Construction and Empirical Study of a Kirkpatrick Four-Level Evaluation Model for a Narrative Medicine Clinical Ideological and Political Education Case Database
Objective: The current implementation of clinical ideological and political education evaluation is confronted with prominent challenges, including an underdeveloped quantitative evaluation system, a paucity of empirical research data, and difficulty in sustaining long‑term educational outcomes. To address this dilemma, this study draws on the Kirkpatrick four‑level evaluation model to construct an evaluation framework centered on a narrative medicine clinical ideological and political education case database and examines its practical effects, with the aim of providing a reference for the quantitative evaluation of clinical ideological and political education. Methods: Because teaching arrangements precluded random assignment, this study formed a non‑randomized concurrent control design based on the year of entry into the department. Sixty clinical medicine interns from Xiangyang First People’s Hospital, Hubei University of Medicine, in the 2025 academic year were selected as the control group and received conventional ideological and political teaching; 65 clinical medicine interns in the 2026 academic year were selected as the experimental group and received teaching using the narrative medicine case database. Before and after the intervention, assessments were conducted using the Jefferson Scale of Empathy, a professional identity scale, and objective structured clinical examinations, and verification was performed in conjunction with the quality of parallel charts. Results: The satisfaction rate at the reaction level in the experimental group was 92.3%, significantly higher than the 73.3% in the control group, with a statistically significant difference between groups (P < 0.05). At the level of professional identity, 84% of the interns in the experimental group demonstrated a high level of identification with the medical profession, far exceeding the 63% in the control group (P < 0.01). Conclusion: The Kirkpatrick four‑level model provides a novel perspective for this study. The application of the narrative medicine case database strengthened medical students’ empathy and professional identity and facilitated changes in clinical communication behaviors, demonstrating its value for clinical dissemination
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