Elaboração de uma escala brasileira de empatia clínica
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
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/330 |
Resumo: | Introduction: Empathy, which is a human beings fundamental element, has been the subject of increasing interest in medical education. In the healthcare professions context, empathy in patient care is a feature that involves understanding the patient's experiences, pain, suffering, and concerns combined with the capability to communicate these understandings and an intention to help. Despite the development of practices that stimulate empathy in medical students, a challenge present in academic life is to measure this ability. Objective: To develop and validate a Brazilian scale of empathy in the context of clinical care. Methodology: This is a mixed, quantitative and qualitative, cross-sectional study whose target audience is medical students. The initial items of the scale were made based on the literature and took into consideration interviews with the target population of the scale, as well as physicians, patients and experts on the topic. This instrument divided into: (1) Definition of the construct; (2) Definition of the scale itself; (3) Elaboration of the scale’s items; (4) Scale purification and (5) Scale validation. Result: At the end of the study, the Empathy scale elaborated contains 21 items with Likert scale responses, divided into two factors: empathic understanding and empathic action, presenting a total explained variance of 44.95%. For the psychometric analysis, it was evaluated the answers from 207 medical students from the fourth to the sixth year, using the FACTOR as an instrument for exploratory factor analysis. In this study, in general, the level of empathy of the students, measured by the proposed scale, was high (above 4 with 5 being the highest level), in both factors. It was also observed that the female sex had higher scores in the two factors of the scale. Students that pretend to follow the clinical specialty; those who presents experience of severe disease in the family and/or presents any chronic illness showed higher scores in the empathic understanding component. It was still observed that the participating medical students were divided into three distinct groups in terms of the degree of empathy shown (low, moderate and high). Conclusion: The model proposed for the Brazilian Scale of Clinical Empathy met the semantic, cultural and revealed preliminar evidence of validity, the construct is broken down into two components. |
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Moura, Eliane Perlattohttp://lattes.cnpq.br/4613067362478614Peixoto, José Mariahttp://lattes.cnpq.br/5863458866759154Ribeiro, Lígia Maria Cayreshttp://lattes.cnpq.br/3731023950702583Santos, Rodrigo Ribeiro doshttp://lattes.cnpq.br/2565457057115441http://lattes.cnpq.br/0843672692475571Generoso, Alexandre Tadeu Azevedo2023-06-14T14:23:09Z2022-05-20GENEROSO, Alexandre Tadeu Azevedo. Elaboração de uma escala brasileira de empatia clínica. 2022. 110 f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade Professor Edson Antônio Velano, Belo Horizonte.http://tede2.unifenas.br:8080/jspui/handle/jspui/330Introduction: Empathy, which is a human beings fundamental element, has been the subject of increasing interest in medical education. In the healthcare professions context, empathy in patient care is a feature that involves understanding the patient's experiences, pain, suffering, and concerns combined with the capability to communicate these understandings and an intention to help. Despite the development of practices that stimulate empathy in medical students, a challenge present in academic life is to measure this ability. Objective: To develop and validate a Brazilian scale of empathy in the context of clinical care. Methodology: This is a mixed, quantitative and qualitative, cross-sectional study whose target audience is medical students. The initial items of the scale were made based on the literature and took into consideration interviews with the target population of the scale, as well as physicians, patients and experts on the topic. This instrument divided into: (1) Definition of the construct; (2) Definition of the scale itself; (3) Elaboration of the scale’s items; (4) Scale purification and (5) Scale validation. Result: At the end of the study, the Empathy scale elaborated contains 21 items with Likert scale responses, divided into two factors: empathic understanding and empathic action, presenting a total explained variance of 44.95%. For the psychometric analysis, it was evaluated the answers from 207 medical students from the fourth to the sixth year, using the FACTOR as an instrument for exploratory factor analysis. In this study, in general, the level of empathy of the students, measured by the proposed scale, was high (above 4 with 5 being the highest level), in both factors. It was also observed that the female sex had higher scores in the two factors of the scale. Students that pretend to follow the clinical specialty; those who presents experience of severe disease in the family and/or presents any chronic illness showed higher scores in the empathic understanding component. It was still observed that the participating medical students were divided into three distinct groups in terms of the degree of empathy shown (low, moderate and high). Conclusion: The model proposed for the Brazilian Scale of Clinical Empathy met the semantic, cultural and revealed preliminar evidence of validity, the construct is broken down into two components.Introdução: A empatia, que é um elemento primordial do humanismo, tem sido alvo de crescente interesse no ensino médico. No contexto das profissões de saúde, a empatia no atendimento ao paciente é um atributo que envolve a compreensão das experiências, dor, sofrimento e preocupações do paciente combinados com a capacidade de comunicar esse entendimento e uma intenção de ajudar. Apesar do desenvolvimento de práticas que estimulam a empatia nos estudantes de medicina, um desafio presente na vida acadêmica é mensurar esta habilidade. Objetivo: Elaborar e validar uma escala brasileira de empatia no contexto do atendimento clínico. Metodologia: Trata-se de um estudo misto, quantitativo e qualitativo, transversal cujo público-alvo foram estudantes de medicina. Os itens iniciais da escala foram elaborados baseados na literatura e levou-se em consideração entrevistas com a população alvo da escala, como também médicos, pacientes e especialistas no assunto. A elaboração do instrumento seguiu os passos: (1) Definição do construto; (2) Definição da escala em si; (3) Elaboração dos itens da escala; (4) Purificação da escala e (5) Análise das evidências de validade. Resultado: Ao final do estudo, a escala de Empatia elaborada continha 21 itens com respostas em escala de Likert, divididos em dois fatores: Compreensão empática e Ação empática que apresentaram total de variância explicada de 44,95%. Para a análise psicométrica avaliou-se a resposta de 207 estudantes de medicina do quarto ao sexto ano, utilizando-se o FACTOR como instrumento para análise fatorial exploratória. Neste estudo, no geral, o nível de empatia dos estudantes, mensurado pela escala proposta, foi alto (acima de 4 em uma escala de 5 no máximo), nos dois fatores. Observou-se ainda que, o sexo feminino apresentou maiores escores nos dois fatores da escala. Estudantes que pretendem seguir a especialidade clínica; que apresentam experiência de doença grave na família e que possuem alguma doença crônica apresentaram maiores escores no componente compreensão empática. Foi possível, ainda, observar que os estudantes de medicina participantes se dividiram em três grupos distintos em relação ao grau de empatia apresentados (baixa, moderada e alta). Conclusão: O modelo proposto para a Escala Brasileira de Empatia Clínica atendeu aos critérios de adequação semântica, cultural e revelou evidências preliminares de validade, discriminando o construto em dois componentes.Submitted by Gisele Rodrigues (gisele.rodrigues@unifenas.br) on 2023-06-01T13:51:05Z No. of bitstreams: 2 Ensino em saúde (Me) 2022 Alexandre Tadeu Azevedo Generoso.pdf: 1682328 bytes, checksum: ddc34b118b03cf0ab695a528c50d299e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Gisele Rodrigues (gisele.rodrigues@unifenas.br) on 2023-06-14T11:32:19Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Ensino em saúde (Me) 2022 Alexandre Tadeu Azevedo Generoso.pdf: 1682328 bytes, checksum: ddc34b118b03cf0ab695a528c50d299e (MD5)Approved for entry into archive by Gisele Rodrigues (gisele.rodrigues@unifenas.br) on 2023-06-14T14:22:52Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Ensino em saúde (Me) 2022 Alexandre Tadeu Azevedo Generoso.pdf: 1682328 bytes, checksum: ddc34b118b03cf0ab695a528c50d299e (MD5)Made available in DSpace on 2023-06-14T14:23:09Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Ensino em saúde (Me) 2022 Alexandre Tadeu Azevedo Generoso.pdf: 1682328 bytes, checksum: ddc34b118b03cf0ab695a528c50d299e (MD5) Previous issue date: 2022-05-20application/pdfporUniversidade José do Rosário VellanoPrograma de Mestrado em Ensino em SaúdeUNIFENASBrasilPós-Graduaçãohttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessMedicina clínicaÉtica e sociedadeEducação em saúdeCIENCIAS DA SAUDE::MEDICINAElaboração de uma escala brasileira de empatia clínicainfo: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:UNIFENASLICENSElicense.txtlicense.txttext/plain; charset=utf-81069http://tede2.unifenas.br:8080/tede/bitstream/jspui/330/1/license.txt6e984014f1596acd3e8bc52e814bb39cMD51CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://tede2.unifenas.br:8080/tede/bitstream/jspui/330/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://tede2.unifenas.br:8080/tede/bitstream/jspui/330/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://tede2.unifenas.br:8080/tede/bitstream/jspui/330/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54ORIGINALEnsino em saúde (Me) 2022 Alexandre Tadeu Azevedo Generoso.pdfEnsino em saúde (Me) 2022 Alexandre Tadeu Azevedo Generoso.pdfapplication/pdf1682328http://tede2.unifenas.br:8080/tede/bitstream/jspui/330/5/Ensino+em+sa%C3%BAde+%28Me%29+2022+Alexandre+Tadeu+Azevedo+Generoso.pdfddc34b118b03cf0ab695a528c50d299eMD55jspui/3302023-06-14 11:23:09.589oai: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:2023-06-14T14:23:09Biblioteca Digital de Teses e Dissertações da UNIFENAS - Universidade José do Rosário Vellano (UNIFENAS)false |
dc.title.por.fl_str_mv |
Elaboração de uma escala brasileira de empatia clínica |
title |
Elaboração de uma escala brasileira de empatia clínica |
spellingShingle |
Elaboração de uma escala brasileira de empatia clínica Generoso, Alexandre Tadeu Azevedo Medicina clínica Ética e sociedade Educação em saúde CIENCIAS DA SAUDE::MEDICINA |
title_short |
Elaboração de uma escala brasileira de empatia clínica |
title_full |
Elaboração de uma escala brasileira de empatia clínica |
title_fullStr |
Elaboração de uma escala brasileira de empatia clínica |
title_full_unstemmed |
Elaboração de uma escala brasileira de empatia clínica |
title_sort |
Elaboração de uma escala brasileira de empatia clínica |
author |
Generoso, Alexandre Tadeu Azevedo |
author_facet |
Generoso, Alexandre Tadeu Azevedo |
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 |
Ribeiro, Lígia Maria Cayres |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/3731023950702583 |
dc.contributor.referee2.fl_str_mv |
Santos, Rodrigo Ribeiro dos |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/2565457057115441 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0843672692475571 |
dc.contributor.author.fl_str_mv |
Generoso, Alexandre Tadeu Azevedo |
contributor_str_mv |
Moura, Eliane Perlatto Peixoto, José Maria Ribeiro, Lígia Maria Cayres Santos, Rodrigo Ribeiro dos |
dc.subject.por.fl_str_mv |
Medicina clínica Ética e sociedade Educação em saúde |
topic |
Medicina clínica Ética e sociedade Educação em saúde CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: Empathy, which is a human beings fundamental element, has been the subject of increasing interest in medical education. In the healthcare professions context, empathy in patient care is a feature that involves understanding the patient's experiences, pain, suffering, and concerns combined with the capability to communicate these understandings and an intention to help. Despite the development of practices that stimulate empathy in medical students, a challenge present in academic life is to measure this ability. Objective: To develop and validate a Brazilian scale of empathy in the context of clinical care. Methodology: This is a mixed, quantitative and qualitative, cross-sectional study whose target audience is medical students. The initial items of the scale were made based on the literature and took into consideration interviews with the target population of the scale, as well as physicians, patients and experts on the topic. This instrument divided into: (1) Definition of the construct; (2) Definition of the scale itself; (3) Elaboration of the scale’s items; (4) Scale purification and (5) Scale validation. Result: At the end of the study, the Empathy scale elaborated contains 21 items with Likert scale responses, divided into two factors: empathic understanding and empathic action, presenting a total explained variance of 44.95%. For the psychometric analysis, it was evaluated the answers from 207 medical students from the fourth to the sixth year, using the FACTOR as an instrument for exploratory factor analysis. In this study, in general, the level of empathy of the students, measured by the proposed scale, was high (above 4 with 5 being the highest level), in both factors. It was also observed that the female sex had higher scores in the two factors of the scale. Students that pretend to follow the clinical specialty; those who presents experience of severe disease in the family and/or presents any chronic illness showed higher scores in the empathic understanding component. It was still observed that the participating medical students were divided into three distinct groups in terms of the degree of empathy shown (low, moderate and high). Conclusion: The model proposed for the Brazilian Scale of Clinical Empathy met the semantic, cultural and revealed preliminar evidence of validity, the construct is broken down into two components. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022-05-20 |
dc.date.accessioned.fl_str_mv |
2023-06-14T14:23:09Z |
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info:eu-repo/semantics/masterThesis |
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publishedVersion |
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GENEROSO, Alexandre Tadeu Azevedo. Elaboração de uma escala brasileira de empatia clínica. 2022. 110 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/330 |
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GENEROSO, Alexandre Tadeu Azevedo. Elaboração de uma escala brasileira de empatia clínica. 2022. 110 f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade Professor Edson Antônio Velano, Belo Horizonte. |
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