Abstract

BackgroundThe purpose of this study was to examine the relationship between Korean pharmacy students’ empathy and psychological need satisfaction and their levels of burnout and psychological well-being, using structural equation modeling.MethodsThe participants were 452 pharmacy students from five South Korean universities. The Jefferson Scale of Empathy (Health Professions Students version), the Activity-Feeling States Scale, and the Maslach Burnout Inventory-Student Survey were used to assess empathy, psychological need satisfaction, and burnout, respectively. Psychological well-being was measured with the Mood Rating Scale, Self-Esteem Scale, and Satisfaction With Life Scale. The fits of the measurement and structural regression (SR) models with data on the four variables were evaluated using the Tucker-Lewis index (TLI), incremental fit index (IFI), comparative fit index (CFI), and root mean-square error of approximation (RMSEA) using AMOS 18.0.ResultsA total of 447 students (98.9%) completed the survey. The measurement model showed adequate fit indices; all hypothesized factor loadings were significant. The proposed SR model also showed an acceptable fit (TLI = 0.92, IFI = 0.94, CFI = 0.94, RMSEA = 0.072); each path was supported except the path from empathy to burnout (β = 0.005). Empathy was positively associated with psychological well-being (β = 0.18). Perceived satisfaction of psychological needs was positively related to psychological well-being (β = 0.59), but strongly and negatively related to burnout (β = − 0.71). The model explained 50 and 44% of variances in burnout and psychological well-being, respectively.ConclusionsPharmacy students’ empathy and psychological needs should be considered in pharmacy education systems to promote psychological adjustment.

Highlights

  • The purpose of this study was to examine the relationship between Korean pharmacy students’ empathy and psychological need satisfaction and their levels of burnout and psychological well-being, using structural equation modeling

  • The results revealed that the modified model showed an acceptable fit, TuckerLewis index (TLI) = 0.92, incremental fit index (IFI) = 0.94, comparative fit index (CFI) = 0.94, root mean-square error of approximation (RMSEA) = 0.072, even though the chi-squared statistic for the overall model was significant, χ2(39, N = 447) = 128.146, p < 0.001, Bollen-Stine bootstrap p < 0.001

  • In this study, we examined a hypothesized model of Korean PharmD students’ burnout and psychological well-being by exploring the relationships with the levels of empathy and psychological need satisfaction

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Summary

Introduction

The purpose of this study was to examine the relationship between Korean pharmacy students’ empathy and psychological need satisfaction and their levels of burnout and psychological well-being, using structural equation modeling. Burnout serves as a negative predictor of patient care outcomes and work satisfaction in the context. Burnout in physicians is negatively associated with patient satisfaction and quality of patient care, while it is positively related to the occurrence of patient safety incidents [11, 15]. Pharmacy students’ burnout is associated with lower academic satisfaction [16]. A longitudinal study indicated that burnout in employees mediates the relationship between work overload and psychological ill-health symptoms, in a process that caused impairment to the employees’ well-being [17]

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