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  • The Impact of a Brief Audio...
    Wilson, Jason; Tracey, Elizabeth; Im, Carolyn; Saylor, Martha Abshire

    Journal of pain and symptom management, 20/May , Letnik: 67, Številka: 5
    Journal Article

    1. Become aware of TIMS audio files and their use by clinicians 2. Understand the utility of TIMS files in benefiting the clinical team, patients and loved ones. TIMS (This is My Story) is 2-minute patient recorded audio file placed in the medical record that improves communication between patients, loved ones and the medical team and increases the team's feelings of empathy for the patient. TIMS helps medical teams view the patient more holistically and begins to address rampant moral distress and burnout experienced by many clinicians even before the Covid-19 pandemic, by allowing them to resonate with their own humanity in their care delivery. Our objective was to assess whether a streamlined TIMS file distilled from our previous work could achieve the same outcomes we observed with our initial open-ended interview. Both quantitative and qualitative methods were used to assess the impact of TIMS recordings on medical staff. Pre and post listening questionnaires quantified attitudes and knowledge of the patient and loved ones, while qualitative interviews explored these in greater depth. Fifty-three participants responded to our TIMS evaluation survey. Almost all respondents reported the TIMS file contained useful information (50/51 reported yes or some useful info.) There was limited self-reported effect of the TIMS file on distress and empathy; 24% of respondents reported listening to the file decreased their distress. The majority response was that the respondent 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 of those who communicated with family members, most reported listening improved their communication with family members (63%, n=9/13). Qualitative analysis revealed most participants had positive impressions about their use of TIMS. TIMS files help improve communications between clinicians caring for a patient and the patient and their loved ones. TIMS files increase empathy on the part of the medical team for the patient. The TIMS intervention is one tool that can be easily employed and deployed to help medical teams communicate more easily and feel more empathy for patients. Future studies will assess whether this reduces burnout and moral distress for medical staff. Two other avenues of inquiry include a current study on the patient or loved one's perception of recording the TIMS file, and a longitudinal look at use of TIMS in patients undergoing head and neck surgery, where the file is played in the OR during the time out, is available for the subsequent hospitalization and in outpatient follow up care. An app to facilitate TIMS recordings is also under development.