Evidence map›Paper›PMID 42120983›Full record

SynthesisBMC health services research2026

Communicating empathy sympathy and compassion in healthcare consultations: a systematic review of applied linguistic research.

Binh Ta, Rachael Drewery, Virginia Calabria, Charlotte Albury

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Binh TaFaculty of Medicine, Nursing and Health Science, Monash University, Melbourne, VIC3800, Australia. binh.ta2@monash.edu.
Rachael DreweryNuffield Dept of Primary Care Health Sciences, University of Oxford, Oxfordshire, UK.
Virginia CalabriaDepartment of Sport and Exercise Sciences, Durham University, Durham, DH1 3LA, UK.
Charlotte AlburyNuffield Dept of Primary Care Health Sciences, University of Oxford, Oxfordshire, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunicating with empathy is an essential skill for healthcare professionals (HCPs). However, current communication training curricula fail to show how empathy communication is done, hindering the effectiveness of this training. This systematic review synthesizes applied linguistic research that shows how empathy is communicated, and what functions empathy communication serves.

methodWe included research that analysed naturalistic recorded interactions between HCPs and patients in all healthcare settings. We systematically searched five databases for studies published in English up to August 2024. We analysed results and discussion sections of included studies using aggregative thematic synthesis.

resultsWe identified 1112 studies through systematic searches and included 43 studies in our review. We found eight categories of empathy communication: 1) naming emotions or characterising experiences, 2) sharing similar emotions or experiences, 3) compassionate witnessing and minimal response, 4) claiming or displaying understanding of patients' experiences and emotions, 5) displaying empathy multimodally, 6) response cries, 7) claiming of similar emotions or experiences, and 8) others. Regarding functions of empathy communication, we found four groups: 1) facilitating advice-giving or problem-solving, 2) assisting patients to work with emotions, 3) facilitating patient-centred care, 4) facilitating history-taking activities.

conclusionThe reviewed studies provide evidence that empathy communication can be seamlessly incorporated into healthcare consultations. Empathy enhances patient engagement, aids emotional expression, supports problem-solving and helps in situations where patients' and HCPs' views diverge, making it an essential component of healthcare.

Indexed as

CommunicationEmpathyProfessional-Patient RelationsReferral and ConsultationHealth PersonnelHumansLinguisticsPatient ParticipationProblem SolvingCompassionConversation analysisEmpathyHealthcare interactionsReal-life interactionsSympathySystematic review

Identifiers

PMID42120983
PMCPMC13340324

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.