Effects of empathy on the perspectives of respectful and disrespectful maternity care among nursing and midwifery students in China: A cross-sectional study

IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Nurse Education Today Pub Date : 2024-12-24 DOI:10.1016/j.nedt.2024.106559
Jing Huang , Na Wang , Yuhui Fu , Rui Yang , Mingna Zhang , Li Guo , Jenny Gamble , Debra K. Creedy
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Abstract

Background

Empathy is a crucial attribute in healthcare, benefiting both professionals and patients. It also plays an important role in the midwife-woman relationship, contributing to the implementation of respectful maternity care. Witnessing acts of disrespect towards childbearing women in the clinical setting may impair students' perceptions of respectful maternity care, as they may come to view disrespect as normative. However, empathy may moderate this effect among pre-registration nursing and midwifery students.

Objectives

To measure empathy levels and associated factors among pre-registration nursing and midwifery students, and the mediating role of empathy on perceptions of disrespectful and respectful maternity care.

Design

A cross-sectional survey.

Settings

Eight universities/colleges.

Participants

A total of 694 pre-registration nursing and midwifery students.

Methods

Participants completed an online survey with questions from the Jefferson Scale of Empathy (Health Profession Students), Students' Perceptions of Respectful Maternity Care and a list of items to measure exposure to disrespectful maternity care.

Results

Students reported a mean empathy score of 103 out of 140. Factors such as female, Han ethnicity, fourth year of the program, midwifery major, and a hybrid mode of clinical practicum (online and in-person) were found to be associated with higher empathy levels. Empathy mediated the impact of witnessing disrespectful care on students' perceptions of respectful maternity care.

Conclusion

Pre-registration education should consider the different needs of students based on their gender, ethnicity, and different stages of clinical training. Enabling clinical learning environments with empathetic role models may cultivate students' empathy during their clinical training.
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共情对中国护理和助产专业学生尊重和不尊重产妇护理观点的影响:一项横断面研究
同情心是医疗保健的一个关键属性,对专业人员和患者都有好处。它还在助产士与妇女的关系中发挥重要作用,有助于实施尊重产妇的护理。在临床环境中目睹对育龄妇女的不尊重行为可能会损害学生对尊重产妇护理的看法,因为他们可能会将不尊重视为规范。然而,在注册前护理和助产学学生中,共情可能会缓和这种影响。目的考察注册前护理与助产专业学生共情水平及其相关因素,并探讨共情对不尊重和尊重产科护理感知的中介作用。设计一个横断面调查。SettingsEight大学/学院。参与者共694名预注册护理及助产学学生。方法参与者完成了一份在线调查,问卷的问题包括杰弗逊共情量表(卫生专业学生)、学生对尊重性孕产护理的看法以及一系列衡量不尊重性孕产护理的项目。结果学生们的共情平均分为103分(总分140分)。研究发现,女性、汉族、项目的第四年、助产专业和临床实习的混合模式(在线和面对面)等因素与较高的同理心水平有关。共情在目睹不尊重护理对学生尊重产妇护理感知的影响中起中介作用。结论注册前教育应根据学生的性别、种族和临床培训的不同阶段考虑学生的不同需求。具有同理心的临床学习环境可以在临床训练中培养学生的同理心。
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来源期刊
Nurse Education Today
Nurse Education Today 医学-护理
CiteScore
6.90
自引率
12.80%
发文量
349
审稿时长
58 days
期刊介绍: Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.
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