Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.

Detalhes bibliográficos
Autor(a) principal: Castro, Isabela Ribeiro Simões de
Data de Publicação: 2019
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
Texto Completo: http://www.bdtd.uerj.br/handle/1/4503
Resumo: Empathy is considered a pillar of quality, safe, person-centered care, allowing partnerships, leading to better outcomes. The objective of this study was the cross - cultural adaptation of the Jefferson Scale of Empathy - Physician - JSE (version for physicians) to the Portuguese language and the Brazilian context. It is the most researched and used instrument in the world, with validations in other cultures, in which empathy is a predominantly cognitive attribute and is divided into three dimensions: assume different perspectives; care with compassion and experience the patient's place (put on the patient's shoes). The pre-test (20 interviewed), operational and measuring equivalents - Exploratory Factor Analysis (AFE) and Confirmatory (Analysis, Retranslation, Equivalence between retranslations and the instrument, review by the group of experts) were performed. AFC) and, consequently, functional. The JSE was applied from October 2017 to March 2018 at the National Institute of Traumatology and Orthopedics Jamil Haddad (INTO), a hospital with a long road to quality. A total of 101 doctors were male (75%) aged 24 to 66 years (mean: 39.3). The values of the scores ranged from 75 to 140, with a mean of 117.8 (Standard deviation - SD: 13.5); mean scores of items ranged from 6.7 (SD: 0.77) to 4.3 (SD: 1.82). The reliability estimate of the scale (Cronbach's Alpha) was 0.794 (the standard Cronbach's alpha, Alpha ordinal, Armor's Theta and Theta ordinal were also satisfactory). For the validity of the construct, three-dimensional AFE was performed, with orthogonal varimax rotation, eight items loaded in the first dimension; four in the second and three in the third. Three items (1, 8 and 19) presented factorial loads with close values (<0.2) in factors 2 and 3, and item 2 loaded on factors 1 and 3. Three factors with eigenvalues &#8805; 1.5 were extracted with ACP , which explain 41.4% of the total variance. The Kaiser-Meyer-Olkin analysis presented an index of 0.67, the Bartlett sphericity test showed a value equal to 1027.04 (p <0.01), the Steiger test equal to 1879.70 (p <0) , 01), and the Jennrich test was 276.70 (p <0.01), which indicates the adequacy of the data for the factorial analysis. The compassionate and compassionate subscales were strongly correlated (r: 0.627), as well as the scales experiencing the patient's place and compassionate care (r: .494). In the confirmatory factor analysis, the model with 20 dependent variables and 3 latent variables had good adjustment indexes: RMSEA = 0.050 (IC 90%: 0.023-0.070), CFI = 0.952, TLI = 0.945 and SRMR = 0.071. In none of the studies that validated the scale, with methodological variations, it behaved exactly as in the original work. The weight of the cultural factor among the various peoples is still not clear. This is the first Brazilian validation study of JSE (physicians), and it has several limitations, but a clear correlation with the construct. Further studies are needed to enable it to be used systematically in our setting and to develop improvement plans for person-centered care.
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spelling Vianna, Cid Manso de Mellohttp://lattes.cnpq.br/6812480293653692Laguardia, Josuéhttp://lattes.cnpq.br/1571021097331693Oliveira, Fabiano Saldanha Gomes dehttp://lattes.cnpq.br/3088661798341585Miranda, Ronaldo FranklinMendes, Anna Alice Amorimhttp://lattes.cnpq.br/6947915935685328Reis, Cláudia Tartagliahttp://lattes.cnpq.br/6579177661422858http://lattes.cnpq.br/0568637406166512Castro, Isabela Ribeiro Simões de2020-08-02T16:49:40Z2019-08-232019-04-26CASTRO, Isabela Ribeiro Simões de. Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.. 2019. 108 f. Tese (Doutorado em Ciências Humanas e Saúde; Epidemiologia; Política, Planejamento e Administração em Saúde; Administra) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2019.http://www.bdtd.uerj.br/handle/1/4503Empathy is considered a pillar of quality, safe, person-centered care, allowing partnerships, leading to better outcomes. The objective of this study was the cross - cultural adaptation of the Jefferson Scale of Empathy - Physician - JSE (version for physicians) to the Portuguese language and the Brazilian context. It is the most researched and used instrument in the world, with validations in other cultures, in which empathy is a predominantly cognitive attribute and is divided into three dimensions: assume different perspectives; care with compassion and experience the patient's place (put on the patient's shoes). The pre-test (20 interviewed), operational and measuring equivalents - Exploratory Factor Analysis (AFE) and Confirmatory (Analysis, Retranslation, Equivalence between retranslations and the instrument, review by the group of experts) were performed. AFC) and, consequently, functional. The JSE was applied from October 2017 to March 2018 at the National Institute of Traumatology and Orthopedics Jamil Haddad (INTO), a hospital with a long road to quality. A total of 101 doctors were male (75%) aged 24 to 66 years (mean: 39.3). The values of the scores ranged from 75 to 140, with a mean of 117.8 (Standard deviation - SD: 13.5); mean scores of items ranged from 6.7 (SD: 0.77) to 4.3 (SD: 1.82). The reliability estimate of the scale (Cronbach's Alpha) was 0.794 (the standard Cronbach's alpha, Alpha ordinal, Armor's Theta and Theta ordinal were also satisfactory). For the validity of the construct, three-dimensional AFE was performed, with orthogonal varimax rotation, eight items loaded in the first dimension; four in the second and three in the third. Three items (1, 8 and 19) presented factorial loads with close values (<0.2) in factors 2 and 3, and item 2 loaded on factors 1 and 3. Three factors with eigenvalues &#8805; 1.5 were extracted with ACP , which explain 41.4% of the total variance. The Kaiser-Meyer-Olkin analysis presented an index of 0.67, the Bartlett sphericity test showed a value equal to 1027.04 (p <0.01), the Steiger test equal to 1879.70 (p <0) , 01), and the Jennrich test was 276.70 (p <0.01), which indicates the adequacy of the data for the factorial analysis. The compassionate and compassionate subscales were strongly correlated (r: 0.627), as well as the scales experiencing the patient's place and compassionate care (r: .494). In the confirmatory factor analysis, the model with 20 dependent variables and 3 latent variables had good adjustment indexes: RMSEA = 0.050 (IC 90%: 0.023-0.070), CFI = 0.952, TLI = 0.945 and SRMR = 0.071. In none of the studies that validated the scale, with methodological variations, it behaved exactly as in the original work. The weight of the cultural factor among the various peoples is still not clear. This is the first Brazilian validation study of JSE (physicians), and it has several limitations, but a clear correlation with the construct. Further studies are needed to enable it to be used systematically in our setting and to develop improvement plans for person-centered care.A empatia é considerada um pilar do cuidado centrado na pessoa, de qualidade e seguro, que permite a consolidação de parcerias e melhores desfechos. O objetivo deste estudo foi a adaptação transcultural da Jefferson Scale of Empathy Physician - JSE (versão para médicos) para a língua portuguesa e o contexto brasileiro. É o instrumento mais pesquisado e utilizado no mundo, com validações em outras culturas, no qual a empatia é um atributo predominantemente cognitivo e divide-se em três dimensões: assumir perspectivas diferentes; cuidado com compaixão e vivenciar o lugar do paciente (calçar os sapatos do paciente). Foram realizadas as etapas de equivalências conceitual, semântica (tradução, retradução, equivalência entre retraduções e o instrumento, revisão pelo grupo de especialistas), pré-teste (20 entrevistados), operacional e de mensuração - Análise Fatorial Exploratória (AFE) e Confirmatória (AFC) e, consequentemente, a funcional. A JSE foi aplicada de outubro de 2017 a março de 2018 no Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad (INTO), hospital com longo caminho voltado à qualidade. Responderam 101 médicos, 75% do sexo masculino, com idades entre 24 a 66 anos (média: 39,3). Os valores dos escores variaram de 75 a 140, com média de 117,8 (Desvio padrão - DP:13,5); escores médios dos itens variaram de 6,7 (DP:0,77) a 4,3 (DP:1,82). A estimativa de confiabilidade da escala (Alpha de Cronbach) foi 0,794 (também foram satisfatórios os Alfa de Cronbach padronizado, Alpha ordinal, Theta de Armor e Theta ordinal). Para validade do construto, foi realizada AFE com três dimensões, com rotação ortogonal varimax, oito itens carregaram na primeira dimensão; quatro na segunda e três na terceira. Três itens (1, 8 e 19) apresentaram cargas fatoriais com valores próximos (<0,2) nos fatores 2 e 3, e o item 2 carregou nos fatores 1 e 3. Três fatores com eigenvalues &#8805; 1,5 foram extraídos com ACP, que explicam 41,4% da variância total. A análise de Kaiser-Meyer-Olkin apresentou um índice de 0,67, o teste de esfericidade de Bartlett mostrou um valor igual a&#8201;1027,04 (p&#8201;<&#8201;0,01), o teste Steiger igual a 1879,70 (p&#8201;<&#8201;0,01) e o teste de Jennrich igual a 276,70 (p&#8201;<&#8201;0,01), que indicam a adequação dos dados para a análise fatorial. As subescalas cuidado com compaixão e assumir perspectivas estavam fortemente correlacionadas (r: 0,627), bem como as escalas vivenciar o lugar do paciente e cuidado com compaixão (r: 0,494). Na análise fatorial confirmatória, o modelo com 20 variáveis dependentes e 3 variáveis latentes apresentou bons índices de ajuste: RMSEA = 0,050 (IC 90%: 0,023-0,070), CFI = 0,952, TLI = 0,945 e SRMR = 0,071. Em nenhum dos estudos que validaram a escala, com variações metodológicas, a mesma se comportou exatamente como no trabalho original. O peso do fator cultural entre os diversos povos ainda não está bem esclarecido. Este é o primeiro estudo brasileiro de validação da JSE (médicos), possui diversas limitações, com clara correlação com o construto. São necessários mais estudos com a mesma, para permitir sua utilização de forma sistemática no nosso meio e elaborar planos de melhorias em prol do cuidado centrado na pessoa.Submitted by Boris Flegr (boris@uerj.br) on 2020-08-02T16:49:40Z No. of bitstreams: 1 Tese Isabela Castro.pdf: 1707808 bytes, checksum: 83d667c5e748361ee895abd36d47ecb3 (MD5)Made available in DSpace on 2020-08-02T16:49:40Z (GMT). No. of bitstreams: 1 Tese Isabela Castro.pdf: 1707808 bytes, checksum: 83d667c5e748361ee895abd36d47ecb3 (MD5) Previous issue date: 2019-04-26application/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em Saúde ColetivaUERJBRCentro Biomédico::Instituto de Medicina SocialEmpathyPatient-Centered CareHospital MedicineComprehensive Health CareCross-Cultural ComparisonTranslationsValidation StudiesEmpatiaAssistência Centrada no PacienteMedicina HospitalarAssistência integral à saúdeComparação TransculturalTraduçõesEstudos de ValidaçãoCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVAEmpatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.Physician empathy evaluated by the Jefferson Scale of Empathy (JSE) - Physician as a marker of patient-centered care.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALTese Isabela Castro.pdfapplication/pdf1707808http://www.bdtd.uerj.br/bitstream/1/4503/1/Tese+Isabela+Castro.pdf83d667c5e748361ee895abd36d47ecb3MD511/45032024-02-26 20:21:04.269oai:www.bdtd.uerj.br:1/4503Biblioteca Digital de Teses e Dissertaçõeshttp://www.bdtd.uerj.br/PUBhttps://www.bdtd.uerj.br:8443/oai/requestbdtd.suporte@uerj.bropendoar:29032024-02-26T23:21:04Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ)false
dc.title.por.fl_str_mv Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.
dc.title.alternative.eng.fl_str_mv Physician empathy evaluated by the Jefferson Scale of Empathy (JSE) - Physician as a marker of patient-centered care.
title Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.
spellingShingle Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.
Castro, Isabela Ribeiro Simões de
Empathy
Patient-Centered Care
Hospital Medicine
Comprehensive Health Care
Cross-Cultural Comparison
Translations
Validation Studies
Empatia
Assistência Centrada no Paciente
Medicina Hospitalar
Assistência integral à saúde
Comparação Transcultural
Traduções
Estudos de Validação
CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA
title_short Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.
title_full Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.
title_fullStr Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.
title_full_unstemmed Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.
title_sort Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.
author Castro, Isabela Ribeiro Simões de
author_facet Castro, Isabela Ribeiro Simões de
author_role author
dc.contributor.advisor1.fl_str_mv Vianna, Cid Manso de Mello
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/6812480293653692
dc.contributor.advisor-co1.fl_str_mv Laguardia, Josué
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/1571021097331693
dc.contributor.referee1.fl_str_mv Oliveira, Fabiano Saldanha Gomes de
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/3088661798341585
dc.contributor.referee2.fl_str_mv Miranda, Ronaldo Franklin
dc.contributor.referee3.fl_str_mv Mendes, Anna Alice Amorim
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/6947915935685328
dc.contributor.referee4.fl_str_mv Reis, Cláudia Tartaglia
dc.contributor.referee4Lattes.fl_str_mv http://lattes.cnpq.br/6579177661422858
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0568637406166512
dc.contributor.author.fl_str_mv Castro, Isabela Ribeiro Simões de
contributor_str_mv Vianna, Cid Manso de Mello
Laguardia, Josué
Oliveira, Fabiano Saldanha Gomes de
Miranda, Ronaldo Franklin
Mendes, Anna Alice Amorim
Reis, Cláudia Tartaglia
dc.subject.eng.fl_str_mv Empathy
Patient-Centered Care
Hospital Medicine
Comprehensive Health Care
Cross-Cultural Comparison
Translations
Validation Studies
topic Empathy
Patient-Centered Care
Hospital Medicine
Comprehensive Health Care
Cross-Cultural Comparison
Translations
Validation Studies
Empatia
Assistência Centrada no Paciente
Medicina Hospitalar
Assistência integral à saúde
Comparação Transcultural
Traduções
Estudos de Validação
CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA
dc.subject.por.fl_str_mv Empatia
Assistência Centrada no Paciente
Medicina Hospitalar
Assistência integral à saúde
Comparação Transcultural
Traduções
Estudos de Validação
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA
description Empathy is considered a pillar of quality, safe, person-centered care, allowing partnerships, leading to better outcomes. The objective of this study was the cross - cultural adaptation of the Jefferson Scale of Empathy - Physician - JSE (version for physicians) to the Portuguese language and the Brazilian context. It is the most researched and used instrument in the world, with validations in other cultures, in which empathy is a predominantly cognitive attribute and is divided into three dimensions: assume different perspectives; care with compassion and experience the patient's place (put on the patient's shoes). The pre-test (20 interviewed), operational and measuring equivalents - Exploratory Factor Analysis (AFE) and Confirmatory (Analysis, Retranslation, Equivalence between retranslations and the instrument, review by the group of experts) were performed. AFC) and, consequently, functional. The JSE was applied from October 2017 to March 2018 at the National Institute of Traumatology and Orthopedics Jamil Haddad (INTO), a hospital with a long road to quality. A total of 101 doctors were male (75%) aged 24 to 66 years (mean: 39.3). The values of the scores ranged from 75 to 140, with a mean of 117.8 (Standard deviation - SD: 13.5); mean scores of items ranged from 6.7 (SD: 0.77) to 4.3 (SD: 1.82). The reliability estimate of the scale (Cronbach's Alpha) was 0.794 (the standard Cronbach's alpha, Alpha ordinal, Armor's Theta and Theta ordinal were also satisfactory). For the validity of the construct, three-dimensional AFE was performed, with orthogonal varimax rotation, eight items loaded in the first dimension; four in the second and three in the third. Three items (1, 8 and 19) presented factorial loads with close values (<0.2) in factors 2 and 3, and item 2 loaded on factors 1 and 3. Three factors with eigenvalues &#8805; 1.5 were extracted with ACP , which explain 41.4% of the total variance. The Kaiser-Meyer-Olkin analysis presented an index of 0.67, the Bartlett sphericity test showed a value equal to 1027.04 (p <0.01), the Steiger test equal to 1879.70 (p <0) , 01), and the Jennrich test was 276.70 (p <0.01), which indicates the adequacy of the data for the factorial analysis. The compassionate and compassionate subscales were strongly correlated (r: 0.627), as well as the scales experiencing the patient's place and compassionate care (r: .494). In the confirmatory factor analysis, the model with 20 dependent variables and 3 latent variables had good adjustment indexes: RMSEA = 0.050 (IC 90%: 0.023-0.070), CFI = 0.952, TLI = 0.945 and SRMR = 0.071. In none of the studies that validated the scale, with methodological variations, it behaved exactly as in the original work. The weight of the cultural factor among the various peoples is still not clear. This is the first Brazilian validation study of JSE (physicians), and it has several limitations, but a clear correlation with the construct. Further studies are needed to enable it to be used systematically in our setting and to develop improvement plans for person-centered care.
publishDate 2019
dc.date.available.fl_str_mv 2019-08-23
dc.date.issued.fl_str_mv 2019-04-26
dc.date.accessioned.fl_str_mv 2020-08-02T16:49:40Z
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dc.identifier.citation.fl_str_mv CASTRO, Isabela Ribeiro Simões de. Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.. 2019. 108 f. Tese (Doutorado em Ciências Humanas e Saúde; Epidemiologia; Política, Planejamento e Administração em Saúde; Administra) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2019.
dc.identifier.uri.fl_str_mv http://www.bdtd.uerj.br/handle/1/4503
identifier_str_mv CASTRO, Isabela Ribeiro Simões de. Empatia de médicos avaliada por meio da Jefferson Scale of Empathy (JSE) - Physician como marcador do cuidado centrado no paciente.. 2019. 108 f. Tese (Doutorado em Ciências Humanas e Saúde; Epidemiologia; Política, Planejamento e Administração em Saúde; Administra) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2019.
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