Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais

Detalhes bibliográficos
Autor(a) principal: PAIVA, Antonio Henrique de
Data de Publicação: 2018
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/215
Resumo: Introduction: Much is discussed about the importance of empathy in the patient physician relationship. Few studies have evaluated this ability in resident physicians (RPs). Objective: To evaluate the empathy of the resident physicians of the University Hospital Alzira Velano (HUAV), through the Jefferson Scale of Medical Empathy (EJEM), which provides 4 types of scores: General Empathy (EG); Patient Perspective (TP); Compassion (CP) and Ability to Put in Place the Other (LO). Methods: EJEM and a socio-demographic questionnaire were applied to 36 MRs of the HUAV at the beginning of the second semester of 2016, after signing the informed consent form. Results: Statistical analysis by the Mann-Whitney test showed that empathy scores were associated with variables: sex, area of performance (clinical or surgical) and period of residence in progress. For the sex variable, the following findings were found: 1) Female RPs of the 1 st year had higher EG scores than the RPs in the ≥ 2nd year (p = 0.01); 2) RP's females of 1st year had higher TP scores than RPs of ≥ 2nd year (p = 0.03). Regarding the area of performance, 1) the EG scores of the 1 st year RPs were higher compared to the RPs in the ≥ 2nd year, both for the clinical (p = 0.03) and for the surgical area (p = 0.02); 2) RPs of the surgical area had higher TP scores in the 1st year compared to RPs in the ≥ 2nd year (p = 0.01). No association to the factors studied was observed for CP and LO scores. Conclusion: The data show that the empathy scores of the RPs of the final years are lower in relation to the RPs of the 1st year, a fact also verified for female RPs . Our data share the observations of the literature and show the importance of the development of instructional strategies for the teaching of empathy among resident physicians.
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spelling PEIXOTO, JM49104292634http://lattes.cnpq.br/5863458866759154BAZZANO, F. C. O37601652653http://lattes.cnpq.br/6116596795711952MOURA, Eliane Perlatto52475433604http://lattes.cnpq.br/461306736247861448555207649http://lattes.cnpq.br/7310663827139532PAIVA, Antonio Henrique de2019-04-10T19:46:35Z2018-04-04PAIVA, Antonio Henrique de. Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais. 2018. 46f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade José do Rosário Vellano, Belo Horizonte, 2018 .http://tede2.unifenas.br:8080/jspui/handle/jspui/215Introduction: Much is discussed about the importance of empathy in the patient physician relationship. Few studies have evaluated this ability in resident physicians (RPs). Objective: To evaluate the empathy of the resident physicians of the University Hospital Alzira Velano (HUAV), through the Jefferson Scale of Medical Empathy (EJEM), which provides 4 types of scores: General Empathy (EG); Patient Perspective (TP); Compassion (CP) and Ability to Put in Place the Other (LO). Methods: EJEM and a socio-demographic questionnaire were applied to 36 MRs of the HUAV at the beginning of the second semester of 2016, after signing the informed consent form. Results: Statistical analysis by the Mann-Whitney test showed that empathy scores were associated with variables: sex, area of performance (clinical or surgical) and period of residence in progress. For the sex variable, the following findings were found: 1) Female RPs of the 1 st year had higher EG scores than the RPs in the ≥ 2nd year (p = 0.01); 2) RP's females of 1st year had higher TP scores than RPs of ≥ 2nd year (p = 0.03). Regarding the area of performance, 1) the EG scores of the 1 st year RPs were higher compared to the RPs in the ≥ 2nd year, both for the clinical (p = 0.03) and for the surgical area (p = 0.02); 2) RPs of the surgical area had higher TP scores in the 1st year compared to RPs in the ≥ 2nd year (p = 0.01). No association to the factors studied was observed for CP and LO scores. Conclusion: The data show that the empathy scores of the RPs of the final years are lower in relation to the RPs of the 1st year, a fact also verified for female RPs . Our data share the observations of the literature and show the importance of the development of instructional strategies for the teaching of empathy among resident physicians.Introdução: Muito se discute a importância da empatia na relação médico paciente. Poucos estudos avaliaram esta habilidade em médicos residentes (MR’s). Objetivo: Avaliar a empatia dos médicos residentes do Hospital Universitário Alzira Velano (HUAV), por meio da Escala Jefferson de Empatia Médica (EJEM), que fornece 4 tipos de escores: Empatia Geral (EG); Tomada de Perspectiva do Doente (TP); Compaixão (CP) e Capacidade de Colocar-se no Lugar do outro (LO). MÉTODOS: A EJEM é um questionário sociodemográfico, foram aplicados em 36 MR’s do HUAV no início do 2º semestre de 2016, após assinatura do termo de consentimento livre e esclarecido. Resultados: A análise estatística pelo teste de Mann-Whitney mostrou que os escores de empatia apresentaram associação em relação às variáveis: sexo, área de atuação (clínica ou cirúrgica), período da residência em curso. Para a variável sexo, os seguintes achados foram encontrados: 1) MR’s do sexo feminino do 1° ano apresentaram escores de EG maiores que as MR’s no ≥ 2° ano (p=0.01); 2) MR’s do sexo feminino do 1° ano apresentaram escores de TP maiores que as MR’s do ≥ 2° ano (p=0.03). Em relação à área de atuação, foi encontrado: 1) os escores de EG dos MR’s do 1° ano eram maiores comparados aos MR’s no ≥ 2° ano, tanto para a área clínica (p=0,03) como para a cirúrgica (p=0,02); 2) MR’s da área cirúrgica apresentaram escores de TP mais elevados no 1° ano em relação aos MR’s no ≥ 2° ano (p= 0,01). Nenhuma associação aos fatores estudados foi observada para os escores CP e LO. Conclusão: Os dados demonstram que os escores de empatia dos MR’s dos anos finais são menores em relação aos MR’s do 1° ano, fato verificado também para MR’s do sexo feminino. Nossos dados comungam as observações da literatura e evidenciam a importância do desenvolvimento de estratégias instrucionais para o ensino da empatia entre médicos residentes.Submitted by Kely Alves (kely.alves@unifenas.br) on 2019-04-10T19:20:57Z No. of bitstreams: 1 Dissertacao Antonio Henrique.pdf: 2025533 bytes, checksum: 47f3ff00546e5828811ae4d100b1fb51 (MD5)Approved for entry into archive by Kely Alves (kely.alves@unifenas.br) on 2019-04-10T19:46:09Z (GMT) No. of bitstreams: 1 Dissertacao Antonio Henrique.pdf: 2025533 bytes, checksum: 47f3ff00546e5828811ae4d100b1fb51 (MD5)Approved for entry into archive by Kely Alves (kely.alves@unifenas.br) on 2019-04-10T19:46:20Z (GMT) No. of bitstreams: 1 Dissertacao Antonio Henrique.pdf: 2025533 bytes, checksum: 47f3ff00546e5828811ae4d100b1fb51 (MD5)Made available in DSpace on 2019-04-10T19:46:35Z (GMT). No. of bitstreams: 1 Dissertacao Antonio Henrique.pdf: 2025533 bytes, checksum: 47f3ff00546e5828811ae4d100b1fb51 (MD5) Previous issue date: 2018-04-04application/pdfporUniversidade José do Rosário VellanoPrograma de Mestrado em Ensino em SaúdeUNIFENASBrasilPós-GraduaçãoAGUIAR, P. et al. Empatia médica: tradução, Validação e aplicação de um instrumento de Medição. In: CONGRESSO INTERNACIONAL GALEGO-PORTUGUÊS DE PSICOPEDAGOGIA, 10., 2009, Braga. Anais... Braga: Universidade do Minho, 2009. ARNOLD, R. M.; MARTIN, S.C.; PARKER, R.M. Taking care of patients-does it matter whether the physician is a woman? Western Journal of Medicine, [S.l], v. 149, n. 6, p. 729-733, Dec. 1988. BAILEY, B. A. Empathy in medical students: assessment and relationship to specialty choice. Dissertation Abstracts International, [S.l.], v. 62, n. 6-A, p. 2024, 2001. BATENBURG, V. et al. Are professional attitudes related to gender and medical specialty? Medical Education, Universiteit Utrecht, The Netherlands, v. 33, p. 489-492, Jul. 1999. BLASCO, P. G. A arte médica (I): a formação e as virtudes do médico. RBM Revista Brasileira de Medicina, São Paulo, v. 69, p. 9-17, 2012. CHEN, D. et al. Cross-sectional measurement of medical student empathy. Journal of General Internal Medicine, Boston, MA USA, v. 22, n. 10, p.1434-1438, Oct. 2007. COSTA, S.C.; FIGUEIREDO, M. R. B.; SCHAURICH, D. Humanização em Unidade de Terapia Intensiva Adulto (UTI): compreensões da equipe de enfermagem. Interface - Comunicação, Saúde, Educação, Botucatu, v. 13, n. 1, p. 571-580, 2009. COSTA, F.D.; AZEVEDO, R.C.S. Empatia, relação médico-paciente e formação em medicina: um olhar qualitativo. Revista Brasileira de Educação Médica, Rio de Janeiro, v. 34, n. 2, p. 261-269, jun. 2010. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S010055022010000200010&lng=en&nrm=iso>. Acesso em 02 jun. 2017. DAUD-GALLOTTI, R.M. et al. 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From detached concern to empathy: humanizing medical practice. New York: Oxford University Press, 2001. HEMMERDINGER, S.; LILFORD, A. Systematic review of tests of empathy in medicine. BMC Medical Education, Birmingham, UK, v. 7, n. 24, p. 1-8, 2007. HOGAN, R. Development of an empathy scale. Journal of Consult and Clinical Psychology, [S.l.], v. 33, n. 3, p. 307-316, 1969. HOJAT, M et al. The Jefferson Scale of Physician Empathy: development and preliminary psychometric data. Educational and Psychological Measurement, California Santa Barbara v. 61, n. 2, p.349-365, 2001. ______. Empathy in medical students as related to academic performance, clinical competence and gender. Medical Education, United Kingdom, v. 36, p. 522-527, 2002a. ______. Physician empathy: definition, components, measurement, and relationship to gender and specialty. The American Journal of Psychiatry, [S.l.], v. 159, p. 1563–1569, 2002b. ______. An empirical study of decline in empathy in medical school. 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A.; IRONSIDE, W. Empathetic process: perception by medical students of patients’ anxiety and depression. Medical Education, United Kingdom, v. 22, p. 15-8, 1988. LARSON, E.; YAO X. Clinical empathy as emotional labor in the patient-physician relationship. JAMA, Seattle, USA, v. 293, n. 9, p. 1100–1106, 2005. MAGALHÃES, E. et al. Empatia Médica: adaptação e validação de uma escala para estudantes de medicina. In: SIMPÓSIO NACIONAL DE INVESTIGAÇÃO EM PSICOLOGIA, 7., 2010, Minho, Anais… Minho: Universidade do Minho, 2010. p.77–89. Disponível em: < https://www.researchgate.net/publication/266572817/download http://www.actassnip2010.com>. Acesso em: 02 jun. 2017. MEHRABIAN, A.; EPSTEIN, N.A. A measure of emotional empathy. Journal of Personality. [S.l.], v. 40, n. 4, p. 525-543, Dec. 1972. MERCER, S. W. et al. The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Fam Pract. Epub. [S.l.], v. 21, n. 6, p.699-705, 2004. MORETO, G. Avaliação da empatia de estudantes de Medicina em uma universidade na cidade de São Paulo utilizando dois instrumentos. 2015. 120f. Tese (Doutorado) - Universidade de São Paulo, São Paulo, 2015. NEUMANN, M. et al. Analyzing the “nature” and “specif effectiveness” of clinical empathy: a theoretical overview and contribution towards a theory-based research agenda. Pacient Education and Counseling, Universidad de Oslo, v. 74, n. 3, p. 339-346, 2009. PARO, H. B. M. S. et al. Brazilian version of Jefferson Scale of Empathy: psychometric properties and factor analysis. BMC Medical Education, Londres, v. 12, n. 1, p. 73-84, 2012. PERESTRELLO D. A medicina da pessoa. 4. ed. São Paulo: Atheneu, 1996. POLLAK, K. et al. Empathy goes a long way in weight loss discussions. Female patients are more likely to step up weight loss efforts when a physician shows empathy and offers support. The Journal of Family Practice, [S.l.], v. 56, n. 12, p. 1031-1036, 2007. RODRIGUEZ, H. et al. Relation of patients’ experiences with individual physicians to malpractice risk. International Journal for Quality in Health Care, [S.l.], v. 20, n. 1, p. 5-12, 2008.-7785865496449744764500500600-7642911903105032531-969369452308786627Empatia. Educação médica. 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dc.title.por.fl_str_mv Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais
title Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais
spellingShingle Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais
PAIVA, Antonio Henrique de
Empatia. Educação médica. Médicos residentes.
CIENCIAS DA SAUDE::MEDICINA
title_short Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais
title_full Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais
title_fullStr Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais
title_full_unstemmed Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais
title_sort Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais
author PAIVA, Antonio Henrique de
author_facet PAIVA, Antonio Henrique de
author_role author
dc.contributor.advisor1.fl_str_mv PEIXOTO, JM
dc.contributor.advisor1ID.fl_str_mv 49104292634
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/5863458866759154
dc.contributor.referee1.fl_str_mv BAZZANO, F. C. O
dc.contributor.referee1ID.fl_str_mv 37601652653
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/6116596795711952
dc.contributor.referee2.fl_str_mv MOURA, Eliane Perlatto
dc.contributor.referee2ID.fl_str_mv 52475433604
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/4613067362478614
dc.contributor.authorID.fl_str_mv 48555207649
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/7310663827139532
dc.contributor.author.fl_str_mv PAIVA, Antonio Henrique de
contributor_str_mv PEIXOTO, JM
BAZZANO, F. C. O
MOURA, Eliane Perlatto
dc.subject.por.fl_str_mv Empatia. Educação médica. Médicos residentes.
topic Empatia. Educação médica. Médicos residentes.
CIENCIAS DA SAUDE::MEDICINA
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::MEDICINA
description Introduction: Much is discussed about the importance of empathy in the patient physician relationship. Few studies have evaluated this ability in resident physicians (RPs). Objective: To evaluate the empathy of the resident physicians of the University Hospital Alzira Velano (HUAV), through the Jefferson Scale of Medical Empathy (EJEM), which provides 4 types of scores: General Empathy (EG); Patient Perspective (TP); Compassion (CP) and Ability to Put in Place the Other (LO). Methods: EJEM and a socio-demographic questionnaire were applied to 36 MRs of the HUAV at the beginning of the second semester of 2016, after signing the informed consent form. Results: Statistical analysis by the Mann-Whitney test showed that empathy scores were associated with variables: sex, area of performance (clinical or surgical) and period of residence in progress. For the sex variable, the following findings were found: 1) Female RPs of the 1 st year had higher EG scores than the RPs in the ≥ 2nd year (p = 0.01); 2) RP's females of 1st year had higher TP scores than RPs of ≥ 2nd year (p = 0.03). Regarding the area of performance, 1) the EG scores of the 1 st year RPs were higher compared to the RPs in the ≥ 2nd year, both for the clinical (p = 0.03) and for the surgical area (p = 0.02); 2) RPs of the surgical area had higher TP scores in the 1st year compared to RPs in the ≥ 2nd year (p = 0.01). No association to the factors studied was observed for CP and LO scores. Conclusion: The data show that the empathy scores of the RPs of the final years are lower in relation to the RPs of the 1st year, a fact also verified for female RPs . Our data share the observations of the literature and show the importance of the development of instructional strategies for the teaching of empathy among resident physicians.
publishDate 2018
dc.date.issued.fl_str_mv 2018-04-04
dc.date.accessioned.fl_str_mv 2019-04-10T19:46:35Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv PAIVA, Antonio Henrique de. Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais. 2018. 46f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade José do Rosário Vellano, Belo Horizonte, 2018 .
dc.identifier.uri.fl_str_mv http://tede2.unifenas.br:8080/jspui/handle/jspui/215
identifier_str_mv PAIVA, Antonio Henrique de. Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais. 2018. 46f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade José do Rosário Vellano, Belo Horizonte, 2018 .
url http://tede2.unifenas.br:8080/jspui/handle/jspui/215
dc.language.iso.fl_str_mv por
language por
dc.relation.program.fl_str_mv -7785865496449744764
dc.relation.confidence.fl_str_mv 500
500
600
dc.relation.department.fl_str_mv -7642911903105032531
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dc.relation.references.por.fl_str_mv AGUIAR, P. et al. Empatia médica: tradução, Validação e aplicação de um instrumento de Medição. In: CONGRESSO INTERNACIONAL GALEGO-PORTUGUÊS DE PSICOPEDAGOGIA, 10., 2009, Braga. Anais... Braga: Universidade do Minho, 2009. ARNOLD, R. M.; MARTIN, S.C.; PARKER, R.M. Taking care of patients-does it matter whether the physician is a woman? Western Journal of Medicine, [S.l], v. 149, n. 6, p. 729-733, Dec. 1988. BAILEY, B. A. Empathy in medical students: assessment and relationship to specialty choice. Dissertation Abstracts International, [S.l.], v. 62, n. 6-A, p. 2024, 2001. BATENBURG, V. et al. Are professional attitudes related to gender and medical specialty? Medical Education, Universiteit Utrecht, The Netherlands, v. 33, p. 489-492, Jul. 1999. BLASCO, P. G. A arte médica (I): a formação e as virtudes do médico. RBM Revista Brasileira de Medicina, São Paulo, v. 69, p. 9-17, 2012. CHEN, D. et al. Cross-sectional measurement of medical student empathy. Journal of General Internal Medicine, Boston, MA USA, v. 22, n. 10, p.1434-1438, Oct. 2007. COSTA, S.C.; FIGUEIREDO, M. R. B.; SCHAURICH, D. Humanização em Unidade de Terapia Intensiva Adulto (UTI): compreensões da equipe de enfermagem. Interface - Comunicação, Saúde, Educação, Botucatu, v. 13, n. 1, p. 571-580, 2009. COSTA, F.D.; AZEVEDO, R.C.S. Empatia, relação médico-paciente e formação em medicina: um olhar qualitativo. Revista Brasileira de Educação Médica, Rio de Janeiro, v. 34, n. 2, p. 261-269, jun. 2010. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S010055022010000200010&lng=en&nrm=iso>. Acesso em 02 jun. 2017. DAUD-GALLOTTI, R.M. et al. A new method for the assessment of patient safety competencies during a medical school clerkship using an objective structured clinical examination. Clinics, São Paulo, v. 66, n. 7, p. 1209-1215, 2011. DAVIS, M.H. 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JAMA, Seattle, USA, v. 293, n. 9, p. 1100–1106, 2005. MAGALHÃES, E. et al. Empatia Médica: adaptação e validação de uma escala para estudantes de medicina. In: SIMPÓSIO NACIONAL DE INVESTIGAÇÃO EM PSICOLOGIA, 7., 2010, Minho, Anais… Minho: Universidade do Minho, 2010. p.77–89. Disponível em: < https://www.researchgate.net/publication/266572817/download http://www.actassnip2010.com>. Acesso em: 02 jun. 2017. MEHRABIAN, A.; EPSTEIN, N.A. A measure of emotional empathy. Journal of Personality. [S.l.], v. 40, n. 4, p. 525-543, Dec. 1972. MERCER, S. W. et al. The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Fam Pract. Epub. [S.l.], v. 21, n. 6, p.699-705, 2004. MORETO, G. Avaliação da empatia de estudantes de Medicina em uma universidade na cidade de São Paulo utilizando dois instrumentos. 2015. 120f. Tese (Doutorado) - Universidade de São Paulo, São Paulo, 2015. NEUMANN, M. et al. Analyzing the “nature” and “specif effectiveness” of clinical empathy: a theoretical overview and contribution towards a theory-based research agenda. Pacient Education and Counseling, Universidad de Oslo, v. 74, n. 3, p. 339-346, 2009. PARO, H. B. M. S. et al. Brazilian version of Jefferson Scale of Empathy: psychometric properties and factor analysis. BMC Medical Education, Londres, v. 12, n. 1, p. 73-84, 2012. PERESTRELLO D. A medicina da pessoa. 4. ed. São Paulo: Atheneu, 1996. POLLAK, K. et al. Empathy goes a long way in weight loss discussions. Female patients are more likely to step up weight loss efforts when a physician shows empathy and offers support. The Journal of Family Practice, [S.l.], v. 56, n. 12, p. 1031-1036, 2007. RODRIGUEZ, H. et al. Relation of patients’ experiences with individual physicians to malpractice risk. International Journal for Quality in Health Care, [S.l.], v. 20, n. 1, p. 5-12, 2008.
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