Levels of empathy in speech therapy and audiology undergraduate students training at the University of Cape Town
AbstractResearch has found empathy expressed by healthcare professionals to be beneficial to their relationship with patients, resulting in better patient outcomes as well as greater job satisfaction for clinicians. In line with the move towards patient-centred care, health science curricula have responded by including teaching of empathy, professional and communication skills to under-graduates. A body of research exists exploring empathy levels among Health Sciences students; however, little research has been conducted with students on the African continent. The current study sought to establish the levels of empathy of all Audiology and Speech-Language Pathology students enrolled at the University of Cape Town. The Jefferson Scale of Physician Empathy-Health Profession Student version (JSE-HPS) was used to assess levels of empathy among students across all years of study. Results were analysed in terms of year of study, gender and degree programme. Students entered both Programmes with a positive attitude towards empathy, and this was sustained throughout their training, although gender differences existed with male students expressing less orientation towards empathy. Implications are discussed in the light of a South African context.
Babar, M. G., Omar, H., Lim, L.P., Khan, S.A., Mitha, S., Ahmad, S. F. B., & Hasan, S.S. (2013). An assessment of dental students’ empathy levels in Malaysia.
Agilent Technologies Inc, 2005, Multiple testing corrections [Online handbook]. Retrieved on June 2, 2015 from https://www.chem.agilent.com/cag/bsp/sig/downloads/pdf/mtc.pdf
Babar, M. G., Omar, H., Lim, L.P., Khan, S.A., Mitha, S., Ahmad, S. F. B., & Hasan, S.S. (2013). An assessment of dental students’ empathy levels in Malaysia. International Journal of Medical Education, 4, 223-229. doi: 10.5116/ijme.5259.4513.
Baron-Cohen, S., & Wheelright, S. (2004). The empathy quotient: An investigation of Adults with Asperger syndrome or high-functioning autism and normal sex differences. Journal of Autism and Developmental Disorders, 34, 163-175.
Baron-Cohen, S. (2005). The essential difference: The male and female brain. In Phi KappaPhi Forum, 85, 23-27. Retrieved November 14, 2014 from https://www.questia.com/magazine/1G1-131332336/the-essential-difference-the ale-and-female-brain
Beegle, K., Himelein, K., & Ravallion, M. (2012). Frame-of-reference bias in subjective welfare. Journal of Economic Behaviour and Organisation, 81, 556-570. doi: 10.1016/j.jebo.2011.07.020.
Berg, K., Majdan, J. F., Berg, D., Veloski, J., & Hojat, M. (2011). A comparison of medical students’ self-reported empathy with simulated patients’ assessments of the students’ empathy. Medical Teacher, 33, 388-391. doi:10.1097/ACM.0b013e3182224f1f.
Broodryk, J. (2006, October). Ubuntu: African life coping skills. Paper presented at the Commonwealth Council for Educational Administration and Management (CCEAM), Pretoria, South Africa.
Brown, T., Williams, B., Boyle, M., Molloy, A., McKenna, L., Molloy, L., & Lewis, B. (2010). Levels of empathy in undergraduate occupational therapy students. Occupational Therapy International, 17, 135-41. doi: 10.1002/oti.297.
Chaplin, K. (2006). The Ubuntu spirit in African communities. Retrieved January 30, 2015 from http://www.coe.int/t/dg4/cultureheritage/culture/Cities/Publication/BookCoE20-Chaplin.pdf
Chen, D., Lew, R., Hirschman, W., & Orlander, J. (2007). A cross-sectional measurement of medical student empathy. Journal of General Internal Medicine, 22, 1434 1438. doi:10.1007/s11606-007-0298-x.
Davis, M. H., (1980). A multidimensional approach to individual differences in empathy. Catalog of Selected Documents in Psychology, 10. Retrieved November 14, 2014 from http://www.eckerd.edu/academics/psychology/files/Davis_1980.pdf
Dehning, S., Girma, E., Gasperi, S., Meyer, S., Tesfaye, M., & Siebeck, M. (2012). Comparative cross-sectional study of empathy among first year and final year medical students in Jimma University, Ethiopia: Steady state of the heart and opening of the eyes. BMC Medical Education, 12, 1-12. doi: 10.1186/1472 6920-12-34. Retrieved November 14, 2014 from http://www.biomedcentral.com/1472-6920/12/34
Farrelly, L. (2012). Measuring empathy in health care staff in relation to job satisfaction, job related affective well-being, gender, occupation and length of service. (Unpublished Bachelors final year project). Dublin Business School, Ireland. Retrieved November 14, 2014 from http://esource.dbs.ie/handle/10788/448
Fields, S.K., Mahan, P., Tillman, P., Harris, J., Maxwell, K., & Hojat, M. (2011). Measuring empathy in health care profession students using the Jefferson Scale of Physician Empathy: Health Provider Student version. Journal of Interprofessional Care, 25, 287-293. doi: 10.3109/13561820.2011.566648.
Fjortoft, N., Van Winkle, L.J., & Hojat, M. (2011). Measuring empathy in pharmacy students. American Journal of Pharmaceutical Education, 75, 1-6. doi: 10.5688/ajpe756109.
Gibson, K., Swartz, L., & Sandenbergh, R. (2002). Counselling and Coping. Cape Town, South Africa: Oxford University Press.
Gonullu, I. & Oztuna, D. (2012). A Turkish adaptation of the Student Version of the Jefferson Scale of Physician Empathy. Mamara Medical Journal, 25, 87-92.
Hafferty, F.W. (2002). What medical students know about professionalism. The Mount Sinai Journal of Medicine, 69, 385-397.
Hojat, M. (2007). Empathy in patient care: Antecedents, development, measurement, And outcomes. Philadelphia, PA: Springer.
Hojat, M., Gonnella, J., Nasca, T.J., Mangione, S., Vergare, M., & Magee, M. (2002). Physician empathy: Definition, components, measurement, and relationship to gender and speciality. American Journal of Psychiatry, 159, 1563-1569.
Hojat, M., Vergare, M. J., Maxwell, K., Brainard, G., Herrine, S.K., Isenberg, G. A., & Gonnella, J.S. (2009). The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Academic Medicine, 84, 1182-1191. doi: 10.1097/ACM.0b013e3181b17e55.
Hojat, M., Mangione, S., Nasca, T.J., Cohen, M.J., Gonnella, J.S., Erdmann, J.B., & Magee, M. (2001). The Jefferson Scale of Physician Empathy: Development and preliminary psychometric data. Educational and Psychological Measurement, 61, 349-365.
Hoskin, R, 2012, March 3, The dangers of self-report [Online article]. Retrieved April 19, 2015 from http://www.sciencebrainwaves.com/uncategorized/the-dangers-of-self-report
Le Blanc, M. (2014). Developmental criminology: Thoughts on the past and insight for the future. In J. Morizot & L. Kazemian (Eds.), The development of criminal and antisocial behaviour: Theory, research and practical applications (pp. 507-538). New York, NY: Springer.
McDonald, J. D. (2008). Measuring personality constructs: The advantages and disadvantages of self-reports, informant reports and behavioural assessments. Enquire, 1, 1-18.
McLeod, S. H. (1995). Pygmalion or Golem? Teacher affect and efficacy. College Compositions and Communications, 46, 369-386.
Napierala, M.A. (2012). What is the Bonferroni Correction? [Online article]. Retrieved May 2, 2015 from http://www.aaos.org/news/aaosnow/apr12/research7.asp.
National Collaborating Centre for Primary Care (UK). (2009). Medicines adherence: Involving patients in decision about prescribed medicines and supporting adherence. London, United Kingdom: Royal College of General Practitioners. Retrieved May 2, 2015 from https://www.nice.org.uk/guidance/cg76.
Nunes, P., Williams, S., Sa, B., & Stevenson, K. (2011). A study of empathy decline in students from five health disciplines during their first year of training. International Journal of Medical Education, 2, 12-17. doi: 10.5116/ijme.4d47.ddb0.
Paulhus, D. L. & Vazire, S. (2009). The self-report method. In R. W. Robins, R. C. Fraley, & R. F. Krueger (Eds.), Handbook of research methods in personality psychology (pp.224-239). New York, NY: Guilford.
Reynolds, W. J., & Scott, B. (2000). Do nurses and other professional helpers normally display much empathy? Journal of Advanced Nursing, 31, 226-234.
Rueckert, L. (2011). Gender differences in empathy. Psychology of Empathy, 221-234.
Rueckert, L., & Naybar, N. (2008). Gender differences in empathy: The role of the right hemisphere. Brain and Cognition, 67, 162-167.
Sherman, J.J., & Cramer, A. (2005). Measurement of changes in empathy during dental school. Journal of Dental Education, 69, 338-345.
Spiro, H. (1992). What is empathy and can it be taught? Annals of Internal Medicine, 116, 843-846. doi:10.7326/0003-4819-116-10-843.
Tavakol, S., Dennick, R., & Tavakol, M. (2012). Medical students’ understanding of empathy: A phenomenological study. Medical Education, 46, 306-316. doi: 10.1111/j.1365-2923.2011.04152.x.
Tel, H., Mollaoglu, M., Polatkan, R., & Gunaltay, H. (2011). Empathic inclination and job satisfaction in the nurses working with the individuals with chronic diseases. European Psychiatry, 26, 403. doi: 10.1016/S0924-9338.
Terre Blanche, M.J., Durrheim, K., & Painter, D., (Eds.). 2012, Research in practice: Applied methods for the social sciences. Cape Town, South Africa: Juta and Company Ltd.
Vallabh, K. (2011). Psychometrics of the student version of the Jefferson Scale of Physician Empathy (JSPE-S) in final-year medical students in Johannesburg in 2008. South African Journal of Bioethics and Law, 4, 63-68. doi: 10.7196/sajbl.164.
West, M.R. (2014). The limitations of self-report measures of non-cognitive skills. Retrieved April 19, 2015 from http://www.brookings.edu/research/papers/2014/12/18-chalkboard-non-cognitive- west.
Williams, B., Brown, T., Boyle, M., & Dousek, S., 2013, Psychometric testing of the Jefferson Scale of Empathy Health Profession Students' version with Australian paramedic students. Nursing & Health Sciences, 15, 45-50. doi: 10.1111/j.1442- 2018.2012.00719.x.
Williams, B., Brown, T., Boyle, M., McKenna, L., Palermo, C., & Etherington, J. (2014). Levels of empathy in undergraduate emergency health, nursing, and midwifery students: A longitudinal study. Advances in Medical Education and Practice, 5, 299-306. doi:10.2147/AMEP.S66681.
Williams, B., Brown, T., McKenna, L., Boyle, M. J., Palermo, C., Nestel, D., Brightwell, R., McCall, L., & Russo, V. (2014). Empathy levels among health professional students: a cross-sectional study at two universities in Australia. Advances in Medical Education and Practice, 5, 107-113. doi: 10.2147/AMEP.S57569.
Wilson, S.E., Prescott, J., & Becket, G. (2012). Empathy levels in first-and third-year students in health and non-health disciplines. American Journal of Pharmaceutical Education, 76, 1-4. doi: 10.5688/ajpe76224.
Yu, G., Wang, Y., & Liu, C. (2012). Improving public service quality from a developmental perspective: Empathy, attachment, and gender differences. Public Personnel Management, 41, 9-20. doi:10.1177/009102601204100502.