Research article

Empathy before entering practice: A qualitative study on drivers of empathy in healthcare professionals from the perspective of medical students

  • Received: 04 September 2023 Revised: 08 November 2023 Accepted: 09 November 2023 Published: 05 December 2023
  • Literature has shown that clinical empathy is important for good and effective patient care; however, research into the underlying precursors driving empathy is lacking. In this study, we aim to explore the motivating factors of empathy in healthcare professionals from the perspective of medical students. A grounded theory approach was employed to study the driving influences behind empathy in healthcare professionals. Focus Group Discussions comprising 21 English-speaking Year 4 medical students from Lee Kong Chian School of Medicine were conducted in August 2018. The results revealed four drivers of empathy and they are affective, cognitive, moral and individual valuation of empathy. A novel perspective on the motivation of empathy suggests that individual valuation of empathy plays a moderating role in both promoting and reducing empathetic behaviors. This proposes that effectiveness of empathetic behaviors founded upon genuine care might vary compared to those without it, which is consistent with current literature. We have shown that affective, cognitive and moral foundations of empathy are essential driving forces of empathy, with the valuation of empathy playing a major role in propelling empathetic behavior. In understanding the perceptions of empathy, interventions could work on accentuating the positive impacts of empathy in patient care, which might in turn, compel healthcare workers to display increased empathy for better patient care.

    Citation: Yun Ying Ho, Laurence Tan, Chou Chuen Yu, Mai Khanh Le, Tanya Tierney, James Alvin Low. Empathy before entering practice: A qualitative study on drivers of empathy in healthcare professionals from the perspective of medical students[J]. AIMS Medical Science, 2023, 10(4): 329-342. doi: 10.3934/medsci.2023026

    Related Papers:

  • Literature has shown that clinical empathy is important for good and effective patient care; however, research into the underlying precursors driving empathy is lacking. In this study, we aim to explore the motivating factors of empathy in healthcare professionals from the perspective of medical students. A grounded theory approach was employed to study the driving influences behind empathy in healthcare professionals. Focus Group Discussions comprising 21 English-speaking Year 4 medical students from Lee Kong Chian School of Medicine were conducted in August 2018. The results revealed four drivers of empathy and they are affective, cognitive, moral and individual valuation of empathy. A novel perspective on the motivation of empathy suggests that individual valuation of empathy plays a moderating role in both promoting and reducing empathetic behaviors. This proposes that effectiveness of empathetic behaviors founded upon genuine care might vary compared to those without it, which is consistent with current literature. We have shown that affective, cognitive and moral foundations of empathy are essential driving forces of empathy, with the valuation of empathy playing a major role in propelling empathetic behavior. In understanding the perceptions of empathy, interventions could work on accentuating the positive impacts of empathy in patient care, which might in turn, compel healthcare workers to display increased empathy for better patient care.



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    Funding



    This work was supported by Geriatric Education and Research Institute's Intramural fund (reference number GERI1616).

    Conflict of interest



    All authors declare no conflicts of interest in this paper.

    [1] Hojat M, Mangione S, Nasca TJ, et al. (2004) An empirical study of decline in empathy in medical school. Med Educ 38: 934-941. https://doi.org/10.1111/j.1365-2929.2004.01911.x
    [2] Bellini LM, Baime M, Shea JA (2002) Variation of mood and empathy during internship. JAMA 287: 3143-3146. https://doi.org/10.1001/jama.287.23.3143
    [3] Hojat M, Vergare MJ, Maxwell K, et al. (2009) The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Acad Med 84: 1182-1191. https://doi.org/10.1097/ACM.0b013e3181b17e55
    [4] Bellini LM, Shea JA (2005) Mood change and empathy decline persist during three years of internal medicine training. Acad Med 80: 164-167. https://doi.org/10.1097/00001888-200502000-00013
    [5] Riess H, Kelley JM, Bailey RW, et al. (2012) Empathy training for resident physicians: A randomized controlled trial of a neuroscience-informed curriculum. J Gen Intern Med 27: 1280-1286. https://doi.org/10.1007/s11606-012-2063-z
    [6] Wündrich M, Schwartz C, Feige B, et al. (2017) Empathy training in medical students—A randomized controlled trial. Med Teach 39: 1096-1098. https://doi.org/10.1080/0142159X.2017.1355451
    [7] Zhou YC, Tan SR, Tan CGH, et al. (2021) A systematic scoping review of approaches to teaching and assessing empathy in medicine. BMC Med Educ 21: 292. https://doi.org/10.1186/s12909-021-02697-6
    [8] Decety J (2020) Empathy in medicine: What it is, and how much we really need it. Am J Med 133: 561-566. https://doi.org/10.1016/j.amjmed.2019.12.012
    [9] Koblar S, Cranwell M, Koblar S, et al. (2018) Developing empathy: Does experience through simulation improve medical-student empathy?. Med Sci Educ 28: 31-36. https://doi.org/10.1007/s40670-017-0488-z
    [10] Chen A, Hanna JJ, Manohar A, et al. (2018) Teaching empathy: the implementation of a video game into a psychiatry clerkship curriculum. Acad Psychiatry 42: 362-365. https://doi.org/10.1007/s40596-017-0862-6
    [11] Patel S, Pelletier-Bui A, Smith S, et al. (2019) Curricula for empathy and compassion training in medical education: A systematic review. PloS One 14: e0221412. https://doi.org/10.1371/journal.pone.0221412
    [12] Noordman J, Post B, van Dartel AAM, et al. (2019) Training residents in patient-centred communication and empathy: evaluation from patients, observers and residents. BMC Med Educ 19: 128. https://doi.org/10.1186/s12909-019-1555-5
    [13] Hojat M, Gonnella JS, Nasca TJ, et al. (2002) Physician empathy: definition, components, measurement, and relationship to gender and specialty. Am J Psychiatry 159: 1563-1569. https://doi.org/10.1176/appi.ajp.159.9.1563
    [14] Fragkos KC, Crampton PES (2020) The effectiveness of teaching clinical empathy to medical students: A systematic review and meta-analysis of randomized controlled trials. Acad Med 95: 947-957. https://doi.org/10.1097/ACM.0000000000003058
    [15] Quince T, Thiemann P, Benson J, et al. (2016) Undergraduate medical students' empathy: current perspectives. Adv Med Educ Pract 7: 443-455. https://doi.org/10.2147/AMEP.S76800
    [16] Hojat M (2009) Ten approaches for enhancing empathy in health and human services cultures. J Health Hum Serv Adm 31: 412-450.
    [17] Tan L, Le MK, Yu CC, et al. (2021) Defining clinical empathy: a grounded theory approach from the perspective of healthcare workers and patients in a multicultural setting. BMJ Open 11: e045224. https://doi.org/10.1136/bmjopen-2020-045224
    [18] Batt-Rawden SA, Chisolm MS, Anton B, et al. (2013) Teaching empathy to medical students: An updated, systematic review. Acad Med 88: 1171-1177. https://doi.org/10.1097/ACM.0b013e318299f3e3
    [19] Kelm Z, Womer J, Walter JK, et al. (2014) Interventions to cultivate physician empathy: A systematic review. BMC Med Educ 14: 219. https://doi.org/10.1186/1472-6920-14-219
    [20] Shapiro J (2008) Walking a mile in their patients' shoes: empathy and othering in medical students' education. Philos Ethics Humanit Med 3: 10. https://doi.org/10.1186/1747-5341-3-10
    [21] Watling CJ, Lingard L (2012) Grounded theory in medical education research: AMEE Guide No. 70. Med Teach 34: 850-861. https://doi.org/10.3109/0142159X.2012.704439
    [22] Heath H, Cowley S (2004) Developing a grounded theory approach: A comparison of Glaser and Strauss. Int J Nurs Stud 41: 141-150. https://doi.org/10.1016/s0020-7489(03)00113-5
    [23] Clarke V, Braun V (2012) Thematic analysis, In: Cooper H, Camic PM, Long DL, et al. Editors, APA handbook of research methods in psychology, Vol. 2. Research designs: Quantitative, qualitative, neuropsychological, and biological, Washington: American Psychological Association, 57-71 https://doi.org/10.1037/13620-004
    [24] Nanyang Technological University, Our Pedagogy. Singapore Nanyang Technological University, (2023) Available from: www.ntu.edu.sg/medicine/education/bachelor-of-medicine-and-bachelor-of-surgery-(mbbs)/our-pedagogy. Accessed 27 Nov. 2023
    [25] Batson CD, Lishner DA, Stocks EL (2010) The empathy-altruism hypothesis, In: Schroeder DA, Graziano WG, Auhors, The Oxford Handbook of Prosocial Behavior, Oxford: Oxford Academic, 259-281 https://doi.org/10.1093/oxfordhb/9780195399813.013.023
    [26] Batson CD (2010) Behavioral consequences of empathy-induced altruism. In: Batson CD, Auhtor, Altruism in Humans, Oxford: Oxford Academic, 59-80 https://doi.org/10.1093/acprof:oso/9780195341065.003.0004
    [27] Tseng WT, Lin YP (2016) “Detached concern” of medical students in a cadaver dissection course: A phenomenological study. Anat Sci Educ 9: 265-271. https://doi.org/10.1002/ase.1579
    [28] Halpern J (2003) What is clinical empathy?. J Gen Intern Med 18: 670-674. https://doi.org/10.1046/j.1525-1497.2003.21017.x
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