Loading...
Publication
Como os estudantes de medicina percecionam a comunicação de más notícias em contexto clínico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.94 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A Comunicação de Más Notícias (CMN) faz parte da rotina dos médicos e é necessário
que durante a sua formação os estudantes aprendam e desenvolvam competências
comunicacionais para realizar esta tarefa, que saibam identificar as dificuldades e as
emoções envolvidas e que utilizem recursos de enfrentamento para gerir esta situação.
Os objetivos do presente estudo foram observar a perceção dos estudantes sobre a tarefa
de CMN, as emoções associadas e as estratégias que podem ser utilizadas para gerir o seu
impacto. É um estudo descritivo-exploratório, baseado numa metodologia mista,
sobretudo qualitativa, realizado com estudantes do 5º ano de medicina. A partir dos
resultados verificou-se que os estudantes reconhecem a relevância e a dificuldade da
tarefa e a importância do ensino de técnicas/protocolos para a realizar. A grande maioria
dos participantes referiu já ter observado a CMN pelo menos uma vez e reconhece a
necessidade de abordagens mais práticas no ensino desta temática. Identificam como
aspetos importantes para uma CMN adequada, a preparação da tarefa e saber lidar com
as reações do doente e familiares. Os estudantes associam emoções como a empatia e a
tristeza à CMN e valorizam principalmente estratégias de coping focadas na emoção e no
distanciamento emocional para gerir este impacto emocional nos profissionais. Os
estudantes avaliam positivamente um módulo de ensino da CMN e os resultados indicam
uma influência positiva deste ensino na avaliação que os estudantes fazem dos seus
conhecimentos, competências e grau de confiança para realizar a tarefa.
Breaking Bad News (BBN) is part of the doctor´s routine and it is necessary that during their educational years the students learn and develop communication skills to perform the task, that they know how to identify the difficulties and emotions involved, and that they develop adaptive coping mechanisms to manage these situations. The aims of the present study were to observe the students´ perception of the task of BBN, the associated emotion, and the strategies that can be used to manage its impact. This is a descriptiveexploratory study, based on a mixed methodology, mainly qualitative, carried out with 5th year medical students. Based on the results, it was found that students acknowledge the relevance and difficulty of the task, and the importance of teaching techniques/protocols to perform it. The majority of the participants reported having observed BBN at least once and recognize the need for more practical approaches in teaching this theme. They identified as important aspects for an appropriate BBN the preparation of the task and knowing how to deal with the patient and family´s reaction. The students associated emotions such as empathy and sadness with BBN and valued coping strategies focused on emotion and emotional detachment to manage these emotional impacts on doctors. The students evaluated a module of teaching BBN in a favourable light and the results indicated a positive influence of these teaching on student´s assessment of their knowledge, competences and level of confidence to perform the task.
Breaking Bad News (BBN) is part of the doctor´s routine and it is necessary that during their educational years the students learn and develop communication skills to perform the task, that they know how to identify the difficulties and emotions involved, and that they develop adaptive coping mechanisms to manage these situations. The aims of the present study were to observe the students´ perception of the task of BBN, the associated emotion, and the strategies that can be used to manage its impact. This is a descriptiveexploratory study, based on a mixed methodology, mainly qualitative, carried out with 5th year medical students. Based on the results, it was found that students acknowledge the relevance and difficulty of the task, and the importance of teaching techniques/protocols to perform it. The majority of the participants reported having observed BBN at least once and recognize the need for more practical approaches in teaching this theme. They identified as important aspects for an appropriate BBN the preparation of the task and knowing how to deal with the patient and family´s reaction. The students associated emotions such as empathy and sadness with BBN and valued coping strategies focused on emotion and emotional detachment to manage these emotional impacts on doctors. The students evaluated a module of teaching BBN in a favourable light and the results indicated a positive influence of these teaching on student´s assessment of their knowledge, competences and level of confidence to perform the task.
Description
Keywords
Comunicação de Más Notícias Emoções Estratégias de Coping Estudantes de Medicina