Use of the arts in pharmacy education to develop self-perceived empathy
DOI:
https://doi.org/10.46542/pe.2023.231.732740Keywords:
Art, Education, Empathy, PharmacyAbstract
Background: Demonstrating empathy is a key competency expected of pharmacy undergraduate students. Various art media have been shown to help develop empathy in students. A new optional module designed to incorporate a range of art forms to support empathy development has been delivered and evaluated in a UK School of Pharmacy. The aim of this paper is to present this module and its evaluation.
Methods: A standard teaching evaluation was emailed to students at the end of the module, and reflective work submitted as part of the assessment was thematically analysed in this mixed methods study. Ethics approval was obtained from Keele University to undertake the study.
Results: Eleven students were assigned to the module. The teaching evaluation was completed by ten students and was rated favourably in every respect. This positive viewpoint was supported by analysis of eleven reflective pieces. Four key themes emerged from the data, namely, i) the learning experience; ii) the perception of illness; iii) seeing the patient as an individual; and iv) perceived empathy development.
Conclusion: This study describes a range of artistic activities that can increase perceived empathy levels and be enjoyed by students. Further research is necessary to ascertain if this self-perceived empathy results in increased levels in practice.
References
Accreditation Council for Pharmacy Education. (2016). Accreditation standards and guidelines for the professional program in pharmacy leading to the doctor of pharmacy degree. https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf
Ahmadzadeh, A., Esfahani, M. N., Ahmadzad-Asl, M., Shalbafan, M., & Shariat, S. V. (2019). Does watching a movie improve empathy? A cluster randomized controlled trial. Canadian Medical Education Journal, 10(4), e4–e12. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc6892313/
Biggs, J. B., & Tang, C. (2011). Teaching for Quality Learning at University (4th ed). McGraw Hill Education & Open University Press.
Bozcuk, H., Ozcan, K., Erdogan, C., Mutlu, H., Demir, M., & Coskun, S. (2017). A comparative study of art therapy in cancer patients receiving chemotherapy and improvement in quality of life by watercolor painting. Complementary Therapies in Medicine, 30, 67–72. https://doi.org/10.1016/j.ctim.2016.11.006
Carini, R. M., Kuh, G. D., Klein, S. P. (2006). Student engagement and student learning: Testing the linkages. Research in Higher Education, 47(1), 1–32. https://doi.org/10.1007/s11162-005-8150-9
Del Canale, S., Louis, D. Z., Maio, V., Wang, X., Rossi, G., Hojat, M., & Gonella, J. (2012). The relationship between physician empathy and disease complications: An empirical study of primary care physicians and their diabetic patients in Parma, Italy. Academic Medicine, 87(9), 1243–1249. https://doi.org/10.1097/ACM.0b013e3182628fbf
Eleftheriades, R., Fiala, C., & Pasic, M.cD. (2020). The challenges and mental health issues of academic trainees. F1000Research, 9, 104. https://doi.org/10.12688/f1000research.21066.1
Fjortoft, N., van Winkle, L. J., & Hojat, M. (2011). Measuring empathy in pharmacy students. American Journal of Pharmacy Education, 75(6), 109. https://doi.org/10.5688/ajpe756109
Fong, Z. H., Tan, S. H., Mahendran, R., Kua, E. H., & Chee, T. T. (2020). Arts-based interventions to improve cognition in older persons with mild cognitive impairment: A systematic review of randomized controlled trials. Aging & Mental Health, 25(9), 1605–1617. https://doi.org/10.1080/13607863.2020.1786802
Garza, K. B., Grabowsky, A., Moseley, L. E., Wright, B. M., Davis, B. R., & Ford, C. R. (2023). Activities to promote empathy for patients among pharmacy learners: A scoping review. Currents in Pharmacy Teaching and Learning, 15(10), 911–922. https://doi.org/10.1016/j.cptl.2023.08.003
General Pharmaceutical Council. (2021). Standards for the initial education and training of pharmacists. https://www.pharmacyregulation.org/sites/default/files/document/standards-for-the-initial-education-and-training-of-pharmacists-january-2021_1.pdf
Hojat, M., Shannon, S. C., DeSantis, J., Speicher, M. R., Bragan, L., & Calabrese, L. H. (2020). Does empathy decline in the clinical phase of medical education? A nationwide, multi-institutional, cross-sectional study of students at DO-granting medical schools. Academic Medicine, 95(6), 911–918. https://doi.org/10.1097/acm.0000000000003175
Jacoby, J. L., Cole, J. D., Ruble, M. J., Smith, A. B., Laubach, L. T., Greenberg, M. R., Macfarlan, J. E., DeWaay, D. J., Barraco, R. D., Shigo, E., Crowley, L., & Farrell Quinn, J. (2022). Measures of burnout and empathy in United States Doctor of Pharmacy Students: Time for a change? Journal of Pharmacy Practice, 35(6), 940–946. https://doi.org/10.1177/08971900211021259
Kaptchuk, T. J., Kelley, J. M., Conboy, L. A., Davis, R. B., Kerr, C. E., & Jacobson E. E. (2008). Components of placebo effect: Randomised controlled trial in patients with irritable bowel syndrome. British Medical Journal, 336(7651), 999–1003. https://doi.org/10.1136/bmj.39524.439618.25
Kiger, M. E., & Varpio, L. (2020). Thematic analysis of qualitative data: AMEE Guide No. 131, Medical Teacher, 42(8), 846–854. https://doi.org/10.1080/0142159x.2020.1755030
Kim, S. S., Kaplowitz, S., & Johnston, M. V. (2004). The effects of physician empathy on patient satisfaction and compliance. Evaluation & the Health Professions, 27(3), 237–251. https://doi.org/10.1177/0163278704267037
Larson, E. B., & Yao, X. (2005). Clinical empathy as emotional labor in the patient-physician relationship. Journal of the American Medical Association, 293, 1100–1106. https://doi.org/10.1001/jama.293.9.1100
Leonard, C. R., Zomorodi, M., & Foster, B. B. (2018). The impact of caring: Teaching students empathy through the patient voice. Creative Nursing, 24(1), 62–66. https://doi.org/10.1891/1078-4535.24.1.62
Marton, F., & Säljö, R. (1976). On qualitative differences in learning: I—Outcome and Process. British Journal of Educational Psychology, 46(1), 4–11. https://doi.org/10.1111/j.2044-8279.1976.tb02980.x
McTighe, A. J., Di Tomasso, R. A., Felgoise, S., & Hojat, M. (2016). Effect of medical education on empathy in osteopathic medical students. Journal of the American Osteopathic Association, 116(10), 668–674. https://doi.org/10.7556/jaoa.2016.131
Mercer, S. W., & Reynolds, W. J. (2002). Empathy and quality of care. British Journal of General Practice, 52(Suppl), S9–12. https://bjgp.org/content/bjgp/52/supplement/S9.full.pdf
Morse, J. M., Anderson, G., Bottorff, J. L., Yonge, O., O’Brien, B., Solberg, S. M., & Mcllveen, K. H. (1992). Exploring empathy: A conceptual fit for nursing practice? Image: the Journal of Nursing Scholarship, 24, 273–280. https://doi.org/10.1111/j.1547-5069.1992.tb00733.x
Muszkat, M., Yehuda, A. B., Moses, S., & Naparstek, Y. (2010). Teaching empathy through poetry: A clinically based model. Medical Education, 44(5), 503. https://doi.org/10.1111/j.1365-2923.2010.03673.x
Poirier, T. I., & Stamper-Carr, C. (2018). A call for a new ism in pharmacy. American Journal of Pharmaceutical Education, 82(2), 6441. https://doi.org/10.5688/ajpe6441
Post, S. G. (2011). Compassionate care enhancements: Benefits and outcomes. International Journal of Person Centered Medicine, 1(4), 808–813. https://doi.org/10.5750/ijpcm.v1i4.153
Silvia, R. J. (2020). A music assignment to develop pharmacy students’ empathy toward people with opioid use disorder. American Journal of Pharmaceutical Education, 84(4), 484–488. https://doi.org/10.5688/ajpe7631
Tamayo, C. A., Rizkalla, M. N., & Henderson, K. K. (2016). Cognitive, behavioral and emotional empathy in pharmacy students: Targeting programs for curriculum modification. Frontiers in Pharmacology, 7, 96. https://doi.org/10.3389/fphar.2016.00096
Teagarden, J. R. (2013). Well connected: pharmacy education and the humanities. Journal of Medical Humanities, 34(4), 477–480. https://doi.org/10.1007/s10912-013-9249-1
van Hooser, J., Swanson, S., Conway, J. M., & Brown, J. T. (2022). Assessing pharmacy students’ baseline tolerance for ambiguity, burnout, empathy, quality of life and stress. Currents in Pharmacy Teaching & Learning, 14(8), 966–971. https://doi.org/10.1016/j.cptl.2022.07.008
Wang, X., Zhang, Y., Fan, Y., Tan, X., & Lei, X. (2018). Effects of music intervention on the physical and mental status of patients with breast cancer: A systematic review and meta-analysis. Breast Care, 13,183–190. https://doi.org/10.1159/000487073
Wilson, S. E., Prescott, J., & Becket, G. (2012). Empathy levels in first- and third-year students in health and non-health disciplines. American Journal of Pharmaceutical Education, 76(2), 24. https://doi.org/10.5688/ajpe76224
Yang, K. T., & Yang, J. H. (2013). A study of the effect of a visual arts-based program on the scores of Jefferson scale for physician empathy. BMC Medical Education,13, 142. https://doi.org/10.1186/1472-6920-13-142
Zazulak, J., Halgren, C., Tan, M., & Grierson, L. E. M. (2015). The impact of an arts-based programme on the affective and cognitive components of empathic development. Medical Humanities, 41, 69–74. https://doi.org/10.1136/medhum-2014-010584