A Simulation-Based Empathy Enhancement Program for Non-Medical Care Providers of Older Adults: A Mixed-Methods Study
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초록
Objective Studies using simulation-based programs for empathy enhancement have been conducted mostly for health profession students and medical care providers in Western countries. No empirical research has been conducted for non-medical care providers of older adults in community settings in Asian countries. The purposes of this mixed-methods study were: to explore experiences and perceived usability of non-medical care providers of older adults in a simulation-based empathy enhancement program; and to examine if the program is effective in improving empathy and relevant outcomes. Methods 104 non-medical care providers of older adults in South Korea participated in a simulation-based empathy enhancement program in 2018. Data were collected using self-reported questionnaires for effectiveness testing, a program evaluation questionnaire, and individual interviews and analyzed using statistical tests and thematic analysis. Results Care providers showed higher levels of empathy and lower levels of stress and burnout after the program participation (p<0.05). Qualitative findings supported the improved attitude and care strategies, increased empathy towards older adults, preparing for their own aging, and restoration of emotional stability through the participation in the program. Conclusion This study suggests that the simulation-based program is useful in promoting empathic responses of non-medical care providers working with older adults.
Abstract
Objective Studies using simulation-based programs for empathy enhancement have been conducted mostly for health profession students and medical care providers in Western countries. No empirical research has been conducted for non-medical care providers of older adults in community settings in Asian countries. The purposes of this mixed-methods study were: to explore experiences and perceived usability of non-medical care providers of older adults in a simulation-based empathy enhancement program; and to examine if the program is effective in improving empathy and relevant outcomes. Methods 104 non-medical care providers of older adults in South Korea participated in a simulation-based empathy enhancement program in 2018. Data were collected using self-reported questionnaires for effectiveness testing, a program evaluation questionnaire, and individual interviews and analyzed using statistical tests and thematic analysis. Results Care providers showed higher levels of empathy and lower levels of stress and burnout after the program participation (p<0.05). Qualitative findings supported the improved attitude and care strategies, increased empathy towards older adults, preparing for their own aging, and restoration of emotional stability through the participation in the program. Conclusion This study suggests that the simulation-based program is useful in promoting empathic responses of non-medical care providers working with older adults.
참고문헌 (37)
- Reher D, "Living alone in later life : a global perspective", Popul Dev Rev, 44, pp.427~454 (2018)
- Lyu I, "A study of life satisfaction level concerning the life management assistant dispatch project for the elderly living alone", Korean J 21 Century Soc Welfare, 5, pp.159~180 (2008)
- Gerdes KE, "Importance of empathy for social work practice : integrating new science", Soc Work, 56, pp.141~148 (2011)
- Hojat M, "Empathy in Health Professions Education and Patient Care" (2016), Springer International
- Derksen F, "Effectiveness of empathy in general practice : a systematic review", Br J Gen Pract, 63, pp.e76~ (2013)
- Kelm Z, "Interventions to cultivate physician empathy : a systematic review", BMC Med Educ, 14, pp.219~ (2014)
- Lee PT, "Empathy and burnout : a study on residents from a Singapore institution", Singapore Med J, 59, pp.50~54 (2018)
- Anderson K, "How do staff influence the quality of long-term dementia care and the lives of residents? A systematic review of the evidence", Int Psychogeriatr, 28, pp.1263~1281 (2016)
- Bearman M, "Learning empathy through simulation : a systematic literature review", Simul Healthc, 10, pp.308~319 (2015)
- Kolb DA, "Experiential Learning : Experience As the Source of Learning and Development" (1984), Prentice Hall
- Ter Beest H, "Nursing student as patient : experiential learning in a hospital simulation to improve empathy of nursing students", Scand J Caring Sci, 32, pp.1390~1397 (2018)
- Thirioux B, "Empathy is a protective factor of burnout in physicians : new neuro-phenomenological hypotheses regarding empathy and sympathy in care relationship", Front Psychol, 7, pp.763~ (2016)
- Teding van Berkhout E, "The efficacy of empathy training : a meta-analysis of randomized controlled trials", J Couns Psychol, 63, pp.32~41 (2016)
- Han A, "Experiences of caregivers of people with dementia in a Korean dementia simulation program", Dementia (2019)
- Algase DL, "Need-driven dementia-compromised behavior : an alternative view of disruptive behavior", Am J Alzheimer Dis, 11, pp.10~19 (1996)
- Brooker D, "What is person-centred care in dementia?", Rev Clin Gerontol, 13, pp.215~222 (2003)
- Bohecker L, "Increasing students’ empathy and counseling self-efficacy through a mindfulness experiential small group", J Spec Group Work, 41, pp.312~333 (2016)
- Mahmood L, "A moment of mindfulness : computer-mediated mindfulness practice increases state mindfulness", PLoS One, 11, pp.e0153923~ (2016)
- Gockel A, "Introducing mindfulness as a selfcare and clinical training strategy for beginning social work students", Mindfulness, 4, pp.343~353 (2013)
- 여지영, "한국판 단축 공감척도의 타당화", 한국산학기술학회논문지, 13(11), pp.5356~5363 (2012), 한국산학기술학회[DOI]
- 류혜란, "한국판 의료인용 제퍼슨 공감측정도구의 간호사 대상 타당화 연구", Journal of Korean Academy of Nursing, 46(2), pp.207~214 (2016), 한국간호과학회
- 주혜선, "정신건강전문가용 한국판 전문가 삶의 질 척도(K-ProQOL 5)의 타당화", 인지행동치료, 16(3), pp.269~298 (2016), 한국인지행동치료학회
- 김윤정, "돌봄효능감 척도의 타당화 연구: 사회복지사를 대상으로", 한국사회복지행정학, 19(2), pp.103~129 (2017), 한국사회복지행정학회[DOI]
- Standardization of Collection and Measurement of Health Statistics Data, "Chang S", Korean Society for Preventive Medicine, ~ (2000)
- Lund AM, "Measuring usability with the USE questionnaire", Usabil Interface, 8, pp.3~6 (2001)
- Smith J, "Interpretative Phenomenological Analysis : Theory, Method, and Research" (2009), Sage Publications
- Tavakol M, "Making Sense of Cronbach’s Alpha", Int J Med Educ, 2, pp.53~55 (2011)
- Cohen J, "Statistical Power Analysis for the Behavioral Sciences" (1988), Lawrence Erlbaum Associates
- Morris SB, "Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs", Psychol Methods, 7, pp.105~125 (2002)
- Braun V, "Using thematic analysis in psychology", Qual Res, 3, pp.77~101 (2006)
- Nowell LS, "Thematic analysis : striving to meet the trustworthiness criteria", Int J Qual Methods, 16, pp.1609406917733847~ (2017)
- "2018 Statistical Yearbook of Social Workers"[URL]
- Wagaman MA, "The role of empathy in burnout, compassion satisfaction, and secondary traumatic stress among social workers", Soc Work, 60, pp.201~209 (2015)
- Hojat M, "The Jefferson Scale of Empathy : a nationwide study of measurement properties, underlying components, latent variable structure, and national norms in medical students", Adv Health Sci Educ Theory Pract, 23, pp.899~920 (2018)
- Jütten LH, "Can the mixed virtual reality simulator into dementia enhance empathy and understanding and decrease burden in informal dementia caregivers?", Dement Geriatr Cogn Dis Extra, 8, pp.453~466 (2018)
- Park S, "The effects of simulation-based empathy enhancement program for care of the elderly on counselling", Innovation in Aging, 3(Suppl 1), pp.S920~S921 (2019)
- Han A, "A factorial randomized controlled trial to examine separate and combined effects of a simulation-based empathy enhancement program and a lecture-based education program on family caregivers of people with dementia", Aging Ment Health, 2020, pp.1~11 (2020)