Hojat Mohammadreza, Bianco Joseph A, Mann Douglas, Massello David, Calabrese Leonard H
a Sidney Kimmel Medical College at Thomas Jefferson University , USA.
b Ohio University Heritage College of Osteopathic Medicine , USA.
Med Teach. 2015 Aug;37(8):755-758. doi: 10.3109/0142159X.2014.971722. Epub 2014 Oct 14.
Empathy, teamwork and an integrative approach to patient care share common denominators such as interpersonal skills and understanding patients' concerns. Thus, a significant overlap among measures of empathy, teamwork and integrative approach to patient care is expected.
This study examined the magnitude of overlap (shared variance) among three measures of empathy, teamwork and an integrative approach to patient care.
Three-hundred seventy-three medical students completed the Jefferson Scale of Empathy (JSE), the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (JSAPNC) and Integrative Patient Care (IPC).
Significant overlaps were found among the three measures (p < 0.01), ranging from 13% (r = 0.36), between JSAPNC and IPC, to 18% (r = 0.42), between JSE and JSAPNC, and 30% (r = 0.55) between JSE and IPC for the total sample. Pattern of findings was similar for men and women. In a multiple regression model, a significant multiple correlation (R = 0.60, p < 0.01) was obtained in correlating scores on the JSE with the JSAPNC, and IPC scores, controlling for gender effect (men = 0 and women = 1).
The significant links between empathy, teamwork and IPC support the common denominator assumption. The findings that IPC shares common variance with empathy and teamwork have implications for medical education curriculum, suggesting that implementation of integrative patient care can improve empathic engagement in patient care and orientation toward teamwork.
同理心、团队合作以及综合的患者护理方法具有共同特征,如人际沟通技巧和理解患者的担忧。因此,预计同理心、团队合作和综合患者护理方法的测量指标之间会有显著重叠。
本研究考察了同理心、团队合作和综合患者护理方法这三项测量指标之间重叠(共同方差)的程度。
373名医学生完成了杰斐逊同理心量表(JSE)、杰斐逊医生 - 护士合作态度量表(JSAPNC)和综合患者护理量表(IPC)。
三项测量指标之间发现了显著重叠(p < 0.01),范围从JSAPNC与IPC之间的13%(r = 0.36),到JSE与JSAPNC之间的18%(r = 0.42),以及JSE与IPC之间的30%(r = 0.55)(总样本)。男性和女性的研究结果模式相似。在多元回归模型中,将JSE得分与JSAPNC和IPC得分进行相关分析时,在控制性别效应(男性 = 0,女性 = 1)的情况下,获得了显著的多元相关系数(R = 0.60,p < 0.01)。
同理心、团队合作和综合患者护理之间的显著联系支持了共同特征假设。综合患者护理与同理心和团队合作具有共同方差这一发现对医学教育课程具有启示意义,表明实施综合患者护理可以改善患者护理中的同理心参与以及团队合作导向。