut feeling). Dette studie viser, at især læger, som udviser en høj grad af empati, anvender deres mavefornemmelse i det daglige kliniske arbejde. Dette fund er i overensstemmelse med tidligere studier, som har vist, at patienters eller pårørendes bekymring kan anspore lægers mavefornemmelse. Undersøgelsen bygger på spørgeskemabesvarelser fra 588 alment praktiserende læger fra Region Midtjylland. De deltagende læger blev rangordnet efter deres score på empati-skalaen og blev herefter inddelt i fire lige store grupper på baggrund af hhv. nedre kvartil, medianen og øvre kvartil. I den første gruppe indgik således de 25% af lægerne, som scorede lavest på empati-skalaen, og i den fjerde og sidste gruppe indgik de 25% af lægerne, som scorede højest på empati-skalaen. Når lægerne i den fjerde og sidste gruppe blev sammenlignet med lægerne i den første gruppe, havde de fire gange så stor sandsynlighed for i høj eller meget høj grad at bruge deres mavefornemmelse i det daglige kliniske arbejde. Da lægers brug af empati er forbundet med udbrændthed, undersøgte vi, om udbrændthed er forbundet med lægers brug af deres mavefornemmelse, men dette kunne ikke bekræftes. Da brug af mavefornemmelse ser ud til at have diagnostisk værdi, peger resultaterne af dette studie i retning af, at øget fokus på empati under medicinstudiet kunne øge brugen og pålideligheden af lægers mavefornemmelse i det kliniske arbejde. OBJECTIVE: Research has suggested that physicians' gut feelings are associated with parents' concerns for the well-being of their children. Gut feeling is particularly important in diagnosis of serious low-incidence diseases in primary care. Therefore, the aim of this study was to examine whether empathy, that is, the ability to understand what another person is experiencing, relates to general practitioners' (GPs) use of gut feelings. Since empathy is associated with burn-out, we also examined whether the hypothesised influence of empathy on gut feeling use is dependent on level of burn-out.DESIGN: Cross-sectional questionnaire survey. Participants completed the Jefferson Scale of Physician Empathy and The Maslach Burnout Inventory.SETTING: Primary care.PARTICIPANTS: 588 active GPs in Central Denmark Region (response rate=70%).PRIMARY OUTCOME MEASURES: Self-reported use of gut feelings in clinical practice.RESULTS: GPs who scored in the highest quartile of the empathy scale had fourfold the odds of increased use of gut feelings compared with GPs in the lowest empathy quartile (OR 3.99, 95% CI 2.51 to 6.34) when adjusting for the influence of possible confounders. Burn-out was not statistically significantly associated with use of gut feelings (OR 1.29, 95% CI 0.90 to 1.83), and no significant interaction effects between empathy and burn-out were revealed.CONCLUSIONS: Physician empathy, but not burn-out, was strongly associated with use of gut feelings in primary care. As preliminary results suggest that gut feelings have diagnostic value, these findings highlight the importance of incorporating empathy and interpersonal skills into medical training to increase sensitivity to patient concern and thereby increase the use and reliability of gut feeling. |
| Databáze: | OpenAIRE |
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