Research on the mediating effect of clinicians’ empathy ability between medical narrative competence and humanistic care quality
10.12026/j.issn.1001-8565.2025.10.19
- VernacularTitle:临床医生共情能力在医学叙事能力与人文关怀品质间的中介效应研究
- Author:
Ziqi LI
1
;
Jiawen LIU
1
;
Zixuan LI
1
;
Yun LIU
1
Author Information
1. School of Public Health， Hebei Medical University， Shijiazhuang 050017， China
- Publication Type:Journal Article
- Keywords:
clinician;
narrative competence;
empathy ability;
humanistic care quality;
mediating effect
- From:
Chinese Medical Ethics
2025;38(10):1365-1372
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the mediating effect of empathy ability on clinicians’ medical narrative competence and humanistic care quality， and to provide data support for the improvement of clinicians’ empathy ability， narrative competence， and humanistic care quality. MethodsEmploying a convenience sampling method， a questionnaire survey was conducted among clinicians in Hebei province using a general data questionnaire， the Chinese Physician Narrative Behavior Scale， the Chinese version of the Jefferson Scale of Empathy， and the Humanistic Care Quality Scale. SPSS 21.0 software was used to analyze the current situation and correlation of clinicians’ medical narrative competence， empathy ability， and humanistic care quality. Amos 26.0 software was utilized to construct the structural equation model， and the Bootstrap method was adopted to test this model. ResultsThe scores of clinicians’ medical narrative competence， empathy ability， and humanistic care quality were （84.436±11.939）， （106.058±18.936）， and （117.652±14.087）， respectively. There were significantly positive correlations between clinicians’ medical narrative competence and humanistic care quality （r = 0.530， P<0.01）， between empathy ability and humanistic care quality （r=0.416， P < 0.01）， as well as between medical narrative competence and empathy ability （r=0.176， P<0.01）. Clinicians’ medical narrative competence had a positive predictive effect on humanistic care quality （β = 0.649， P < 0.001）. The empathy ability of clinicians played a partial mediating role between medical narrative competence and humanistic care quality （β = 0.061， P < 0.001）， with a mediating effect size of 0.068， accounting for 8.59% of the total effect. ConclusionClinicians’ medical narrative ability， empathy ability， and humanistic care quality are all at a moderately high level. Empathy ability plays a partially mediating role between medical narrative ability and humanistic care quality. It is suggested that clinicians’ medical narrative competence should be improved through various ways， thereby improving their humanistic care quality.
