Empathic behavior in nursing and medicine students
DOI:
https://doi.org/10.15649/cuidarte.4007Keywords:
Empathy, Medicine, Nursing, Student, PsychometryAbstract
Highlights
- Empathy not only allows for more humane care of patients, but also and partially determines the effectiveness and success of treatments.
- A psychometric study of empathy assessment instruments is always required before estimating empathy levels or empathy dimensions.
- Longer educational programs, such as medicine, may give students more time for clinical exposure, personal development, and emotional maturation.
- Curriculum and educational environment play an important role in developing empathy in health science students.
Introduction: Empathy is an attribute that contributes to humane care of patients and increases the likelihood of successful treatment. Objectives: To measure the levels of empathy and its dimensions, and diagnose empathic behavior in medicine and nursing students. Materials and Methods: This was a non-experimental, cross-sectional study in which Colombian nursing and medicine students were evaluated using the Jefferson Scale of Empathy (JSE). A factor analysis, an analysis of invariance, and a two-way analysis of variance (ANOVA) were used, and the data were compared to specific cut-off points for each program. Effect size and power of the tests were estimated for the comparisons performed. Results: The theoretical model for the construct ‘empathy’ fitted the observed data, and the invariance of the model between groups was confirmed. Differences were observed between nursing and medical students, as well as between sexes, with results favoring the women group. Discussion: The differences found between students could be partly due to the curricular differences of the programs and the students' interests, whereas those related to sex may be due to characteristics observed in Latin American population. The identified empathy deficiencies allowed for the development of a diagnosis for nursing and medicine students. Conclusion: Based on the findings, it is possible to diagnose the empathy levels of students of both programs by identifying the deficiencies observed in the dimensions of empathy.
How to cite this article: Pertuz Meza Yolima, Reyes Ríos Luz Angela, Gamarra-Moncayo José, Reyes-Reyes Fernando, Reyes-Reyes Alejandro, Díaz-Narváez Víctor. Empathic Behavior in Nursing and Medicine Students. Revista Cuidarte. 2024;15(3):e4007. https://doi.org/10.15649/cuidarte.4007
References
Fernández-Aragón SP, Díaz-Perez A, Díaz-Narváez VP. Niveles de empatía en estudiantes de enfermería en Colombia. Rev Cuba Enf. 2019;35(3):1-14. https://www.medigraphic.com/pdfs/revcubenf/cnf-2019/cnf193d.pdf
Díaz-Narváez VP, Bilbao JL, Estrada-Méndez N, Ulloque J, Calzadilla-Núñez A, Barrera-Gil D. Consideraciones acerca de la declinación empática en estudiantes de medicina en Latinoamérica. Rev Cienc Salud. 2020;18(2):1-16. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.9258
Van Dijke J, van Nistelrooij I, Bos P, Duyndam J. Towards a relational conceptualization of empathy. Nurs Philos. 2020;21(3):e12297. https://doi.org/10.1111/nup.12297
Decety J. Empathy in Medicine: What It Is, and How Much We Really Need It. Am J Med. 2020;133(5):561-66. https://doi.org/10.1016/j.amjmed.2019.12.012
Weisz E, Cikara M. Strategic Regulation of Empathy. Trends Cogn Sci. 2021;25(3):213-27. https://doi.org/10.1016/j.tics.2020.12.002
Díaz-Narváez V, Miranda-Carreño F, Galaz-Guajardo S, Sepúlveda-Navarro W, Zúñiga-Mogollones M, Calzadilla-Núñez A, et al. Variability of empathy among dental students. Implications not yet understood in Latin America. Rev. Fac. Med. 2022;70(1):e91207. https://doi.org/10.15446/revfacmed.v70n1.91207
Castellón-Montenegro H, Barraza-Ospino D, Borré-Ortiz YM, Lastre-Amell G, Erazo-Coronado AM, Díaz-Narváez VP. Empathy in nursing students from the Metropolitana University of Barranquilla (Colombia). Texto Contexto Enferm. 2020;29,e20180314. https://doi.org/10.1590/1980-265X-TCE-2018-0314
Alonso-Palacio LM, Ríos-García AL, Cervantes M, Arcilla-Calderón C, Alonso-Cabrera J, Brown-Ríos M, et al. Empatía en estudiantes de medicina de la Universidad del Norte en Colombia. Comparación de dos grupos (2012 y 2015). Rev. Fac. Med. 2019;68(2):229-36. https://doi.org/10.15446/revfacmed.v68n2.70493
Díaz-Narváez VP, Jara Jara V, Moya Ahumada C, Calzadilla-Nuñez A. Empatía, género y declinación empática en estudiantes de enfermería. Rev. Salud Uninorte. 2020;36(2):378-93. http://dx.doi.org/10.14482/sun.36.2.152.41
Díaz-Narváez VP, Erazo-Coronado AM, Bilbao JL, González F, Padilla M, Howard M et al. Empathy Gender in Dental Students in Latin America: An Exploratory and Cross-Sectional Study. Health. 2015;7(11):1527-35. https://doi.org/10.4236/health.2015.711166
Díaz-Narváez VP, Calzadilla-Núñez A, López-Orellana P, Utsman-Abarca R, Alonso-Palacio LM. Empathic decline and training in nursing students. Rev Esc Enferm USP. 2020;54: e03619. https://doi.org/10.1590/S1980-220X2019006803619
Mason TA, Calleja N, Reynoso-Cruz JE, Bernal-Gamboa R. Psychometric Analysis of a Scale of Empathy in Mexican children. Ciencias Psicológicas. 2019;13(2):223-34. https://doi.org/10.22235/cp.v13i2.1878
Fernández Pinto I, López-Pérez B , Márquez M. Empatía: Medidas, teorías y aplicaciones en revisión. Anales de Psicología. 2008;24(2):284-98. https://revistas.um.es/analesps/article/view/42831/41141
Montilva M, García M, Torres A, Puertas M, Zapata E. Empatía según la escala de Jefferson en estudiantes de Medicina y Enfermería en Venezuela. Inv Edu Med. 2015;4(16):223-28. https://doi.org/10.1016/j.riem.2015.04.006
Díaz-Narváez V, Dávila-Pontón Y, Martínez-Reyes F, Calzadilla-Núñez A, Vélez-Calvo X, Reyes-Reyes A, Torres-Martínez P, Díaz-Calzadilla P. Psicometría, Escala de Empatía Médica de Jefferson y Atención Médica en Ecuador. Rev Salud Uninorte. 2021;37(1):96-111. https://doi.org/10.14482/sun.37.1.150.15
Díaz-Narváez VP, Calzadilla-Núñez A, Reyes-Reyes A, Silva-Vetri MG, Torres-Martínez P, González-Díaz ES, et al. Psychometry and Cut-off Points of the Jefferson Scale of Empathy in Medical Students in Central America and the Caribbean. P R Health Sci J. 2022;41(1):22-8. https://pubmed.ncbi.nlm.nih.gov/35438891/
Díaz-Narváez VP, Calzadilla-Núñez A, Reyes-Reyes A, Lastre Amell G, Castellón-Montenegro H, Andrade Valles I, et al. Empathy, psychometrics, cut-off points in nursing students from Latin America. Inter Nurs Rev. 2022;70(2):185-93. https://doi.org/10.1111/inr.12783
Estrada-Méndez N, Aldana Salguero JE, Alfaro Ortiz BN, Calzadilla-Núñez A, Reyes-Reyes A, Díaz-Narváez VP. Family functioning as a possible factor that modulates empathy levels in dental students. Revista de Investigación e Innovación en Ciencias de la Salud. 2023;5(1):160-76. https://doi.org/10.46634/riics.178
Fortich Mesa N, Díaz-Narváez VP. Actitud empática en estudiantes de odontología de la Corporación Universitaria Rafael Núñez en la ciudad de Cartagena. Rev. Cienc. de la Salud. 2018;16(1):129-43. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6495
Yuan KH, Bentler PM. Three likelihoodbased methods for mean and Covariance structure analysis with nonnormal missing data. Sociol. Methodol. 2000;30(1):165-200. https://doi.org/10.1111/0081-1750.00078
Rhemtulla M, Brosseau-Liard PE, Savalei V. When can categorical variables be treated as continuous? A comparison of robust continuous and categorical SEM estimation methods under suboptimal conditions. Psychol Methods. 2012;17(3):354-73. https://doi.org/10.1037/a0029315
Kline RB. Principles and Practice of Structural Equation Modeling (4th ed.). The Guilford Press;2015.
Schumacker RE, Lomax RG. A Beginner’s Guide to Structural Equation Modeling. Fourth Edition (4th ed.). Routledge; 2015.
Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrik. 1951;16(3): 297-34. https://doi.org/10.1007/BF02310555
McDonald RP. Test Theory: A Unified Treatment. Taylor & Francis; 1999.
Viladrich C, Angulo-Brunet A, Doval E. A journey around alpha and omega to estimate internal consistency reliability. An. de Psicol. 2017:33(3):755-82. https://doi.org/10.6018/analesps.33.3.268401
Chen FF. Sensitivity of goodness of fit indexes to lack of measurement invariance. Struct Equ Modeling. 2007;14(3):464-504. https://doi.org/10.1080/10705510701301834
Whittaker T, Schumacker R. A beginner’s guide to Structural Equation Modeling. 2022. (5th ed). Routledge.
Campo-Arias A, Oviedo H. Propiedades psicométricas de una escala: la consistencia interna. Revista de Salud Pública. 2008;10(5),831-39. interna. Revista de Salud Pública. 2008;10(5),831-39. https://www.redalyc.org/pdf/422/42210515.pdf
Bandalos D, Finney S. (2019). Factor Analysis: Exploratory and Confirmatory. In Hancock, G., Stapleton, L., & Mueller, O. (Ed.), The reviewer’s guide to quantitative methods in the social sciences (98-122). (2th ed.). Routledge.
Cárdenas M, Arancibia H. Potencia estadística y cálculo del tamaño del efecto en G*Power: complemento a las pruebas de significación estadística y su aplicación en Psicología. Salud y Sociedad. 2014;5(2):210-24. https://doi.org/10.22199/S07187475.2014.0002.00006
Pertuz Y, Reyes LA, Gamarra-Moncayo JR, Reyes-Reyes F, Reyes-Reyes A, Díaz-Narváez VP. Data Empathy in medicine and nursing.xlsx. 2024. Comportamiento empático en estudiantes de enfermería y medicina: OSF. https://doi.org/10.17605/OSF.IO/HNEXA
Sheng Y. Fitting Psychometric Models: Issues and New Developments. Front. Psychol. 2017;8:856. https://doi.org/10.3389/fpsyg.2017.00856
Zarei B, Salmabadi M, Amirabadizadeh A, Vagharseyyedin SA. Empathy and cultural competence in clinical nurses: A structural equation modelling approach. Nurs Ethics. 2019;26(7-8):2113-123. https://doi.org/10.1177/0969733018824794
Chen FR, Fung ALC, Raine A. The cognitive, affective, and somatic empathy scales (CASES): Cross-cultural replication and specificity to different forms of aggression and victimization. J Pers Assess. 2021;103(1):80-91. https://doi.org/10.1080/00223891.2019.1677246
San-Martín M, Delgado-Bolton R, Vivanco L. Professionalism and Occupational Well-Being: Similarities and Differences Among Latin American Health Professionals. Front Psychol. 2017;8:63. https://doi.org/10.3389/fpsyg.2017.00063
Espinel J, Colautti N, Reyes Donoso MM, López Saca JM, Riveros Rios ME, Mazzotti U, et al. Competencies for quality spiritual care in palliative care in Latin America: from the Spirituality Commission of the Latin American Association for Palliative Care. Ann Palliat Med. 2022;11(10):3247-62. https://doi.org/10.21037/apm-22-519
Ulloque MJ, Villalba S, Foscarini G, Quinteros S, Calzadilla-Núñez A, Reyes-Reyes A, Díaz-Narváez V. Family Functioning as an Explanatory Factor of Empathic Behavior in Argentine Medical Students. Behav Sci (Basel). 2023;24;13(5):356. https://doi.org/10.3390/bs13050356
Jerez-Jaimes JH, Rodríguez-Corredor ZA, Narváez-Parra EX. Explorando la empatía de estudiantes de primer semestre de enfermería mediante el empathy quotient (EQ). Revista Cuidarte. 2022;13(2):e1954. http://dx.doi.org/10.15649/cuidarte.1954
Luna D, Alcorta-Garza A, Moncada-Heredia S, Miranda-Mercado FS, Urquiza-Flores DI, Figuerola-Escoto RP, et al. General empathy and medical empathy in Mexican medical students: Integration of An Empathic Profile. Cir. 2022;90(4):517-24. https://doi.org/10.24875/CIRU.21000102
Rojas AN. Niveles de la habilidad de empatía en estudiantes de enfermería en una universidad pública. Revista de la Facultad de Medicina de la UNNE. 2022;42(3):68. Disponible en: http://revista.med.unne.edu.ar/index.php/med/article/view/259
Suárez Cadavid E, Lemos M, Ruiz EP, Krikorian A. Relación entre empatía, compasión y Burnout en estudiantes de medicina, residentes y profesionales médicos de Medellín. Revista Logos Ciencia & Tecnología. 2022;14(3):59-72. Disponible en: https://doi.org/10.22335/rlct.v14i3.1644
Rochat MJ. Sex and gender differences in the development of empathy. J Neurosci Res. 2023;101(5):718-29. https://doi.org/10.1002/jnr.25009
Downloads
Published
How to Cite
Issue
Section
Categories
Altmetrics
Downloads
License
Copyright (c) 2024 Revista Cuidarte

This work is licensed under a Creative Commons Attribution 4.0 International License.
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.