Browsing by Author "Stuckey, Shanna"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Coming in Warm: Qualitative Study and Concept Map to Cultivate Patient‐Centered Empathy in Emergency Care
    (Wiley, 2019) Pettit, Katie E.; Rattray, Nicholas A.; Wang, Hao; Stuckey, Shanna; Courtney, D. Mark; Messman, Anne M.; Kline, Jeffrey A.; Emergency Medicine, School of Medicine
    Background Increased empathy may improve patient perceptions and outcomes. No training tool has been derived to teach empathy to emergency care providers. Accordingly, we engaged patients to assist in creating a concept map to teach empathy to emergency care providers. Methods We recruited patients, patient caretakers and patient advocates with emergency department experience to participate in three separate focus groups (n = 18 participants). Facilitators guided discussion about behaviors that physicians should demonstrate in order to rapidly create trust, enhance patient perception that the physician understood the patient's point of view, needs, concerns, fears, and optimize patient/caregiver understanding of their experience. Verbatim transcripts from the three focus groups were read by the authors and by consensus, 5 major themes with 10 minor themes were identified. After creating a codebook with thematic definitions, one author reviewed all transcripts to a library of verbatim excerpts coded by theme. To test for inter‐rater reliability, two other authors similarly coded a random sample of 40% of the transcripts. Authors independently chose excerpts that represented consensus and strong emotional responses from participants. Results Approximately 90% of opinions and preferences fell within 15 themes, with five central themes: Provider transparency, Acknowledgement of patient's emotions, Provider disposition, Trust in physician, and Listening. Participants also highlighted the need for authenticity, context and individuality to enhance empathic communication. For empathy map content, patients offered example behaviors that promote perceptions of physician warmth, respect, physical touch, knowledge of medical history, explanation of tests, transparency, and treating patients as partners. The resulting concept map was named the “Empathy Circle”. Conclusions Focus group participants emphasized themes and tangible behaviors to improve empathy in emergency care. These were incorporated into the “Empathy Circle”, a novel concept map that can serve as the framework to teach empathy to emergency care providers.
  • Thumbnail Image
    Item
    Examining pre-service special education teachers’ biases and evolving understandings about families through a family as faculty approach
    (Taylor & Francis, 2020) Santamaría Graff, Cristina; Manlove, Josh; Stuckey, Shanna; Foley, Michelle
    This paper centers on a participatory qualitative study in which 22 pre-service special education teachers (i.e., undergraduate students) experienced, wrote about, and reflected upon their perceptions of families of children with disabilities over a semester-long course built on a Family as Faculty (FAF) model adapted from the healthcare profession for special education, teacher education programs. The FAF approach used has been reconceptualized to include three essential understandings (E.U.s): a) families as experts, b) examining positionality, and c) analyzing power relations. In our iteration of FAF, parents of children with disabilities co-plan and teach specific classes within a teacher preparation course on families. The authors examine pre-service teacher responses to FAF-structured experiences. Though many pre-service teachers demonstrated growth in their understandings of family’s strengths and their participation in their child’s education, there were some who continued to view families through deficit lenses. Pre-service teachers’ reflections of families, though well-intended, often used cloaked language revealing underlying assumptions. FAF approaches that take a critical stance can unveil hidden assumptions and assist students with self-awareness and critical consciousness needed as foundations to transform individual and systemic biases.