Exploring medical humanities from heterogeneous focus groups: A thematic analysis.

Lieh-Yu Yi, Ting-Chun Tseng, Shao-Yin Chu
Author Information
  1. Lieh-Yu Yi: Department of Medical Education, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.
  2. Ting-Chun Tseng: Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
  3. Shao-Yin Chu: School of Medicine, Tzu Chi University, Hualien, Taiwan.

Abstract

Objectives: Medical humanities has evolved to encompass a multidisciplinary approach, integrating humanities, social sciences, and arts into medical education and practice. Despite its flourishing development, the definition of medical humanities still requires refinement to be inclusive of various cultures and regions. This study aimed to explore perceptions among students, physicians, and nurses, with a focus on the definition, learning, and implementation of medical humanities.
Materials and Methods: We conducted four heterogeneous focus groups, comprising 4-year and 6-year medical students, physicians (including three medical humanities educators), and nurses. Data collection utilized semi-structured guiding questions, followed by thematic analysis. The transcripts were manually analyzed in their original Mandarin, and participant names were anonymized to ensure that the authors remained unaware of the participants' identities throughout the study.
Results: The analysis identified three themes and 16 subthemes. Theme 1, "Medical Humanities Properties," included four subthemes: variety, evolvement, clinical relevancy, and the value of humaneness. Theme 2, "Medical Humanities Contents," comprised seven subthemes: self-cultivation, communication, empathy, cultural competence, medical ethics and law, embodiment, and one subtheme open for interpretation in varying circumstances. Theme 3, "Medical Humanities Cultivation," included five subthemes: personal growth, curriculum, multimedia, clinical experience, and metacognition.
Conclusion: Our study introduces a three-layered framework of medical humanities, emphasizing the field's dynamic nature and the critical role of experiential learning in developing key competencies such as empathy, awareness, and communication. This framework incorporates the concept of "self-cultivation" from Eastern philosophy, accentuating the significance of well-being for health-care professionals. The research not only enriches medical humanities education and practice by incorporating Eastern perspectives but also deepens the overall understanding of humanity in health care.

Keywords

References

  1. Med Humanit. 2009 Jun;35(1):3-4 [PMID: 23674622]
  2. Lancet. 2016 Nov 26;388(10060):2586-2587 [PMID: 28452322]
  3. Indian J Med Ethics. 2012 Oct-Dec;9(4):263-5 [PMID: 23099601]
  4. Healthcare (Basel). 2016 Nov 18;4(4): [PMID: 27869728]
  5. J Med Ethics. 2013 Nov;39(11):672-4 [PMID: 24129789]
  6. Hippokratia. 2010 Oct;14(4):241-3 [PMID: 21311630]
  7. J Med Humanit. 2011 Mar;32(1):1-7 [PMID: 19936898]
  8. Acad Med. 2022 Aug 1;97(8):1151-1157 [PMID: 35385402]
  9. Acad Med. 2007 Nov;82(11):1029-32 [PMID: 17971686]
  10. BMC Med Educ. 2016 Sep 02;16(1):234 [PMID: 27590047]
  11. Chin Med J (Engl). 2014;127(24):4292-4 [PMID: 25533837]
  12. ANS Adv Nurs Sci. 1987 Jul;9(4):51-61 [PMID: 3111351]
  13. Biosci Trends. 2017 May 23;11(2):148-151 [PMID: 28458331]
  14. Acad Med. 2017 Jul;92(7):932-935 [PMID: 28657553]
  15. Med Humanit. 2010 Dec;36(2):66-8 [PMID: 21393283]
  16. Med Teach. 2014 Nov;36(11):923-39 [PMID: 25072306]
  17. Acad Med. 2009 Feb;84(2):192-8 [PMID: 19174663]
  18. Acad Med. 2021 Aug 1;96(8):1213-1222 [PMID: 33830951]
  19. MedEdPublish (2016). 2022 May 11;12:6 [PMID: 36168538]
  20. Med J Aust. 2005 Jan 3;182(1):5-8 [PMID: 15651937]
  21. Acad Med. 2022 Jul 1;97(7):1065-1070 [PMID: 35320128]
  22. JAMA. 2017 Nov 28;318(20):1971-1972 [PMID: 29049507]
  23. Med Teach. 2019 May;41(5):492-496 [PMID: 30134753]
  24. Br J Gen Pract. 2016 Oct;66(651):528-9 [PMID: 27688508]
  25. Front Med (Lausanne). 2022 May 16;9:857488 [PMID: 35652071]

Word Cloud

Created with Highcharts 10.0.0humanitiesmedicalfocusanalysisstudyTheme"MedicalHumanities"subthemes:MedicaleducationpracticedefinitionstudentsphysiciansnurseslearningfourheterogeneousthreethematicincludedclinicalcommunicationempathyframeworkEasternObjectives:evolvedencompassmultidisciplinaryapproachintegratingsocialsciencesartsDespiteflourishingdevelopmentstillrequiresrefinementinclusivevariousculturesregionsaimedexploreperceptionsamongimplementationMaterialsMethods:conductedgroupscomprising4-year6-yearincludingeducatorsDatacollectionutilizedsemi-structuredguidingquestionsfollowedtranscriptsmanuallyanalyzedoriginalMandarinparticipantnamesanonymizedensureauthorsremainedunawareparticipants'identitiesthroughoutResults:identifiedthemes16subthemes1Propertiesvarietyevolvementrelevancyvaluehumaneness2Contentscomprisedsevenself-cultivationculturalcompetenceethicslawembodimentonesubthemeopeninterpretationvaryingcircumstances3CultivationfivepersonalgrowthcurriculummultimediaexperiencemetacognitionConclusion:introducesthree-layeredemphasizingfield'sdynamicnaturecriticalroleexperientialdevelopingkeycompetenciesawarenessincorporatesconcept"self-cultivation"philosophyaccentuatingsignificancewell-beinghealth-careprofessionalsresearchenrichesincorporatingperspectivesalsodeepensoverallunderstandinghumanityhealthcareExploringgroups:HeterogeneousgroupThematic

Similar Articles

Cited By