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Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri ve İletişim Becerilerinin Değerlendirilmesi

Year 2022, Volume: 5 Issue: 2, 24 - 32, 16.05.2022
https://doi.org/10.53493/avrasyasbd.980538

Abstract

Empati ve iletişim, hasta-hekim ilişkisinde önemli bir faktör olup klinisyenler için temel mesleki özellikler olarak kabul edilir ve tıbbi uygulamalar üzerinde olumlu etkileri vardır. Bu nedenle tıp öğrencilerinde empatinin ve iletişim becerilerinin değerlendirilmesi tıp eğitimi için önemlidir. Çalışmanın amacı tıp fakültesi ilk ve son sınıf öğrencilerinin empati ile iletişim beceri düzeylerini değerlendirmek, etkileyen faktörleri belirlemektir. Bu tanımlayıcı çalışmada tıp fakültesi 1. ve 6. sınıf öğrencilerine sosyodemografik bilgi formu, İletişim Becerileri Envanteri (İBE) ile Jefferson Doktor Empati Ölçeği-Öğrenci Versiyonunu (JSPE-S) içeren bir anket formu uygulandı. Çalışmaya katılan 294 öğrencinin yaş ortalaması 20,93±3,01 (17-30) yıldı. Katılımcıların %58,2’si (n=171) birinci sınıfta ve %66,3’ü (n=195) kadın cinsiyetteydi. Sırasıyla JSPE-S ve İBE puan ortalaması 106,04±14,19 ve 159,47±14,74 puan olarak bulundu. Kadınların iletişim beceri ve JSPE-S puanı, erkek öğrencilerin iletişim beceri ve JSPE-S puanından anlamlı olarak yüksekti (p=0,003; p=0,012). İlk ve son sınıf öğrencilerin iletişim beceri puanları arasında istatistiksel olarak anlamlı bir ilişki saptanmazken (p=0,953), 1. sınıf öğrencilerinin JSPE-S puanı, son sınıf öğrencilerinin puanından anlamlı olarak yüksekti (p<0,001). JSPE-S toplam puanı ile iletişim beceri puanı arasında pozitif yönde orta derecede anlamlı ilişki tespit edildi (r=0,431, p<0,001). İlk ve son sınıf tıp öğrencilerinin iletişim becerileri benzerken, 1. sınıf öğrencilerinin empati düzeyi, son sınıf öğrencilerinin empati düzeyinden daha yüksek bulundu. Empati düzeyi artıkça iletişim becerileri de artmaktadır. Empati, tıp eğitimi sürecinde öğretilmeli ve geliştirilmelidir.

References

  • Akgün Ö, Akdeniz M, Kavukcu E, Avcı HH. (2020). Medical Students' Empathy Level Differences by Medical Year, Gender, and Specialty Interest in Akdeniz University. J Med Educ Curric Dev. 2020;7:2382120520940658.
  • Ardenghi S, Rampoldi G, Bani M, Strepparava MG. (2020). Attachment styles as predictors of self-reported empathy in medical students during pre-clinical years. Patient Educ Couns. 103(5):965-970. doi: 10.1016/j.pec.2019.11.004.
  • Bachmann C, Roschlaub S, Harendza S. (2017). Medical students' communication skills in clinical education: Results from a cohort study. Patient Educ Couns. 100(10):1874-1881. doi: 10.1016/j.pec.2017.05.030.
  • Bellini LM, Shea JA. (2005). Mood change and empathy decline persist during three years of internal medicine training. Academic Medicine. 80(2):164-7.
  • Benbassat J, Baumal R. (2004). What is empathy, and how can it be promoted during clinical clerkships? Acad Med. 79(9):832-9. doi: 10.1097/00001888-200409000-00004.
  • Chen DC, Kirshenbaum DS, Yan J. (2013). Characterizing changes in student empathy throughout medical school. Med Teach. 34(4):305-11. doi: 10.3109/0142159X.2012.644600.
  • Dehning S, Gasperi S, Krause D. (2013). Emotional and Cognitive Empathy in First-Year Medical Students. ISRN psychiatry. 2013(1): 1-6.
  • Dökmen Ü. (1999). İletişim Çatışmaları ve Empati. İstanbul: Sistem Yayıncılık
  • Ersanlı K, Balcı S. (1998). İletişim Becerileri Envanterinin Geliştirilmesi: Geçerlik ve Güvenirlik Çalışması. Türk Psikolojik Danışma ve Rehberlik Dergisi 2(10):7-12.
  • Gönüllü İ, Erden Ş, Gökmen D. (2017). Evaluation of Student Empathy Level During the First Five Years of Medical Education at Ankara University. J Higher Edu Sci. 7(3): 651-656.
  • Gönüllü İ, Öztuna D. A (2012). Turkish adaptation of the student version of the Jefferson scale of physician empathy. Marmara Medical Journal 25(2):87-92.
  • Halpern J. (2003). What is clinical empathy? J Gen Intern Med. 18:670-674.
  • Hojat M, Mangione S, Nasca TJ, et al. (2001). The Jefferson scale of physician empathy: development and preliminary psychometric data. Educational and Psychological Measurement. 61(2), 349-365.
  • Hojat M, Paskin DL, Callahan CA, Nasca TJ, Louis DZ, Veloski J, Erdmann JB, Gonnella JS. (2007). Components of postgraduate competence: analyses of thirty years of longitudinal data. Med Educ. 41(10):982-9. doi: 10.1111/j.1365-2923.2007.02841.x
  • Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS. (2009). The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Academic Medicine. 84(9):1182-91.
  • Hong M, Lee WH, Park JH, Yoon TY, Moon DS, Lee SM, Bahn GH. (2012). Changes of empathy in medical college and medical school students: 1-year follow up study. BMC medical education. 12(1):122.
  • Karabulut S, Yıldırım R, Zengin H, Çelik Z. (2020). Tıp Fakültesi Dönem 1-2-3 Öğrencilerinin İletişim ve Empati Becerilerinin Analizi. Tıp Eğ. Dünyası 19(58):42-53
  • Karaoglu N, Pekcan S, Yilmaz S. (2013). Are Problem Based Scenarios Supporting the Positive Affect and Empathy of Medical Students? Procedia - Social and Behavioral Sciences 82:101–107.
  • Karaoğlu N, Batı A, Şenol Y. (2012). Türkiye’de Tıp Eğitimi Tıp Öğrencilerinin Yalnızlık, Anksiyete, Depresyon Düzeylerini Ve Empatik Eğilimlerini Etkiliyor Mu? Tıp Eğitimi Dünyası. 34(34): 13-18.
  • Khademalhosseini M, Khademalhosseini Z, Mahmoodian F. (2014). Comparison of empathy score among medical students in both basic and clinical levels. J Adv Med Educ Prof. 2(2):88-91.
  • Lee BK, Bahn GH, Lee WH, Park JH, Yoon TY, Baek SB. (2009). The relationship between empathy and medical education system, grades, and personality in college of medicine students and medical school students. Korean J Med Educ. 21(1):117–24.
  • Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, Haramati A, Scheffer C. (2011). Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 86(8):996-1009.
  • Newton BW, Barber L, Clardy J, Cleveland E, O'Sullivan P. (2008). Is there hardening of the heart during medical school? Academic Medicine 83: 244-9.
  • Shapiro J. (2008). Walking a mile in their patients' shoes: empathy and othering in medical students' education. Philosophy, Ethics, and Humanities in Medicine. 3(1):10-12.
  • Shapiro J. (2011). Does medical education promote professional alexithymia? A call for attending to the emotions of patients and self in medical training, Acad. Med. 86:326–332. doi:http://dx.doi.org/10.1097/
  • Shariat SV, Habibi M. (2013). Empathy in Iranian medical students: measurement model of the Jefferson scale of empathy. Med Teach. 35(1):e913-8. doi: 10.3109/0142159X.2012.714881.
  • Tavakol S, Dennick R, Tavakol M. (2012). Medical students understanding of empathy: a phenomenological study. Medical Education 46:306-16.
  • Türkiye Yüksek Öğretim Kurumu. Mezuniyet öncesi tıp eğitimi ulusal çekirdek eğitim programı (UÇEP) 2020. erişim adresi: https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/mezuniyet-oncesi-tip-egitimi-cekirdek-egitimi-programi.pdf
  • Vogel D, Meyer M, Harendza S. (2018). Verbal and non-verbal communication skills including empathy during history taking of undergraduate medical students. BMC Med Educ. 18(1):157. doi: 10.1186/s12909-018-1260-9.
  • Zolnierek KB, DiMatteo RM. (2009). Physician communication and patient adherence to treatment: a meta-analysis. Med. Care 47 (2): 826–834.

The Evaluation of Empathy and Communication Skills in Medical Students: A Descriptive Study

Year 2022, Volume: 5 Issue: 2, 24 - 32, 16.05.2022
https://doi.org/10.53493/avrasyasbd.980538

Abstract

Empathy and communication skills are important factors in the patient-physician relationship and are considered essential professional characteristics for clinicians and it has positive effects on medical practice. Therefore, the evaluation of empathy and communication skills in medical students is important for medical education. The aim of the study is to evaluate the empathy and communication skill levels of the first and last year medical faculty students and to determine the factors affecting them.In this descriptive study a questionnaire form including sociodemographic information form, Communication Skills Inventory (CSI) and Jefferson Doctor Empathy Scale-Student Version (JSPE-S) was applied to 1st and 6th grade medical students. The mean age of 294 students participating in the study was 20.93±3.01 (17-30) years. First-year students were 58.2% (n=171) of the participants and 66.3% (n=195) were female. The mean JSPE-S and CSI scores were 106.04±14.19 and 159.47±14.74, respectively. Female students' communication skills and JSPE-S scores were significantly higher than male students' scores (p=0.003; p=0.012). While no significant relationship was found between the communication skill scores of the first and last-year students (p=0.953), the JSPE-S score of the 1st year students was significantly higher than the last-year students' score (p<0.001). A moderately significant positive correlation was found between the JSPE-S total score and the communication skill score (r=0.431, p<0.001). While the communication skills of the first and last-year medical students were similar, the empathy level of the first year students was found to be higher than the empathy level of the last year students. As the level of empathy increases, communication skills also increase. Empathy should be taught and developed during the medical education process.

References

  • Akgün Ö, Akdeniz M, Kavukcu E, Avcı HH. (2020). Medical Students' Empathy Level Differences by Medical Year, Gender, and Specialty Interest in Akdeniz University. J Med Educ Curric Dev. 2020;7:2382120520940658.
  • Ardenghi S, Rampoldi G, Bani M, Strepparava MG. (2020). Attachment styles as predictors of self-reported empathy in medical students during pre-clinical years. Patient Educ Couns. 103(5):965-970. doi: 10.1016/j.pec.2019.11.004.
  • Bachmann C, Roschlaub S, Harendza S. (2017). Medical students' communication skills in clinical education: Results from a cohort study. Patient Educ Couns. 100(10):1874-1881. doi: 10.1016/j.pec.2017.05.030.
  • Bellini LM, Shea JA. (2005). Mood change and empathy decline persist during three years of internal medicine training. Academic Medicine. 80(2):164-7.
  • Benbassat J, Baumal R. (2004). What is empathy, and how can it be promoted during clinical clerkships? Acad Med. 79(9):832-9. doi: 10.1097/00001888-200409000-00004.
  • Chen DC, Kirshenbaum DS, Yan J. (2013). Characterizing changes in student empathy throughout medical school. Med Teach. 34(4):305-11. doi: 10.3109/0142159X.2012.644600.
  • Dehning S, Gasperi S, Krause D. (2013). Emotional and Cognitive Empathy in First-Year Medical Students. ISRN psychiatry. 2013(1): 1-6.
  • Dökmen Ü. (1999). İletişim Çatışmaları ve Empati. İstanbul: Sistem Yayıncılık
  • Ersanlı K, Balcı S. (1998). İletişim Becerileri Envanterinin Geliştirilmesi: Geçerlik ve Güvenirlik Çalışması. Türk Psikolojik Danışma ve Rehberlik Dergisi 2(10):7-12.
  • Gönüllü İ, Erden Ş, Gökmen D. (2017). Evaluation of Student Empathy Level During the First Five Years of Medical Education at Ankara University. J Higher Edu Sci. 7(3): 651-656.
  • Gönüllü İ, Öztuna D. A (2012). Turkish adaptation of the student version of the Jefferson scale of physician empathy. Marmara Medical Journal 25(2):87-92.
  • Halpern J. (2003). What is clinical empathy? J Gen Intern Med. 18:670-674.
  • Hojat M, Mangione S, Nasca TJ, et al. (2001). The Jefferson scale of physician empathy: development and preliminary psychometric data. Educational and Psychological Measurement. 61(2), 349-365.
  • Hojat M, Paskin DL, Callahan CA, Nasca TJ, Louis DZ, Veloski J, Erdmann JB, Gonnella JS. (2007). Components of postgraduate competence: analyses of thirty years of longitudinal data. Med Educ. 41(10):982-9. doi: 10.1111/j.1365-2923.2007.02841.x
  • Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS. (2009). The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Academic Medicine. 84(9):1182-91.
  • Hong M, Lee WH, Park JH, Yoon TY, Moon DS, Lee SM, Bahn GH. (2012). Changes of empathy in medical college and medical school students: 1-year follow up study. BMC medical education. 12(1):122.
  • Karabulut S, Yıldırım R, Zengin H, Çelik Z. (2020). Tıp Fakültesi Dönem 1-2-3 Öğrencilerinin İletişim ve Empati Becerilerinin Analizi. Tıp Eğ. Dünyası 19(58):42-53
  • Karaoglu N, Pekcan S, Yilmaz S. (2013). Are Problem Based Scenarios Supporting the Positive Affect and Empathy of Medical Students? Procedia - Social and Behavioral Sciences 82:101–107.
  • Karaoğlu N, Batı A, Şenol Y. (2012). Türkiye’de Tıp Eğitimi Tıp Öğrencilerinin Yalnızlık, Anksiyete, Depresyon Düzeylerini Ve Empatik Eğilimlerini Etkiliyor Mu? Tıp Eğitimi Dünyası. 34(34): 13-18.
  • Khademalhosseini M, Khademalhosseini Z, Mahmoodian F. (2014). Comparison of empathy score among medical students in both basic and clinical levels. J Adv Med Educ Prof. 2(2):88-91.
  • Lee BK, Bahn GH, Lee WH, Park JH, Yoon TY, Baek SB. (2009). The relationship between empathy and medical education system, grades, and personality in college of medicine students and medical school students. Korean J Med Educ. 21(1):117–24.
  • Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, Haramati A, Scheffer C. (2011). Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 86(8):996-1009.
  • Newton BW, Barber L, Clardy J, Cleveland E, O'Sullivan P. (2008). Is there hardening of the heart during medical school? Academic Medicine 83: 244-9.
  • Shapiro J. (2008). Walking a mile in their patients' shoes: empathy and othering in medical students' education. Philosophy, Ethics, and Humanities in Medicine. 3(1):10-12.
  • Shapiro J. (2011). Does medical education promote professional alexithymia? A call for attending to the emotions of patients and self in medical training, Acad. Med. 86:326–332. doi:http://dx.doi.org/10.1097/
  • Shariat SV, Habibi M. (2013). Empathy in Iranian medical students: measurement model of the Jefferson scale of empathy. Med Teach. 35(1):e913-8. doi: 10.3109/0142159X.2012.714881.
  • Tavakol S, Dennick R, Tavakol M. (2012). Medical students understanding of empathy: a phenomenological study. Medical Education 46:306-16.
  • Türkiye Yüksek Öğretim Kurumu. Mezuniyet öncesi tıp eğitimi ulusal çekirdek eğitim programı (UÇEP) 2020. erişim adresi: https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/mezuniyet-oncesi-tip-egitimi-cekirdek-egitimi-programi.pdf
  • Vogel D, Meyer M, Harendza S. (2018). Verbal and non-verbal communication skills including empathy during history taking of undergraduate medical students. BMC Med Educ. 18(1):157. doi: 10.1186/s12909-018-1260-9.
  • Zolnierek KB, DiMatteo RM. (2009). Physician communication and patient adherence to treatment: a meta-analysis. Med. Care 47 (2): 826–834.
There are 30 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Nur Demirbaş 0000-0002-4038-9386

Nazan Karaoğlu 0000-0002-3057-2988

Publication Date May 16, 2022
Submission Date August 9, 2021
Published in Issue Year 2022 Volume: 5 Issue: 2

Cite

APA Demirbaş, N., & Karaoğlu, N. (2022). Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri ve İletişim Becerilerinin Değerlendirilmesi. Avrasya Sağlık Bilimleri Dergisi, 5(2), 24-32. https://doi.org/10.53493/avrasyasbd.980538
AMA Demirbaş N, Karaoğlu N. Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri ve İletişim Becerilerinin Değerlendirilmesi. EurasianJHS. May 2022;5(2):24-32. doi:10.53493/avrasyasbd.980538
Chicago Demirbaş, Nur, and Nazan Karaoğlu. “Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri Ve İletişim Becerilerinin Değerlendirilmesi”. Avrasya Sağlık Bilimleri Dergisi 5, no. 2 (May 2022): 24-32. https://doi.org/10.53493/avrasyasbd.980538.
EndNote Demirbaş N, Karaoğlu N (May 1, 2022) Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri ve İletişim Becerilerinin Değerlendirilmesi. Avrasya Sağlık Bilimleri Dergisi 5 2 24–32.
IEEE N. Demirbaş and N. Karaoğlu, “Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri ve İletişim Becerilerinin Değerlendirilmesi”, EurasianJHS, vol. 5, no. 2, pp. 24–32, 2022, doi: 10.53493/avrasyasbd.980538.
ISNAD Demirbaş, Nur - Karaoğlu, Nazan. “Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri Ve İletişim Becerilerinin Değerlendirilmesi”. Avrasya Sağlık Bilimleri Dergisi 5/2 (May 2022), 24-32. https://doi.org/10.53493/avrasyasbd.980538.
JAMA Demirbaş N, Karaoğlu N. Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri ve İletişim Becerilerinin Değerlendirilmesi. EurasianJHS. 2022;5:24–32.
MLA Demirbaş, Nur and Nazan Karaoğlu. “Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri Ve İletişim Becerilerinin Değerlendirilmesi”. Avrasya Sağlık Bilimleri Dergisi, vol. 5, no. 2, 2022, pp. 24-32, doi:10.53493/avrasyasbd.980538.
Vancouver Demirbaş N, Karaoğlu N. Tıp Fakültesi Öğrencilerinin Empatik Eğilimleri ve İletişim Becerilerinin Değerlendirilmesi. EurasianJHS. 2022;5(2):24-32.