Proposal for a measurement protocol for nurses' empathic communication competencies using gaze tracking, voice
Hirokazu Ito1, Yoshihiro Kai2, Tetsuya Tanioka1
1Department of Nursing, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan.
The Journal of Medical Investigation : JMI
|November 3, 2025
Summary
This study introduces a novel protocol to measure nurses' empathic communication using gaze-tracking and voice-analysis. The findings enable objective visualization of expressed empathy and emotions in nursing interactions.
Area of Science:
- Nursing Education
- Communication Studies
- Human-Computer Interaction
Background:
- Assessing nurses' empathic communication is crucial for patient care.
- Current methods for evaluating empathy lack objective, quantifiable measures.
- Visualizing non-verbal cues in communication can enhance understanding of empathy.
Purpose of the Study:
- To propose and validate a measurement protocol for visualizing nurses' empathic communication competencies.
- To integrate gaze-tracking, voice-analysis, and digital video for objective assessment.
- To provide a method for identifying expressed empathy and emotions in simulated patient interactions.
Main Methods:
- Utilized gaze-tracking (Tobii Eye Tracker 4C) and voice-analysis (WavePad FFT) with digital video.
- Collected data from two nursing students in a simulated empathic listening scenario.
- Analyzed gaze patterns across 16 facial/body regions and voice sound pressure levels.
Main Results:
- Gaze data revealed 94% focus on the patient's face, primarily the right side.
- Voice analysis indicated increased sound pressure levels with positive vocalizations like laughter.
- The protocol successfully visualized and quantified expressed empathy through objective data.
Conclusions:
- The proposed protocol offers a viable method for objectively measuring nurses' empathic communication.
- Integration of multimodal data (gaze, voice, video) provides a comprehensive assessment.
- This approach can enhance nursing education and clinical practice by providing feedback on empathic behaviors.


