Levels of empathy in undergraduate emergency health, nursing, and midwifery students: a longitudinal study

Purpose This research examines the extent and nature of empathy among emergency health (paramedic), nursing, and midwifery students at one Australian university and investigates the longitudinal changes in empathy levels across the course of study. Methods First-, second-, and third-year students at Monash University completed the Jefferson Scale of Empathy–Health Professional (JSE-HP) in 2008, 2009, and 2010, and the resulting mean empathy scores were analyzed by course, year of course, year of study, age, and sex. Results Midwifery students were found to have higher empathy levels than nursing and emergency health students. Second- and third-year students scored higher than their counterparts in the first year. Empathy levels dipped in 2009 and rose in 2010. Students aged 26–30 years and 31–35 years recorded higher scores than their younger colleagues, and female students were found to be more empathic than their male counterparts. Conclusion The finding that empathy levels are relatively stable over the term of study contributes to the understanding of how empathy evolves over the course of study and offers insights into the importance of incorporating and promoting empathy in health care curricula.

[1]  J. Muttappallymyalil,et al.  Empathy levels among first year Malaysian medical students: an observational study , 2014, Advances in medical education and practice.

[2]  Melanie Neumann,et al.  Determinants of physician empathy during medical education: hypothetical conclusions from an exploratory qualitative survey of practicing physicians , 2014, BMC medical education.

[3]  Dana Lynn Driscoll,et al.  Empathy as a determining factor for nursing career selection. , 2013, The Journal of nursing education.

[4]  B. Williams,et al.  Measurement of Empathy Levels in Undergraduate Paramedic Students , 2013, Prehospital and Disaster Medicine.

[5]  M. Hojat,et al.  The Relationship Between Physician Empathy and Disease Complications: An Empirical Study of Primary Care Physicians and Their Diabetic Patients in Parma, Italy , 2012, Academic medicine : journal of the Association of American Medical Colleges.

[6]  J. Tulsky,et al.  Physician Empathy and Listening: Associations with Patient Satisfaction and Autonomy , 2011, The Journal of the American Board of Family Medicine.

[7]  M. Hojat,et al.  Measuring empathy in healthcare profession students using the Jefferson Scale of Physician Empathy: Health provider – student version , 2011, Journal of interprofessional care.

[8]  M. Hojat,et al.  A brief instrument to measure patients' overall satisfaction with primary care physicians. , 2011, Family medicine.

[9]  David M. Shannon,et al.  Psychometric Analysis of the JSPE Nursing Student Version R: Comparison of Senior BSN Students and Medical Students Attitudes toward Empathy in Patient Care , 2011, ISRN nursing.

[10]  Sara H. Konrath,et al.  Changes in Dispositional Empathy in American College Students Over Time: A Meta-Analysis , 2011, Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc.

[11]  M. Hojat,et al.  Physicians' Empathy and Clinical Outcomes for Diabetic Patients , 2011, Academic medicine : journal of the Association of American Medical Colleges.

[12]  P. Nunes,et al.  A study of empathy decline in students from five health disciplines during their first year of training , 2011 .

[13]  F. D. Dewi,et al.  Patient satisfaction analysis on service quality of dental health care based on empathy and responsiveness , 2011, Dental research journal.

[14]  M. Tavakol,et al.  Empathy in UK Medical Students: Differences by Gender, Medical Year and Specialty Interest , 2011, Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors.

[15]  J. Colliver,et al.  Reports of the Decline of Empathy During Medical Education Are Greatly Exaggerated: A Reexamination of the Research , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[16]  Scott Lamont,et al.  A review of empathy education in nursing. , 2010, Nursing inquiry.

[17]  Frank Foley The fifteen minute hour: Therapeutic talk in primary care , 2010 .

[18]  Michael J. Vergare,et al.  The Devil is in the Third Year: A Longitudinal Study of Erosion of Empathy in Medical School , 2009, Academic medicine : journal of the Association of American Medical Colleges.

[19]  M. Hojat,et al.  Measurement of Empathy Among Japanese Medical Students: Psychometrics and Score Differences by Gender and Level of Medical Education , 2009, Academic medicine : journal of the Association of American Medical Colleges.

[20]  Reidar Pedersen,et al.  Empirical research on empathy in medicine-A critical review. , 2009, Patient education and counseling.

[21]  M. Hojat,et al.  Reliability and Validity of the Jefferson Scale of Empathy in Undergraduate Nursing Students , 2009, Journal of Nursing Measurement.

[22]  Charles Saltzman,et al.  Empathy in patient care–antecedents, development, measurement, and outcomes , 2008 .

[23]  H. Bryce,et al.  The Midwives' Guide to Key Medical Conditions: Pregnancy and Childbirth , 2008 .

[24]  P. O'Sullivan,et al.  Is There Hardening of the Heart During Medical School? , 2008, Academic medicine : journal of the Association of American Medical Colleges.

[25]  R. Lew,et al.  A Cross-sectional Measurement of Medical Student Empathy , 2007, Journal of General Internal Medicine.

[26]  Gregory C Kane,et al.  Jefferson Scale of Patient's Perceptions of Physician Empathy: preliminary psychometric data. , 2007, Croatian medical journal.

[27]  M. Magee,et al.  Empathy Scores in Medical School and Ratings of Empathic Behavior in Residency Training 3 Years Later , 2005, The Journal of social psychology.

[28]  J. Coulehan Viewpoint:: Today’s Professionalism: Engaging the Mind but Not the Heart , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[29]  M. Magee,et al.  Comparisons of Nurses and Physicians on an Operational Measure of Empathy , 2004, Evaluation & the health professions.

[30]  M. Hojat,et al.  Empathy: An NP/MD Comparison , 2003, The Nurse practitioner.

[31]  D. Wright Making friends with your data: improving how statistics are conducted and reported. , 2003, The British journal of educational psychology.

[32]  M. Magee,et al.  Physician empathy in medical education and practice: experience with the Jefferson scale of physician empathy , 2003 .

[33]  M. Magee,et al.  The Jefferson Scale of Physician Empathy: Further Psychometric Data and Differences by Gender and Specialty at Item Level , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[34]  Thomas J Nasca,et al.  Physician empathy: definition, components, measurement, and relationship to gender and specialty. , 2002, The American journal of psychiatry.

[35]  J S Gonnella,et al.  Empathy in medical students as related to academic performance, clinical competence and gender , 2002, Medical education.

[36]  L. Deloney,et al.  The medical student as patient navigator as an approach to teaching empathy. , 2002, American journal of surgery.

[37]  B. Newton,et al.  Differences in Medical Students' Empathy , 2000, Academic medicine : journal of the Association of American Medical Colleges.

[38]  P. Nerdrum Maintenance of the Effect of Training in Communication Skills: A Controlled Follow-Up Study of Level of Communicated Empathy , 1997 .

[39]  Robert F. DeVellis,et al.  Scale Development: Theory and Applications. , 1992 .

[40]  Dana Lynn Driscoll,et al.  Do higher dispositions for empathy predispose males toward careers in nursing? A descriptive correlational design. , 2015, Nursing forum.

[41]  M. Hojat,et al.  The empathy enigma: an empirical study of decline in empathy among undergraduate nursing students. , 2012, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[42]  M. Hojat Ten approaches for enhancing empathy in health and human services cultures. , 2009, Journal of health and human services administration.

[43]  S. Gürel,et al.  [Teaching empathy in medical education]. , 2005, Turk psikiyatri dergisi = Turkish journal of psychiatry.

[44]  W. Reynolds,et al.  Do nurses and other professional helpers normally display much empathy? , 2000, Journal of advanced nursing.

[45]  J. O'donnell The Medical School Objectives Project (MSOP) , 1999, Journal of cancer education : the official journal of the American Association for Cancer Education.

[46]  F. C. Zapffe The Association of American Medical Colleges , 1938 .