MedEdPORTAL. 2021 Apr 14;17:11141. doi: 10.15766/mep_2374-8265.11141.

The Kind Care Bundle: A Curriculum to Teach Medical Students the Behaviors of Kind, Compassionate Care.

MedEdPORTAL : the journal of teaching and learning resources

Cynthia M Cooper, Galina Gheihman

PMID: 33889721 PMCID: PMC8056774 DOI: 10.15766/mep_2374-8265.11141

Abstract

INTRODUCTION: Patients' hospital experiences can be adversely affected by clinicians' negative behaviors. Simple positive behaviors, however, can have a dramatic impact on patient-clinician relationships. Medical students starting clinical training are ideal educational targets for learning good behavioral habits that promote kind, compassionate care.

METHODS: We developed the Kind Care Bundle, a collection of concrete verbal and nonverbal behaviors for showing compassion in patient interactions. The curriculum was taught in 3-hour small-group interactive sessions to first-year students. Students reflected on personal experiences of compassionate care and role-played the use of the Kind Care Bundle. In pairs, students interviewed patients about their experiences of kind, compassionate care while practicing the Kind Care Bundle. Students completed a postsession evaluation with Likert scales and free-text responses.

RESULTS: Thirty-seven of 40 students (92%) completed postsession evaluation forms. Session organization was considered excellent (27 of 37 students, 73%) or very good (nine of 37, 27%). Session relevance was rated as excellent by 30 of 37 students (81%) and very good by six of 37 students (16%). Students believed the bundle filled an educational gap. Qualitative themes included appreciation of concrete behaviors in the bundle, importance of empathy, and opportunity to reflect on one's own experience of compassion.

DISCUSSION: Students appreciated learning about specific behaviors for improving patient interactions. Targeting preclinical medical students has the potential to promote kinder and more compassionate patient interactions during subsequent clinical training. The long-term impact on students' behavior and on their personal and professional development requires further study.

© 2021 Cooper and Gheihman.

Keywords: Burnout; Communication Skills; Compassionate Care; Humanism; Person-Centered Care; Professionalism; Reflection/Narrative Medicine; Well-Being/Mental Health

References

1. Med Clin North Am. 2018 May;102(3):509-519 - PubMed
2. J Gen Intern Med. 2004 May;19(5 Pt 2):501-4 - PubMed
3. Lancet. 2016 Nov 5;388(10057):2272-2281 - PubMed
4. J Hosp Med. 2016 Feb;11(2):105-10 - PubMed
5. Med Educ. 2004 May;38(5):522-34 - PubMed
6. N Engl J Med. 2008 May 8;358(19):1988-9 - PubMed
7. JAMA. 2018 Apr 17;319(15):1543-1544 - PubMed
8. MedEdPORTAL. 2018 Sep 15;14:10750 - PubMed
9. BMC Med Educ. 2007 Jul 25;7:24 - PubMed
10. Adv Health Sci Educ Theory Pract. 2009 Oct;14(4):595-621 - PubMed
11. BMC Med Res Methodol. 2013 Sep 18;13:117 - PubMed
12. Qual Health Res. 2005 Nov;15(9):1277-88 - PubMed
13. West J Emerg Med. 2019 Jan;20(1):23-28 - PubMed
14. JAMA. 2010 Sep 15;304(11):1173-80 - PubMed
15. PLoS One. 2019 Aug 22;14(8):e0221412 - PubMed
16. N Engl J Med. 2012 Mar 1;366(9):780-1 - PubMed
17. Patient Educ Couns. 2012 Feb;86(2):166-71 - PubMed
18. BMC Med Educ. 2019 May 10;19(1):139 - PubMed
19. Acad Med. 2009 Sep;84(9):1182-91 - PubMed
20. Acad Med. 1996 Jun;71(6):624-42 - PubMed
21. J Educ Eval Health Prof. 2014 Aug 16;11:20 - PubMed
22. Med Hypotheses. 2017 Sep;107:92-97 - PubMed
23. MedEdPORTAL. 2016 Jun 17;12:10416 - PubMed
24. Arch Intern Med. 2012 Oct 8;172(18):1377-85 - PubMed
25. Med Teach. 2013 Nov;35(11):e1561-72 - PubMed

MeSH terms

• Curriculum
• Empathy
• Humans
• Learning
• Patient Care Bundles*
• Students, Medical*

Publication Types

• Journal Article