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The Empathic Process and Misconceptions that Lead to Burnout in Healthcare Professionals

Published online by Cambridge University Press:  04 December 2017

Marta Villacieros ,
Ricardo Olmos  and
José Carlos Bermejo
Marta Villacieros*
Affiliation:
Centro de Humanización de la Salud (Spain)
Ricardo Olmos
Affiliation:
Universidad Autónoma de Madrid (Spain)
José Carlos Bermejo
Affiliation:
Centro de Humanización de la Salud (Spain)
*
*Corresponding concerning this article should be addressed to Marta Villacieros. Departamento de Investigación del Centro de Humanización de la Salud. Sector Escultores, 39. Tres Cantos. 28760 Madrid (Spain). E-mail: investigacion@humanizar.es
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Abstract

Empathy has been identified as a relevant variable in order to predict burnout in healthcare professionals. In addition, assertiveness and self-esteem have been considered relevant variables to develop empathic capacity. In the other hand, misconceptions surrounding empathy constitute a risk factor for burnout. Two adult samples (N = 252 and N = 275) were used to explore and confirm the underlying structure of two questionnaires. The Exercise of Process of Empathy (EPE) scale (18 items) confirmatory factor analysis including 5 dimensions (cognitive and emotional comprehension, attention, clarity and assertiveness), showed reasonable goodness- of-fit indices χ2(130) = 269.63, p < .001; RMSEA = .069 90% CI [0.058 – 0.079]; CFI = .965; TLI = .959. Alpha coefficient resulted .848. Common Misconceptions (EH) of empathy scale (16 items) confirmatory factor analysis, including 3 dimensions (feeling, confluence and character misconceptions) also obtained reasonable goodness-of-fit indices χ2(101) = 250.59, p < .001; RMSEA = .075 90% CI [0.063 – 0.087]; CFI = .952; TLI = .943. Alpha coefficient for Character resulted .727 (5 items), for Confluence .764 (5 items) and for Feeling .822 (6 items). The SEM model’s R2 resulted .303, being EH (misconceptions) a risk factor (b* = .171), EPE (empathy process) a protection factor (b* = –.183). The model partially explains how misconceptions empathy process and self-esteem (b* = –.334) relate to burnout syndrome in healthcare professionals; what is more, it heralds a potential means to prevent it.

Keywords

burnoutempathyempathic processempathy misconceptionshealthcare professionals
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 20 , 2017 , E68
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2017 

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Footnotes

How to cite this article:

Villacieros, M., Olmos, R., & Bermejo, J.C. (2017). The empathic process and misconceptions that lead to burnout in healthcare professionals. The Spanish Journal of Psychology, 20. e68. Doi:10.1017/sjp.2017.66

References

Abad, F. J., Olea, J., Ponsoda, V., & García, C. (2011). Medición en ciencias sociales y de la salud [Measuring health and social sciences]. Madrid, Spain: Editorial Síntesis.Google Scholar
Alberti, R. E., & Emmons, M. L. (1998). Atılganlık Hakkınızı Kullanın [Use your assertiveness]. Ankara, Turkey: HYB Publicaciones Google Scholar
Álvarez, E., & Fernández, L. (1991). El síndrome de Burnout o el desgaste profesional (I): Revisión de estudios [Burnout Syndrome or professional wear (I): Review of studies]. Revista Asociación Española de Neuropsiquiatría XI, 39, 257– 265.Google Scholar
Appelhans, B. M., & Luecken, L. J. (2006). Heart rate variability as an index of regulated emotional responding. Review of General Psychology, 10, 229–240. https://doi.org/10.1037/1089-2680.10.3.229 Google Scholar
Baron-Cohen, S., & Wheelwright, S. J. (2004). The Empathy Quotient: An investigation of adults with Asperger Syndrome or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34(2), 163–175. https://doi.org/10.1023/B:JADD.0000022607.19833.00 Google Scholar
Batson, C. D. (1991). The altruism question: Toward a social psychological answer. Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
Bentler, P. M. (1989). EQS Structural Equations Program Manual. Los Angeles, CA: BMDP Statistical Software Google Scholar
Bermejo, J. C. (2012). La empatía terapéutica. [Therapeutic empathy] Bilbao, Spain: Desclee De Brouwer, S.A.Google Scholar
Bermejo, J. C., Villacieros, M., & Carabias, R. (2013). Diseño y fiabilidad de una escala sobre la idea de empatía. Diferencias entre profesiones sanitarias y sociales [Design and reliability of a scale on the idea of empathy. Differences between health and social professions]. Acción Psicológica, 100(2), 143–156. https://doi.org/10.5944/ap.10.2.12217 Google Scholar
Blasco, J. R. (2002). Relación entre la calidad del sueño, el burnout y el bienestar psicológico en profesionales de la seguridad ciudadana [Relationship between the quality of the dream, the burnout and the welfare psychological in professionals of the security citizen]. Revista Mapfre Medicina, 13(4), 258–268.Google Scholar
Borrell, F. (2011). Empatía, un valor troncal en la práctica clínica [Empathy, a core value in clinical practice]. Medicina Clínica, 136(9), 390–397. https://doi.org/10.1016/j.medcli.2009.06.032 CrossRefGoogle Scholar
Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York, NY: The Guilford Press.Google Scholar
Cathébras, P., Begon, A., Laporte, S., Bois, C., & Truchot, D. (2004). Burn out among French general practitioners. Pressent Medicine, 18(33), 1569–1574.Google Scholar
Coutinho, J. F., Silva, P. O., & Decety, J. (2014). Neurosciences, empathy, and healthy interpersonal relationships: Recent findings and implications for counseling psychology. Journal of Counseling Psychology, 61(4), 541–548. https://doi.org/10.1037/cou0000021 Google Scholar
Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113–126. https://doi.org/10.1037/0022-3514.44.1.113 Google Scholar
Davis, M. H. (2006). Empathy. In Stets, J. E. & Turner, J. H. (Eds.), Handbook of the Sociology of Emotions. (pp. 443–466). Riverside, CA: Springer.Google Scholar
Díaz, M. I., Ruiz, M. A., & Villalobos, A. (2012). El proceso en terapia de conducta: La evaluación conductual [The process in therapy of conduct: Behavioral assessment]. In Ruiz, M. A., Díaz, M. I., & Villalobos, A.. (Eds.), Manual de técnicas de intervención cognitivo conductual [Manual of cognitive behavioral intervention techniques] (pp. 99–152). Bilbao, Spain: Desclée de Brouwer Google Scholar
Fernández-Berrocal, P., Extremera, N., & Ramos, N (2004). Validity and reliability of the Spanish Modified Version of the Trait Meta-Mood Scale. Psychological Reports, 94, 751–755. https://doi.org/10.2466/pr0.94.3.751-755 Google Scholar
Gil-Monte, P. R., García-Juesas, J. A., & Caro Hernández, M. (2008). Influencia de la sobrecarga laboral y la autoeficacia sobre el Síndrome de Quemarse por el Trabajo (burnout) en profesionales de enfermería [Influence of the overload work and the self-efficacy on the syndrome of burnout in nursing professionals]. Revista Interamericana de Psicología, 42, 113–118.Google Scholar
González-Cabanach, R., Souto-Gestal, A. J., Fernández-Cervantes, R., & González-Doniz, L. (2016). La autoestima como variable protectora del burnout en estudiantes de fisioterapia [Self esteem as a protective factor against burnout in students of physiotherapy]. Estudios sobre Educación, 30, 95–113. https://doi.org/10.15581/004.30.95-113 CrossRefGoogle Scholar
Hobfoll, S. E., & Freedy, J. (1993). Conservation of resources: A general stress theory applied to burnout. In Schaufeli, W. B., Maslach, C., & Marek, T. (Eds.), Professional burnout: Recent developments in theory and research (pp. 115–129). Washington, DC: Taylor & Francis.Google Scholar
Hogan, R. (1969). Development of an empathy scale. Journal of Consulting and Clinical Psychology, 33, 307–316. https://doi.org/10.1037/h0027580 Google Scholar
Hojat, M., Louis, D. Z., Markham, F. W., Wender, R., Rabinowitz, C., & Gonnella, J. S. (2011). Physicians’ empathy and clinical outcomes for diabetic patients. Academic Medicine, 86, 359–364. https://doi.org/10.1097/ACM.0b013e3182086fe1 Google Scholar
Hu, L., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3, 424–453. https://doi.org/10.1037/1082–989X.3.4.424 Google Scholar
Lamothe, M., Boujut, E., Zenasni, F., & Sultan, S. (2014). To be or not to be empathic: The combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Family Practice, 15, 15. https://doi.org/10.1186/1471-2296-15-15 Google Scholar
Lee, S. M., Cho, S. H., Kissinger, D., & Ogle, N. T. (2010). A typology of burnout in professional counselors. Journal of Counseling& Development, 88,131–138. https://doi.org/10.1002/j.1556-6678.2010.tb00001.x CrossRefGoogle Scholar
López-Pérez, B., Fernández-Pinto, I. & Abad, F. J. (2008) TECA. Test de Empatía Cognitiva y Afectiva [TECA. Cognitive and Affective Empathy Test]. Madrid, Spain: Tea Ediciones, S.A.Google Scholar
Martín-Albo, J., Núñez, J. L., Navarro, J. G., & Grijalvo, F., (2007). The Rosenberg Self-Esteem Scale: Translation and validation in university students. The Spanish Journal of Psychology, 10(2), 458–467. https://doi.org/10.1017/S1138741600006727 Google Scholar
Mehrabian, A., & Epstein, N. (1972). A measure of emotional empathy. Journal of Personality, 40, 525–543. https://doi.org/10.1111/j.1467-6494.1972.tb00078.x Google Scholar
Morante Benadero, M. E., Moreno Jiménez, B., & Rodríguez Muñoz, A. (2006). Professional Satisfaction and Fatigue Subscales - version IV (ProQOL). Traducción del instrumento de evaluación al español. [Professional Satisfaction and Fatigue Subscales - version IV (ProQOL). Spanish translation of the instrument]. Universidad Autónoma de Madrid, Spain. Retrieved from http://www.proqol.org/uploads/ProQol_vIV_Spanish_Oct05.pdf Google Scholar
Muthén, L. K., & Muthén, B. O. (1998–2012). Mplus user’s guide. Los Ángeles, CA: Muthén & Muthén.Google Scholar
Pérez-Albéniz, A., de Paúl, J., Etxeberría, J., Montes, M. P., & Torres, E. (2003) Adaptación de Interpersonal Reactivity Index (IRI) al español [Spanish adaptation of Interpersonal Reactivity Index (IRI)]. Psicothema, 15(2), 267–272.Google Scholar
Rosen, I. M., Gimotty, P. A., Shea, J. A. & Bellini, L. M. (2006) Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Academic Medicine, 81, 82–85. https://doi.org/10.1097/00001888-200601000-00020 Google Scholar
Singer, T., Critchley, H. D., & Preuschoff, K. (2009). A common role of insula in feelings, empathy and uncertainty. Trends in Cognitive Sciences, 13, 334–340. https://doi.org/10.1016/j.tics.2009.05.001 Google Scholar
Suzuki, E., Saito, M., Tagaya, A., Mihara, R., Maruyama, A., Azuma, T., & Sato, C. (2009). Relationship between assertiveness and burnout among nurse managers. Japan Journal of Nursing Science, 6 (2), 71–81. https://doi.org/10.1111/j.1742-7924.2009.00124.x Google Scholar
Teding van Berkhout, E., & Malouff, J. M. (2016). The efficacy of empathy training: A meta-analysis of randomized controlled trials. Journal of Counseling Psychology, 63, 32–41. https://doi.org/10.1037/cou0000093 Google Scholar
Tomas, J. M., & Oliver, A. (1999) Rosenberg’s Self-Esteem Scale: Two factors or method effects. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 84–98, https://doi.org/10.1080/10705519909540120 Google Scholar
Yu, G., Wang, Y., & Liu, C. (2012). Improving public service quality from a developmental perspective: empathy, attachment and gender differences. Public Personnel Management, 41(5), 9–19. https://doi.org/10.1177/009102601204100502 Google Scholar