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Enhancing Empathy and Reducing Stigma: A Mixed-Methods Evaluation of a Patient-as-Teacher Cooperative Learning Model

Shao-Wei Liu1, Wen-Li Hou, Wen-Po Hsieh

  • 1Author Affiliations : Taichung Veterans General Hospital, Taichung, Taiwan (Miss Liu); School of Nursing, College of Nursing, Kaohsiung Medical College, Taiwan (Dr Hou); School of Nursing, HungKuang University, Taichung, Taiwan (Mr Hsieh, Miss Hsu, Miss Shao, Miss Tseng, and Miss Hung); Department of Post Baccalaureate Nursing, College of Nursing, HungKuang University, Taichung, Taiwan (Dr Lin).

ANS. Advances in Nursing Science
|June 16, 2026
PubMed

This mixed-methods study evaluated the effectiveness of a patient-as-teacher learning model in undergraduate mental health nursing using a pre-/post-test design. Pre- to post-test stigma decreased in the intervention group (n = 42), notably in disclosure and help-seeking; there was no change in the control group (n = 41). Empathy increased substantially in both groups, with the largest gains in empathic concern; a marginally larger within-group effect was seen in the intervention group. Qualitative analysis identified 3 themes: deconstructing stigma and reshaping perspectives, integrating knowledge and practice, and cultivating self-reflection and caring attitudes. The patient-as-teacher model appears to support stigma reduction and empathy development.

Keywords:
empathymental healthnursing educationpatient-as teacherstigma

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