Put the rights of others before your own, minimizing your own self worth
passive
When unsure how the client received a bill they brought to clinic, c/ minor
passive
Stand up for your rights while maintaining respect for the rights of others
assertive
Clinical example: stating expectations for acute care when client refuses consistently
assertive
Stand up for your rights but you violate the rights of others
aggressive
Clinical example: code Blue, fall occurs in the clinic, needing to call 911
aggressive
What Influences Patient-Therapist Interactions in Musculoskeletal Physical Therapy? Qualitative Systematic Review and Meta-Synthesis (O’Keeffe et al.)
Non-specific factors (in addition to interventions): pt/PT interaction
Pt/PT agreement of goals
Pt/PT agreement of interventions
Affective bond between Pt/PT
Aim of study: physical therapists’ and patients’ perceptions of factors that influence patient-therapist interactions in musculoskeletal settings
Theme 1: PT interpersonal and Communication skills
Active listening: PT to listen and allow pts to tell their story
Empathy: important for therapists to realize how much of an impact pain could have on their lives
Friendliness: having a sense of humor
Encouragement: motivated to adhere to the prescribed rehabilitation and strive to improve; Emotional support
Confidence: exude confidence without being arrogant
Non-verbal communication: physical touch & attentive to manner and behavior of pt
Theme 2: Organizational and Environmental factors
Patient education: explain “why” in simple terms
PT expertise and training: improves trust and positive interactions
Compassion (Pre-frontal)
Knowing how other people think and feel
Perspective-taking
Emotional (Temporal, limbic)
Feeling another person’s emotions
Feeling our own distress in response to their pain
Experiencing a willingness to help someone
Compassion (Pre-frontal)
Having sympathy
Typically the most desirable
Includes having cognitive empathy
Somatic
Having a physical reaction in response to what someone else is experiencing
Tearful, embarrassed, etc.
how does empathy relate to patient care?
improved pt satisfaction
improved adherence to txtment plans
better clinical outcomes
fewer medical errors
fewer medical malpractice claims
increase career longevity
potential barriers to empathy
concerns about perception
background with regard to recognizing and processing emotions
fear
past exeperiences