Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UNIFENAS |
Texto Completo: | http://tede2.unifenas.br:8080/jspui/handle/jspui/336 |
Resumo: | Introduction: Empathy is the ability to put oneself in another's place, understand and respond appropriately to the emotions of others. In the clinical context, empathy is related to improved diagnosis and adherence to proposed treatments, and greater patient satisfaction. Apparent empathy can present itself at different stages development. Objective: To develop an instrument that allows the classification of clinical empathy demonstrated by medical students when using the Health Empathy Map (HEM). Methodology: This is a study with a mixed (qualitative and quantitative) and descriptive approach, developed in three stages. (1) Initially, an empathy categorization model was proposed, which served as the basis for the development of the clinical empathy classification instrument (CECI-HEM). (2) Then, the validations of construct, content, criterion and precision of the elaborated instrument were performed. (3) Finally, an analysis of the clinical empathy demonstrated by the students was carried out. The model was evaluated by specialists in the subject and professors of clinical practice. To determine the level of agreement between the evaluating professors in regards to the classification of the student's empathy in the proposed categories, the Fleiss Kappa index (p < 0.05) and the Gwet AC1 statistic were used when there was a significant imbalance and descriptive analysis of the resulting data. Results: The results showed that the instrument was able to address the dimensions of clinical empathy, proved to be easy to understand and made it possible to identify the student's empathy category. It presented a reasonable agreement (0.20 to 0.40) in the 2nd quadrant for the affective dimension and final dimensionality, and in the 4th quadrant for the social dimension and final dimensionality. There was moderate agreement (0.40 to 0.60) in the 2nd quadrant for the biomedical and social dimensions, in the 3rd quadrant that assesses primary empathy, and in the 4th quadrant for the affective dimension. Lastly, there was a strong or almost perfect agreement (> 0.60) in the 1st quadrant that evaluates the extended empathy and in the 4th quadrant for the biomedical dimension. Final considerations: The CECI-HEM makes it possible to identify the classification of clinical empathy demonstrated by the student, and was considered, by the participants of the study, a useful tool to assist in teaching and developing empathy in the learning environment of clinical practice. |
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Moura, Eliane Perlattohttp://lattes.cnpq.br/4613067362478614Peixoto, José Mariahttp://lattes.cnpq.br/5863458866759154Pereira, Alexandre de Araújohttp://lattes.cnpq.br/5686872647547229Santos, Silvana Maria Elóihttp://lattes.cnpq.br/3155049426520303http://lattes.cnpq.br/7615201028158369Teixeira, Cleuza Guimarães2023-12-05T12:33:01Z2023-05-29TEIXEIRA, Cleuza Guimarães. Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina. 2023. 95 f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade Professor Edson Antônio Velano, Belo Horizonte.http://tede2.unifenas.br:8080/jspui/handle/jspui/336Introduction: Empathy is the ability to put oneself in another's place, understand and respond appropriately to the emotions of others. In the clinical context, empathy is related to improved diagnosis and adherence to proposed treatments, and greater patient satisfaction. Apparent empathy can present itself at different stages development. Objective: To develop an instrument that allows the classification of clinical empathy demonstrated by medical students when using the Health Empathy Map (HEM). Methodology: This is a study with a mixed (qualitative and quantitative) and descriptive approach, developed in three stages. (1) Initially, an empathy categorization model was proposed, which served as the basis for the development of the clinical empathy classification instrument (CECI-HEM). (2) Then, the validations of construct, content, criterion and precision of the elaborated instrument were performed. (3) Finally, an analysis of the clinical empathy demonstrated by the students was carried out. The model was evaluated by specialists in the subject and professors of clinical practice. To determine the level of agreement between the evaluating professors in regards to the classification of the student's empathy in the proposed categories, the Fleiss Kappa index (p < 0.05) and the Gwet AC1 statistic were used when there was a significant imbalance and descriptive analysis of the resulting data. Results: The results showed that the instrument was able to address the dimensions of clinical empathy, proved to be easy to understand and made it possible to identify the student's empathy category. It presented a reasonable agreement (0.20 to 0.40) in the 2nd quadrant for the affective dimension and final dimensionality, and in the 4th quadrant for the social dimension and final dimensionality. There was moderate agreement (0.40 to 0.60) in the 2nd quadrant for the biomedical and social dimensions, in the 3rd quadrant that assesses primary empathy, and in the 4th quadrant for the affective dimension. Lastly, there was a strong or almost perfect agreement (> 0.60) in the 1st quadrant that evaluates the extended empathy and in the 4th quadrant for the biomedical dimension. Final considerations: The CECI-HEM makes it possible to identify the classification of clinical empathy demonstrated by the student, and was considered, by the participants of the study, a useful tool to assist in teaching and developing empathy in the learning environment of clinical practice.Introdução: A empatia é a capacidade de se colocar no lugar do outro, entender e responder, de forma adequada, às emoções dos outros. No contexto clínico, a empatia está relacionada com a melhora no diagnóstico e adesão aos tratamentos propostos e maior satisfação dos pacientes. A empatia demonstrada pode se apresentar em diferentes estágios de desenvolvimento. Objetivo: Elaborar um instrumento que permita a classificação da empatia clínica demonstrada pelos estudantes de medicina ao utilizarem o Mapa da Empatia em Saúde (MES). Metodologia: Trata-se de um estudo com abordagem mista (qualitativa e quantitativa) e descritiva, desenvolvido em três etapas. (1) Inicialmente foi proposto um modelo de categorização da empatia que embasou a elaboração do instrumento de classificação da empatia clínica (ICEC-MES). (2) Em seguida, foram realizadas as validações de construto: conteúdo, critério e precisão do instrumento elaborado. (3) Foi realizada análise da empatia clínica demonstrada pelos estudantes. O modelo foi avaliado por especialistas do tema e por docentes da prática clínica. Para determinar o nível de concordância entre os professores avaliadores em relação à classificação da empatia do estudante nas categorias propostas, foi utilizado índice Kappa de Fleiss (p < 0,05) e a estatística AC1 de Gwet, quando houve um desbalanceamento importante, e análise descritiva dos dados. Resultados: Os resultados mostraram que o instrumento foi capaz de abordar as dimensões da empatia clínica, mostraram-se de fácil compreensão e possibilitaram identificar a categoria da empatia do estudante. Ademais, foi possível verificar, após análise desses resultados, uma concordância razoável (0,20 a 0,40) no 2º quadrante para a dimensão afetiva e dimensionalidade final e, no 4º quadrante, para a dimensão social e dimensionalidade final. Houve uma concordância moderada (0,40 a 0,60) no 2º quadrante para as dimensões biomédica e social, no 3º quadrante que avalia a empatia primária e no 4º quadrante para a dimensão afetiva. Destaca-se que houve uma concordância forte ou quase perfeita (> 0,60) no 1º quadrante que avalia a empatia estendida e no 4º quadrante para a dimensão biomédica. Considerações finais: O ICEC-MES possibilita identificar a classificação da empatia clínica demonstrada pelo estudante, sendo considerado, pelos participantes do estudo, uma ferramenta útil para auxiliar no ensino e desenvolvimento da empatia no cenário de aprendizagem da prática clínica.Submitted by Gisele Rodrigues (gisele.rodrigues@unifenas.br) on 2023-08-14T11:25:21Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertação Cleuza Guimaraes Teixeira.pdf: 2514770 bytes, checksum: c8146c5d4088db7adda9b2f286516dfe (MD5)Approved for entry into archive by Gisele Rodrigues (gisele.rodrigues@unifenas.br) on 2023-12-05T12:32:15Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertação Cleuza Guimaraes Teixeira.pdf: 2514770 bytes, checksum: c8146c5d4088db7adda9b2f286516dfe (MD5)Approved for entry into archive by Gisele Rodrigues (gisele.rodrigues@unifenas.br) on 2023-12-05T12:32:43Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertação Cleuza Guimaraes Teixeira.pdf: 2514770 bytes, checksum: c8146c5d4088db7adda9b2f286516dfe (MD5)Made available in DSpace on 2023-12-05T12:33:01Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertação Cleuza Guimaraes Teixeira.pdf: 2514770 bytes, checksum: c8146c5d4088db7adda9b2f286516dfe (MD5) Previous issue date: 2023-05-29application/pdfporUniversidade José do Rosário VellanoPrograma de Mestrado em Ensino em SaúdeUNIFENASBrasilPós-Graduaçãohttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEducação médicaEmpatiaEstudantes de MedicinaCIENCIAS DA SAUDE::MEDICINAElaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicinainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-7785865496449744764500500600-7642911903105032531-969369452308786627reponame:Biblioteca Digital de Teses e Dissertações da UNIFENASinstname:Universidade José do Rosário Vellano (UNIFENAS)instacron:UNIFENASORIGINALDissertação Cleuza Guimaraes Teixeira.pdfDissertação Cleuza Guimaraes Teixeira.pdfapplication/pdf2514770http://tede2.unifenas.br:8080/tede/bitstream/jspui/336/5/Disserta%C3%A7%C3%A3o+Cleuza+Guimaraes+Teixeira.pdfc8146c5d4088db7adda9b2f286516dfeMD55CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://tede2.unifenas.br:8080/tede/bitstream/jspui/336/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://tede2.unifenas.br:8080/tede/bitstream/jspui/336/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://tede2.unifenas.br:8080/tede/bitstream/jspui/336/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81069http://tede2.unifenas.br:8080/tede/bitstream/jspui/336/1/license.txt6e984014f1596acd3e8bc52e814bb39cMD51jspui/3362023-12-05 10:33:01.3oai:tede2.unifenas.br:jspui/336TGljZW7Dp2EgZGUgZGlzdHJpYnVpw6fDo28gbsOjbyBleGNsdXNpdmEuDQoNCkNvbSBhIGFwcmVzZW50YcOnw6NvIGRlc3RhIGxpY2Vuw6dhIGV1LCBBbmEgQmVhdHJpeiBDYXJ2YWxobyBUZXJyYSBjb25jZWRvIMOgIFVuaXZlcnNpZGFkZSBKb3PDqSBkbyBSb3PDoXJpbyBWZWxsYW5vIC0gVU5JRkVOQVMgbyBkaXJlaXRvIG7Do28tZXhjbHVzaXZvIGRlIHJlcHJvZHV6aXIsIHRyYWR1emlyIGUvb3UgZGlzdHJpYnVpciBhIHRlc2UgKGluY2x1aW5kbyBvIHJlc3VtbykgcG9yIHRvZG8gbyBtdW5kbyBubyBmb3JtYXRvIGltcHJlc3NvIGUgZWxldHLDtG5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mgw6F1ZGlvIG91IHbDrWRlby4NCg0KQ29uY29yZG8gcXVlIGEgVU5JRkVOQVMgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250ZcO6ZG8sIHRyYW5zcG9yIGEgbWluaGEgdGVzZSBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHDp8Ojby4NCg0KQ29uY29yZG8gcXVlIGEgVU5JRkVOQVMgcG9kZSBtYW50ZXIgbWFpcyBkZSB1bWEgY8OzcGlhIGRhIHRlc2UgcGFyYSBmaW5zIGRlIHNlZ3VyYW7Dp2EsIGJhY2stdXAgZSBwcmVzZXJ2YcOnw6NvLg0KRGVjbGFybyBxdWUgYSBtaW5oYSB0ZXNlIMOpIG9yaWdpbmFsIGUgY29uY2VkbyBvcyBkaXJlaXRvcyBjb250aWRvcyBuZXN0YSBsaWNlbsOnYS4gRSB0YW1iw6ltIGRlY2xhcm8gcXVlIG8gZGVww7NzaXRvIGRhIG1pbmhhIHRlc2UgbsOjbyBpbmZyaW5nZSBkaXJlaXRvcyBhdXRvcmFpcyBkZSBuaW5ndcOpbS4NCg0KQSBVTklGRU5BUyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBxdWUgQW5hIEJlYXRyaXogQ2FydmFsaG8gVGVycmEgLCDDqSBkZW50ZW50b3IoYSkgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIGRhIHRlc2UsIGUgbsOjbyBmYXLDoSBxdWFscXVlciBhbHRlcmHDp8OjbywgYWzDqW0gZGFxdWVsYXMgY29uY2VkaWRhcyBwb3IgZXN0YSBsaWNlbsOnYS4NCkFncmFkZcOnbyDDoCBDQVBFUyBwZWxvIGFwb2lvIGZpbmFuY2Vpcm8hDQoNCg==Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.unifenas.br:8080/jspui/http://tede2.unifenas.br:8080/oai/requestbiblioteca@unifenas.br||biblioteca@unifenas.bropendoar:2023-12-05T12:33:01Biblioteca Digital de Teses e Dissertações da UNIFENAS - Universidade José do Rosário Vellano (UNIFENAS)false |
dc.title.por.fl_str_mv |
Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina |
title |
Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina |
spellingShingle |
Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina Teixeira, Cleuza Guimarães Educação médica Empatia Estudantes de Medicina CIENCIAS DA SAUDE::MEDICINA |
title_short |
Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina |
title_full |
Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina |
title_fullStr |
Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina |
title_full_unstemmed |
Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina |
title_sort |
Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina |
author |
Teixeira, Cleuza Guimarães |
author_facet |
Teixeira, Cleuza Guimarães |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Moura, Eliane Perlatto |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4613067362478614 |
dc.contributor.advisor-co1.fl_str_mv |
Peixoto, José Maria |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/5863458866759154 |
dc.contributor.referee1.fl_str_mv |
Pereira, Alexandre de Araújo |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/5686872647547229 |
dc.contributor.referee2.fl_str_mv |
Santos, Silvana Maria Elói |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/3155049426520303 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7615201028158369 |
dc.contributor.author.fl_str_mv |
Teixeira, Cleuza Guimarães |
contributor_str_mv |
Moura, Eliane Perlatto Peixoto, José Maria Pereira, Alexandre de Araújo Santos, Silvana Maria Elói |
dc.subject.por.fl_str_mv |
Educação médica Empatia Estudantes de Medicina |
topic |
Educação médica Empatia Estudantes de Medicina CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: Empathy is the ability to put oneself in another's place, understand and respond appropriately to the emotions of others. In the clinical context, empathy is related to improved diagnosis and adherence to proposed treatments, and greater patient satisfaction. Apparent empathy can present itself at different stages development. Objective: To develop an instrument that allows the classification of clinical empathy demonstrated by medical students when using the Health Empathy Map (HEM). Methodology: This is a study with a mixed (qualitative and quantitative) and descriptive approach, developed in three stages. (1) Initially, an empathy categorization model was proposed, which served as the basis for the development of the clinical empathy classification instrument (CECI-HEM). (2) Then, the validations of construct, content, criterion and precision of the elaborated instrument were performed. (3) Finally, an analysis of the clinical empathy demonstrated by the students was carried out. The model was evaluated by specialists in the subject and professors of clinical practice. To determine the level of agreement between the evaluating professors in regards to the classification of the student's empathy in the proposed categories, the Fleiss Kappa index (p < 0.05) and the Gwet AC1 statistic were used when there was a significant imbalance and descriptive analysis of the resulting data. Results: The results showed that the instrument was able to address the dimensions of clinical empathy, proved to be easy to understand and made it possible to identify the student's empathy category. It presented a reasonable agreement (0.20 to 0.40) in the 2nd quadrant for the affective dimension and final dimensionality, and in the 4th quadrant for the social dimension and final dimensionality. There was moderate agreement (0.40 to 0.60) in the 2nd quadrant for the biomedical and social dimensions, in the 3rd quadrant that assesses primary empathy, and in the 4th quadrant for the affective dimension. Lastly, there was a strong or almost perfect agreement (> 0.60) in the 1st quadrant that evaluates the extended empathy and in the 4th quadrant for the biomedical dimension. Final considerations: The CECI-HEM makes it possible to identify the classification of clinical empathy demonstrated by the student, and was considered, by the participants of the study, a useful tool to assist in teaching and developing empathy in the learning environment of clinical practice. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-12-05T12:33:01Z |
dc.date.issued.fl_str_mv |
2023-05-29 |
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TEIXEIRA, Cleuza Guimarães. Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina. 2023. 95 f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade Professor Edson Antônio Velano, Belo Horizonte. |
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http://tede2.unifenas.br:8080/jspui/handle/jspui/336 |
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TEIXEIRA, Cleuza Guimarães. Elaboração de um instrumento de classificação da empatia clínica demonstrada pelos estudantes de medicina. 2023. 95 f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade Professor Edson Antônio Velano, Belo Horizonte. |
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