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O cuidado human?stico como foco institucional: um estudo sobre empatia dos profissionais de sa?de na ?rea obst?trica / The Humanistic care as an institutional focus: a study on empathy of the health professionals in the obstetrical area

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Previous issue date: 2006-05-19 / Empathy is a basic facilitating element of the therapeutic helping relationship and the humanization process in health care. The objectives of this study were to identify the empathy level of health professionals working in the obstetrical sector of a university hospital recognized for its humanistic care and the perceptions of the women under their care regarding the empathic behavior shown by these professionals during hospitalization. We conducted a quanti/qualitative study with 47 health professionals that worked in the obstetrical sector (13 obstetricians, 12 nurses, 22 nurse technicians) and an intentional sample of 101 women that received cared from these professionals during the study period. We collected data by means of the Jefferson Empathy Scale for Health Professioals (JEPS-HR) and the Patient?s Perception of Health Professional Empathy (PPHPE), and two additional open questions designed to obtain the subjective opinion about the empathic behavior during the care. We utilized thematic analysis for the data obtained through the open questions and descriptive and inferential statistics for the quantitative data. We identified five thematic categories that represent the aspects valued by the professionals in their relationship with the women under their care: emotional involvement, communication, warm environment, integral vision and technical/scientific knowledge. The mean score on the JEPS-HR reported for the health professionals was 120,40, being that the maximum possible was 140.The Cronbach Alpha for the JEPS-HR was 0,83, indicating an acceptable level of reliability for this population. We consider therefore, that these professionals presented an acceptable empathy level when compared to other populations observed with the JEPS-HR. The results also indicated that women had statistically significant (p ≤ 0,05) higher scores than men and that professionals with higher working hours tended to have lower scores in the empathy scale (r = -0,288; p ≤ 0,05). The analysis of the subjective responses of the women indicated that they were satisfied with the humanistic care provided by the professionals but they also point out the existence of some power relationships. There were no significant differences in the empathy level of the medical or nursing team perceived by the women who registered means of 41,90 and 41,20 respectively on the PPHPE. In view of these results and considering the relevance of the element of empathy for care based on humanistic values, we reiterate the importance of further in-service training for the health team of the hospital in focus, on the topics of empathy and global aspects of humanized care for the implementation of its mission / Os relacionamentos voltados a ajudar o outro s?o conceituados como terap?uticos, sendo a empatia, elemento fundamental e facilitador desse relacionamento e conseq?ente processo de humaniza??o da assist?ncia em sa?de. O presente estudo tem como objetivos, identificar o n?vel de empatia dos profissionais do setor obst?trico de um hospital universit?rio reconhecido pela assist?ncia human?stica prestada ?s parturientes e a percep??o das mulheres receptoras do cuidado acerca da empatia demonstrada no atendimento. Realizamos uma pesquisa de abordagem quanti/qualitativa, na qual participaram do estudo, os 47 profissionais que atuam no setor obst?trico (13 m?dicos, 12 enfermeiros, 22 t?cnicos de enfermagem) e uma amostra intencional de 101 mulheres atendidas por esses profissionais durante o per?odo do estudo. Dados foram coletados atrav?s das escalas Jefferson de Empatia dos Profissionais de Sa?de (EJEPS) e Percep??o do Paciente sobre a Empatia dos Profissionais de Sa?de (PPEPS) e duas quest?es abertas inicias, objetivando verificar as opini?es subjetivas sobre a empatia prestada durante o atendimento. Utilizamos an?lise estat?stica descritiva e inferencial para os dados quantitativos e an?lise tem?tica das respostas ?s quest?es abertas. Foram identificadas cinco categorias que representam os aspectos que os profissionais valorizam no relacionamento com as mulheres: envolvimento emocional, comunica??o, ambiente acolhedor, vis?o integral e o conhecimento t?cnico-cient?fico. Na an?lise quantitativa, o escore de empatia encontrado nos profissionais foi, em m?dia, de 120,40 , sendo o m?ximo poss?vel 140. Neste estudo, o EJEPS apresentou um coeficiente alfa de Cronbach de 0,83 demonstrando um n?vel aceit?vel de confiabilidade com essa popula??o. Consideramos, portanto, que esses profissionais apresentam um bom n?vel de empatia quando comparados com outras popula??es observadas com o EJEPS. Os resultados tamb?m demonstram que a empatia adquiriu maior n?vel entre as mulheres (p ≤ 0,05) e que os profissionais com maior jornada de trabalho tendiam possuir menores n?veis de empatia (r = -0,288; p ≤ 0,05). A an?lise das respostas subjetivas das mulheres indicam que elas est?o satisfeitas com o cuidado human?stico, mas identificam a exist?ncia de express?es de poder nos profissionais. Na percep??o das mulheres, n?o houve diferen?a na empatia demonstrada pela equipe m?dica e a de enfermagem conforme os escores m?dios no PPEPS (41,90 e 41,20 respectivamente).Diante desses resultados e considerando a relev?ncia da empatia para operacionaliza??o de uma assist?ncia voltada para os valores human?sticos, refor?amos a import?ncia da capacita??o dos profissionais que atuam no hospital em foco, abordando a empatia e aspectos globais da humaniza??o para melhor implementa??o de sua miss?o

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14832
Date19 May 2006
CreatorsLima, Simone Pedrosa
ContributorsCPF:25444816415, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4781295D6&dataRevisao=null, Azevedo, George Dantas de, CPF:67381286491, http://lattes.cnpq.br/1088076378928302, Farias, Glaucea Maciel de, CPF:02567415491, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4792903Z9&dataRevisao=null, Stefanelli, Maguida Costa, CPF:26838109891, http://lattes.cnpq.br/3460282643475653, Enders, Bertha Cruz
PublisherUniversidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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