Atitudes frente a aspectos relevantes da prática médica: estudo transversal randomizado com alunos de segundo e sexto anos

Mascia, Adriana Rainha; Silva, Fernanda Braga; Lucchese, Ana Cecília; Marco, Mario Alfredo De; Martins, Maria Silvia Amicucci Soares; Nogueira-Martins, Luiz Antônio

doi:10.1590/s0100-55022009000100006

Cited by 24 publications

(48 citation statements)

References 13 publications

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“…Studies in other Brazilian public universities show similar results. 12,13 This similarity of positive attitudes towards the same aspects in different studies corroborates the importance of evaluating the way students face everyday situations of medical practice and, in addition, elucidates two axes discussed in medical education: vocation and skill acquisition. Evaluating by the scope of the medical vocation, these positive attitudes are intrinsic to the student, and relate to the personal characteristics of those who choose the medical career.…”

Section: Discussionsupporting

confidence: 70%

“…We must consider that the emotional aspect is often neglected in medical student training, leading to deficiency in physician rapport with the human being in front of him or her. 21 The prevalence of negative attitudes towards Factor 2 (management of situations related to death) in our study and in similar works 12,13 is well explained by the idea that death motivates emotional difficulties among all healthcare professionals, and is often perceived as medical failure, generating anxiety in the doctors themselves. 22 Moreover, in Brazil, thanatology is not adequately addressed in un- dergraduate courses, it is up to the students to seek knowledge or deny the difficulty, which leads to failures in communicating bad news to patients and their families.…”

Section: Discussionsupporting

confidence: 63%

“…25 Another study using the Attitude Scale 5 showed that second-and sixth-year medical students had a predominantly negative attitude in death-related situations. 13 These data indicate that physicians must have great emotional balance to deal with such demands and suffer less from each death they witness. The importance of preparing the future doctor in this respect cannot be underestimated.…”

Section: Discussionmentioning

confidence: 99%

“…3,[5][6][7] Assessing the attitudes of medical students has been the subject of studies by several authors. [8][9][10][11][12][13][14][15] Medical undergraduate courses promote experiences that enable the acquisition of attitudes, values and behavior patterns as a consequence of the contact with several players, including instructors/professors, other students, patients and members of the health team. 16 In medical courses that follow a traditional curriculum, internship is the time when students experience medical practice more intensively.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of medical interns' attitudes towards relevant aspects of medical practice

Alves

Melo³

et al. 2017

Rev. Assoc. Med. Bras.

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Introduction:In traditional medical school curriculum, sixth-year is the moment in which students experience medical practice more intensively. Attitudes can be considered predictors of behaviors and actions. Evaluating them contributes to improve medical training. Objective: To evaluate attitudes during medical internship considering medical practice and associated factors in a Brazilian public university. Method: Cross-sectional study that included 69 students, based on a structured questionnaire and an attitude scale (Colares, 2002). We used descriptive statistics, with classification of the attitude tendency, clusters analysis and F-statistics. Results: The average age of the participants was 25.1±1.9, and 56.5% of them were male. Students presented positive attitudes to emotional aspects in organic diseases, primary health care, the medical contribution to the scientific advancement of medicine, and other aspects of medical activity and health politics; there were conflicting attitudes concerning mental illness and negative attitudes concerning death. Conclusion: Results show the need for interventions in order to reduce the identified conflicting and negative attitudes.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of medical interns' attitudes towards relevant aspects of medical practice

Alves

Melo³

et al. 2017

Rev. Assoc. Med. Bras.

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“…Segundo Silva (2006, p. 176), a morte com a qual os estudantes de medicina aprendem a lidar, é uma morte morta, sem alma, e quando se encontram de fato com a morte, com corpo e alma "os conflitos e paradoxos entre as concepções desejadas para esse enfrentamento e os pressupostos assimilados ganham expressão nas interações intersubjetivas concretamente vividas". Mascia et al (2009) afirmam que "o profissional que não está devidamente preparado para lidar com essas situações poderá experimentar uma gama de sentimentos reativos" (p. 45) e que tais sentimentos podem se manifestar como perda do senso de missão, cinismo, desesperança, frustração, bem como risco aumentado de burnout e depressão.…”

Section: Introductionunclassified

A estranheza do médico frente à morte: lidando com a angústia da condição humana

Mello¹,

Silva

2012

RAG

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A r t i g o a estranheza Do méDico Frente à morte: liDanDo com a angústia Da conDição humana 1 Resumo: Este relato se refere a uma pesquisa que realizamos com o objetivo de compreender a vivência do médico diante da morte. Adotou-se uma metodologia qualitativa na qual o referencial de análise escolhido foi a fenomenologia ontológica de Heidegger. A coleta de dados se deu por meio de entrevistas e os sujeitos foram dez médicos do Hospital Universitário Regional de Maringá (PR). Os resultados foram expressos em unidades de significado que sintetizaram as experiências de angústia e de estranheza frente a morte, bem como os sentimentos despertados ao lidar com a morte na prática médica, a preocupação com os procedimentos, a dificuldade em lidar com a morte de crianças e a falta de preparo na formação. O estudo aponta para a necessidade de criação de espaços para compartilhamento de experiências desde a graduação, contribuindo para uma atenção mais cuidadosa aos pacientes, e principalmente com a saúde mental do profissional. Palavras-chave: Fenomenologia; Morte; Medicina; Angústia.Abstract: This report refers to a survey we conducted in order to understand the experience of the physician facing death. We adopted a qualitative methodology in which the analytical framework chosen was Heidegger's ontological phenomenology. Data collection was through interviews and the subjects were ten physicians from University Hospital of Maringá (PR). The results were expressed as units of meaning that summarized the experiences of anxiety and awkwardness in the face of death and the feelings aroused when dealing with death in medical practice, the concern with the procedures, the difficulty in dealing with the death of children lack of preparation and training. The study points to the need to create spaces for sharing experiences since graduation, contributing to a more careful attention to patients, and especially with the professional's mental health.Resumen: Este informe se refiere a una encuesta que llevamos a cabo con el fin de comprender la experiencia de la muerte que el médico enfrenta. Hemos adoptado una metodología cualitativa en que el marco analítico elegido fue la fenomenología ontológica de Heidegger. La recolección de datos fue a través de entrevistas y los sujetos fueron diez médicos del Hospital Universitario de Maringá (PR). Los resultados se expresaron como unidades de sentido que resume las experiencias de ansiedad e incomodidad en el rostro de la muerte y los sentimientos para hacer frente a la muerte en la práctica médica, la preocupación acerca de los procedimientos, la dificultad de relacionarse con la muerte de los niños, falta de preparación y formación. El estudio apunta a la necesidad de crear espacios para compartir experiencias desde su graduación, lo que contribuye a una atención más cuidadosa a los pacientes, y especialmente con la salud mental de lo profesional.

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Bem-estar e busca de ajuda: um estudo junto a alunos de Medicina ao final do curso

Pereira¹,

Sousa²

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Atitudes frente a aspectos relevantes da prática médica: estudo transversal randomizado com alunos de segundo e sexto anos

Cited by 24 publications

References 13 publications

Evaluation of medical interns' attitudes towards relevant aspects of medical practice

Evaluation of medical interns' attitudes towards relevant aspects of medical practice

A estranheza do médico frente à morte: lidando com a angústia da condição humana

Bem-estar e busca de ajuda: um estudo junto a alunos de Medicina ao final do curso

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