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Impact of empathy interventions on cognitive, affective, and behavioral empathy in nursing students: a systematic literature review Cover

Impact of empathy interventions on cognitive, affective, and behavioral empathy in nursing students: a systematic literature review

Open Access
|Jun 2025

References

  1. Wilkes L, Cowin L, Johnson M, Zheng X. A montage of the qualities of the registered nurse. Int Nurs Rev. 2014;61:555–562.
  2. Ward J. The empathy enigma: does it still exist? Comparison of empathy using students and standardized actors. Nurse Educ. 2016;41:134–138.
  3. Jolliffe D, Farrington DP. Development and validation of the Basic Empathy Scale. J Adolesc. 2006;29:589–611.
  4. Gür GC, Yilmaz E. The effects of mindfulness-based empathy training on empathy and aged discrimination in nursing students: a randomised controlled trial. Complement Ther Clin Pract. 2020;39:101140.
  5. Williams J, Stickley T. Empathy and nurse education. Nurse Educ Today. 2010;30:752–755.
  6. Peplau HE. Peplau's theory of interpersonal relations. Nurs Sci Q. 1997;10:162–167.
  7. Ministry of Health. Regulation of the Minister of Health Number 40 of 2017 Concerning the Development of Professional Career Levels for Clinical Nurses. 2017.
  8. Zhai CX, Xie H. Relationship among emotional intelligence, empathy and nurse-patient communication ability in undergraduate nursing interns. J Nurs Admin. 2015;15:91–93.
  9. Reynolds WJ, Scott B. Do nurses and other professional helpers normally display much empathy? J Adv Nurs. 2000;31:226–234.
  10. Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;3:e001570.
  11. Post SG. Compassionate care enhancement: benefits and outcomes. Int J Pers Cent Med. 2011;1:808–813.
  12. Mercer SW, Higgins M, Bikker AM, et al. General Practitioners' Empathy and Health Outcomes: A Prospective Observational Study of Consultations in Areas of High and Low Deprivation. Ann Fam Med. 2016;14:117–124.
  13. Hojat M, Axelrod D, Spandorfer J, Mangione S. Enhancing and sustaining empathy in medical students. Med Teach. 2013;35:996–1001.
  14. Klimecki OM, Leiberg S, Ricard M, Singer T. Differential pattern of functional brain plasticity after compassion and empathy training. Soc Cogn Affect Neurosci. 2014;9:873–879.
  15. Lamothe M, Boujut E, Zenasni F, Sultan S. To be or not to be empathic: the combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Fam Pract. 2014;15:1–7.
  16. Zhou D. Investigation of the clinical communication competency and its influencing factors among nursing students. Chin J Mod Nurs. 2014;49: 3111–3114.
  17. Drwecki BB, Moore CF, Ward SE, Prkachin KM. Reducing racial disparities in pain treatment: the role of empathy and perspective-taking. Pain. 2011;152:1001–1006.
  18. West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296:1071–1078.
  19. Everson N, Levett-Jones T, Pitt V, et al. Analysis of the empathic concern subscale of the emotional response questionnaire in a study evaluating the impact of a 3D cultural simulation. Int J Nurs Educ Scholarsh. 2018;15:/j/ijnes.2018.15.issue-1/ijnes-2017-0003/ijnes-2017-0003.xml.
  20. Ward J, Cody J, Schaal M, Hojat M. The empathy enigma: an empirical study of decline in empathy among undergraduate nursing students. J Prof Nurs. 2012;28:34–40.
  21. Çınar N, Cevahir R, Şahin S, Sözeri C, Kuğuoğlu S. Evaluation of the empathic skills of nursing students with respect to the classes they are attending. Rev Eletr Enferm. 2007;9:588-595.
  22. Neumann M, Edelhäuser F, Tauschel D, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011;86:996–1009.
  23. Hojat M, Vergare MJ, Maxwell K, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009;84:1182–1191.
  24. Park KH, Roh H, Suh DH, Hojat M. Empathy in Korean medical students: findings from a nationwide survey. Med Teach. 2015;37:943–948.
  25. Levett-Jones T, Cant R, Lapkin S. A systematic review of the effectiveness of empathy education for undergraduate nursing students. Nurse Educ Today. 2019;75:80–94.
  26. Kunyk D, Olson JK. Clarification of conceptualizations of empathy. J Adv Nurs. 2001;35:317–325.
  27. Bas-Sarmiento P, Fernández-Gutiérrez M, Baena-Baños M, Romero-Sánchez JM. Efficacy of empathy training in nursing students: a quasi-experimental study. Nurse Educ Today. 2017;59:59–65.
  28. Cunico L, Sartori R, Marognolli O, Meneghini AM. Developing empathy in nursing students: a cohort longitudinal study. J Clin Nurs. 2012;21(13–14):2016–2025.
  29. Henry BW, Ozier AD, Johnson A. Empathetic responses and attitudes about older adults: how experience with the aging game measures up. Educ Gerontol. 2011;37:924–941.
  30. Gockel A, Burton DL. An evaluation of prepracticum helping skills training for graduate social work students. J Soc Work Educ. 2014;50:101–119.
  31. Nosek M, Gifford EJ, Kober B. Nonviolent communication training increases empathy in baccalaureate nursing students: a mixed method study. J Nurs Educ Pract. 2014;4:1–15.
  32. Seto A, Young S, Becker KW, Kiselica MS. Application of the triad training model in a multicultural counseling course. Counselor Educ Superv. 2006;45:304–318. d
  33. Beddoe AE, Murphy SO. Does mindfulness decrease stress and foster empathy among nursing students? J Nurs Educ. 2004;43:305–312.
  34. Shapiro SL, Schwartz GE, Bonner G. Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med. 1998;21:581–599.
  35. Ekman E, Krasner M. Empathy in medicine: neuroscience, education and challenges. Med Teach. 2017;39:164–173.
  36. Smith A. Cognitive empathy and emotional empathy in human behavior and evolution. Psychol Rec. 2006;56:3–21.
  37. Topcu Ç, Erdur-Baker Ö. Affective and cognitive empathy as mediators of gender differences in cyber and traditional bullying. Sch Psychol Int. 2012;33:550–561.
  38. Kerem E, Fishman N, Josselson R. The experience of empathy in everyday relationships: cognitive and affective elements. J Soc Pers Relat. 2001;18:709–729.
  39. Derksen F, Bensing J, Lagro-Janssen A. Effectiveness of empathy in general practice: a systematic review. Br J Gen Pract. 2013;63:e76–e84.
  40. Barnett G, Mann RE. Empathy deficits and sexual offending: a model of obstacles to empathy. Aggress Violent Behav. 2013;18:228–239.
  41. Rizkyanti CA, Wahyuni C, Alatas S. Empathy and defender role in bullying at school: student-teacher relationship as mediator. Electron J Res Educ Psychol. 2021;19:227–246.
  42. Allemand M, Steiger AE, Fend HA. Empathy development in adolescence predicts social competencies in adulthood. J Pers. 2015;83:229–241.
  43. Kayuan IM, Tobing DH. Pengaruh empati dan moral disengagement terhadap perilaku prososial pada remaja yang tinggal di kota dan desa. Widya Cakra J Psychol Humanit. 2021;1:13–22.
  44. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021;10:89.
  45. Çingöl N, Karakaş M, Çelebi E, Zengin S. Determining the effect of an intercultural nursing course on empathic skill and intercultural sensitivity levels: an intervention study. Nurse Educ Today. 2021;99:104782.
  46. Yang C, Zhu YL, Xia BY, Li YW, Zhang J. The effect of structured empathy education on empathy competency of undergraduate nursing interns: a quasi-experimental study. Nurse Educ Today. 2020;85:104296.
  47. Arrogante O, Velarde-García JF, Blázquez-González P, Moro-Tejedor MN. The effects of high-fidelity simulation training on empathy and attitudes toward older people among undergraduate nursing students: a quasi-experimental study. Nurse Educ Pract. 2022;64:103441.
  48. Shao YN, Sun HM, Huang JW, Li ML, Huang RR, Li N. Simulation-based empathy training improves the communication skills of neonatal nurses. Clin Simul Nurs. 2018;22:32–42.
  49. Lee KC, Yu CC, Hsieh PL, Li CC, Chao YF. Situated teaching improves empathy learning of the students in a BSN program: a quasi-experimental study. Nurse Educ Today. 2018;64:138–143.
  50. Van Langen MA, Wissink IB, van Vugt ES, Van der Stouwe T, Stams GJ. The relation between empathy and offending: a meta-analysis. Aggress Violent Behav. 2014;19:179–189.
  51. Jiang Q, Yang YT, Liu CL, Yuan JW. The differing roles of cognitive empathy and affective empathy in the relationship between trait anger and aggressive behavior: a Chinese college students survey. J Interpers Violence. 2021;36(19–20):N10937–N10957.
  52. Jahoda G. Theodor Lipps and the shift from “sympathy” to “empathy”. J Hist Behav Sci. 2005;41:151–163.
  53. Neumann M, Scheffer C, Tauschel D, Lutz G, Wirtz M, Edelhäuser F. Physician empathy: definition, outcome-relevance and its measurement in patient care and medical education. GMS Zeitschrift für medizinische Ausbildung. 2012;29:Doc11.
  54. Aomatsu M, Otani T, Tanaka A, Ban N, van Dalen J. Medical students' and residents' conceptual structure of empathy: a qualitative study. Educ Health (Abingdon). 2013;26:4–8.
  55. Ding X, Wang L, Sun J, et al. Effectiveness of empathy clinical education for children’s nursing students: a quasi-experimental study. Nurse Educ Today. 2020;85:104260.
DOI: https://doi.org/10.2478/fon-2025-0020 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 185 - 194
Submitted on: Nov 4, 2023
Accepted on: Aug 4, 2024
Published on: Jun 11, 2025
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Atikah Ainun Mufidah, Farida Kurniawati, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.