Pub Date : 2021-05-05DOI: 10.17267/2594-7907IJHE.V5I1.3315
J. F. Oliveira, Bruna Meyer C. Martins Macedo, Anne Moreira Cordeiro, Karoline Freitas Magalhães, Catarina Freitas, A. Lemos
OBJECTIVE : To verify the relation between syphilis cases and sex education in a Family Health Unit in the city of Lauro de Freitas. METHOD: This was a cross-sectional study, approved by the Research Ethics Committee of the Metropolitan Union for the Development of Education and Culture (UNIME). The target audience was women aged 18 to 60 years from a specific covered area of a Family Health Unit in Lauro de Freitas-BA. A questionnaire prepared by the researchers was applied to 114 participants. RESULTS: 55 (48.2%) of the women studied considered themselves black and 31 (27.2%) had more than 11 years of study (high school complete). 62 (54.4%) were legally single, 84 (74.3%) had an active sex life, 87 (77.0%) had a steady partner. 113 (99.1%) women believe it is women's right to demand condom use. Only 7 (8.8%) of those surveyed reported having syphilis. 79 (69.3%) considers that they have good knowledge regarding sex education. 104 (91.2%) answered that the contagion is through sexual intercourse without a condom, but 60 (52.6%) of them have little information about the disease in question. CONCLUSION: The present study shows that 52.6% of women know little or nothing about syphilis. In addition, it was noted that when asked about the ways of syphilis contamination, none of the 114 women interviewed were able to answer all the correct alternatives. So, it is possible to conclude that it is necessary to implement new interaction public policies between the family health unit and the community.
{"title":"Relation between syphilis cases and sex education of women in a family health unit in the city of Lauro de Freitas","authors":"J. F. Oliveira, Bruna Meyer C. Martins Macedo, Anne Moreira Cordeiro, Karoline Freitas Magalhães, Catarina Freitas, A. Lemos","doi":"10.17267/2594-7907IJHE.V5I1.3315","DOIUrl":"https://doi.org/10.17267/2594-7907IJHE.V5I1.3315","url":null,"abstract":"OBJECTIVE : To verify the relation between syphilis cases and sex education in a Family Health Unit in the city of Lauro de Freitas. METHOD: This was a cross-sectional study, approved by the Research Ethics Committee of the Metropolitan Union for the Development of Education and Culture (UNIME). The target audience was women aged 18 to 60 years from a specific covered area of a Family Health Unit in Lauro de Freitas-BA. A questionnaire prepared by the researchers was applied to 114 participants. RESULTS: 55 (48.2%) of the women studied considered themselves black and 31 (27.2%) had more than 11 years of study (high school complete). 62 (54.4%) were legally single, 84 (74.3%) had an active sex life, 87 (77.0%) had a steady partner. 113 (99.1%) women believe it is women's right to demand condom use. Only 7 (8.8%) of those surveyed reported having syphilis. 79 (69.3%) considers that they have good knowledge regarding sex education. 104 (91.2%) answered that the contagion is through sexual intercourse without a condom, but 60 (52.6%) of them have little information about the disease in question. CONCLUSION: The present study shows that 52.6% of women know little or nothing about syphilis. In addition, it was noted that when asked about the ways of syphilis contamination, none of the 114 women interviewed were able to answer all the correct alternatives. So, it is possible to conclude that it is necessary to implement new interaction public policies between the family health unit and the community.","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"183 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74646150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-29DOI: 10.17267/2594-7907IJHE.V5I1.3288
Luiz Fernando Quintanilha, K. M. Avena, L. Magalhães, Bruno Bezerril Andrade
INTRODUCTION: The SARS-CoV-2 pandemic affected the educational models offered in medical courses. In this context, with the authorization to offer courses remotely, there is an unprecedented acceleration in the migration from the traditional model to the eLearning model, which was already occurring gradually in the Brazilian higher education system. Due to the social isolation to face the crisis, this model is being applied in full in many Higher-educational institutions (HEIs) in the country and may have repercussions on methodological changes in medical education. OBJECTIVES: To discuss the impact of the SARS-CoV-2 pandemic on medical education, analyzing the migration to eLearning Modality. METHOD: A reflection was made from management meetings at two private universities based on the authors' experience in medical education management. RESULTS: The global pandemic context has impacted teaching within the scope of students, professors, and HEIs. The high investments in the migration of the teaching model and the high dropout rate have impacted the suspension of contracts for teachers from private HEIs. The inequality of technological access, unsuitable environments, and the poor quality of telephony/internet in the country can impact on academic performance. CONCLUSIONS: It is undeniable that medical education is suffering a profound transformation by this global health crisis. However, it is too early to say with certainty the size of this impact. In the future, it will be necessary to adapt the concept of evidence-based medical education to assess the practical repercussions of this pandemic in medical education.
{"title":"Impacto da pandemia do SARS-COV-2 na educação médica: migração \"compulsória\" para o modelo remoto, uma visão preliminar de gestores da educação médica","authors":"Luiz Fernando Quintanilha, K. M. Avena, L. Magalhães, Bruno Bezerril Andrade","doi":"10.17267/2594-7907IJHE.V5I1.3288","DOIUrl":"https://doi.org/10.17267/2594-7907IJHE.V5I1.3288","url":null,"abstract":"INTRODUCTION: The SARS-CoV-2 pandemic affected the educational models offered in medical courses. In this context, with the authorization to offer courses remotely, there is an unprecedented acceleration in the migration from the traditional model to the eLearning model, which was already occurring gradually in the Brazilian higher education system. Due to the social isolation to face the crisis, this model is being applied in full in many Higher-educational institutions (HEIs) in the country and may have repercussions on methodological changes in medical education. OBJECTIVES: To discuss the impact of the SARS-CoV-2 pandemic on medical education, analyzing the migration to eLearning Modality. METHOD: A reflection was made from management meetings at two private universities based on the authors' experience in medical education management. RESULTS: The global pandemic context has impacted teaching within the scope of students, professors, and HEIs. The high investments in the migration of the teaching model and the high dropout rate have impacted the suspension of contracts for teachers from private HEIs. The inequality of technological access, unsuitable environments, and the poor quality of telephony/internet in the country can impact on academic performance. CONCLUSIONS: It is undeniable that medical education is suffering a profound transformation by this global health crisis. However, it is too early to say with certainty the size of this impact. In the future, it will be necessary to adapt the concept of evidence-based medical education to assess the practical repercussions of this pandemic in medical education.","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84726032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-29DOI: 10.17267/2594-7907ijhe.v5i1.3109
Tiago Alves dos Santos, M. Sestelo, I. Aleluia
INTRODUÇÃO: As práticas educativas envolvem princípios essenciais para o segmento da aprendizagem nas mais variadas estratégias do ensino, sendo a simulação realística uma estratégia importante que pode ser empregada na matriz curricular, enriquecendo o sistema de ensino-aprendizagem e ampliando as habilidades e competências dos alunos. Entretanto, o uso de novas estratégias de ensino requer constantes avaliações quanto à sua aceitação, aplicabilidade e efetividade, tanto docente, quanto discente. OBJETIVOS: Avaliar a percepção discente quanto a capacidade de uma estratégia desenvolvida em um cenário de simulação, sendo capaz de (a) promover uma aprendizagem ativa; (b) fomentar o trabalho colaborativo; (c) oferecer diferentes formas de apreender e aplicar os conhecimentos e de realizar uma reflexão/avaliação sobre seu aprendizado. MÉTODO: Estudo descritivo e transversal realizado com 110 estudantes do 5º semestre do curso de Medicina de uma Escola de Medicina em Salvador-Bahia entre os meses Fevereiro e Junho de 2019, em que foram realizadas simulações de atendimento ao paciente em Clínica Médica, no cenário de Demência, com a utilização de atores, com os quais os alunos puderam interagir. Um aluno foi sorteado, ou surgiu um voluntário, para participar diretamente do atendimento simulado, enquanto os não sorteados observavam e realizavam considerações após a simulação. O aluno sorteado realizava atendimento ao paciente de forma individual na dependência do cenário apresentado, realizando anamnese e comunicação. Ao final do cenário da simulação, cada aluno respondeu uma única vez ao instrumento “Questionário de Práticas Educativas (versão do aluno)”, o qual foi desenvolvido por outros pesquisadores e validado no português para a avaliação das melhores práticas utilizadas no cenário da simulação, constituído por 16 itens, com duas subescalas (uma relacionada as práticas educativas e outra a importância atribuída ao item), sendo separado em quatro blocos temáticos: aprendizagem ativa; colaboração; maneiras diferentes de aprendizagem; e altas expectativas (tanto professor, quanto aluno devem ser motivados a ensinar e aprender). O modelo de resposta é do tipo Likert de 5 pontos, existindo a opção de “não aplicável” quando a declaração não diz respeito a prática simulada efetuada. RESULTADOS: Um total de 91 questionários dos 110 respondidos foram considerados válidos e analisados. Para cada bloco temático, observou-se alto percentual para a Frequência de concordância, variando de 94,4% para o bloco temático “Altas expectativas” a 61,5% para “Colaboração”; a Frequência de discordância foi relativamente baixa, variando de 20,1% para “Colaboração” a ausente em “Altas expectativas”. Observou-se alto percentual para a Frequência de Importância, variando de 98,9% para os blocos temáticos “Altas expectativas” e “Maneiras diferentes de aprendizagem” a 88,4% para “Colaboração”; a Frequência de Não Importância foi relativamente baixa, variando de 2,1% para “Col
{"title":"Percepção discente sobre a qualidade das práticas educativas em cenário de simulação na graduação médica","authors":"Tiago Alves dos Santos, M. Sestelo, I. Aleluia","doi":"10.17267/2594-7907ijhe.v5i1.3109","DOIUrl":"https://doi.org/10.17267/2594-7907ijhe.v5i1.3109","url":null,"abstract":"INTRODUÇÃO: As práticas educativas envolvem princípios essenciais para o segmento da aprendizagem nas mais variadas estratégias do ensino, sendo a simulação realística uma estratégia importante que pode ser empregada na matriz curricular, enriquecendo o sistema de ensino-aprendizagem e ampliando as habilidades e competências dos alunos. Entretanto, o uso de novas estratégias de ensino requer constantes avaliações quanto à sua aceitação, aplicabilidade e efetividade, tanto docente, quanto discente. OBJETIVOS: Avaliar a percepção discente quanto a capacidade de uma estratégia desenvolvida em um cenário de simulação, sendo capaz de (a) promover uma aprendizagem ativa; (b) fomentar o trabalho colaborativo; (c) oferecer diferentes formas de apreender e aplicar os conhecimentos e de realizar uma reflexão/avaliação sobre seu aprendizado. MÉTODO: Estudo descritivo e transversal realizado com 110 estudantes do 5º semestre do curso de Medicina de uma Escola de Medicina em Salvador-Bahia entre os meses Fevereiro e Junho de 2019, em que foram realizadas simulações de atendimento ao paciente em Clínica Médica, no cenário de Demência, com a utilização de atores, com os quais os alunos puderam interagir. Um aluno foi sorteado, ou surgiu um voluntário, para participar diretamente do atendimento simulado, enquanto os não sorteados observavam e realizavam considerações após a simulação. O aluno sorteado realizava atendimento ao paciente de forma individual na dependência do cenário apresentado, realizando anamnese e comunicação. Ao final do cenário da simulação, cada aluno respondeu uma única vez ao instrumento “Questionário de Práticas Educativas (versão do aluno)”, o qual foi desenvolvido por outros pesquisadores e validado no português para a avaliação das melhores práticas utilizadas no cenário da simulação, constituído por 16 itens, com duas subescalas (uma relacionada as práticas educativas e outra a importância atribuída ao item), sendo separado em quatro blocos temáticos: aprendizagem ativa; colaboração; maneiras diferentes de aprendizagem; e altas expectativas (tanto professor, quanto aluno devem ser motivados a ensinar e aprender). O modelo de resposta é do tipo Likert de 5 pontos, existindo a opção de “não aplicável” quando a declaração não diz respeito a prática simulada efetuada. RESULTADOS: Um total de 91 questionários dos 110 respondidos foram considerados válidos e analisados. Para cada bloco temático, observou-se alto percentual para a Frequência de concordância, variando de 94,4% para o bloco temático “Altas expectativas” a 61,5% para “Colaboração”; a Frequência de discordância foi relativamente baixa, variando de 20,1% para “Colaboração” a ausente em “Altas expectativas”. Observou-se alto percentual para a Frequência de Importância, variando de 98,9% para os blocos temáticos “Altas expectativas” e “Maneiras diferentes de aprendizagem” a 88,4% para “Colaboração”; a Frequência de Não Importância foi relativamente baixa, variando de 2,1% para “Col","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76014561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-28DOI: 10.17267/2594-7907IJHE.V5I1.2871
Ana Cláudia Costa Carneiro, Ieda M B Aleluia, Marilia Niedmayer Fagundes, M. Sestelo, Regina Brasil, Tânia Soares
INTRODUCTION: Medical education is under many modifications, insertions and new perspectives on the learning teaching process, and the realistic simulation is one of these changes. It includes technical skills, but also attitudinal skills. The original idea of simulation is to integrate theoretical knowledge, skills and attitude. OBJECTIVES: to tell the experience of building a simulation core in our institution, with faculty development and culture changes. METHODS: using the cartography, 04 teachers and 02 female actors told their narratives by memories and reflections about the path travelled and the knowledge built. RESULTS AND DISCUSSION: each one experience on the first simulation scenario in 2018.2. We reached the original objective (students’ participation and study), but also the depth of each one experience and reflection. There was a balance between technique and sensibility. The actor’s role to build and concretize the project was essential in this balance. CONCLUSIONS: the simulation strengthened the attitudinal competences, promoted the faculty development and showed the importance to put together art and technique on the health professional training.
{"title":"Teacher and actor perceptions of a recent journey involving clinical simulation","authors":"Ana Cláudia Costa Carneiro, Ieda M B Aleluia, Marilia Niedmayer Fagundes, M. Sestelo, Regina Brasil, Tânia Soares","doi":"10.17267/2594-7907IJHE.V5I1.2871","DOIUrl":"https://doi.org/10.17267/2594-7907IJHE.V5I1.2871","url":null,"abstract":"INTRODUCTION: Medical education is under many modifications, insertions and new perspectives on the learning teaching process, and the realistic simulation is one of these changes. It includes technical skills, but also attitudinal skills. The original idea of simulation is to integrate theoretical knowledge, skills and attitude. OBJECTIVES: to tell the experience of building a simulation core in our institution, with faculty development and culture changes. METHODS: using the cartography, 04 teachers and 02 female actors told their narratives by memories and reflections about the path travelled and the knowledge built. RESULTS AND DISCUSSION: each one experience on the first simulation scenario in 2018.2. We reached the original objective (students’ participation and study), but also the depth of each one experience and reflection. There was a balance between technique and sensibility. The actor’s role to build and concretize the project was essential in this balance. CONCLUSIONS: the simulation strengthened the attitudinal competences, promoted the faculty development and showed the importance to put together art and technique on the health professional training.","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85887057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-19DOI: 10.17267/2594-7907IJHE.V5I1.2722
Cristina Rosa, E. S. Nunes, A. Armstrong
A prevalencia geral dos sintomas depressivos entre estudantes de medicina esta em torno de 27,2% em nivel global e de 30,6% no Brasil. Neste estudo objetivamos investigar o estado da saude mental nas escolas de medicina do Brasil a partir da identificacao dos estudos realizados no Brasil entre 2008 e 2018 sobre a prevalencia e fatores de risco de depressao e sintomas depressivos entre estudantes de medicina. Foram poucos os estudos encontrados (21), concentrados nas regioes Sul-Sudeste e que apontam uma prevalencia com alto grau de variabilidade (5,6% a 79%). Embora a maior parte dos estudos tenham utilizado o mesmo instrumento Inventario Depressivo de Beck (BDI), as diferencas nas metodologias divergem desde o recorte da analise realizada (de ideacao suicida a sintomas depressivos), quanto na amostra e na variabilidade dos metodos utilizados (alguns analisaram os graus dos sintomas depressivos, e outros fizeram ainda um filtro de identificacao dos falsos positivos). Nossos achados estao alinhados com outros estudos que relatam a precarizacao da saude mental entre estudantes de medicina, o que sugere uma provavel ocorrencia global problema e uma prevalencia elevada entre os futuros medicos brasileiros.
{"title":"Depressão entre estudantes de medicina no Brasil: uma revisão sistemática","authors":"Cristina Rosa, E. S. Nunes, A. Armstrong","doi":"10.17267/2594-7907IJHE.V5I1.2722","DOIUrl":"https://doi.org/10.17267/2594-7907IJHE.V5I1.2722","url":null,"abstract":"A prevalencia geral dos sintomas depressivos entre estudantes de medicina esta em torno de 27,2% em nivel global e de 30,6% no Brasil. Neste estudo objetivamos investigar o estado da saude mental nas escolas de medicina do Brasil a partir da identificacao dos estudos realizados no Brasil entre 2008 e 2018 sobre a prevalencia e fatores de risco de depressao e sintomas depressivos entre estudantes de medicina. Foram poucos os estudos encontrados (21), concentrados nas regioes Sul-Sudeste e que apontam uma prevalencia com alto grau de variabilidade (5,6% a 79%). Embora a maior parte dos estudos tenham utilizado o mesmo instrumento Inventario Depressivo de Beck (BDI), as diferencas nas metodologias divergem desde o recorte da analise realizada (de ideacao suicida a sintomas depressivos), quanto na amostra e na variabilidade dos metodos utilizados (alguns analisaram os graus dos sintomas depressivos, e outros fizeram ainda um filtro de identificacao dos falsos positivos). Nossos achados estao alinhados com outros estudos que relatam a precarizacao da saude mental entre estudantes de medicina, o que sugere uma provavel ocorrencia global problema e uma prevalencia elevada entre os futuros medicos brasileiros.","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80887096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-17DOI: 10.17267/2594-7907ijhe.v4i2.3325
Andressa Karoline da silva Malheiro, Isabela Hogari Pereira de Almeida, Zara Dantas Oliveira
INTRODUCTION: In Literature and the Arts, we have examples of the representation of the countless faces of the doctor and the influence of these views on the image that the doctor has of himself, which directly interferes with his illness process. This work aims to explore the construction of the figure of the doctor in society and how it implies his behavior as a patient. DEVELOPMENT: Allied to prestige and authority, the practice of Medicine is accompanied by a great demand. In this way, a very high level of collection and a context of denying medical illness is created. The image of the sick doctor can be seen as an unrealistic situation. We have examples of this in the book “Ensaio sobre a Cegueira”, by José Saramago, in the work “O Médico Doente”, by Drauzio Varella, and also in dramaturgy. Analyzing another aspect, an interesting point is that, being patient, the doctor can learn how the other feels, which also refers to the concept of empathy. Furthermore, the different perspectives on the fact of having knowledge about diseases are highlighted. CONCLUSION: The difficulty of detaching the multiple dimensions of the Doctor, due to the historical construction of this professional as a “demigod”, strong and studious, and to his own personal vision of omnipotence, generates a denial of medical illness. The expansion of studies in Human Sciences and Medical Humanities can provide a greater understanding of this situation.
INTRODUCTION:在《文学与艺术》中，我们可以看到医生无数张面孔的再现，以及这些观点对医生自我形象的影响，这直接干扰了他的疾病过程。本作品旨在探讨医生在社会中的形象建构，以及它如何暗示他作为病人的行为。发展:伴随着声望和权威，行医也伴随着巨大的需求。通过这种方式，创建了一个非常高水平的收集和否认医疗疾病的背景。生病的医生的形象可以看作是一个不现实的情况。在joss Saramago的《Ensaio sobre a Cegueira》一书中，在Drauzio Varella的作品《O msamdico Doente》中，以及戏剧中，我们都有这样的例子。分析另一方面，有趣的一点是，医生有耐心，可以了解对方的感受，这也涉及移情的概念。此外，还强调了对掌握疾病知识这一事实的不同观点。结论:由于医生这个职业被历史建构为“半神”，强壮好学，以及他个人的全能愿景，医生的多重维度难以分离，从而产生了对医学疾病的否认。扩展人文科学和医学人文学科的研究可以更好地了解这种情况。
{"title":"O outro lado do jaleco","authors":"Andressa Karoline da silva Malheiro, Isabela Hogari Pereira de Almeida, Zara Dantas Oliveira","doi":"10.17267/2594-7907ijhe.v4i2.3325","DOIUrl":"https://doi.org/10.17267/2594-7907ijhe.v4i2.3325","url":null,"abstract":"INTRODUCTION: In Literature and the Arts, we have examples of the representation of the countless faces of the doctor and the influence of these views on the image that the doctor has of himself, which directly interferes with his illness process. This work aims to explore the construction of the figure of the doctor in society and how it implies his behavior as a patient. DEVELOPMENT: Allied to prestige and authority, the practice of Medicine is accompanied by a great demand. In this way, a very high level of collection and a context of denying medical illness is created. The image of the sick doctor can be seen as an unrealistic situation. We have examples of this in the book “Ensaio sobre a Cegueira”, by José Saramago, in the work “O Médico Doente”, by Drauzio Varella, and also in dramaturgy. Analyzing another aspect, an interesting point is that, being patient, the doctor can learn how the other feels, which also refers to the concept of empathy. Furthermore, the different perspectives on the fact of having knowledge about diseases are highlighted. CONCLUSION: The difficulty of detaching the multiple dimensions of the Doctor, due to the historical construction of this professional as a “demigod”, strong and studious, and to his own personal vision of omnipotence, generates a denial of medical illness. The expansion of studies in Human Sciences and Medical Humanities can provide a greater understanding of this situation.","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"25 1","pages":"93"},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87785937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-17DOI: 10.17267/2594-7907ijhe.v4i2.3308
Beatriz Ferreira dos Santos, I. Aleluia, M. Sestelo, N. A. Santos, Roberta Vasconcelos Mesquita Andrade
INTRODUCTION: Death is the last act of the literary character, and it’s individual, but it doesn’t have to be lonely. We used the literary works “A candle for Dario”, “A body without a name” and “The death of Ivan Ilyich” to show and discuss how death is portrayed in Literature. DEVELOPMENT: We essayed about how death can’t be shared, becoming an individual act. We also discussed how death is shown as lonely in Literature and how death denial and the death in hospital place make death a lonely act. Besides that, we presented about anomie (that we concepted as lack of name, identity and social connections) and how it is denounced in Literature, revealing the extreme loneliness in the death of the character. By the end, we considered how death can be more comfortable, when the person in this moment of life is in contact with empathic people and behavior, despite the difficulty of people being truly empathic when they deny their own death. CONCLUSION: The literary works we used show how denial, indifference, depersonalization and lack of empathy make death be more than individual, but lonely. Some empathic acts are shown in the literary works and they reveal that thinking, experiencing and living death can be more natural and empathic, when we refuse death denial.
{"title":"A descrição da narrativa do óbito: último ato individual, não solitário","authors":"Beatriz Ferreira dos Santos, I. Aleluia, M. Sestelo, N. A. Santos, Roberta Vasconcelos Mesquita Andrade","doi":"10.17267/2594-7907ijhe.v4i2.3308","DOIUrl":"https://doi.org/10.17267/2594-7907ijhe.v4i2.3308","url":null,"abstract":"INTRODUCTION: Death is the last act of the literary character, and it’s individual, but it doesn’t have to be lonely. We used the literary works “A candle for Dario”, “A body without a name” and “The death of Ivan Ilyich” to show and discuss how death is portrayed in Literature. DEVELOPMENT: We essayed about how death can’t be shared, becoming an individual act. We also discussed how death is shown as lonely in Literature and how death denial and the death in hospital place make death a lonely act. Besides that, we presented about anomie (that we concepted as lack of name, identity and social connections) and how it is denounced in Literature, revealing the extreme loneliness in the death of the character. By the end, we considered how death can be more comfortable, when the person in this moment of life is in contact with empathic people and behavior, despite the difficulty of people being truly empathic when they deny their own death. CONCLUSION: The literary works we used show how denial, indifference, depersonalization and lack of empathy make death be more than individual, but lonely. Some empathic acts are shown in the literary works and they reveal that thinking, experiencing and living death can be more natural and empathic, when we refuse death denial.","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"2013 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86331578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-17DOI: 10.17267/2594-7907ijhe.v4i2.3331
B. Bispo, Déborah Fabrícia Lopes Santos, A. Macedo
BACKGROUND: The depersonalization of the patient and his/her history is present in health care and it is described with great sensitivity in the literature, which, because it represents the human being integral, demonstrates how harmful this dehumanization process can be. OBJECTIVE: This essay aims to demonstrate how much the literature can provide a holistic view of the patient in the process of loss of autonomy. RESULTS: The short story Paulo by author Graciliano Ramos analyzes, in a poetic and specific way, a scenario of depersonalization of the patient and his history and how distressing it can be. On the other hand, it is important to analyze contexts such as the professional with Burnout syndrome and the pandemic by COVID-19 as potentiating this patient's dehumanization, since these scenarios trigger physical and emotional stress for the health professional and, therefore, can trigger emotional distance and dehumanization by the caregiver. CONCLUSION: The literature brings subjectivity to represent the process of illness and hospitalization from the perspective of the patient and, thus, allows an integral view of the being, which is essential to minimize the depersonalization of the patient and his history. The analysis from this context is necessary to insert approaches in care that go beyond the focus on illness, with the appreciation of listening and patient’s autonomy.
{"title":"A despersonalização do paciente e da sua história: uma visão holística da literatura","authors":"B. Bispo, Déborah Fabrícia Lopes Santos, A. Macedo","doi":"10.17267/2594-7907ijhe.v4i2.3331","DOIUrl":"https://doi.org/10.17267/2594-7907ijhe.v4i2.3331","url":null,"abstract":"BACKGROUND: The depersonalization of the patient and his/her history is present in health care and it is described with great sensitivity in the literature, which, because it represents the human being integral, demonstrates how harmful this dehumanization process can be. OBJECTIVE: This essay aims to demonstrate how much the literature can provide a holistic view of the patient in the process of loss of autonomy. RESULTS: The short story Paulo by author Graciliano Ramos analyzes, in a poetic and specific way, a scenario of depersonalization of the patient and his history and how distressing it can be. On the other hand, it is important to analyze contexts such as the professional with Burnout syndrome and the pandemic by COVID-19 as potentiating this patient's dehumanization, since these scenarios trigger physical and emotional stress for the health professional and, therefore, can trigger emotional distance and dehumanization by the caregiver. CONCLUSION: The literature brings subjectivity to represent the process of illness and hospitalization from the perspective of the patient and, thus, allows an integral view of the being, which is essential to minimize the depersonalization of the patient and his history. The analysis from this context is necessary to insert approaches in care that go beyond the focus on illness, with the appreciation of listening and patient’s autonomy.","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80853336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-17DOI: 10.17267/2594-7907ijhe.v4i2.3330
Caline de Almeida Barbosa, Lara Silva Perussi Bertão, Lucas Santana Passinho
The essay is based on the book A doença como metáfora by Susan Sontag as it discusses the process of metaforization to which being human submits the diseases that affect him, especially when they make him feel powerless in the face of the arbitrariness of life. The essay reflects, since its introduction, on the importance of literature, as a representation of everything that crosses human reality, bringing, in its development, titles of some texts in which the metaforization of diseases, linked to the guilt of the victims, is present. Texts from different periods of history are evoked - from Édipo Rei of Sófocles (427 BC) to José Saramago’s Ensaio sobre a cegueira (1995) - in order to lead us to reflect on the current moment we are living: the Covid-19 Pandemic. As well as other diseases that have eluded man’s control throughout history, Covid-19 also tends to be metaphorized and, with this, fanatical-religious, xenophobic and segregating speeches can take a leading role, demanding of all who face the virus, maturity and, especially of health professionals, the courage to see and repair not only all the symptoms that threaten us as a human species, but , above all, people who find themselves in a war against an invisible enemy and need, as never before, a humanized medicine.
这篇文章是根据苏珊·桑塔格(Susan Sontag)的《A donena como metáfora》一书改编的，书中讨论了人类屈服于影响他的疾病的metforization过程，特别是当这些疾病使他在面对生活的随意性时感到无能为力时。这篇文章从一开始就反映了文学的重要性，因为它代表了跨越人类现实的一切，在其发展过程中，引入了一些文本的标题，其中出现了与受害者内疚有关的疾病的元化。从《Sófocles》(公元前427年)的《Édipo Rei》到何塞·萨拉马戈的《Ensaio sobre a cegueira》(1995年)等不同历史时期的文本被引用，以引导我们反思我们所处的当前时刻:Covid-19大流行。以及其他疾病没有发现男人的控制纵观历史,Covid-19也倾向于使用隐喻,,狂热的宗教,排外和隔离的演讲可以主导作用,要求所有人面对病毒的,成熟,特别是卫生专业人员,勇气和修复不仅威胁到我们的所有症状作为一个人类,但是,最重要的是,人们发现自己在对抗一个看不见的敌人,需要,一种前所未有的人性化药物。
{"title":"Os inimigos invisíveis: a doença como metáfora","authors":"Caline de Almeida Barbosa, Lara Silva Perussi Bertão, Lucas Santana Passinho","doi":"10.17267/2594-7907ijhe.v4i2.3330","DOIUrl":"https://doi.org/10.17267/2594-7907ijhe.v4i2.3330","url":null,"abstract":"The essay is based on the book A doença como metáfora by Susan Sontag as it discusses the process of metaforization to which being human submits the diseases that affect him, especially when they make him feel powerless in the face of the arbitrariness of life. The essay reflects, since its introduction, on the importance of literature, as a representation of everything that crosses human reality, bringing, in its development, titles of some texts in which the metaforization of diseases, linked to the guilt of the victims, is present. Texts from different periods of history are evoked - from Édipo Rei of Sófocles (427 BC) to José Saramago’s Ensaio sobre a cegueira (1995) - in order to lead us to reflect on the current moment we are living: the Covid-19 Pandemic. As well as other diseases that have eluded man’s control throughout history, Covid-19 also tends to be metaphorized and, with this, fanatical-religious, xenophobic and segregating speeches can take a leading role, demanding of all who face the virus, maturity and, especially of health professionals, the courage to see and repair not only all the symptoms that threaten us as a human species, but , above all, people who find themselves in a war against an invisible enemy and need, as never before, a humanized medicine.","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74189647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-17DOI: 10.17267/2594-7907ijhe.v4i2.3332
Douglas Santos Silva, M. G. Viana, P. Souza
INTRODUCTION: The doctor-patient relationship has undergone several reinterpretations over the centuries being based on attentive listening primarily, a characteristic that has been neglected in many current contexts. Such a doctor-patient relationship is essential for understanding the pathological condition under analysis and, also, for understanding this patient as a human being, which will give greater dignity to this moment that is so intimate, yet so essential in medical practice. Thus, literature can be used as a tool to encourage the human development of professionals and students and subsequently reflect in this important relationship. DEVELOPMENT: Currently, there is a noticeable weakening of the doctor-patient relationship, mainly due to the exacerbated cult of technicism and the depreciation of the cultural, such as the various segments of literature, when, in fact, each of these aspects have their space and should complement each other. With this in mind, there is a greater distancing between doctor and patient, which ends up damaging the image of the clinical examination shaped by what should be a co-protagonism between these two individuals. Because of this, the doctor becomes increasingly insensitive and, therefore, the patient becomes increasingly unreachable, which hinders the proper promotion of health and future well being of this person. So, literature can be inserted as a tool that will stimulate the change of this context, either by the contact of the doctor with recurring themes in his daily life from the perspective of his patients or by the acquired self-knowledge capable of making him understand the vulnerability of human beings, including his own. Furthermore, another important function that the literature can provide is to facilitate data collection itself - through language or even by actions performed by the professional - which will have important consequences on that patient's prognosis. CONCLUSION: Doctors and students in this area should provide the greatest possible comfort for the patient who is in the state of vulnerability that the disease provides and this can be achieved more easily and efficiently with the use of the literature associated with technicism in a way wich they become complementary and encompass the various segments inherent to human beings.
{"title":"Escuta na relação médico-paciente: uma arte perdida","authors":"Douglas Santos Silva, M. G. Viana, P. Souza","doi":"10.17267/2594-7907ijhe.v4i2.3332","DOIUrl":"https://doi.org/10.17267/2594-7907ijhe.v4i2.3332","url":null,"abstract":"INTRODUCTION: The doctor-patient relationship has undergone several reinterpretations over the centuries being based on attentive listening primarily, a characteristic that has been neglected in many current contexts. Such a doctor-patient relationship is essential for understanding the pathological condition under analysis and, also, for understanding this patient as a human being, which will give greater dignity to this moment that is so intimate, yet so essential in medical practice. Thus, literature can be used as a tool to encourage the human development of professionals and students and subsequently reflect in this important relationship. DEVELOPMENT: Currently, there is a noticeable weakening of the doctor-patient relationship, mainly due to the exacerbated cult of technicism and the depreciation of the cultural, such as the various segments of literature, when, in fact, each of these aspects have their space and should complement each other. With this in mind, there is a greater distancing between doctor and patient, which ends up damaging the image of the clinical examination shaped by what should be a co-protagonism between these two individuals. Because of this, the doctor becomes increasingly insensitive and, therefore, the patient becomes increasingly unreachable, which hinders the proper promotion of health and future well being of this person. So, literature can be inserted as a tool that will stimulate the change of this context, either by the contact of the doctor with recurring themes in his daily life from the perspective of his patients or by the acquired self-knowledge capable of making him understand the vulnerability of human beings, including his own. Furthermore, another important function that the literature can provide is to facilitate data collection itself - through language or even by actions performed by the professional - which will have important consequences on that patient's prognosis. CONCLUSION: Doctors and students in this area should provide the greatest possible comfort for the patient who is in the state of vulnerability that the disease provides and this can be achieved more easily and efficiently with the use of the literature associated with technicism in a way wich they become complementary and encompass the various segments inherent to human beings.","PeriodicalId":75938,"journal":{"name":"International journal of health education","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76645489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：