Sentimentos dos Estudantes de Medicina e Médicos Residentes ante a Morte: uma Revisão Sistemática

Souza, Taísa Izabela Magalhães e; Assis, Larissa Cristina de; Silva, Lorena Olimpio da; Souza, Thales Henrique Oliveira Magalhães e; Tadeu, Hermem de Almeida Campos; Campos, Marcelo Esteves Chaves; Turci, Maria Aparecida

doi:10.1590/1981-5271v44.4-20200082

Cited by 7 publications

(19 citation statements)

References 22 publications

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“…It should be stressed that death and the discussion about it are still considered a taboo 20 , especially as the end of another's life makes us think about our own finitude 21 . However, in this investigation, it was shown that, for medical students, death is considered a natural process of life, corroborating previously published studies 2,7,19,22 .…”

Section: Discussionsupporting

confidence: 91%

“…Training to cope with death from the perspective of future physicians Death is a natural condition, inherent to human life, and it is surrounded by different symbolisms, meanings and values that change according to the cultural aspects of civilizations 1,2 . The physician is a thanatolitical being 3 (from the Greek thánatos, "death", and lusis, "dissolution"), that is, someone who is responsible for fighting and conquering death, and who technically determines the moment and circumstances of death 4 .…”

mentioning

confidence: 99%

“…Due to the complexity of the subject, dealing with this situation is a challenge in medical education, especially when students are not wellprepared 2,12 . Therefore, given the relevance of the theme, this study assessed the perception of medical students regarding their training to face death and dying, analyzing their selfperceived preparation to cope with situations involving terminal illness and comparing their sociodemographic, religious and academic profiles.…”

mentioning

confidence: 99%

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Training to cope with death from the perspective of future physicians

Amoedo,

Sousa,

Quintanilha

et al. 2023

Rev. Bioét.

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Occasionally, death is considered a medical failure and the inability to cope with it can generate fear and frustration, interfering with clinical decisions. This study assessed how medical students perceived coping with death, analyzing their preparedness to tackle these situations and comparing their sociodemographic, religious and academic profiles. This cross-sectional, quantitative and qualitative study was conducted with 294 medical students from Bahia. Results showed that medical students consider death to be a natural process, but do not feel fully prepared to address end of life during clinical practice, possibly due to the scarcity of academic discussions and the insufficient theoretical and practical content during training. Men with previous training and who had personal and academic contact with death were associated with a greater perceived preparedness to cope with death, without interference from academic level and religion.

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Section: Discussionsupporting

confidence: 91%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Training to cope with death from the perspective of future physicians

Amoedo,

Sousa,

Quintanilha

et al. 2023

Rev. Bioét.

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“…Por meio desses dados, é possível inferir que, mesmo a morte sendo um processo natural pelo qual todos os indivíduos passarão, está ainda é vista de maneira negativa pela maioria dos alunos de Medicina da FPS. No artigo "Sentimentos dos estudantes de Medicina e médicos residentes ante a morte: uma revisão sistemática" publicado em 2020, na Revista Brasileira de Educação Médica, identificou-se que, em boa parte dos 18 estudos analisados, medo, insegurança, tristeza, raiva e culpa foram referidos como sentimentos perante situações de morte por parte dos estudantes de Medicina e dos médicos residentes 17 . Outro estudo encontrou sentimentos negativos por parte dos acadêmicos em relação ao morrer, referindo que a morte traz para estes uma sensação de frustração e um sentimento de incapacidade, pois eles mencionam que existe um despreparo para lidar "dignamente" com a morte 7 .…”

Section: Métodounclassified

Atitude perante a morte e opinião de estudantes de Medicina acerca da formação no tema

Siqueira¹,

Mergulhão²,

Pires³

et al. 2022

Rev. bras. educ. med.

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Resumo: Introdução: Atualmente, a maioria das pessoas está inserida num contexto sócio-histórico de negação da morte, incluindo médicos que lidam com o morrer diariamente que se consideram despreparados perante a morte de um paciente. O desconforto desses profissionais nesse processo de morte deve-se em parte à deficiência da formação ocorrida durante a graduação. Objetivo: Este estudo teve como objetivos analisar a opinião dos alunos de Medicina da Faculdade Pernambucana de Saúde (FPS) acerca da abordagem referente à morte e ao morrer durante a graduação, verificar a importância disso na formação médica e descrever esse tema por meio da perspectiva dos estudantes. Também se objetifica identificar aspectos que influenciam a percepção dos graduandos acerca do tema. Método: É um estudo exploratório, de corte transversal, com metodologia quantitativa, realizado entre agosto de 2020 e julho de 2021. A coleta de dados foi realizada por meio de questionários on-line, com amostra de 365 sujeitos, após aceite e marcação no Termo de Consentimento Livre e Esclarecido, enviados aos alunos por e-mail. Para análise, adotou-se o software Epi-Info, em que se utilizaram frequências relativas e absolutas para descrever as variáveis qualitativas e medidas de posição e dispersão para descrever variáveis quantitativas. Para verificação de relações, foi utilizado o teste de qui-quadrado, considerando um nível de significância de 5%. O estudo seguiu todos os preceitos da Resolução nº 510/2016 do Conselho Nacional de Ética em Pesquisa e teve aprovação do Comitê de Ética da FPS - Parecer nº 4.228.016. Resultado: A maioria dos alunos associa angústia, medo e tristeza ao processo de morte e concorda que a discussão desse processo na graduação impacta o exercício da medicina e o bem-estar psicossocial do médico. Os estudantes concordam que a abordagem do processo de morte aconteceu em raros momentos durante a graduação e julgam necessária a inclusão de mais disciplinas que tratem do tema. Conclusão: A discussão acerca do processo de morte e morrer durante a graduação em Medicina é necessária, e recomenda-se a inserção de módulos que abordem o tema no curso da FPS, a fim de contribuir para a compreensão dos estudantes acerca desse processo e o preparo psicológico deles para lidar com a morte no exercício da profissão.

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“…These data show it is possible to infer that, even though death is a natural process that all individuals will go through, it is still seen in a negative way by most medical students from FPS. In a literature review on "Feelings of medical students and physicians towards death" published in 2020 in Revista de Educação Médica, it was verified that, in most of the 18 analyzed studies, fear, insecurity, sadness, anger and guilt were mentioned as feelings experienced in the face of death situations on the part of medical students and resident physicians 17 . Another study found negative feelings experienced by students in relation to dying, reporting that death brings to them a sense of frustration and a feeling of incapacity, as they report a situation of unpreparedness to deal with death "with dignity" 7 .…”

Section: Discussionmentioning

confidence: 99%

Attitude to death and opinion of medical students on the top training

Siqueira¹,

Mergulhão²,

Pires³

et al. 2022

Rev. bras. educ. med.

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Introduction: Currently, most people are inserted in a sociohistorical context of denial of death, including physicians who deal with dying daily who consider themselves unprepared in the face of the death of a patient. The discomfort of these professionals in the face of the death process is due in part to the lack of the training that occurred during graduation. Objective: This study aimed to analyze the opinion of medical students at the Faculdade Pernambucana de Saúde (FPS) about teaching and perceptions on death and dying during graduation, verify the importance in medical education and describe this approach through the students’ perspective. It is also objective to find aspects that influence the belief of undergraduates about the theme. Method: This is an exploratory cross-sectional study with quantitative method, conducted between August 2020 and July 2021. Data collection was carried out through online questionnaires, with a sample of 365 subjects, after acceptance and marking on the free and informed consent form, sent to students by e-mail. For analysis, epi-info software was used using relative and absolute frequencies to describe qualitative variables and position and dispersion measures to describe quantitative variables. The chi-square test was used to verify the chi-square test, considering a significance level of 5%. The study followed all the precepts of Resolution nº 510/2016 of the National Council of Ethics in Research and received approval from the ethics committee of the college under opinion number 4,228,016. Result: Most students associate anguish, fear, and sadness with the process of death and agree that the discussion of this process in graduation impacts on the practice of medicine and on the psychosocial well-being of the physician. The students agree that the approach to the death process happened in rare moments during graduation and consider it necessary to include more disciplines that address it. Conclusion: The discussion about the process of death and dying process during medical graduation is necessary, and the insertion of modules that approach it is recommended in the medical course of FPS to contribute to the students’ understanding of this process and in the psychological preparation of these students to deal with death in the exercise of the profession.

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Sentimentos dos Estudantes de Medicina e Médicos Residentes ante a Morte: uma Revisão Sistemática

Cited by 7 publications

References 22 publications

Training to cope with death from the perspective of future physicians

Training to cope with death from the perspective of future physicians

Atitude perante a morte e opinião de estudantes de Medicina acerca da formação no tema

Attitude to death and opinion of medical students on the top training

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