The Heart of Healthcare: Development and Initial Validation of &lsquo;Malasakit&rsquo; Scale in Healthcare Services

Lord Joseas  C. Conwi,; Alexa Martina  A. Acibron,; Mikaela Marie  L. Alberca,; Christine Keana  B. Jamili,; Justine Adara  S. Nabor,; Lisa Emeri  C. Tena,

The Heart of Healthcare: Development and Initial Validation of ‘Malasakit’ Scale in Healthcare Services

Discipline: health studies

Abstract:

'Malasakit’ is an innate Filipino identity that manifests through the compassionate actions of healthcare professionals in their patient care, resonating ‘Malasakit’ throughout our society and culture. This study aims to develop and validate a ‘Malasakit’ scale by examining the psychometric properties and exploring how ‘Malasakit’ is perceived and implemented in healthcare settings. A scale of 85 items was given to 130 professionals in various healthcare services. The results of an analysis showed that the initial framework of four factors (Empathy, Care, Compassion, and Concern) was partially confirmed using Exploratory Factorial Analysis. Using the oblique rotation method (Promax) and principal axis factoring estimation, we extracted factors to comprehend variable relationships, ensuring analytical validity. We eliminated 39 of 85 questions with factor loadings below .50. We excluded items with two-factor crossloadings near .50. Due to persistently low factor loadings below .35, arousal and relax factors were removed. To ensure a stricter scale, all items must share above 0.70 similarities. This strict approach yielded 19 items arranged into two categories. As a key finding, two characteristics emerged: Empathy (Cognitive and Somatic Empathy), found in the literature, and Compassion (Multicultural Competence Care, Reflective Patient-Centered Care, Affective Empathy, and Hospitality), emerging in Filipino health care services. The study found that the scale can assess empathy and care in healthcare services, including factors specific to Filipino healthcare practices.

References:

Alligood, M. R., & May, B. A. (2000). A Nursing Theory of Personal System Empathy: Interpreting a conceptualization of empathy in King’s interacting systems. Nursing Science Quarterly, 13(3), 243–247. https://doi.org/10.1177/08943180022107645
Austria, P. (2014). Sikolohiyang Pilipino (Filipino psychology): A legacy of. Retrieved from https://www.academia.edu/9633290/Sikolohiyang_Pilipino_Filipino_psychology_A_legacy_o
Covar, P. R. (2016). Ang Pantayong Pananaw Bilang Diskursong Pangkabihasnan. Daluyan: Journal ng Wikang Filipino, 0(0), 46-72. https://journals.upd.edu.ph/index.php/djwf/article/view/4949
Davidov, M., Zahn-Waxler, C., Roth-Hanania, R., & Knafo, A. (2013). Concern for Others in the First Year of Life: Theory, Evidence, and Avenues for Research. Child Development Perspectives, 7(2), 126-131. https://doi.org/10.1111/cdep.12028
Frank, J., MD. (2020). Patient concerns are as important as symptoms. Retrieved from https://www.physicianspractice.com/view/patient-concerns-are-important-symptoms
Georges, J. M. (2013). An emancipatory theory of compassion for nursing. Advances in Nursing Science, 36(1), 2–9. https://doi.org/10.1097/ans.0b013e31828077d2
Habito, C. F. (2016, August 19). Malasakit | Inquirer Opinion. Inquirer.net. Retrieved from https://opinion.inquirer.net/96610/Malasakit
Haslam, N. (2007). Humanizing medical practice: the role of empathy. The Medical Journal of Australia, 187(7), 381–382. https://doi.org/10.5694/j.1326-5377.2007.tb01305.x
James, T. A. (2023). Building empathy into the structure of health care. Retrieved from https://postgraduateeducation.hms.harvard.edu/trends-medicine/building-empathy-structure-health-care
Jimenez, J. (2021). Compassion vs. empathy: Understanding the difference. Retrieved from https://www.betterup.com/blog/compassion-vs-empathy
Krause, F., & Boldt, J. (2017). Understanding care: Introductory remarks (pp. 1–9). In Springer eBooks.
McFarland, M. R., & Wehbe-Alamah, H. B. (2019). Leininger’s Theory of Culture Care Diversity and Universality: an overview with a historical retrospective and a view toward the future. Journal of Transcultural Nursing, 30(6), 540–557. https://doi.org/10.1177/1043659619867134
Menguin, J. (2021). Malasakit: The Filipino Culture of Caring for Others. Retrieved from https://jefmenguin.com/Malasakit/
Redona, M. R. (2018). Malasakit: The Filipino Face of God’s Mercy. The Asian Conference on Cultural Studies 2018, Kobe, Japan
Resurreccion, R. R. (2007). Malasakit, pakikipagkapwa, at kalinisang loob: Mga pundasyon ng kagandahang loob. Philippine E-journals, 19(3), 67-78. https://ejournals.ph/article.php?id=7899.
Salles, V. H. (2022). Mapagmalasakit/ Matapobre: Two Different Ways of Looking at the Poor in the Parable of the Good Samaritan in the light of the COVID-19 Pandemic. Scientia - the International Journal on the Liberal Arts, 11(2), 42-50 https://doi.org/10.57106/scientia.v11i2.5.