Developing Empathy as a Foundation of Client-Centred Practice: Evaluation of a University Curriculum Initiative

Jamieson, Margaret; Krupa, Terry; O’Riordan, Anne; O’Connor, Donna; Paterson, Margo; Ball, Caroline; Wilcox, Susan

doi:10.2182/cjot.05.0008

Cited by 28 publications

(24 citation statements)

References 27 publications

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“…Staff cautionary surveillance should also apply to intimate partners in previously non-abusive relationships, since they have been shown to be at increased risk of verbal abuse, threats of physical violence, and overt aggression due to clients' TBI-related increases in irritability levels, temper outbursts, or alcohol use (Farrer et al, 2012). Jamieson et al (2006) argues that the foundation of CCC is the capacity of health care workers to empathize with clients and families. Although After the Crash had little impact on the empathy felt by staff, it was particularly effective at improving their responses to issues involving relationality.…”

Section: Discussionmentioning

confidence: 99%

“…Still no place to grieve-Because an important tenet of CCC is the empathic capacity of the therapist to achieve an emic or insider understanding of the client's and family's perspective (Jamieson et al, 2006), it was intended that After the Crash assist the audience to identify with the characters. Staff identification and empathy with clients was deliberately cultivated through providing the play's main characters with relatable backstories as educated professionals.…”

Section: Post-interventionmentioning

confidence: 99%

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Grief, Anger, and Relationality

et al. 2014

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Background: Therapeutic emotion work is performed by health care providers as they manage their own feelings as well as those of colleagues and patients as part of efforts to improve the physical and psychosocial health outcomes of patients. It has yet to be examined within the context of traumatic brain injury rehabilitation. Objective: To evaluate the impact of a research-based theater intervention on emotion work practices of neurorehabilitation staff. Research Design: Data were collected at baseline and at 3 and 12 months postintervention in the inpatient neurorehabilitation units of two rehabilitation hospitals in central urban Canada. Subjects: Participants (N = 33) were recruited from nursing, psychology, allied health, recreational therapy, and chaplaincy. Measures: Naturalistic observations (N = 204.5 hr) of a range of structured and unstructured activities in public and private areas, and semistructured interviews (N = 87) were conducted. Results: Preintervention analysis indicated emotion work practices were characterized by stringent self-management of empathy, suppression of client grief, adeptness with client anger, and discomfort with reactions of family and spouses. Postintervention analysis indicated significant staff changes in a relationality orientation, specifically improvements in outreach to homosexual and heterosexual family care partners, and support for sexual orientation and intimacy expression. No improvements were demonstrated in grief support. Conclusion: Emotion work has yet to be the focus of initiatives to improve neurorehabilitative care. Our findings suggest the dramatic arts are well positioned to improve therapeutic emotion work and effect cultures of best practice. Recommendations are made for interprofessional educational initiatives to improve responses to client grief and potential intimate partner violence.

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Section: Discussionmentioning

confidence: 99%

Section: Post-interventionmentioning

confidence: 99%

Grief, Anger, and Relationality

et al. 2014

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“…Additional investigation is warranted before advising modification of communication patterns in these contexts. Jamieson et al (2006) argued that the foundation of client-centered practice is the capacity of the therapist to empathize with clients and their families. Dramatic performance is particularly effective in engaging imagination and fostering empathy because it privileges the phenomenological complexity of life.…”

Section: Discussionmentioning

confidence: 99%

“…So you have to be aware of that so that you don't treat them differently because everybody deserves the same treatment. [OT, I] Because an important tenet of client-centered practice is the empathic capacity of the therapist to achieve an emic or insider understanding of the client's and family's perspective (Jamieson et al, 2006), it is intended that the play assist the audience to identify with the characters in "After the Crash". The intent is to transition practitioners from the suppression of belief in a client's blameworthiness for injury to provide neutral care toward a more compassionate understanding that no one deserves the havoc and upheaval of TBI.…”

Section: [Rpn I]mentioning

confidence: 99%

Improving Client-Centered Brain Injury Rehabilitation Through Research-Based Theater

et al. 2012

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Traumatic brain injury often results in physical, behavioral, and cognitive impairments perceived by health care practitioners to limit or exclude clients' full participation in treatment decision making. We used qualitative methods to evaluate the short-and long-term impact of "After the Crash: A Play About Brain Injury", a research-based drama designed to teach client-centered care principles to brain injury rehabilitation staff. We conducted interviews and observations with staff of two inpatient neurorehabilitation units in Ontario, Canada. Findings demonstrate the effectiveness of the play in influencing practice through the avoidance of medical jargon to improve clients' understanding and participation in treatment; newfound appreciation for clients' needs for emotional expression and sexual intimacy; increased involvement of family caregivers; and avoidance of staff discussions as if clients were unaware. These findings suggest that researchbased drama can effect reflexivity, empathy, and practice change to facilitate a client-centered culture of practice in brain injury rehabilitation.

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“…[10][11][12][13] Counseling psychology, allied health, certain medical specialties, and religious training have used many of these techniques with varied degrees of success. [14][15][16] Problems arise in achieving the realism and totality within the student while he or she assumes the role or participates in the service or exposure. Student personality, level of development, and prior experiences also influence training.…”

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confidence: 99%

Increasing Empathy, Knowledge, and Skills Regarding Gestational Diabetes

Heuberger¹

2010

Topics in Clinical Nutrition

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Patients with gestational diabetes benefit from empathic counseling, but practitioners may not be given adequate training in their undergraduate curricula with respect to empathic methods. This study investigated methods for increasing empathy, knowledge, and skills by using immersion, standard didactic techniques and skill-building exercises. Students (n = 93) assumed the role of "patient with gestational diabetes," and postimmersion analyses showed statistically significant improvements in empathy, knowledge, and skills as measured by scores on the Jefferson Scale of Empathy, practicum results, and standardized testing. Patient outcomes improve with practitioner empathy and empathy increases when practitioners have personal experiences with the recommendations they make through immersion. E MPATHY is essential for increasing patient compliance, for accelerating the motivational interviewing (MI) process and for increasing a patient's level of selfexploration, which leads to behavior change. Motivational interviewing is a method of helping patients change their behavior by investigating their own ambivalence. Motivational interviewing and counseling are more effective and produce more positive outcomes when empathy is employed. [1][2][3] Dietitians care for their patients by providing them with information and instructions. The provision of information does not nec-

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Developing Empathy as a Foundation of Client-Centred Practice: Evaluation of a University Curriculum Initiative

Cited by 28 publications

References 27 publications

Grief, Anger, and Relationality

Grief, Anger, and Relationality

Improving Client-Centered Brain Injury Rehabilitation Through Research-Based Theater

Increasing Empathy, Knowledge, and Skills Regarding Gestational Diabetes

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