Evidence map›Paper›PMID 35379249›Full record

ArticleBMC medical education2022

The development of empathy in the healthcare setting: a qualitative approach.

Chou Chuen Yu, Laurence Tan, Mai Khanh LE, Bernard Tang, Sok Ying Liaw, Tanya Tierney, Yun Ying Ho, Beng Eng Evelyn Lim, Daphne Lim, Reuben Ng and 2 more

Abstract read
In one paragraph

Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. The relationship between sleep quality and emotional resilience in breast cancer patients undergoing chemotherapy: a national cross-sectional study in Iraq.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Chou Chuen YuGeriatric Education and Research Institute Ltd, Singapore, Singapore.
Laurence TanGeriatric Education and Research Institute Ltd, Singapore, Singapore.
Mai Khanh LEGeriatric Education and Research Institute Ltd, Singapore, Singapore.
Bernard TangGeriatric Education and Research Institute Ltd, Singapore, Singapore. tang.bernard.yg@geri.com.sg.
Sok Ying LiawAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Tanya TierneyLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Yun Ying HoMinistry of Health Holdings, Singapore, Singapore.
Beng Eng Evelyn LimSchool of Health & Social Sciences, Nanyang Polytechnic, Singapore, Singapore.
Daphne LimSchool of Health & Social Sciences, Nanyang Polytechnic, Singapore, Singapore.
Reuben NgLee Kuan Yew School of Public Policy, National University of Singapore, Singapore, Singapore.
Siew Chin ChiaTan Tock Seng Hospital, Singapore, Singapore.
James Alvin LowGeriatric Education and Research Institute Ltd, Singapore, Singapore.

Funding

Geriatric Education and Research Institute Ltd GERI/1616
6 · The paper itself

Abstract

backgroundHealthcare professionals' empathetic behaviors have been known to lead to higher satisfaction levels and produce better health outcomes for patients. However, empathy could decrease over time especially during training and clinical practice. This study explored factors that contributed to the development of empathy in the healthcare setting. Findings could be used to improve the effectiveness and sustainability of empathy training.

methodA qualitative approach, informed by aspects of grounded theory, was utilized to identify factors that enabled the development of empathy from the perspectives of doctors, nurses, allied healthcare workers and students. Twelve sessions of focus group discussions were conducted with 60 participants from two hospitals, a medical school, and a nursing school. Data was analyzed independently by three investigators who later corroborated to refine the codes, subthemes, and themes. Factors which influence the development of empathy were identified and categorized. This formed the basis of the creation of a tentative theory of empathy development for the healthcare setting.

resultsThe authors identified various personal (e.g. inherent characteristics, physiological and mental states, professional identity) and external (e.g. work environment, life experience, situational stressors) factors that affected the development of empathy. These could be further categorized into three groups based on the stability of their impact on the individuals' empathy state, contributed by high, medium, or low stability factors. Findings suggest empathy is more trait-like and stable in nature but is also susceptible to fluctuation depending on the circumstances faced by healthcare professionals. Interventions targeting medium and low stability factors could potentially promote the development of empathy in the clinical setting.

conclusionsUnderstanding factors that impact the development of empathy allows us to develop measures that could be implemented during training or at the workplace leading to improve the quality of care and higher clinical work satisfaction.

Indexed as

EmpathyJob SatisfactionDelivery of Health CareHealth PersonnelHumansPersonal SatisfactionEmpathyEmpathy assessmentEmpathy definitionEmpathy developmentMedical education

Identifiers

PMID35379249
PMCPMC8981670

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.