J Educ Eval Health Prof.  2018;15:29. 10.3352/jeehp.2018.15.29.

The effects of an empathy role-playing program for operating room nursing students in Iran

• Larti N
• Ashouri E
• Aarabi A

• KMID: 2439284
• DOI: http://doi.org/10.3352/jeehp.2018.15.29

Abstract

PURPOSE
The purpose of this study was to investigate the effects of a role-playing training program conducted among operating room nursing students on empathetic communication with patients through measurements of empathy scores.
METHODS
This study was carried out among 77 operating room nursing students from the first to the fourth years studying at the School of Nursing and Midwifery of Isfahan University of Medical Sciences in the academic year 2017-2018. The intervention administered to the experimental group included a 12-hour training program on expressing empathy to patients that incorporated role-playing. The Jefferson Scale of Empathy-Health Profession Student version was completed by the participants before, immediately after, and 1 month after the intervention. A comparative analysis of these 3 time points was conducted.
RESULTS
No significant difference was found in the total pre-intervention mean empathy scores before the intervention between the control group and the experimental group (P=0.50). However, the total mean empathy scores in the experimental group immediately after and 1 month after the intervention were higher than those in the control group (P<0.001).
CONCLUSION
Empathy training through a role-playing technique was effective at improving the empathy scores of operating room nursing students, and this finding also underscores the fact that empathy can be promoted by education. Changing the educational curriculum of operating room nursing students is suggested in order to familiarize them with the concept of empathy in the operating room.

Keyword

Empathy; Iran; Operating rooms; Role playing; Students

MeSH Terms

Curriculum
Education
Empathy*
Humans
Iran*
Midwifery
Nursing
Operating Room Nursing*
Operating Rooms*
Role Playing

Reference

References

1. Bas-Sarmiento P, Fernandez-Gutierrez M, Baena-Banos M, Romero-Sanchez JM. Efficacy of empathy training in nursing students: a quasiexperimental study. Nurse Educ Today. 2017; 59:59–65. https://doi.org/10.1016/j.nedt.2017.08.012.

2. Williams B, Boyle M, Howard S. Empathy levels in undergraduate paramedic students: a three-year longitudinal study. Nurse Educ Pract. 2016; 16:86–90. https://doi.org/10.1016/j.nepr.2015.09.002.

3. Hojat M. Ten approaches for enhancing empathy in health and human services cultures. J Health Hum Serv Adm. 2009; 31:412–450.

4. Ozcan CT, Oflaz F, Bakir B. The effect of a structured empathy course on the students of a medical and a nursing school. Int Nurs Rev. 2012; 59:532–538. https://doi.org/10.1111/j.1466-7657.2012.01019.x.

5. Konrath SH, O’Brien EH, Hsing C. Changes in dispositional empathy in American college students over time: a meta-analysis. Pers Soc Psychol Rev. 2011; 15:180–198. https://doi.org/10.1177/1088868310377395.

6. Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009; 84:1182–1191. https://doi.org/10.1097/ACM.0b013e3181b17e55.

7. Schmock BN, Breckenridge DM, Benedict K. Effect of sacred space environment on surgical patient outcomes: a pilot study. Int J Hum Caring. 2009; 13:49–59. https://doi.org/10.20467/1091-5710.13.1.49.

8. Gilmartin J, Wright K. Day surgery: patients’ felt abandoned during the preoperative wait. J Clin Nurs. 2008; 17:2418–2425. https://doi.org/10.1111/j.1365-2702.2008.02374.x.

9. Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. AORN J. 2010; 92:445–457. https://doi.org/10.1016/j.aorn.2010.04.017.

10. Santos FK, Silva MV, Gomes AM. Understanding the forms of care of nurses in the operating room-a construction based on the grounded theory method. Texto Contexto Enferm. 2014; 23:696–703. https://doi.org/10.1590/0104-07072014001140013.

11. Toghian Chaharsoughi N, Ahrari S, Alikhah S. Comparison the effect of teaching of SBAR technique with role play and lecturing on communication skill of nurses. J Caring Sci. 2014; 3:141–147. https://doi.org/10.5681/jcs.2014.015.

12. Bayne HB. Training medical students in empathic communication. J Spec Group Work. 2011; 36:316–329. https://doi.org/10.1080/01933922.2011.613899.

13. Van Winkle LJ, Fjortoft N, Hojat M. Impact of a workshop about aging on the empathy scores of pharmacy and medical students. Am J Pharm Educ. 2012; 76:9. https://doi.org/10.5688/ajpe7619.

14. 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. 2011; 25:287–293. https://doi.org/10.3109/13561820.2011.566648.

15. Shariat SV, Habibi M. Empathy in Iranian medical students: measurement model of the Jefferson scale of empathy. Med Teach. 2013; 35:e913–8. https://doi.org/10.3109/0142159X.2012.714881.

16. Chen AM, Kiersma ME, Yehle KS, Plake KS. Impact of the Geriatric Medication Game on nursing students’ empathy and attitudes toward older adults. Nurse Educ Today. 2015; 35:38–43. https://doi.org/10.1016/j.nedt.2014.05.005.

17. Singh K, Bhattacharyya M, Veerwal V, Singh A. Using role-plays as an empathy education tool for ophthalmology postgraduate. Int J Appl Basic Med Res. 2017; 7(Suppl 1):S62–S66. https://doi.org/10.4103/ijabmr.IJABMR_145_17.

18. McKenna L, Boyle M, Brown T, Williams B, Molloy A, Lewis B, Molloy L. Levels of empathy in undergraduate nursing students. Int J Nurs Pract. 2012; 18:246–251. https://doi.org/10.1111/j.1440-172X.2012.02035.x.

19. Hegazi I, Wilson I. Maintaining empathy in medical school: it is possible. Med Teach. 2013; 35:1002–1008. https://doi.org/10.3109/0142159X.2013.802296.