대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제50권3호
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  • Pages.252-262
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  • 2023
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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제퍼슨의 공감 척도를 사용한 치과 대학생의 공감 능력 측정

Measuring the Empathy Level of Dental Students Using the Jefferson Scale of Empathy

  • 김희민 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 양연미 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 김재곤 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 이대우 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소)
  • Heemin Kim (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Yeonmi Yang (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Jaegon Kim (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Daewoo Lee (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University)
  • 투고 : 2023.04.25
  • 심사 : 2023.06.19
  • 발행 : 2023.08.31
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초록

이 연구의 목적은 소아치과에서의 임상 실습 전과 후의 치과 대학생의 공감 능력 차이를 측정 및 비교 분석하여 공감 능력 향상을 위해 도입한 임상 교육 과정의 효과를 평가하는 것이다. 전북대학교 치과대학 재학생 중 본과 3학년, 총 69명을 대상으로 2년 동안 연구를 진행하였다. 모든 학생들은 본원 소아치과에서 3주 동안 임상 실습을 진행하였고, 실습 전과 후에 각각 설문지(Modified form of Jefferson Scale of Empathy-Health Profession Students Version)를 작성하였다. 이 중 추가적으로 강의 및 역할극 훈련을 시행한 학생들을 실험군으로, 시행하지 않은 학생들을 대조군으로 설정하였다. 실험군은 35명, 대조군은 34명이었으며, 두 군 모두에서 실습 후에 공감 능력 증가를 보였으나, 실험군에서만 유의미한 증가를 보였다(p = 0.0052). 또한 실험군에서만 특정 항목들(6번, 9번, 10번, 15번, 17번, 18번, 19번, 20번)에서 유의미한 증가를 보였다(p < 0.05). 따라서 공감과 관련한 교육의 중요성을 인지해야 하며, 향후에는 학생들의 공감 능력 향상을 위해서 단순 교육보다는 강의 및 역할극과 같은 다양한 형태의 교육 방식을 고찰하고 시도 및 평가하려는 노력이 필요하다.

The aim of this study was to evaluate the effectiveness of clinical trainings in improving empathy in dental students by analyzing changes in empathy level before and after clinical training. Third grade dental students at Jeonbuk National University (JBNU) participated for 2 years. They had clinical training for 3 weeks in pediatric dentistry at JBNU Dental Hospital. Then, 20 items of the modified form of Jefferson Scale of Empathy-Health Profession Students Version were done twice, before and after clinical training. The students who had lectures and role-playing were in the experimental group, while those who had no additional trainings were in the control group. Out of 69 students, 35 were in the experimental group and 34 were in the control group. Empathy level has increased after clinical training in both groups, but only the experimental group showed a significant increase (p = 0.0052). It also showed a significant increase in specific items (No. 6, 9, 10, 15, 17, 18, 19, 20) compared to the control group (p < 0.05). Clinical trainings such as lectures and role playing might have increased empathy levels related to standing in patient's position. Therefore, it is necessary to consider, try, and evaluate various types of clinical training rather than common education to improve dental students' empathy.

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참고문헌

  1. Souror YR, Aljehani DK, Alshaikh MH : Empathy of dental students towards children after behaviour guidance lectures and clinical experience. Eur J Dent Educ, 24:458-464, 2020. https://doi.org/10.1111/eje.12523
  2. Stepien KA, Baernstein A : Educating for empathy: a review. J Gen Intern Med, 21:524-530, 2006. https://doi.org/10.1111/j.1525-1497.2006.00443.x
  3. Zhou YC, Tan SR, Tan CGH, Ng MSP, Lim KH, Tan LHE, Ong YT, Cheong CWS, Chin AMC, Chiam M, Chia EWY, Lim C, Wijaya L, Chowdhury AR, Kwek JW, Fong W, Somasundaram N, Ong EK, Mason S, Krishna LKR : A systematic scoping review of approaches to teaching and assessing empathy in medicine. BMC Med Educ, 21:292, 2021.
  4. Nightingale SD, Yarnold PR, Greenberg MS : Sympathy, empathy, and physician resource utilization. J Gen Intern Med, 6:420-423, 1991. https://doi.org/10.1007/BF02598163
  5. Mercer SW, Reynolds WJ : Empathy and quality of care. Br J Gen Pract, 52(Suppl):S9-S12, 2002.
  6. Yarascavitch C, Regehr G, Hodges B, Haas DA : Changes in dental student empathy during training. J Dent Edu, 73:509-517, 2009. https://doi.org/10.1002/j.0022-0337.2009.73.4.tb04722.x
  7. Jeon S, Cho E : Assessment of Korean pharmacy students' empathy using the Jefferson scale of empathy. Am J Pharm Educ, 79:67, 2015.
  8. Guidi C, Traversa C : Empathy in patient care: from 'Clinical Empathy' to 'Empathic Concern'. Med Health Care Philos, 24:573-585, 2021. https://doi.org/10.1007/s11019-021-10033-4
  9. Fields SK, Mahan P, Tillman P, Harris J, Maxwell K, Hojat M : Measuring empathy in healthcare profession students using the Jefferson Scale of Physician Empathy: health provider - student version. J Interprof Care, 25:287-293, 2011. https://doi.org/10.3109/13561820.2011.566648
  10. Hogan R : Development of an empathy scale. J Consult Clin Psychol, 33:307-316, 1969. https://doi.org/10.1037/h0027580
  11. Mehrabian A, Epstein N : A measure of emotional empathy. J Pers, 40:525-543, 1972. https://doi.org/10.1111/j.1467-6494.1972.tb00078.x
  12. Davis MH : Measuring individual differences in empathy: Evidence for a multidimensional approach. J Pers Soc Psychol, 44:113-126, 1983. https://doi.org/10.1037/0022-3514.44.1.113
  13. Balconi M, Canavesio Y : Emotional contagion and trait empathy in prosocial behavior in young people: the contribution of autonomic (facial feedback) and balanced emotional empathy scale (BEES) measures. J Clin Exp Neuropsychol, 35:41-48, 2013. https://doi.org/10.1080/13803395.2012.742492
  14. Hojat M : Empathy in patient care: antecedents, development, measurement, and outcomes. Springer, New York, 2007.
  15. American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Available from URL: https://www.aapd.org/globalassets/media/policies_guidelines/bp_behavguide.pdf (Accessed on August 11, 2023).
  16. Sherman JJ, Cramer A : Measurement of changes in empathy during dental school. J Dent Educ, 69:338-345, 2005. https://doi.org/10.1002/j.0022-0337.2005.69.3.tb03920.x
  17. Jones LM, Huggins TJ : Empathy in the dentist-patient relationship: review and application. NZ Dent J, 110:98-104, 2014.
  18. Lee BK, Bahn GH, Lee WH, Park JH, Yoon TY, Baek SB : The relationship between empathy and medical education system, grades, and personality in medical college students and medical school students. Korean J Med Educ, 21:117-124, 2009. https://doi.org/10.3946/kjme.2009.21.2.117
  19. Roh MS, Hahm BJ, Lee DH, Suh DH : Evaluation of empathy among Korean medical students: a cross-sectional study using the Korean Version of the Jefferson Scale of Physician Empathy. Teach Learn Med, 22:167-171, 2010. https://doi.org/10.1080/10401334.2010.488191
  20. Babar MG, Omar H, Lim LP, Khan SA, Mitha S, Ahmad SF, Hasan SS : An assessment of dental students' empathy levels in Malaysia. Int J Med Educ, 4:223-229, 2013. https://doi.org/10.5116/ijme.5259.4513
  21. Andersen FA, Johansen ASB, Sondergaard J, Andersen CM, Assing Hvidt E : Revisiting the trajectory of medical students' empathy, and impact of gender, specialty preferences and nationality: a systematic review. BMC Med Educ, 20:52, 2020.
  22. Loo R : Kolb's learning styles and learning preferences: is there a linkage? Edu Psychol, 24:99-108, 2004. https://doi.org/10.1080/0144341032000146476
  23. Shariat SV, Habibi M : Empathy in Iranian medical students: measurement model of the Jefferson scale of empathy. Med Teach, 35:E913-E918, 2013. https://doi.org/10.3109/0142159X.2012.714881
  24. Smith KE, Norman GJ, Decety J : The complexity of empathy during medical school training: evidence for positive changes. Med Educ, 51:1146-1159, 2017. https://doi.org/10.1111/medu.13398
  25. Neumann M, Edelhauser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, Haramati A, Scheffer C : Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med, 86:996-1009, 2011. https://doi.org/10.1097/ACM.0b013e318221e615
  26. Costa P, de Carvalho-Filho MA, Schweller M, Thiemann P, Salgueira A, Benson J, Costa MJ, Quince T : Measuring medical students' empathy: exploring the underlying constructs of and associations between two widely used self-report instruments in five countries. Acad Med, 92:860-867, 2017. https://doi.org/10.1097/ACM.0000000000001449
  27. Bergstresser K : Empathy in medical students: Exploring the impact of a longitudinal integrated clerkship model. Marywood University, Scranton, 2017.
  28. Shapiro J, Morrison E, Boker J : Teaching empathy to first year medical students: evaluation of an elective literature and medicine course. Educ Health (Abingdon), 17:73-84, 2004. https://doi.org/10.1080/13576280310001656196
  29. Hojat M, Gonnella J, Maxwell K : Jefferson Scales of Empathy (JSE) professional manual & user's guide. Jefferson Medical College Center for Research in Medical Education and Health Care, Philadelphia, 2009.
  30. Kataoka H, Iwase T, Ogawa H, Mahmood S, Sato M, DeSantis J, Hojat M, Gonnella JS : Can communication skills training improve empathy? A six-year longitudinal study of medical students in Japan. Med Teach, 41:195-200, 2019. https://doi.org/10.1080/0142159X.2018.1460657
  31. Park KH, Roh H, Suh DH, Hojat M : Empathy in Korean medical students: findings from a nationwide survey. Med Teach, 37:943-948, 2015. https://doi.org/10.3109/0142159X.2014.956058
  32. Hasan S, Al-Sharqawi N, Dashti F, AbdulAziz M, Abdullah A, Shukkur M, Bouhaimed M, Thalib L : Level of empathy among medical students in Kuwait University, Kuwait. Med Princ Pract, 22:385-389, 2013. https://doi.org/10.1159/000348300