The objective of our need-finding was to understand the features that would be most informative and important for the doctors. We wanted to understand the necessities from the perspective of both the doctors and patients. We hence surveyed them both to make the interface most effective for the training doctor or nurse. We are looking to incorporate these features into our paper prototype.
As we try to redesign the existing SOPHIE Feedback page, we wanted to understand a few things:
Features that are most informative.
The sentiment that makes patients most comfortable.
Platforms that help them learn most before training.
We sent the doctor's survey to a few known doctors through email. We also distributed the survey on social media to doctors' forums. We also visited Golisano Children's Hospital, NY to directly meet with some doctors, nurses and, patients. We got survey results from doctors and nurses who were finishing their shifts. The doctors also helped us by providing us information on how to communicate the survey to more nurses. Hence, we await more responses.
Almost 60 percent of the doctors and nurses find it hard to deliver bad news and it is clear from the survey that they prepare themselves before delivering the news. This shows a need for the interface to help them train.
More than 70 percent of the doctors and nurses are mindful of their facial expressions. They are mindful of their expressions and hence tracking and helping them understand their expressions through the training will be helpful.
Being empathetic with the patient is very important. The sentimental trajectory records this and it will help the doctor and nurse understand their sentiment through the tone of their voice. Being straightforward with the news at the start is also seen important.
Facial expression is maintained so that no misunderstanding occurs between the patient and doctor. tracking the doctor and nurse's expressions will help them in their training and may be added in the future. Turn-taking, speech rate and, Sentiment trajectory are seen as equally important.
The majority of the doctors and nurses currently use articles and youtube videos to train themselves to deliver bad news. Sometimes courses on online educational websites are also used, Advice from experienced medical professionals is also considered a useful method.
Of those who have experienced using some kind of agent to train, most enjoyed their experience which is a positive sign. A sign that they are comfortable training with a computer. We also see that there is still room for improvement to bring the experience to a 4.
The patient's survey was filled by everyone who has received any kind of difficult news from a doctor or nurse. The survey was distributed through social media and friends and family. We also asked patients in the URMC hospital to fill the form during our visit for the survey. This proved most useful and we await more replies.
Patients receive the news better when the doctor is empathetic. They have a better experience and are more comfortable when the doctor shows this trait and expression. Empathy was stated as very important in many responses.
Most patients have a clear understanding of their diagnosis but misunderstanding still occurs. The interface can help train doctors so that this does not occur at all. Miscommunication occurs quite frequently and needs to be avoided.