ArticleMayo Clinic proceedings. Innovations, quality & outcomes2021
Resilience, Well-being, and Empathy Among Private Practice Physicians and Advanced Practice Providers in Texas: A Structural Equation Model Study.
Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Healthcare Professionals' Subjective Well-Being: A Systematic Review and Methodological Appraisal of Conceptual Models, Measurement Instruments, and Associated Factors.International journal of environmental research and public health · 2026Pooled it
- Evaluation of the relationship between resilience and empathy in medical professionals using structural equation modeling.Frontiers in psychology · 2026Article
- Synergy between resilience and empathy in health sciences students: a cross-sectional study.BMC medical education · 2025Article
- Role of Resilience in Predicting and Empathy Dimensions in Dental Students: A Cross-Sectional Design.Behavioral sciences (Basel, Switzerland) · 2025Article
- Hostage negotiator resilience: A phenomenological study of awe.Frontiers in psychology · 2023Article
- What is well-being? A scoping review of the conceptual and operational definitions of occupational well-being.Journal of clinical and translational science · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate structural relationships of latent constructs such as occupational wellbeing, resilience, work meaningfulness, and psychological empowerment with affective and cognitive clinical empathy among a community of physicians and advanced practice providers.
methodsWe conducted a cross-sectional observational study. We gathered data by an anonymous self-administered multidimensional questionnaire disseminated electronically between March and May 2016. Participants were physicians and advanced practice providers belonging to the Health Texas Provider Network, a group private practice affiliated with the Baylor Scott and White Health system. We excluded allied health care staff (eg, nurses) and trainees (eg, residents, medical students). We pursued a 3-step strategy: (1) confirmatory factor analysis of a theory-driven measurement model, (2) a modified structural equation model from which pathways with nonsignificant path coefficients were deleted, and (3) multigroup analyses of the modified model.
resultsCognitive empathy was the strongest predictor of affective empathy. We observed modest positive associations of resilience with cognitive and affective empathy and of well-being and meaning with affective but not with cognitive empathy. Resilience, meaning, and psychological empowerment were surprisingly negatively associated with well-being, suggesting diminished self-care among practitioners. Effects of psychological empowerment on empathy and well-being were mediated by resilience and meaning.
conclusionCognitive empathy directly influenced affective empathy; well-being and meaningfulness exerted direct positive effects on affective but not on cognitive empathy, whereas resilience had direct positive associations with both empathy dimensions. Resilience and meaning manifested direct, negative associations with well-being, revealing clinicians' disproportionate focus on patient care at the expense of self-care.
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