Psychological Sciences Research Institute, Université Catholique de Louvain, Louvain-La-Neuve, Belgium.
Medical Education Unit, University College Cork, Cork, Ireland.
Patient Educ Couns. 2022 May;105(5):1342-1345. doi: 10.1016/j.pec.2021.09.017. Epub 2021 Sep 15.
This study examined the relationship between self-reported empathy and breaking bad news (BBN) communication skills performance in a sample of undergraduate medical students (n = 100) in the clinical years of their program.
Correlational and regression analysis examined the relationship between Jefferson Scale of Physician Empathy (JSPE-S) and Empathy Quotient (EQ) scores, and communication skills performance based on students' application of the SPIKES protocol to a BBN scenario in a simulated encounter.
Higher BBN communication skills performance was positively correlated with scores on the "Social Skills" EQ sub-scale (r (99) = 0.31, p = 0.002), which measures spontaneous and context-independent use of social skills. Multiple regression confirmed that "Social Skills" sub-scale variation predicted BBN score variation (B = 2.17, 95% CI = 0.65-3.69, p < 0.01). A weak positive association was also observed between BBN score and the "Standing in Patient's Shoes" JSPE sub-scale (r (99) = 0.22, p = 0.03).
Findings suggest that specific aspects of dispositional empathy may moderate BBN communications skills competence in medical students.
A better understanding of the moderating role of personality may lead to more tailored BBN communications skills training interventions and improved transfer of skills to workplace settings.
本研究考察了在临床阶段的本科医学生样本中（n=100），自我报告的同理心与不良消息告知（BBN）沟通技巧表现之间的关系。
相关性和回归分析考察了杰斐逊医师同理心量表（JSPE-S）和同理心商数（EQ）得分与学生在模拟情境中应用 SPIKES 方案对 BBN 场景的沟通技巧表现之间的关系。
更高的 BBN 沟通技巧表现与 EQ 的“社交技能”子量表得分呈正相关（r（99）=0.31，p=0.002），该子量表衡量自发和独立于情境的社交技能运用。多元回归证实“社交技能”子量表的变化可以预测 BBN 得分的变化（B=2.17，95%CI=0.65-3.69，p<0.01）。BBN 得分与“站在患者角度”JSPE 子量表之间也存在微弱的正相关（r（99）=0.22，p=0.03）。
研究结果表明，性格的某些方面可能会调节医学生的 BBN 沟通技巧能力。
更好地理解人格的调节作用可能会导致更有针对性的 BBN 沟通技巧培训干预措施，并提高技能在工作场所环境中的转移。
