{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T05:57:18Z","timestamp":1790575038690,"version":"4.1.0"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Empathy is closely related to the nursing process; it is a fundamental and essential quality required by nurses to cultivate a healthy nurse\u2013patient relationship. However, no systematic or scientific model of empathy training is currently available for clinical nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We constructed a standardised training system for nurses\u2019 empathy abilities based on the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) Model, Davis\u2019 multidimensional empathy theory, and empathy cycle theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>An online two-round Delphi survey of empathy care experts was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From January 2023 to July 2023, literature reviews, semi-structured interviews with regularly trained nurses, and group discussions were conducted to develop an indicator system for cultivating nurses\u2019 empathy abilities. This involved 20 nursing experts from Beijing, Hubei, Jiangsu, Hainan, Shanxi, Guangdong, and Chongqing. The inclusion criteria for indicators were a mean score of \u22654 points and a coefficient of variation of &amp;lt;0.25. Combined with the research group\u2019s in-depth analysis of the experts\u2019 suggestions, a system for cultivating and practising nursing empathy abilities was formed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After two Delphi rounds, the final index system included a three-part indicator system, with 14 first-level indicators, 24\u202fs-level indicators, and 29 third-level indicators. The response rates for the two rounds were 100 and 85%, the proportions of experts providing suggestions were 60 and 47.06%, and the expert authority coefficient of the two rounds of consultation were 0.898 and 0.869, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The educational pathway constructed to cultivate nurses\u2019 empathy included ability training, training implementation, and training effect evaluation. This Delphi study established expert consensus and preliminary content validity for the indicator system. Future implementation studies with pre- and post-training assessments are needed to evaluate its feasibility and educational effectiveness in clinical nursing populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1868186","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T05:45:00Z","timestamp":1790574300000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Construction of an empathy ability index system for clinical nurses using the ADDIE model: a Delphi study"],"prefix":"10.3389","volume":"17","author":[{"given":"Wanmin","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Oncology, The Affiliated Panyu Central Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongjiao","family":"Xu","sequence":"additional","affiliation":[{"name":"Operation Room, The Affiliated Panyu Central Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guang","family":"Shi","sequence":"additional","affiliation":[{"name":"Nursing Department, The Affiliated Panyu Central Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinyu","family":"Chen","sequence":"additional","affiliation":[{"name":"Human Resources Department, The Affiliated Panyu Central Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Limin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Human Resources Department, The Affiliated Panyu Central Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1037\/cou0000667","article-title":"Helping skills training: outcomes and trainer effects","volume":"70","author":"Ahn","year":"2023","journal-title":"J. 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