Construção e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19

Detalhes bibliográficos
Autor(a) principal: Ruviaro, Nathália
Data de Publicação: 2022
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações do UFSM
Texto Completo: http://repositorio.ufsm.br/handle/1/30298
Resumo: Physicians are constantly faced with death and difficult decisions that can affect their physical and psychological well-being. They represent an at- risk group, especially in the context of the pandemic COVID -19. The aim of the present study was to construct and validate the Mental Exhaustion Scale (EMS) using item response theory (IRT) and to analyze the dynamics of selfefficacy in relation to mental exhaustion. A quantitative cross-sectional study was conducted in five steps, starting with the literature review for the construction of the 37 items of the first version of the scale. After evaluation by three experts, 9 items were excluded. 310 experts participated in the survey. The dimensionality was checked by the analysis of the political factor, which was completed with the TRI. The data were fed to the Samejima Scaled Response Model. Levels of description were confirmed for 24 items. Moderately negative dynamics (r = -0.36) with self-efficacy (p < 0.01) were found, supporting the validity of the constructed instrument. It was concluded that the instrument, the Mental Exhaustion Scale with the final version of 24 items, provided evidence of validity, confirmed in both content and internal structure, and that individuals with higher self-efficacy are less likely to develop mental exhaustion.
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spelling 2023-10-05T13:55:24Z2023-10-05T13:55:24Z2022-11-30http://repositorio.ufsm.br/handle/1/30298Physicians are constantly faced with death and difficult decisions that can affect their physical and psychological well-being. They represent an at- risk group, especially in the context of the pandemic COVID -19. The aim of the present study was to construct and validate the Mental Exhaustion Scale (EMS) using item response theory (IRT) and to analyze the dynamics of selfefficacy in relation to mental exhaustion. A quantitative cross-sectional study was conducted in five steps, starting with the literature review for the construction of the 37 items of the first version of the scale. After evaluation by three experts, 9 items were excluded. 310 experts participated in the survey. The dimensionality was checked by the analysis of the political factor, which was completed with the TRI. The data were fed to the Samejima Scaled Response Model. Levels of description were confirmed for 24 items. Moderately negative dynamics (r = -0.36) with self-efficacy (p < 0.01) were found, supporting the validity of the constructed instrument. It was concluded that the instrument, the Mental Exhaustion Scale with the final version of 24 items, provided evidence of validity, confirmed in both content and internal structure, and that individuals with higher self-efficacy are less likely to develop mental exhaustion.Os médicos lidam constantemente com a morte e com decisões difíceis, o que pode afetar seu bem-estar físico e mental, constituindo um grupo de risco, sobretudo no contexto da pandemia da COVID-19. O objetivo do presente estudo foi a construir e validar a Escala de Esgotamento Mental (EEM) utilizando-se da Teoria de Resposta ao Item(TRI) e analisar a correlação da autoeficácia com o esgotamento mental. Foi realizado um estudo transversal e quantitativo realizado em cinco etapas que partiu da revisão da literatura para a construção dos 37 itens da primeira versão da escala. Após a avaliação de três juízes especialistas, foram excluídos 9 itens. Participaram da pesquisa 310 profissionais. Foi verificada a dimensionalidade por meio da análise fatorial policórica, satisfazendo critério para a realização de análise por meio da TRI. Os dados foram submetidos ao Modelo de Resposta Gradual de Samejima. Foram confirmados níveis satisfatórios de discriminação para 24 itens. Obteve-se uma correlação negativa moderada (r = -0,36) com a autoeficácia (p < 0,01) fortalecendo a validade do instrumento construído. Concluiu-se então que o instrumento, denominado Escala de Esgotamento Mental com a versão final de 24 itens, apresentou evidências de validade baseadas no conteúdo e na estrutura interna e que indivíduos com maior autoeficácia apresentam menor possibilidade de desenvolver esgotamento mental.porUniversidade Federal de Santa MariaCentro de Ciências Sociais e HumanasPrograma de Pós-Graduação em PsicologiaUFSMBrasilPsicologiaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEsgotamento mentalCovid-19Teoria de resposta ao itemPsicometriaMental exhaustionItem response theoryCNPQ::CIENCIAS HUMANAS::PSICOLOGIAConstrução e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisVasconcellos, Silvio José Lemoshttp://lattes.cnpq.br/1853136773126959Dalmolin, Grazielehttp://lattes.cnpq.br/0106195266169240Ruviaro, Nathália700700000001600600600600c5babb05-f8c8-499e-8c28-c8b8dfa15fc18f9a1978-5368-4c62-a315-5a52aaed548eeaa0dd4c-5ecf-4f07-9b52-845709dc4770reponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGPSICOLOGIA_2022_RUVIARO_NATHALIA.pdfDIS_PPGPSICOLOGIA_2022_RUVIARO_NATHALIA.pdfDissertação de mestradoapplication/pdf536621http://repositorio.ufsm.br/bitstream/1/30298/1/DIS_PPGPSICOLOGIA_2022_RUVIARO_NATHALIA.pdff201706fa25ef584df23090fb09d2998MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.ufsm.br/bitstream/1/30298/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81956http://repositorio.ufsm.br/bitstream/1/30298/3/license.txt2f0571ecee68693bd5cd3f17c1e075dfMD531/302982023-10-05 10:55:25.164oai:repositorio.ufsm.br:1/30298TElDRU7Dh0EgREUgRElTVFJJQlVJw4fDg08gTsODTy1FWENMVVNJVkEKCkNvbSBhIGFwcmVzZW50YcOnw6NvIGRlc3RhIGxpY2Vuw6dhLCB2b2PDqiAobyBhdXRvciAoZXMpIG91IG8gdGl0dWxhciBkb3MgZGlyZWl0b3MgZGUgYXV0b3IpIGNvbmNlZGUgw6AgVW5pdmVyc2lkYWRlCkZlZGVyYWwgZGUgU2FudGEgTWFyaWEgKFVGU00pIG8gZGlyZWl0byBuw6NvLWV4Y2x1c2l2byBkZSByZXByb2R1emlyLCAgdHJhZHV6aXIgKGNvbmZvcm1lIGRlZmluaWRvIGFiYWl4byksIGUvb3UKZGlzdHJpYnVpciBhIHN1YSB0ZXNlIG91IGRpc3NlcnRhw6fDo28gKGluY2x1aW5kbyBvIHJlc3VtbykgcG9yIHRvZG8gbyBtdW5kbyBubyBmb3JtYXRvIGltcHJlc3NvIGUgZWxldHLDtG5pY28gZQplbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mgw6F1ZGlvIG91IHbDrWRlby4KClZvY8OqIGNvbmNvcmRhIHF1ZSBhIFVGU00gcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250ZcO6ZG8sIHRyYW5zcG9yIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbwpwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIHRhbWLDqW0gY29uY29yZGEgcXVlIGEgVUZTTSBwb2RlIG1hbnRlciBtYWlzIGRlIHVtYSBjw7NwaWEgYSBzdWEgdGVzZSBvdQpkaXNzZXJ0YcOnw6NvIHBhcmEgZmlucyBkZSBzZWd1cmFuw6dhLCBiYWNrLXVwIGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIGRlY2xhcmEgcXVlIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyDDqSBvcmlnaW5hbCBlIHF1ZSB2b2PDqiB0ZW0gbyBwb2RlciBkZSBjb25jZWRlciBvcyBkaXJlaXRvcyBjb250aWRvcwpuZXN0YSBsaWNlbsOnYS4gVm9jw6ogdGFtYsOpbSBkZWNsYXJhIHF1ZSBvIGRlcMOzc2l0byBkYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvIG7Do28sIHF1ZSBzZWphIGRlIHNldQpjb25oZWNpbWVudG8sIGluZnJpbmdlIGRpcmVpdG9zIGF1dG9yYWlzIGRlIG5pbmd1w6ltLgoKQ2FzbyBhIHN1YSB0ZXNlIG91IGRpc3NlcnRhw6fDo28gY29udGVuaGEgbWF0ZXJpYWwgcXVlIHZvY8OqIG7Do28gcG9zc3VpIGEgdGl0dWxhcmlkYWRlIGRvcyBkaXJlaXRvcyBhdXRvcmFpcywgdm9jw6oKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc8OjbyBpcnJlc3RyaXRhIGRvIGRldGVudG9yIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBwYXJhIGNvbmNlZGVyIMOgIFVGU00Kb3MgZGlyZWl0b3MgYXByZXNlbnRhZG9zIG5lc3RhIGxpY2Vuw6dhLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3TDoSBjbGFyYW1lbnRlCmlkZW50aWZpY2FkbyBlIHJlY29uaGVjaWRvIG5vIHRleHRvIG91IG5vIGNvbnRlw7pkbyBkYSB0ZXNlIG91IGRpc3NlcnRhw6fDo28gb3JhIGRlcG9zaXRhZGEuCgpDQVNPIEEgVEVTRSBPVSBESVNTRVJUQcOHw4NPIE9SQSBERVBPU0lUQURBIFRFTkhBIFNJRE8gUkVTVUxUQURPIERFIFVNIFBBVFJPQ8ONTklPIE9VCkFQT0lPIERFIFVNQSBBR8OKTkNJQSBERSBGT01FTlRPIE9VIE9VVFJPIE9SR0FOSVNNTyBRVUUgTsODTyBTRUpBIEEgVUZTTQosIFZPQ8OKIERFQ0xBUkEgUVVFIFJFU1BFSVRPVSBUT0RPUyBFIFFVQUlTUVVFUiBESVJFSVRPUyBERSBSRVZJU8ODTyBDT01PClRBTULDiU0gQVMgREVNQUlTIE9CUklHQcOHw5VFUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKQSBVRlNNIHNlIGNvbXByb21ldGUgYSBpZGVudGlmaWNhciBjbGFyYW1lbnRlIG8gc2V1IG5vbWUgKHMpIG91IG8ocykgbm9tZShzKSBkbyhzKQpkZXRlbnRvcihlcykgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIGRhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbywgZSBuw6NvIGZhcsOhIHF1YWxxdWVyIGFsdGVyYcOnw6NvLCBhbMOpbSBkYXF1ZWxhcwpjb25jZWRpZGFzIHBvciBlc3RhIGxpY2Vuw6dhLgoKBiblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2023-10-05T13:55:25Biblioteca Digital de Teses e Dissertações do UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.por.fl_str_mv Construção e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19
title Construção e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19
spellingShingle Construção e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19
Ruviaro, Nathália
Esgotamento mental
Covid-19
Teoria de resposta ao item
Psicometria
Mental exhaustion
Item response theory
CNPQ::CIENCIAS HUMANAS::PSICOLOGIA
title_short Construção e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19
title_full Construção e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19
title_fullStr Construção e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19
title_full_unstemmed Construção e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19
title_sort Construção e validação de uma escala de esgotamento mental em médicos da linha de frente da Covid-19
author Ruviaro, Nathália
author_facet Ruviaro, Nathália
author_role author
dc.contributor.advisor1.fl_str_mv Vasconcellos, Silvio José Lemos
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/1853136773126959
dc.contributor.referee1.fl_str_mv Dalmolin, Graziele
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0106195266169240
dc.contributor.author.fl_str_mv Ruviaro, Nathália
contributor_str_mv Vasconcellos, Silvio José Lemos
Dalmolin, Graziele
dc.subject.por.fl_str_mv Esgotamento mental
Covid-19
Teoria de resposta ao item
Psicometria
topic Esgotamento mental
Covid-19
Teoria de resposta ao item
Psicometria
Mental exhaustion
Item response theory
CNPQ::CIENCIAS HUMANAS::PSICOLOGIA
dc.subject.eng.fl_str_mv Mental exhaustion
Item response theory
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS HUMANAS::PSICOLOGIA
description Physicians are constantly faced with death and difficult decisions that can affect their physical and psychological well-being. They represent an at- risk group, especially in the context of the pandemic COVID -19. The aim of the present study was to construct and validate the Mental Exhaustion Scale (EMS) using item response theory (IRT) and to analyze the dynamics of selfefficacy in relation to mental exhaustion. A quantitative cross-sectional study was conducted in five steps, starting with the literature review for the construction of the 37 items of the first version of the scale. After evaluation by three experts, 9 items were excluded. 310 experts participated in the survey. The dimensionality was checked by the analysis of the political factor, which was completed with the TRI. The data were fed to the Samejima Scaled Response Model. Levels of description were confirmed for 24 items. Moderately negative dynamics (r = -0.36) with self-efficacy (p < 0.01) were found, supporting the validity of the constructed instrument. It was concluded that the instrument, the Mental Exhaustion Scale with the final version of 24 items, provided evidence of validity, confirmed in both content and internal structure, and that individuals with higher self-efficacy are less likely to develop mental exhaustion.
publishDate 2022
dc.date.issued.fl_str_mv 2022-11-30
dc.date.accessioned.fl_str_mv 2023-10-05T13:55:24Z
dc.date.available.fl_str_mv 2023-10-05T13:55:24Z
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dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
Centro de Ciências Sociais e Humanas
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Centro de Ciências Sociais e Humanas
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