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

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.