ahp--science of healing

1

The Research

Behind Gratitude,

the Grateful

Patient, and

Healing

The Science of Healthcare Philanthropy:

Randall Hallett

CFRE, Ed.D. Candidate, JD, MBA, BS

402.943.6097 [email protected]

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Different

Perspectives

What does philanthropy mean

physicians and hospital leaders?

vs.

What does philanthropy mean

grateful patients?

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What we

Hear from Insiders

• Fill gaps

• Buy stuff (equipment, buildings, etc.)

• Makes the bottom line stronger

• Creates funding in perpetuity

(endowments)

• Big dollars, big donors

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What does it mean?

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A Grateful Patient and Family’s

Why they give:

• Maintain relationships

• Show gratitude

• Make an impact

• Bring closure, find meaning, create legacy

Perspective

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Grateful Patients - TRANSFORMATIONAL

Different

Perspectives

• Philanthropy is a natural extension and

continuation of the clinical experience

Organizations - TRANSACTIONAL

• Philanthropy is a financial tool to address

revenue concerns

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The Power of Philanthropy

To HealExtraordinary Care Leads to Gratitude

Gratitude Leads to Giving

Giving Creates Happiness

Happiness Leads to Healing

and Healthier Behaviors

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Extraordinary Care Leads to Gratitude

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Care to Gratitude

Equity Theory

1965 by J. Stacy Adams

Equity theory explains relational satisfaction in terms of

perceptions of fair/unfair distributions of resources within

interpersonal relationships.

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Care to Gratitude

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Care to Gratitude

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Care to Gratitude

Equity Theory

• When individuals find themselves participating in inequitable

relationships, they become distressed.

• Individuals who perceive they are in an inequitable relationship

attempt to eliminate their distress by restoring equity. The

greater the inequity, the more distress people feel and the more

they try to restore equity.

• Both the person who gets "too much" and the person who gets

"too little" feel distressed..

-Adams, (1965)

-Walster, Traupmann and Walster, (1978)

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Cost of Not Accepting Gratitude

• Gratitude is often expressed, but rarely acknowledged

in an appropriate way.

• Not accepting gratitude is viewed as potentially

dismissive and disrespectful.

• Not allowing or helping someone express gratitude

when they want or need to, can lead to negative

emotions like guilt.

-Walster E., Berscheid E., and Walster G.W., (1973)

Care to Gratitude

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Extraordinary Care Leads to Gratitude


To Heal

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To Heal

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Gratitude to Giving

What is Giving?

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OMAHA, NE

Gratitude to Giving

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Gratitude to Giving

• Gratitude appears to best most often

when beneficiary perceives it to

THEIR benefit

• “It is also true that gratitude is a

motive of philanthropy, as in gifts

given to hospitals and schools in

gratitude for what these institutions

may have done for the benefactor or

his or her family.”

-Ceaser (2011)

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A Grateful Family’s

Perspective

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To Heal

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To Heal


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• Spending money on other people has a more positive

impact on happiness than spending money on oneself.

• Spending more of one’s income on others predicted

greater happiness both cross-sectionally (in a nationally

representative survey study) and longitudinally (in a field

study of windfall spending).

• Those who were randomly assigned to spend money on

others experienced greater happiness than those

assigned to spend money on themselves.

-Dunn, Aknin, and Norton (2008)

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• Functional magnetic resonance imaging (fMRI) evidence

shows giving money to charity leads to similar brain

activity in regions implicated in the experience of pleasure

and reward.

• National Institutes of Health (NIH) found charitable giving

activates the same part of the brain stimulated by sex and

money.

-Harbaugh, W. T., Myer, U., & Burghart, D. R. (2007).

-Moll, Zahn, de Oliveira-Souza, Krueger F, Grafman (2005)

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To Heal


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To Heal

Happiness Leads to

Healing and Healthier Behaviors

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Happiness and Health

Those who demonstrate happiness as a predominant

mood show…

• Lower risk of heart disease

• Lower lower blood pressure

• More normal body weight

• Healthier blood fat profiles

• Being less impacted by everyday stressors

• Stronger ability to deflect stress

-Boehm and Kubzansky (2012)

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Those who demonstrate happiness as a predominant mood

show…

• Among those 60 and over, feelings of happiness and

enjoyment are associated with improved mobility and a

lower risk of developing a disability.

• When exposed to cold and flu viruses, happier people

are less likely to get sick and, if they do, exhibit fewer

symptoms.

-Steptoe, de Oliveira, Demakakos, and Zaninotto (2014)

-Cohen, Alper, Doyle, Treanor, Turner (2006)

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Those who demonstrate happiness as a

predominant mood show…

• Have lower levels of inflammation

and stronger antiviral and

antibody responses— This falls into the realm

of epigenetics—-changing the way

your genes function by turning them

off and on.

Fredrickson, et al (2013)

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To Heal

Happiness Leads to

Healing and Healthier Behaviors

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Engaging the Clinicians

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Engaging for Gratitude

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Best Prospects

Wealth

We

alth

Best Potential

Major Gift

Donors

Annual

Giving

High/High

Low/High

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Best Prospects

Wealth + Gratitude

We

alth

Gratitude

Mail/Phone Program

Clinician

Engagement

Volunteer

Engagement

Little ROI

High/High

Low/Low Low/High

High/Low

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50 of these?

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• Adams, J. (1963). Towards An Understanding of Inequality. Journal of Abnormal

and Normal Social Psychology. (67), pp. 422-436.

• Boehm J. and Kubzansky L. (2012). Psychology Bulletin. Jul;138(4):655-91.

• Ceaser, J. (2011). No Thanks to Gratitude. Hoover Institute Publications.

• Cohen, S., Alper, C., Doyle, W., Treanor, J., Turner, R. (2006). Positive emotional

style predicts resistance to illness after experimental exposure to rhinovirus or

influenza a virus. Psychosomatic Medicine. Nov-Dec;68(6):809-15.

• Dunn E.W., Aknin LB, Norton MI, (2008). Spending Money on Others Promotes

Happiness. Science 319:1687.

• Fredrickson, A. et al. (2013). A functional genomic perspective on human well-

being. Proceeding from the National Academy of Sciences. August 13, 2013. Vol.

110, no. 33.

References

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• Harbaugh, W., Myer, U., and Burghart, D. (2007). Neural responses to taxation and

voluntary giving reveal motives for charitable donations. Science. 316, 1622-1625.

• Moll, J., Zahn, R., de Oliveira-Souza, R., Krueger F, Grafman, J. (2005). The neural

basis of human moral cognition. National Revenue of Neurosciences. 6:799–809

• Spector, P.E. (2008). Industrial and Organizational Behavior (5th ed.). Wiley:

Hoboken, NJ.

• Steptoe, A., de Oliveira, C., Demakakos, P., and Zaninotto, P., (2014). Enjoyment of

life and declining physical function at older ages: a longitudinal cohort study.

Canadian Medical Association Journal. Mar 4;186(4): E150-6.

• Walster, E., Walster G. and Bershcheid, E. (1978). Equity: Theory and

Research. Allyn and Bacon, Inc.

• Walster E., Berscheid E., and Walster G., (1973). New directions in equity

research. Journal of Personality and Social Psychology.

References

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The Research

Behind Gratitude,

the Grateful

Patient, and

Healing

The Science of Healthcare Philanthropy:

Randall Hallett

CFRE, Ed.D. Candidate, JD, MBA, BS

402.943.6097 [email protected]

ahp--science of healing

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