The Relationship between Cognitively-Based Clinical Empathy and Attitudes toward Death and Dying in Medical Students

dc.contributor.authorUnlu, Gazi
dc.contributor.authorUludag, Ayhan
dc.date.accessioned2024-02-23T14:20:28Z
dc.date.available2024-02-23T14:20:28Z
dc.date.issued2020
dc.departmentNEÜen_US
dc.description.abstractTheory Empathy has a potentially complicated relationship with dealing with death and dying. Having clinical empathy can improve interactions with dying, but educational interventions aimed at fostering empathy may cause medical students to connect emotionally with dying patients and behave unprofessionally out of self-defense. Cognitively-based clinical empathy should lead to positive attitudes toward death and dying by adhering to the principles of detached concern and professionalism.Hypotheses:The main components of cognitively-based clinical empathy are negatively correlated with (1) difficulty communicating with dying patients and their relatives, and (2) avoidance of death and dying.Method:This cross-sectional study included 372 medical students from two universities in Konya, Turkey. Data were collected via a survey consisting of three parts: socio-demographic information, the Turkish version of Jefferson Scale of Empathy-Student Version (JSE-S), and the Turkish Approach to Death and Dying Patients Attitude Scale. Independent samples t-test and one-way analysis of variance were used for comparative analysis. Bivariate and partial correlation analyses were used to assess the associations between variables.Results:Perspective-taking and compassionate care were significantly and moderately positively correlated with difficulty communicating with the dying and their relatives. Perspective-taking and compassionate care had significant, but weak positive correlations with avoiding death and dying. There was no significant correlation between standing in the patient's shoes and either communication or avoidance.Conclusions:Both hypotheses were rejected. The present findings raise questions regarding whether the JSE-S is an effective operationalization of cognitively-based clinical empathy. Perspective-taking and compassionate care as measured by the JSE-S may reflect a propensity to engaging emotionally that leads to negative attitudes toward death and dying in medical students. If so, reducing the negative effects of emotional engagement seems crucial for developing positive attitudes toward death and dying in medical students.en_US
dc.identifier.doi10.1080/10401334.2020.1794881
dc.identifier.endpage57en_US
dc.identifier.issn1040-1334
dc.identifier.issn1532-8015
dc.identifier.issue1en_US
dc.identifier.pmid32779940en_US
dc.identifier.scopus2-s2.0-85089453880en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage49en_US
dc.identifier.urihttps://doi.org/10.1080/10401334.2020.1794881
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13148
dc.identifier.volume33en_US
dc.identifier.wosWOS:000558490100001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherRoutledge Journals, Taylor & Francis Ltden_US
dc.relation.ispartofTeaching And Learning In Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDeathen_US
dc.subjectDyingen_US
dc.subjectEmpathyen_US
dc.subjectEnd-Of-Lifeen_US
dc.subjectMedical Studentsen_US
dc.titleThe Relationship between Cognitively-Based Clinical Empathy and Attitudes toward Death and Dying in Medical Studentsen_US
dc.typeArticleen_US

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