Personal values as early predictors of emotional and cognitive empathy among medical students

Caring for nursing students is caring for patients: A multicentre cross-sectional study on the relationship between nursing students' caring and the perception of instructors' caring

BACKGROUND

Caring in nursing is a fundamental aspect, yet teaching and fostering caring behaviours in nursing students remain challenging. Clinical instructors play a crucial role in this process.

OBJECTIVES

The aims of this study were a) to describe nursing students' caring behaviours and perceptions of instructor caring, b) to assess sex-related and year of course differences in students' caring behaviours and perceptions of nursing caring, and c) to investigate the association between nursing students' caring and their perception of instructors' caring.

DESIGN

A multi-centre, cross-sectional observational study was conducted.

SETTING

The study involved undergraduate nursing students from four teaching hospitals of a university in Northern Italy.

PARTICIPANTS

A total of 316 nursing undergraduate students participated in the study (83.9 % female, 16.1 % male, 23.1 % 1st year, 48.1 % 2nd year, 28.8 % 3rd year).

METHODS

Participants completed online self-reported surveys assessing caring behaviours, empathy, burnout, and perceptions of instructor caring. Caring behaviours, expressive and instrumental caring, were measured using the Caring Behaviour Inventory (CBI), and perceptions of instructor caring were assessed using the Nursing Students' Perceptions of Instructor Caring (NSPIC) questionnaire.

RESULTS

Students' caring behaviours were positively associated with their perceptions of instructor caring, particularly in relation to a supportive learning climate and instructor flexibility. Female students displayed higher scores in expressive caring, while students in their second and third years demonstrated increased instrumental caring behaviours. Responding to Individual Needs was significantly lower in third-years students, compared to first- and second-year ones.

CONCLUSIONS

This study emphasizes the crucial role of clinical instructors in shaping nursing students' caring attributes. However, the influence of sex on caring behaviours remains unclear, necessitating further investigation. These findings underscore the significance of nurturing caring behaviours in nursing education and offer insights for selecting, training, and supporting clinical instructors, to foster more compassionate and competent nurses.

Medical students' attitude toward patient-centeredness: A longitudinal study

OBJECTIVES

This study explored the trajectories of patient-centered orientation in a sample of Italian medical students throughout medical school.

METHODS

Four consecutive student cohorts were longitudinally assessed at the second (T0) and fifth year (T1) of medical school. Students completed a questionnaire including demographics and the Italian validated version of the Patient-Practitioner Orientation Scale.

RESULTS

352 students completed both administrations. Students became more patient-centered in terms of Sharing along the course of their clinical curriculum, whereas there were no significant changes in Caring. Groups with distinct developmental trajectory patterns of both Caring and Sharing were identified. Students high in patient-centeredness at T0 reported significantly lower scores at T1 while students with lower scores at T0 significantly increased from the first to the last measurement. Female students significantly outscored their male colleagues on Caring and Sharing in both administrations.

CONCLUSIONS

Findings call for innovative education strategies to sustain patient-centeredness attitudes in medical students entering hospital-based clinical medicine. Further research is needed to identify characteristics of the medical curriculum that are primarily involved in fostering students' patient-centeredness.

PRACTICE IMPLICATIONS

Including the assessment and monitoring of patient-centeredness throughout the medical school can inform tailored education aiming to foster this dimension.

The Contribution of Meaning Making and Religiosity to Individuals' Psychological Wellbeing During the COVID-19 Pandemic: Prosocial Orientation Matters

The COVID-19 pandemic has dramatically affected individuals' psychological well-being worldwide, thus representing a challenge for flourishing among emerging adults. To understand psychological processes involved in the positive adaptation to this challenge, the present study examined the role of meaning in life and religious identity as crucial resources for flourishing in a sample of 255 Italian emerging adults. Specifically, as in the midst of a stressful event individuals may experience the potential for flourishing through the process of search for meaning, the study examined the mediated role of existential, spiritual/religious and prosocial orientations as the three primary trajectories for building meaning. Results from path analytic mediation models revealed a positive influence of presence of meaning and in-depth exploration on flourishing. Findings also suggested the contribution of prosocial orientation in building meaning and, ultimately, in increasing flourishing. Implications are discussed.

Responsible Tourism and Hospitality: The Intersection of Altruistic Values, Human Emotions, and Corporate Social Responsibility

The burgeoning tourism and hospitality industry is plagued by numerous challenges that pose significant hurdles to its long-term success and sustainability. These challenges encompass a range of factors, including fierce competitive convergence, rapid obsolescence of innovative strategies, and the relentless pursuit of ever-greater competitiveness in the marketplace. In such a service-oriented industry, where customer satisfaction is the sine qua non of success, the role of corporate social responsibility (CSR) in shaping consumer attitudes and behavior cannot be overstated. Despite this, the empirical evidence on the impact of CSR on brand advocacy behavior among hospitality consumers (BADB) remains somewhat underdeveloped and incomplete. In light of this knowledge gap, the basic objective of our study is to examine the complex interplay between CSR and BADB in the context of a developing country’s hospitality sector. The authors place a particular emphasis on the mediating role of consumer emotions and the moderating influence of altruistic values (ALVS) in shaping this relationship. Through rigorous empirical analysis, the authors demonstrate that CSR positively and significantly impacts BADB, with consumer engagement (CENG) serving as a crucial mediating variable that facilitates this relationship. These findings have significant theoretical and practical implications for the tourism and hospitality industry. Specifically, the authors show that the judicious deployment of CSR initiatives in a hospitality context can foster a positive behavioral psychology among consumers and, in turn, enhance their advocacy intentions towards the brand. This underscores the importance of carefully crafted CSR strategies to secure a competitive advantage in this dynamic and rapidly evolving sector.

The Experience of Self-Transcendence in Social Activists

Every day the wellbeing of disadvantaged individuals and communities is being transformed through the activities of self-transcendent social activists. The positive contagion generated by their actions is felt globally through influence, replication, leadership training and education. These people are visionary, brave, and describe their lives as joyful, deeply fulfilled, and impactful. Seeking no personal recognition or accolade, born from a deep feeling of connectedness and a vision of how life could be better, participants describe the factors that influenced their decision to dedicate their lives to serving the greater good. Using Constructivist Grounded Theory, in-depth semi structured interviews were carried out with eight participants who self-identified as self-transcendent social activists, who have initiated non-mandated and not-for-profit community action. Data was analyzed to explore each participant's personal experiences of self-transcendence and how being self-transcendent has manifested their life choices. The findings present a definition of 'self-transcendent social activism' and a theoretical model that explains the development of participants' activism: trigger, activate, maintain and sustain, resulting in an impact experienced at three levels - individual, community and global. Theoretical and practical implications are discussed.

Latent profile analysis of personal values among Chinese college students: associations with mental health disorders and life satisfaction

Interindividual differences in personal values are prevalent both within and across societies. Interindividual differences in personal value and the relationships with mental health disorders and life satisfaction remain to be holistically considered, especially in China. The present study aims to characterize personal value profiles based on Schwartz's theory model and to examine differences in several mental health-related disorders and life satisfaction potentially across these profiles. Using convenience sampling, a sample of 8,540 Chinese college students (Mage = 18.89, SDage = 2.02, 57.7% male) from three universities completed a questionnaire assessing personal values, internalizing problems, externalizing problems, substance disorders, crime/violence, and life satisfaction. The latent profile analysis identified five personal value profiles, which were labelled as traditional social orientation, open personal orientation, open social orientation, moderate traditional social orientation, and average. Chinese college students in the three social orientation profiles reported low mental health disorders and high life satisfaction. In contrast, students in the personal orientation profile reported high mental health disorders and low life satisfaction. The results indicate the heterogeneity of Chinese college students' personal values and the positive relationship of social-oriented values with mental health and life satisfaction in collectivist cultures.

Basic Values Transform Political Interest into Diverse Political Values, Attitudes and Behaviors

Since politically interested adolescents do not necessarily present humanistic, environmental and democratic values, this study addresses the hitherto ignored role that how these basic human values play in politically interested adolescents’ political values, attitudes and behaviors. A cluster analysis of 857 Swedish upper-secondary students (50.8% girls, M_age = 16.62, SD = 0.71) identified politically interested adolescents who attached high levels of importance to others’ welfare and politically interested adolescents who attached low levels of importance. They differed on most comparative measures: environmental values, inclusive attitudes towards immigrants, support of democratic principles, trust in social movements, and readiness to step in if something jeopardizes the welfare of others. The conclusion is that the value of attaching high importance to others’ welfare or not transforms youth’s political interest into diverse attitudes and behaviors. The cluster group of politically interested adolescents who attached low importance to others’ welfare largely consisted of males.

Activating Self-Transcendence Values to Promote Prosocial Behaviors among Adolescents during the COVID-19 Pandemic: The Moderating Role of Positive Orientation

The COVID-19 pandemic has severely affected people's health, daily routine, and behaviors. Its effects have been most pronounced for the youngest and oldest generations. Their daily lives have completely changed throughout the pandemic. Self-transcendence values and positive orientation could facilitate optimal adjustment to this situation by promoting prosociality. The present study aimed to discover if applying a new, web-based intervention could activate self-transcendence values in a group of Italian adolescents, fostering COVID-19 prosocial behaviors while also considering the role of positive orientation. The study adopted a longitudinal, web-based, and quasi-experimental design. One hundred and forty adolescents between 15 and 19 years of age were involved in the study two times (T1-T2). Participants were assigned to an intervention or control group. All participants completed the self-transcendence subscale extracted from the 21-item Portrait Values Questionnaire, the Positive Orientation Scale, and the COVID-19 Prosocial Experiences Scale. The results showed that adolescents' self-transcendence values and positive orientation were positively associated with COVID-19 prosociality. However, the relationship between self-transcendence values and COVID-19 prosocial behaviors was significantly more robust in the intervention group. Finally, a three-way interaction (self-transcendence*group*positive orientation) emerged as significant. For the intervention group, the effect of self-transcendence values on COVID-19 prosocial behaviors was significant only for adolescents who reported a strong positive orientation. Limitations of the study, future research developments, and practical implications are discussed.

The association between dispositional mindfulness and empathy among undergraduate nursing students: A multicenter cross-sectional study

The aim of this study was to explore the role of gender, age, and academic year in shaping dispositional mindfulness (DM) and the association between DM facets and empathy dimensions in a sample of undergraduate nursing students. In a multicenter cross-sectional study design, the Five Facet Mindfulness Questionnaire (FFMQ), the Interpersonal Reactivity Index (IRI), and socio-demographic questions were administrated to a convenience sample of Italian nursing students. 622 nursing students (82.2% female) participated in the study (response rate = 86.15%). Females had higher levels of Acting with Awareness (p < .001, d = .54) and lower levels of Non-reacting (p < .001, d = .52) facets of DM than males. Older students displayed higher scores on the Observing (r = .112, p = .005) and on the Non-reacting (r = .187, p < .001) FFMQ subscales than younger ones. No statistically significant differences in DM levels between the three academic years were found (ps > .202). After controlling for socio-demographic factors, DM facets were generally positively related to Perspective Taking (βs from .131 to .208, ps < .007) and Empathic Concern (βs from −.156 to .189, ps < .001), whereas negatively related to Personal Distress (βs from −.141 to −.261, ps < .001). Nursing students with higher levels of DM were more able to consider others’ cognitive perspective and to feel compassion, and were less emotionally distressed when facing tense interpersonal situations. Tailored mindfulness interventions might be useful to foster functional empathy within nursing undergraduate programs.