Effects of Clinical Practice Stress, Stress Coping, and Empathy on Clinical Competency among Paramedic Students
Keywords:
Clinical practice stress, Stress coping, Empathy, Clinical competency, Emergency medical service,Paramedics, Paramedicine.Abstract
The purpose of the study aimed to investigate the effects of clinical practice stress, stress coping, and empathy on clinical competency among paramedic students. A total of 194 paramedic students filled out the questionnaire after informed consent. The questionnaire consisted of general characteristics of the subjects, 23 items of clinical practice stress, 20 items of stress coping, 27 items of empathy, and 26 items of clinical performance. Paramedic students did not have high levels of stress coping. Empathy was not as high among students in emergency management. Paramedic students’ clinical performance was high and highly concerned about following the rules of the training organization. Students with basic life support providers certification had higher stress coping and this explained that the certificate in clinical practice skills made the students confident in emergency scenes.
Downloads
References
Chahabounia, R., Gantare, A. (2023). A Pilot Study to Assess the Effect of Coaching on Emergency Nurses’ Stress
Management. Nursing Report, 13(1), 179-193. https://doi.org/10.3390
Cichoń, K., Płaszewska-Żywko, L., Kózka, M. (2022). Emotional intelligence and coping strategies among intensive
care unit nurses. Nursing in Critical Care. https://doi.org/10.1111/nicc.12839
Delgado N., Delgado, J., Betancort, M., Bonache, Harris, L.T. (2023). What is the Link Between Different
Components of Empathy and Burnout in Healthcare Professionals? A Systematic Review and Meta-Analysis.
Psychology Research and Behavior Management, 447, 463. https://doi.org/10.2147/PRBM.S384247
Donisi, V., Perlini, C., Mari (2022). Training in communication and emotion handling skills for students attending
medical school: Relationship with empathy, emotional intelligence, and attachment style. Patient Education and
Counseling. 105(9), 2871-2879. https://doi.org/10.1016/j.pec.2022.05.015
Edelson, D. P., Call, S. L., Yuen, T. C., & Vanden Hoek, T. L. (2012). The Impact of a Step Stool on Cardiopulmonary
Resuscitation: A Cross-Over Mannequin Study. Resuscitation, 83(7), 874-878.
https://doi.org/10.1016/j.resuscitation.2012.03.005
Lee, Y.S., Yun, Y., Kim, E.K., Kim, H.S. (2023). Relationship between self-consciousness and empathy for cancer
patients among nursing students: The moderating effects of clinical practice satisfaction. Nurse Education Today,
, 105715. https://doi.org/10.1016/j.nedt.2023.105715
Liu, S., Li, X., Yin, X., Wang, L. (2022). Analysis of the Effect of Rational Emotional Intervention Combined with
Hierarchical Management Mode on Improving the Psychological Stress of Emergency Nurses and Trainee Nurses.
Emergency Medicine International, Article ID 2038018. https://doi.org/10.1155/2022/2038018
Ma, H., Zou, J., Zhong, Y., Li, J., He, J. (2022). Perceived stress, coping style and burnout of Chinese nursing
students in late-stage clinical practice: A cross-sectional study. Nurse Education in Practice, 62, 103385.
https://doi.org/10.1016/j.nepr.2022.103385
Milton, J., Åberg, N.D., Andersson, A.E., Gillespie, B.M., Oxelmark, L. (2023). Patients’ perspectives on care,
communication, and teamwork in the emergency department. International Emergency Nursing 66, 101238.
https://doi.org/10.1016/j.ienj.2022.101238
Mirzaei, A., Mozaffari, N., Soola, A.H. (2022). Occupational stress and its relationship with spiritual coping among
emergency department nurses and emergency medical services staff. International Emergency Nursing 62,
https://doi.org/10.1016/j.ienj.2022.101170
Sang, N., Zhu, Z., Wu, L., Shi, P., Wang, L., Kan, H., Wu, G. (2022). The mediating effect of psychological resilience
on empathy and professional identity of Chinese nursing students: A structural equation model analysis. Journal
of Professional Nursing, 43, 53-60. https://doi.org/10.1016/j.profnurs.2022.09.002
Steinmair, D., Zervos, K., Wong, G., Löffler-Stastka, H. (2022). Importance of communication in medical practice
and medical education: An emphasis on empathy and attitudes and their possible influences. World Journal of
Psychiatry, 12(2), 327-337. https://doi.org/ 10.5498/wjp.v12.i2.323
Wu, W., Ma, X., Liu, Y. et al. (2022). Empathy alleviates the learning burnout of medical college students through
enhancing resilience. BMC Med Educ, 481. https://doi.org/10.1186/s12909-022-03554-w
Yu, C.C., TAN, L., LE, M.K. et al. (2022). The development of empathy in the healthcare setting: a qualitative
approach. BMC Med Educ, 245. https://doi.org/10.1186/s12909-022-03312-y
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Author
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
