PMID- 38008646
OWN - NLM
STAT- MEDLINE
DCOM- 20240102
LR  - 20240102
IS  - 1873-5134 (Electronic)
IS  - 0738-3991 (Linking)
VI  - 119
DP  - 2024 Feb
TI  - The mediating role of work-related perceptions in the relationship between 
      empathy and self-perceived clinical performance of residents in China: A 
      multi-center cross-sectional study.
PG  - 108089
LID - S0738-3991(23)00470-6 [pii]
LID - 10.1016/j.pec.2023.108089 [doi]
AB  - OBJECTIVE: This study aimed to describe the association between empathy and 
      residents' clinical performance and investigate whether work-related perception 
      mediates this relationship. METHODS: A multi-center cross-sectional study was 
      conducted, including 1160 residents from 10 cities in Liaoning Province between 
      March and October 2020. The participants completed various self-reported 
      questionnaires regarding demographic characteristics, work-related perceptions, 
      self-perceived clinical performance, and empathy. The relationships among 
      empathy, work-related perception, and self-perceived clinical performance were 
      examined using a structural equation model (SEM). RESULTS: Of the 1160 residents, 
      961 (82.8 %) completed the questionnaires. The SEM path analysis showed that the 
      direct effect of empathy on self-perceived clinical performance was significant 
      and positive (beta = 0.34, P < 0.001). There existed significant effects of empathy 
      on work-related perception (beta = 0.26, P < 0.001) and work-related perception on 
      performance (beta = 0.31, P < 0.001). The path coefficients of empathy concerning 
      self-perceived clinical performance decreased significantly (beta = 0.26, P < 0.001) 
      when work-related perception was modeled as a mediator. The bias-corrected and 
      accelerated bootstrap test revealed that work-related perception significantly 
      mediated the relationship between empathy and self-perceived clinical performance 
      (a*b = 0.08, BCa 95 % CI: 0.05-0.13). However, the correlation between the 
      sub-scales of empathy and the items of self-perceived clinical performance was 
      not substantial, even if most of them were statistically significant. The final 
      SEM produced a good fit to the sample data, with CMIN/DF = 2.07 (P < 0.001), CFI 
      = 0.99, GFI = 0.99, AGFI = 0.98, TLI = 0.98, NFI = 0.97, RMSEA (90 % CI) = 0.033 
      (0.017, 0.049), and SRMR = 0.024. CONCLUSION: Empathy might significantly affect 
      self-perceived clinical performance both directly and indirectly through the 
      mediating role of work-related perception. PRACTICE IMPLICATIONS: Efforts to 
      improve clinical performance among residents might benefit from interventions for 
      cultivating empathy and practices for improving work-related perceptions of 
      residents.
CI  - Copyright (c) 2023 The Authors. Published by Elsevier B.V. All rights reserved.
FAU - Zhu, Yaxin
AU  - Zhu Y
AD  - Institute for International Health Professions Education and Research, China 
      Medical University, Shenyang 110122, PR China.
FAU - Wang, Ziqi
AU  - Wang Z
AD  - Institute for International Health Professions Education and Research, China 
      Medical University, Shenyang 110122, PR China.
FAU - Zhong, Yifan
AU  - Zhong Y
AD  - Department of Ophthalmology, The First Hospital of China Medical University, 
      Shenyang 110000, PR China.
FAU - Duan, Xiyu
AU  - Duan X
AD  - Institute for International Health Professions Education and Research, China 
      Medical University, Shenyang 110122, PR China.
FAU - Qu, Bo
AU  - Qu B
AD  - Institute for International Health Professions Education and Research, China 
      Medical University, Shenyang 110122, PR China. Electronic address: 
      qubo6666@163.com.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20231123
PL  - Ireland
TA  - Patient Educ Couns
JT  - Patient education and counseling
JID - 8406280
MH  - Humans
MH  - China
MH  - Cross-Sectional Studies
MH  - *Empathy
MH  - Self Report
MH  - Surveys and Questionnaires
MH  - *Internship and Residency
MH  - *Clinical Competence
OTO - NOTNLM
OT  - Empathy
OT  - Residents
OT  - Self-perceived clinical performance
OT  - The Standardized Residency Training Program
OT  - Work-related perception
COIS- Declaration of Competing Interest We have read and understood your journal's 
      policies, and we believe that neither the manuscript nor the study violates any 
      of these. There are no conflicts of interest to declare, and the submission of 
      the manuscript for publication was approved by all authors.
EDAT- 2023/11/27 00:43
MHDA- 2024/01/02 11:43
CRDT- 2023/11/26 21:58
PHST- 2023/02/07 00:00 [received]
PHST- 2023/11/07 00:00 [revised]
PHST- 2023/11/20 00:00 [accepted]
PHST- 2024/01/02 11:43 [medline]
PHST- 2023/11/27 00:43 [pubmed]
PHST- 2023/11/26 21:58 [entrez]
AID - S0738-3991(23)00470-6 [pii]
AID - 10.1016/j.pec.2023.108089 [doi]
PST - ppublish
SO  - Patient Educ Couns. 2024 Feb;119:108089. doi: 10.1016/j.pec.2023.108089. Epub 
      2023 Nov 23.