A Brief Patient-Recorded Audio File Called TIMS (This Is My Story) Improves Communication and Empathy for Healthcare Teams in the Hospital

Author:

Tracey Elizabeth1ORCID,Wilson Jason1ORCID,Im Carolyn2,Abshire-Saylor Martha3

Affiliation:

1. Division of Spiritual Care and Chaplaincy, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

2. Johns Hopkins School of Medicine, Baltimore, Maryland, USA

3. Johns Hopkins School of Nursing, Baltimore, Maryland, USA

Abstract

Our objective was to assess the impact of a 4-question patient audio interview (this is my story [TIMS]) on medical staff empathy and communication with hospitalized patients and loved ones. We recorded a 4-question audio interview with patients and posted it to the electronic health record. We used a cross-sectional, mixed methods design to pilot this patient version of the TIMS intervention. To evaluate the intervention we collected a brief evaluation survey and conducted semistructured interviews with medical staff. Fifty-three participants responded to our TIMS evaluation survey. Fifty of 51 respondents reported the TIMS file contained useful information. Twenty-four respondents reported listening to the file decreased their distress. Most responded that they either did not have distress or the TIMS file did not change their distress. Of concern, 3 people reported that listening to the file increased their distress. Importantly, most respondents reported feeling greater empathy for the patient after listening (53%) and most reported listening improved their communication with family members (63%, n = 9/13). Qualitative analysis revealed most participants had positive impressions about TIMS. We conclude that empathy and communication were both improved with use of the 4-question TIMS recording.

Funder

John Conley Foundation for Ethics and Philosophy in Medicine

Publisher

SAGE Publications

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