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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (10): 57-61.doi: 10.16460/j.issn1008-9969.2021.10.057

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Mediating Effect of Empathy between Mindfulness and Clinical Communication Skills in Vocational Nursing Students

ZENG Wei1, LIN Mei-ling2, CHEN Ya-lan3   

  1. 1. Quanzhou Medical College, Quanzhou 362000, China;
    2. Zhangzhou Health Vocational College, Zhangzhou 363000, China;
    3. Fujian Health College, Fuzhou 350101, China
  • Received:2020-07-10 Online:2021-05-25 Published:2021-06-09

Abstract: Objective To analyze the mediating effect of empathy between mindfulness and clinical communication skills in vocational nursing students. Methods A total of 541 nursing interns from Quanzhou Medical College, Zhangzhou Health Vocational College and Fujian Health College from September to December 2019 were selected using convenient sampling, then they were surveyed by using general information questionnaire, the Five Fact Mindfulness Questionnaire, the Clinical Communication Skills Assessment Scale and the Interpersonal Reactivity Index Scale. A structural equation model was built via AMOS 23.0, which was later tested by Bootstrap method. Results The total score of clinical communication skills, mindfulness and empathy was 87.10±10.05, 120.68±10.16 and 54.94±9.33, respectively. Clinical communication skill was positively correlated with mindfulness and empathy(r=0.283, 0.263,all P<0.05), and mindfulness was positively with empathy(r=0.318,P<0.05). Empathy played a partial mediating role between clinical communication skills and mindfulness, with mediating value of 0.089, accounting for 33.0% of the total effect value. Conclusion Mindfulness and empathy are closely related to clinical communication skills. Mindfulness can indirectly affect clinical communication skills through empathy. It is necessary to provide mindfulness and empathy training for vocational nursing students to improve their clinical communication skills.

Key words: practical nursing student, mindfulness, clinical communication, empathy, mediating effect

CLC Number: 

  • R47
[1] 张艳君,白继庚,程景明,等.我国恶性伤医事件的现状、原因及对策分析[J].中国社会医学杂志,2015,32(1):9-11.DOI:10.3969/j.issn.1673-5625.2015.01.004.
[2] 杨可,程文玉,张婷,等.近5年我国法院审理判决的医疗暴力案件分析[J].中国医院管理,2016,36(4):68-70.
[3] 刘林霞,曹文婷,陆静.护生实习期人际冲突现状及影响因素[J].卫生职业教育,2019,37(17):116-118.
[4] 朱子秀,张标新,胡翠霞,等.护生实习基础阶段临床沟通能力现状及影响因素的调查分析[J].临床护理杂志,2019,18(3):79-81. DOI:10.3969/j.issn.1671-8933.2019.03.029.
[5] 刘培培,吕利明,王硕,等.核心自我评价在本科护生正念与学习倦怠间的中介效应[J].护理学报,2019,26(8):41-45.DOI:10.16460/j.issn1008-9969.2019.08.041.
[6] 张烜,李佳欢,王颖,等.情绪调节在实习护生正念水平与临床沟通能力之间的中介作用[J].山东大学学报(医学版),2018, 56(12):86-91. DOI:10.6040/j.issn.1671-7554.0.2018.415.
[7] 张益菡. 特质正念与亲社会行为的关系研究[D].漳州:闽南师范大学,2019.
[8] 张玉芳,李继平.共情—良好护患关系的切入点[J].国外医学(护理学分册),2004,23(10):435-438.
[9] 山周魁东. 正念训练对共情不同维度的影响:来自行为和脑电的证据[D].上海:华东师范大学,2018.
[10] Baer RA, Smith GT, Hopkins J, et al.Using Self-report Assessment Methods to Explore Facets of Mindfullness[J].Assesment,2006, 13(1):27-45.DOI:10.1177/1073191105283504.
[11] 邓玉琴. 心智觉知训练对大学生心理健康水平的干预效果[D].北京:首都师范大学,2009.
[12] Davis MH.A Multidimensional Approach to Individual Differences in Empathy[J]. JSAS Catalog of Selected Documents in Psychology,1980,10:85.
[13] 张凤凤,董毅,汪凯,等.中文版人际反应指针量表(IRI-C)的信度及效度研究[J].中国临床心理学杂志, 2010,18(2):155-157.DOI:10.16128/j.cnki.1005-3611.2010.02.019.
[14] 杨芳宇,沈宁,李占江.护生临床沟通能力测评量表的初步编制[J].中华现代护理杂志,2010(31):3721-3724.DOI:10.3760/cma.j.issn.1674-2907.2010.31.001.
[15] 温忠麟,张雷,侯杰泰,等.中介效应检验程序及其应用[J].心理学报,2004,36(5):614-620.
[16] 吴明隆. 结构方程模型:AMOS的操作与应用[M].重庆:重庆大学出版社,2010:52-53.
[17] 唐丽. 实习护生功能失调性态度对临床沟通能力的影响研究[J].护理管理杂志,2013,13(12):865-866.
[18] 潘义英. 实习护士元情绪与临床沟通能力的关系研究[J].护理研究,2013,27(14):1315-1316.
[19] 王晓敏,邹于征,黄涛.护生人际问题与正念水平的关系—自尊的中介作用[J].护士进修杂志,2020,35(5):414-417.DOI: 10.16821/j.cnki.hsjx.2020.05.007.
[20] 李青文. 护理专业大学生共情能力现状及影响因素分析[J].中华全科医学,2017,15(10):1744-1747.DOI:10.16766/j.cnki.issn.1674-4152.2017.10.032.
[21] 翟春晓,谢晖.本科实习护生情绪智力、共情能力与护患沟通能力的相关性研究[J].护理管理杂志,2015,15(2):91-93.
[22] 孔令玲,曲海英,徐娜,等.医学生共情能力培养存在的问题及对策[J].医学与社会, 2016,29(6):99-100.DOI:10.13723/j.yxysh.2016.06.030.
[23] 李丽英.高校心理育人方式新探索:正念培育[J].智库时代,2019(17):150,152.
[24] 王美珍,范玮晴.正念认知疗法融入大学生心理健康课的研究[J].现代交际,2020(9):47-49.
[25] 顾洁,童慧琦,孙晓明.中文网络正念减压课程对普通人群正念水平和心境状态的影响研究[J].中国全科医学,2019,22(5):581-585.DOI:10.12114/j.issn.1007-9572.2018.00.195.
[26] 周晓平,罗颖,杜娜,等.共情教育在护理专业学生临床沟通能力培养中的应用体会[J].中国继续医学教育,2018,10(31):42-44.DOI:10.3969/j.issn.1674-9308.2018.31.020.
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[1] . [J]. JOURNAL OF NURSING, 2012, 19(1): 26 -28 .
[2] . [J]. JOURNAL OF NURSING, 2012, 19(1): 39 -41 .
[3] . [J]. JOURNAL OF NURSING, 2012, 19(1): 42 -44 .
[4] . [J]. JOURNAL OF NURSING, 2012, 19(1): 51 -52 .
[5] . [J]. JOURNAL OF NURSING, 2012, 19(1): 58 -59 .
[6] CHEN Hong-zhuo,LIU Wei-qun,CHEN Yi-qing. Establishment and Clinical Application of Personalized Nursing Order[J]. JOURNAL OF NURSING, 2012, 19(1): 60 -63 .
[7] HOU Hui-ru,WANG Xiao-yuan,YONG Qin-ge,ZHANG Rui-qin. Practice and Effect of Psychological Nursing in Elderly Cadre Ward[J]. JOURNAL OF NURSING, 2012, 19(1): 73 -75 .
[8] . [J]. JOURNAL OF NURSING, 2012, 19(2): 62 -63 .
[9] . [J]. JOURNAL OF NURSING, 2012, 19(2): 64 -65 .
[10] . [J]. JOURNAL OF NURSING, 2012, 19(2): 66 -67 .