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Construct-Validating Humility: Perceptions of a Humble Doctor.

ABSTRACT: Examining the nature of humility using self-report measures has been a challenging endeavor due to concerns of response biases and the common misconception that equates humility with self-deprecation. Alternatively, this study attempts to validate the construct of humility by assessing subjects' (N = 553) responses to a speech written to represent the core elements of humility as opposed to self-deprecation or unconditional self-underrating. Data show that (a) humility comprises a latent construct subsuming accurate self-assessment, open-mindedness, and egalitarianism; and (b) humility outperforms self-deprecation in enhancing perceived sincerity, source credibility, and the intention to interact with the source. Results indicate, particularly for expert sources, that humility cues can promote approachability while maintaining perceived expertise.

SUBMITTER: Kim SY

PROVIDER: S-EPMC9152537 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Construct-Validating Humility: Perceptions of a Humble Doctor.

Kim Sang-Yeon SY Sahlstein Parcell Erin E

Frontiers in psychology 20220517

Examining the nature of humility using self-report measures has been a challenging endeavor due to concerns of response biases and the common misconception that equates humility with self-deprecation. Alternatively, this study attempts to validate the construct of humility by assessing subjects' (<i>N</i> = 553) responses to a speech written to represent the core elements of humility as opposed to self-deprecation or unconditional self-underrating. Data show that (a) humility comprises a latent ...[more]

PMID: 35656487

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Project description:The influence of somatic stem cells in the stimulation of mammalian cardiac muscle regeneration is still in its early stages, and so far, it has been difficult to determine the efficacy of the procedures that have been employed. The outstanding question remains whether stem cells derived from the bone marrow or some other location within or outside of the heart can populate a region of myocardial damage and transform into tissue-specific differentiated progenies, and also exhibit functional synchronization. Consequently, this necessitates the development of an appropriate in vitro three-dimensional (3D) model of cardiomyogenesis and prompts the development of a 3D cardiac muscle construct for tissue engineering purposes, especially using the somatic stem cell, human mesenchymal stem cells (hMSCs). To this end, we have created an in vitro 3D functional prevascularized cardiac muscle construct using embryonic cardiac myocytes (eCMs) and hMSCs. First, to generate the prevascularized scaffold, human cardiac microvascular endothelial cells (hCMVECs) and hMSCs were cocultured onto a 3D collagen cell carrier (CCC) for 7 days under vasculogenic culture conditions; hCMVECs/hMSCs underwent maturation, differentiation, and morphogenesis characteristic of microvessels, and formed dense vascular networks. Next, the eCMs and hMSCs were cocultured onto this generated prevascularized CCCs for further 7 or 14 days in myogenic culture conditions. Finally, the vascular and cardiac phenotypic inductions were characterized at the morphological, immunological, biochemical, molecular, and functional levels. Expression and functional analyses of the differentiated progenies revealed neo-cardiomyogenesis and neo-vasculogenesis. In this milieu, for instance, not only were hMSCs able to couple electromechanically with developing eCMs but were also able to contribute to the developing vasculature as mural cells, respectively. Hence, our unique 3D coculture system provides us a reproducible and quintessential in vitro 3D model of cardiomyogenesis and a functioning prevascularized 3D cardiac graft that can be utilized for personalized medicine.

Project description:IntroductionAn epidemic of non-communicable diseases (NCDs) in India is fueling a growing demand for primary care and hospitalization services. Difficulties in coordinating inpatient and outpatient care create significant barriers to providing high-quality medical care. In this paper, we describe patient experiences, perceptions, and expectations of doctor-patient relationships in a secondary-level private hospital in Karnataka, India.MethodsWe conducted a cross-sectional, mixed-method needs assessment with surveys and in-depth interviews at Dr. TMA Pai Hospital (TMAPH), a secondary-level, private sector hospital in Karnataka, India. Inclusion criteria included all adults over 18 years old hospitalized at TMAPH in the past year. Patients were consecutively recruited from August 2019-October 2019 and asked to rate aspects of their relationship with their primary care provider (PCP). Descriptive statistics and multivariable logistic regression were used to analyze predictors of the doctor-patient relationship. Patients were interviewed regarding their perceptions of care coordination and doctor-patient relationships. General Thematic Analysis was utilized to analyze qualitative data and develop themes. Quantitative and qualitative findings were then merged to interpret the various dimensions of doctor-patient relationships.ResultsA total of 150 patients (47.3% male) enrolled. Ten patients underwent qualitative interviews. The median patient age was 67 years (IQR 56-76). 112 (74.7%) of patients identified a PCP either at or outside of TMAPH. 89% had diabetes and/or hypertension. Compared to patients without a PCP, having a PCP led to a significantly higher adjusted odds of always spending optimal time with their doctors (aOR 2.7, 95% CI 1.1-6.8, p = 0.04), and always receiving clear instructions on managing their medical conditions (aOR 2.5, 95% CI 1.0-6.1, p = 0.04). The following themes were developed from patient interviews: (1) patients trusted and respected their PCP believing they were receiving high quality care; and (2) despite perceived fragmentation in care, patients spoke favorably of their relationships with their doctors.ConclusionsAmong a sample of recently hospitalized patients, those with a PCP reported more positive doctor-patient relationships, though rates of dissatisfaction with doctors were still high. Further research and strategies are required to optimize continuity of care and doctor-patient relationships across the entire continuum of outpatient and inpatient care.

Dataset Information

Construct-Validating Humility: Perceptions of a Humble Doctor.

Publications

Construct-Validating Humility: Perceptions of a Humble Doctor.

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