Background: Although narrative medicine has demonstrated positive impact on learners’ empathy in medical education, this pedagogical approach has not been evaluated in pharmacy education. This study sought to apply and evaluate the narrative medicine approach in extending empathy in undergraduate pharmacy students.
Methods: Narrative medicine was applied through workshops which used narratives of people with different experiences and perspectives. First-year undergraduate pharmacy students who volunteered and attended these workshops formed the intervention group (N=31) and the remaining first-year cohort formed the control group (N=112). Group interviews (GIs) assessed pharmacy students’ engagement with the narrative medicine approach, their emotional responses to narratives, and the perspectives of pharmacy students and faculty of this pedagogical approach. Pharmacy students’ empathy was measured using Jefferson Scale of Empathy – Health Professions Student (JSE-HPS).
Results: Five themes, guided by internal and external factors in cognition, emerged from GIs: 1) incongruence between students’ motivation and faculty’s perception, 2) learning context, 3) academic context, 4) cognitive system, and 5) affective system. Themes 1, 4 and 5 referred to internal factors such as students’ motivation, perceiving learnings and feelings. Themes 2 and 3 referred to external factors including workshop materials, activities, content and facilitation. There was no significant difference in JSE-HPS scores between intervention and control groups across 3 timepoints.
Conclusion: Pharmacy students engaged with the narrative medicine approach as narratives elicited emotional responses, exposed them to diverse perspectives, and deepened their appreciation of the importance of empathy and complexities of understanding patients’ perspectives. The narrative medicine approach needs to be repeated and scaffolded within the curriculum to bring about meaningful and sustained improvements in empathy.