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使用 Jefferson 医生同理心量表(健康提供者-学生版)测量医疗专业学生的同理心。

Measuring empathy in healthcare profession students using the Jefferson Scale of Physician Empathy: health provider--student version.

机构信息

Center for Research Medical Education and Health Care, Jefferson Medical College, Thomas Jefferson University, Philadelphia, USA.

出版信息

J Interprof Care. 2011 Jul;25(4):287-93. doi: 10.3109/13561820.2011.566648. Epub 2011 May 9.

Abstract

While empathy is commonly accepted as a mutually beneficial aspect of the health provider-patient relationship, evidence exists that many health profession students are unable to demonstrate this important skill. This study, the initial phase of a 2-year longitudinal series, examined measurement properties of the Jefferson Scale of Physician Empathy (JSPE) adapted for administration to health profession students (JSE-HPS version), and investigated group differences of empathy scores in the baccalaureate nursing (BSN) program within the College of Health Professions at a public university in the southeastern part of the USA. The 20-item survey and a demographic questionnaire were completed by 265 BSN students. Correlational analyses, t-test, and analysis of variance were used to examine internal relationships and group differences. Results showed the median item-total score correlation was statistically significant (0.42). The internal consistency of the scale (Cronbach's coefficient α) was 0.78, falling within the generally agreed standard. Test-retest reliability coefficients were acceptable at 0.58 (within 3 months interval) and 0.69 (within 6 months interval) between testing. Women scored higher than men and older students outscored younger classmates. No significant relationship was found between empathy scores and ethnicity, previous non-nursing degree, or importance of religion to the participant. These findings support measurement properties of the JSE-HPS version, and can bolster the confidence of researchers in using the Scale for measuring empathy in diverse health profession students, as one component of program evaluation as well as evaluating interprofessional learning activities among diverse healthcare professional students and interprofessional collaboration.

摘要

虽然同理心被普遍认为是医患关系中互惠互利的一个方面,但有证据表明,许多医疗专业学生无法表现出这一重要技能。本研究是一项为期两年的纵向研究的初始阶段,旨在检验适用于医疗专业学生(JSE-HPS 版本)的杰斐逊医生同理心量表(JSPE)的测量特性,并调查美国东南部一所公立大学健康职业学院护理学士(BSN)课程中同理心得分的群体差异。20 项调查和一份人口统计问卷由 265 名 BSN 学生完成。相关性分析、t 检验和方差分析用于检验内部关系和群体差异。结果表明,中位数项目总分相关性具有统计学意义(0.42)。量表的内部一致性(克朗巴赫系数α)为 0.78,处于普遍公认的标准范围内。测试-重测信度系数在 0.58(3 个月间隔内)和 0.69(6 个月间隔内)之间是可以接受的。女性得分高于男性,年龄较大的学生得分高于年龄较小的同学。同理心得分与种族、之前非护理学位或宗教对参与者的重要性之间没有显著关系。这些发现支持 JSE-HPS 版本的测量特性,并可以增强研究人员在使用量表测量不同医疗专业学生同理心方面的信心,作为项目评估的一个组成部分,以及评估不同医疗保健专业学生之间的跨专业学习活动和跨专业合作。

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