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探索医学生共情能力发展中的性别差异:对青少年教养学校参观反思的质性分析

Exploring gender differences in empathy development among medical students: a qualitative analysis of reflections on juvenile correctional school visits.

作者信息

Hsu Hsiang-Chin, Sung Tzu-Ching

机构信息

Department of Emergency Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.

School of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

出版信息

Med Educ Online. 2025 Dec;30(1):2500556. doi: 10.1080/10872981.2025.2500556. Epub 2025 May 4.

Abstract

Empathy development is a critical component of medical education, shaping future physicians' ability to provide compassionate, patient-centered care. This study investigates the reflections of male and female medical students on their experiences at a juvenile correctional school, focusing on how gender shapes their interpretations, emotional engagement, and learning outcomes. Using a qualitative analysis of reflective journals collected from 28 participants, the study employed thematic analysis to identify gender-based patterns in emotional engagement, interpretive framing, and learning outcomes. Reflexivity measures and rigorous coding processes were implemented to ensure credibility and minimize bias in data interpretation. Male students frequently adopted a practical form of empathy, characterized by task-oriented interactions and a sense of competitive camaraderie. In contrast, female students exhibited relational empathy, emphasizing emotional connections and nurturing behaviors. These findings underscore the value of integrating gender-sensitive empathy training into medical education, encouraging the development of both relational and practical approaches. By incorporating tailored reflection exercises and interactive strategies, medical education programs can better equip students to engage compassionately with diverse patient populations. This approach enriches the learning experience and fosters a more holistic understanding of patient care, ultimately leading to improved healthcare outcomes.

摘要

同理心培养是医学教育的关键组成部分,它塑造着未来医生提供富有同情心、以患者为中心的医疗服务的能力。本研究调查了男女医学生对他们在一所青少年教养所经历的反思,重点关注性别如何塑造他们的理解、情感投入和学习成果。通过对从28名参与者收集的反思日志进行定性分析,该研究采用主题分析来识别情感投入、解释框架和学习成果中基于性别的模式。实施了反思性措施和严格的编码过程,以确保可信度并尽量减少数据解释中的偏差。男学生经常采用一种实用形式的同理心,其特点是以任务为导向的互动和竞争式的同志情谊。相比之下,女学生表现出关系同理心,强调情感联系和关怀行为。这些发现强调了将性别敏感的同理心培训纳入医学教育的价值,鼓励发展关系型和实用型方法。通过纳入量身定制的反思练习和互动策略,医学教育项目可以更好地使学生有能力以同情的方式与不同的患者群体互动。这种方法丰富了学习体验,促进了对患者护理更全面的理解,最终带来更好的医疗结果。

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