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Appendices Jefferson Scale of Physician Empathya (JSPE) (HP-Version)

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Appendices Jefferson Scale of Physician Empathya (JSPE) (HP-Version) Appendices Jefferson Scale of Physician EmpathyA (JSPE) (HP-Version) 217 Empathy in Patient Care Instructions: Please indicate the extent of your agreement or disagreement with each of the following statements by marking the appropriate circle to the right of each statement. Please use the following 7-point scale (a higher number on the scale indicates more agreement): Mark one and only one response for each statement. 1 2 3 4 5 6 7 Strongly disagree Strongly agree 1234567 1. My understanding of how my patients and their families feel does not influence medical or surgical treatment....... 2. My patients feel better when I understand their feelings.... 3. It is difficult for me to view things from my patients’ perspectives ........................................ 4. I consider understanding my patients’ body language as important as verbal communication in caregiver– patient relationships......................................... 5. I have a good sense of humor that I think contributes to better clinical outcomes................................... 6. Because people are different, it is difficult for me to see things from my patients’ perspectives ....................... 7. I try not to pay attention to my patients’ emotions in history taking or in asking about their physical health...... 8. Attentiveness to my patients’ personal experiences does not influence treatment outcomes .......................... 9. I try to imagine myself in my patients’ shoes when providing care to them ...................................... 10. My patients value my understanding of their feelings, which is therapeutic in its own right ........................ 11. Patients’ illnesses can be cured only by medical or surgical treatment; therefore, emotional ties to my patients do not have a significant influence on medical or surgical outcomes......................................... 12. Asking patients about what is happening in their personal lives is not helpful in understanding their physical complaints.......................................... 13. I try to understand what is going on in my patients’ minds by paying attention to their nonverbal cues and body language ............................................... 14. I believe that emotion has no place in the treatment of medical illness ............................................ 218 Appendix A: Jefferson Scale of Physician Empathy (JSPE) 15. Empathy is a therapeutic skill without which success in treatment is limited....................................... 16. An important component of the relationship with my patients is my understanding of their emotional status as well as that of their families............................... 17. I try to think like my patients in order to render better care 18. I do not allow myself to be influenced by strong personal bonds between my patients and their family members ..... 19. I do not enjoy reading nonmedical literature or the arts.... 20. I believe that empathy is an important therapeutic factor in medical or surgical treatment...................... C Jefferson Medical College, 2001. 219 Jefferson Scale of Physician EmpathyB (JSPE) (S-Version) 221 Empathy in Patient Care Instructions: Please indicate the extent of your agreement or disagreement with each of the following statements by marking the appropriate circle to the right of each statement. Please use the following 7-point scale (a higher number on the scale indicates more agreement): Mark one and only one response for each statement. 1 2 3 4 5 6 7 Strongly disagree Strongly agree 1234567 1. Physicians’ understanding of their patients’ feelings and the feelings of their patients’ families does not influence medical or surgical treatment ............................... 2. Patients feel better when their physicians understand their feelings ................................................. 3. It is difficult for a physician to view things from patients’ perspectives ........................................ 4. Understanding body language is as important as verbal communication in physician–patient relationships......... 5. A physician’s sense of humor contributes to better clinical outcomes ............................................ 6. Because people are different, it is difficult to see things from patients’ perspectives .................................. 7. Attention to patients’ emotions is not important in history taking ................................................ 8. Attentiveness to patients’ personal experiences does not influence treatment outcomes............................... 9. Physicians should try to stand in their patients’ shoes when providing care to them................................ 10. Patients value a physician’s understanding of their feelings, which is therapeutic in its own right ........................ 11. Patients’ illnesses can be cured only by medical or surgical treatment; therefore, physicians’ emotional ties with their patients do not have a significant influence in medical or surgical treatment............................. 12. Asking patients about what is happening in their personal lives is not helpful in understanding their physical complaints.......................................... 13. Physicians should tr to understand what is going on in their patients’ minds by paying attention to their nonverbal cues and body language .......................... 222 Appendix B: Jefferson Scale of Physician Empathy 14. I believe that emotion has no place in the treatment of medical illness ............................................ 15. Empathy is a therapeutic skill without which the physician’s success is limited................................. 16. Physicians’ understanding of the emotional status of their patients, as well as that of their families is one important component of the physican–patient relationship .................................................. 17. Physician should try to think like their patients in order to render better care................................... 18. Physicians should not allow themselves to be influenced by strong personal bonds between their patients and their family members .......................... 19. I do not enjoy reading nonmedical literature or the arts.... 20. I believe that empathy is an important therapeutic factor in medical treatment.................................. C Jefferson Medical College, 2001. 223 Jefferson Scale of Patient’s PerceptionsC of Physician Empathy (JSPPPE) 225 Empathy in Patient Care Instructions: We would like to know the extent of your agreement or dis- agreement with each of the following statements about your doctor named below. Please use the following 7-point scale and write your rating number from 1 to 7 on the underlined space before each statement (1 means that you strongly disagree, and 7 means you strongly agree with the statement; a higher number indicates more agreement). 1 2 3 4 5 6 7 Strongly disagree Strongly agree Dr. (Name of the physician in here) 1. —Can view things from my perspective (see things as I see them). 2. —Asks about what is happening in my daily life. 3. —Seems concerned about me and my family. 4. —Understands my emotions, feelings, and concerns. 5. —Is an empathic doctor. C Jefferson Medical College, 2001. 226 References Association of American Medical Colleges. (2004). Medical School Objectives Project. Avail- able at: http://www.aamc.org/meded/msop. Abbott, L. C. (1983). A study of humanism in family physicians. The Journal of Family Practice, 16, 1141–1146. American Board of Internal Medicine. (1983). Evaluation of humanistic qualities in the in- ternist. Annals of Internal Medicine, 99, 720–724. Ackoff, R. L., & Emery, F. E. (1981). On purposeful systems. Seaside, CA: Intersystems. Acuna, L. E. (2000). Dont’ cry for us Argentinians: Two decades of teaching medical human- ities. Journal of Medical Ethics: Medical Humanities, 26, 66–70. Adams, G. R., Jones, R. M., Schvaneveldt, J. D., & Jenson, G. O. (1982). Antecedents of affective role-taking behaviour: Adolescent perceptions of parental socialization styles. Journal of Adolescence, 5, 259–265. Adler, H. M. (1997). The history of the present illness as treatment: Who’s listening, and why does it matter? The Journal of the American Board of Family Practice, 10, 28–35. Adler, H. M. (2002). The sociophysiology of caring in the doctor-patient relationship. Journal of General Internal Medicine, 17, 874–882. Adler, H. M., & Mammett, V. B. O. (1973). The doctor-patient relationship revisited: An analysis of the placebo effect. Annals of Internal Medicine, 78, 595–598. Adolphs, R., Tranel, D., Damasio, H., & Damasio, A. R. (1994). Impaired recognition of emotion in facial expression following bilateral damage to human amygdala. Nature, 372, 669–672. Agosta, C. (1984). Empathy and intersubjectivity. In J. Lichtenberg, M. Borenstein, & D. Silver (Eds.), Empathy II (pp. 43–61). Hillsdale, NJ: Analytic Press. Ainsworth, M. D. S. (1985a). Attachment across the life span. Bulletin of the New York Academy of Medicine, 61, 792–812. Ainsworth, M. D. S. (1985b). Patterns of infant-mother attachment: Antecedents and effects on development. Bulletin of the New York Academy of Medicine, 61, 771–791. Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum. Alcorta-Garza, A., Gonzalez-Guerrero, J. F., Tavitas-Herrera, S. E., Rodrigues-Lara, F. J., & Hojat,M.(2005).ValidaciondelaEscaladeEmpatiaMedicadeJeffersonenestudiantesde
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