Mediating role of health education competency in the relationship between supportive communication and general self-efficacy among medical undergraduates
Objective To explore the factors influencing the supportive communication ability of medical undergraduates,and to propose strategies to improve supportive communication.Methods By cluster sampling,we selected 388 medical undergraduates of grades 2017 and 2018 from Harbin Medical University for a questionnaire survey on supportive communication,general self-efficacy,and health education abilities.SPSS 22.0 was used for descriptive statistical analysis.AMOS 22.0 was used to construct a structural equation model to verify the relationship between the three variables.Mediating effects were also tested.Results The students showed good supportive communication ability,with a total score of(74.28±10.84)points.The general self-efficacy score was(27.81±5.58)points,and the total score of health education ability was(25.50±4.76)points.General self-efficacy had direct positive effects on supportive communication and health education abilities(β=0.75,0.31,both P<0.001).Health education ability had a direct positive effect on supportive communication ability(β=0.14,P<0.001).Health education ability played a significant mediating role in the influence of general self-efficacy on supportive communication ability(standardized mediating effect value=0.042,P<0.01),with the mediating effect accounting for 5.1%.Conclusions The health education competency of medical undergraduates can mediate the effect of general self-efficacy on supportive communication ability.By strengthening medical humanities education to increase general self-efficacy and also emphasizing the cultivation of health education competency,the supportive communication ability of students can be improved.
Medical undergraduateSupportive communicationGeneral self-efficacyHealth education competency
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