Avaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Gerais
Autor(a) principal: | |
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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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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? 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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. Médicos residentes.CIENCIAS DA SAUDE::MEDICINAAvaliação da empatia nos médicos residentes do Hospital Universitário Alzira VELANO em Alfenas Minas Geraisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UNIFENASinstname:Universidade José do Rosário Vellano (UNIFENAS)instacron:UNIFENASLICENSElicense.txtlicense.txttext/plain; charset=utf-81085http://tede2.unifenas.br:8080/tede/bitstream/jspui/215/1/license.txt18a926aa8e98a729479da84e1946fe4fMD51ORIGINALDissertacao Antonio Henrique.pdfDissertacao Antonio Henrique.pdfapplication/pdf2025533http://tede2.unifenas.br:8080/tede/bitstream/jspui/215/2/Dissertacao+Antonio+Henrique.pdf47f3ff00546e5828811ae4d100b1fb51MD52jspui/2152019-04-10 16:46:35.018oai:tede2.unifenas.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.unifenas.br:8080/jspui/http://tede2.unifenas.br:8080/oai/requestbiblioteca@unifenas.br||biblioteca@unifenas.bropendoar:2019-04-10T19:46:35Biblioteca Digital de Teses e Dissertações da UNIFENAS - Universidade José do Rosário Vellano (UNIFENAS)false |
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 |
dc.relation.cnpq.fl_str_mv |
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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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