Avaliação dos traços de personalidade e sua associação com a aprendizagem de habilidades de comunicação
DOI:
https://doi.org/10.15448/1980-6108.2020.1.37326Palavras-chave:
Educação médica, aprendizagem, estudantes de medicinaResumo
Objetivos: Este estudo teve como objetivo determinar se se existe uma associação entre traços de personalidade e atitudes quanto à aprendizagem de habilidades de comunicação em estudantes de medicina. A relação entre as atitudes dos alunos e o traço de personalidade pode nos ajudar a identificar aqueles que necessitarão maior apoio para desenvolver habilidades de comunicação, a partir da identificação inicial do traço de personalidade.
Métodos: Os dados foram coletados em uma amostra intencional em um corte transversal composta por 204 estudantes de três universidades brasileiras. Os alunos responderam a questionários contendo a Communication Skills Attitude Scale (CSAS-BR) e o Big Five Mini-Markers (BFMM) para personalidade. Os dados foram analisados usando cálculos de frequência, análise de componentes principais e o modelo de regressão linear múltipla.
Resultados: Sete dos 26 itens do Communication Skills Attitude Scale (escala original - CSAS) apresentaram cargas fatoriais inferiores a |0.30|e foram excluídos no CSAS-BR, que mostrou um domínio contendo atitudes positivas e negativas. O valor do alfa de Cronbach na escala de 19 itens foi 0,894. O BFMM mostrou resultados dimensionais semelhantes com cinco domínios com valores alfa de Cronbach de 0,804 para extroversão, 0,753 para amabilidade, 0,755 para conscienciosidade, 0,780 para neuroticismo e 0,668 para abertura. Houve associações lineares positivas e estatisticamente significativas do CSAS-BR com amabilidade (β: 0,230, p <0,001), extroversão (β: 0,150, p = 0,030) e abertura à experiência (β: 0,190, p = 0,010). Esses fatores de personalidade promovem interações sociais e relações interpessoais com tendência de serem amigáveis, flexíveis e cooperativas; bem como estarem disponíveis; e com capacidade de se envolver ativamente com as outras pessoas.
Conclusões: Este estudo, com a metodologia empregada, mostrou que traços amabilidade, extroversão e abertura à experiência estiveram associados com habilidades de comunicação em acadêmicos de três universidades brasileiras. Os resultados sugerem que a avaliação dos traços de personalidade possa contribuir para o reconhecimento de alunos para os quais o estabelecimento de estratégias especiais de ensino possa melhorar as habilidades de comunicação.
Downloads
Referências
Mikesell L. Medicinal relationships: Caring conversation. Med Educ 2013;47:443–52. https://doi.org/10.1111/medu.12104
Stiefel F, Favre N, Despland JN. Communication Skills Training in Oncology: It Works! In: Communication in Cancer Care [Internet]. Germany: Springer Berlin Heidelberg; 2006. p. 113–9. Available from: http://link.springer.com/10.1007/3-540-30758-3_11
Fallowfield L, Jenkins V, Farewell V, Saul J, Duffy A, Rebecca E. Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial. Lancet 2002;359:650–6. https://doi.org/10.1016/S0140-6736(02)07810-8
Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach 2007;29:648–54. https://doi.org/10.1080/01421590701392903
Frank JR, Snell LS, Sherbino J, et al. The Draft CanMEDS 2015 Milestones Guide – September 2014 [Internet]. Ottawa: The Royal College of Physicians and Surgeons of Canada. Ottawa; 2014 [cited 2020 Jul 20]. Available from: http://www.royalcollege.ca/rcsite/documents/canmeds/canmeds-2015-framework-series-3-e.pdf
General Medical Council (GMC). Outcomes for graduates 2018 [Internet]. General Medical Council (GMC). 2018 [cited 2020 Jul 20]. p. 26. Available from: https://www.gmc-uk.org/-/media/documents/dc11326-outcomes-for-graduates-2018_pdf-75040796.pdf
Ring M, Brodsky M, Dog TL, Sierpina V, Bailey M, Locke A, Kogan M, James A Rindfleisch J A, Saper R. Developing and Implementing Core Competencies for Integrative Medicine Fellowships. Acad Med 2014;89:421–8. https://doi.org/10.1097/ACM.0000000000000148
Russ JB, McKenney AS, Patel AB. An identity crisis: the need for core competencies in undergraduate medical education. Med Educ Online 2013;18. https://doi.org/10.3402/meo.v18i0.21028
Loureiro E, Severo M, Ferreira MA. Attitudes of Portuguese medical residents’ towards clinical communication skills. Patient Educ Couns 2015;98:1039–43. https://doi.org/10.1016/j.pec.2015.04.009
Anvik T, Gude T, Grimstad H, Baerheim A, Fasmer OB, Hjortdahl P, Holen A, Risberg T, PVaglum P. Assessing medical students’ attitudes towards learning communication skills--which components of attitudes do we measure? BMC Med Educ 2007;7:4. https://doi.org/10.1186/1472-6920-7-4
Rees C, Sheard C. The relationship between medical students’ attitudes towards communication skills learning and their demographic and education-related characteristics. Med Educ 2002;36:1017–27.
Ruiz Moral R, García de Leonardo C, Caballero Martínez F, Martín DM. Medical students’ attitudes toward communication skills learning: comparison between two groups with and without training. Adv Med Educ Pract 2019;Volume 10:55–61. https://doi.org/10.2147/AMEP.S182879
Harlak H, Gemalmaz A, Gurel FS, Dereboy C, Ertekin K. Communication skills training: effects on attitudes toward communication skills and empathic tendency. Educ Health (Abingdon) 2008;21:62.
Svensberg K, Brandlistuen RE, Björnsdottir I, Sporrong SK. Factors associated with pharmacy students’ attitudes towards learning communication skills – A study among Nordic pharmacy students. Res Soc Adm Pharm 2018;14:279–89. https://doi.org/10.1016/j.sapharm.2017.03.055
Manuel RS, Borges NJ, Gerzina HA. Personality and clinical skills: Any correlation? Acad Med 2005;80:S30–3.
Hoerger M, Quirk SW. Affective forecasting and the Big Five. Pers Individ Dif 2010;49:972–6. https://doi.org/10.1016/j.paid.2010.08.007
Rhee J, Parent D, Basu A. The influence of personality and ability on undergraduate teamwork and team performance. Springerplus 2013;2:16. https://doi.org/10.1186/2193-1801-2-16
Costa PTJ, McCrae RR. Normal Personality Assessment in Clinical Practice: The NEO Personality Inventory. Psychol Assess 1992;4:5–13. https://doi.org/10.1037//1040-3590.4.1.5
O’Tuathaigh CMP, Nadhirah Idris A, Duggan E, Costa P, Costa MJ. Medical students’ empathy and attitudes towards professionalism: Relationship with personality, specialty preference and medical programme. PLoS One 2019;14:e0215675. https://doi.org/10.1371/journal.pone.0215675
Hong Z, Lin H. An Investigation of Students’ Personality Traits and Attitudes toward Science. Int J Sci Educ 2011;33:1001–28. https://doi.org/10.1080/09500693.2010.524949
Sims CM. Do the Big-Five Personality Traits Predict Empathic Listening and Assertive Communication? Int J List 2017;31:163–88. https://doi.org/10.1080/10904018.2016.1202770
Kuntze J, van der Molen HT, Born MP. Big Five Personality Traits and Assertiveness do not Affect Mastery of Communication Skills. Heal Prof Educ 2016;2:33–43. https://doi.org/10.1016/j.hpe.2016.01.009
Busch A-K, Rockenbauch K, Schmutzer G, Brähler E. Do medical students like communication? Validation of the German CSAS (Communication Skills Attitude Scale). GMS Z Med Ausbild 2015;32. https://doi.org/http://dx.doi.org/10.3205zma000953
Molinuevo B, Torrubia R. Validation of the Catalan version of the communication skills attitude scale (CSAS) in a cohort of south European medical and nursing students. Educ Health (Abingdon) 2011;24:499.
Ahn S, Yi Y-H, Ahn D-S. Developing a Korean communication skills attitude scale: comparing attitudes between Korea and the West. Med Educ 2009;43:246–53. https://doi.org/10.1111/j.1365-2923.2008.03271.x
Rees C, Sheard C, Davies S. The development of a scale to measure medical students’ attitudes towards communication skills learning: the Communication Skills Attitude Scale (CSAS). Med Educ 2002;36:141–7.
Hauck Filho N, Machado WDL, Teixeira MAP, Bandeira DR Evidências de validade de marcadores reduzidos para a avaliação da personalidade no modelo dos cinco grandes fatores. Psicol Teor e Pesqui 2012;28:417–23.
https://doi.org/10.1590/S0102-37722012000400007
Poropat AE. A meta-analysis of the five-factor model of personality and academic performance. Psychol Bull 2009;135:322–38. https://doi.org/10.1037/a0014996
Hutz CS, Nunes CH, Silveira AD, et al. O desenvolvimento de marcadores para a avaliação da personalidade no modelo dos cinco grandes fatores. Psicol Reflexão e Crítica 1998;11:395–411. https://doi.org/10.1590/S0102-79721998000200015
Machado WL, Hauck Filho N, Teixeira MP, Ruschel DB. Análise de teoria de resposta ao item de marcadores reduzidos da personalidade. Psico (PUCRS) 2014;:551–8.
Loureiro E, Severo M, Bettencourt P, Ferreira MA. Third year medical students perceptions towards learning communication skills: implications for medical education. Patient Educ Couns 2011;85:e265-71.
https://doi.org/10.1016/j.pec.2011.04.009
Koponen J, Pyörälä E, Isotalus P, et al. Comparing three experiential learning methods and their effect on medical students’ attitudes to learning communication skills. Med Teach 2012;34:e198-207. https://doi.org/10.3109/0142159X.2012.642828
Baharudin N, Badlishah-sham SF, Yuzadi Z, Ramli AS. Validation of the Communication Skills Attitude Scale ( CSAS ) Questionnaire in a Cohort of Malaysian Medical Students. J Clin Heal Sci 2017;2:46–53.
Panczyk M, Iwanow L, Zarzeka A, et al. Communication skills attitude scale: A translation and validation study in asample of registered nurses in Poland. BMJ Open 2019;9:1–9. https://doi.org/10.1136/bmjopen-2018-028691
Plaisant O, Stephens S, Apaydin N, Courtois R, Lignier B, Loukas M, Moxham B. Medical students’ attitudes towards science and gross anatomy, and the relationship to personality. J Anat 2014;224:261–9. https://doi.org/10.1111/joa.12043
Chapman BP, Duberstein PR, Epstein R, Fiscella K, Kravitz RL. Patient Centered Communication During Primary Care Visits for Depressive Symptoms: What is the Role of Physician Personality? Med Care 2008;46:1134–9.
https://doi.org/10.1097/MLR.0b013e31817924e4
Vermetten YJ, Lodewijks HG, Vermunt JD. The Role of Personality Traits and Goal Orientations in Strategy Use. Contemp Educ Psychol 2001;26:149–70. https://doi.org/10.1006/ceps.1999.1042
Blasi Z Di, Harkness E, Ernst E, et al. Influence of context effects on health outcomes: a systematic review. Lancet 2001;357:757–62. https://doi.org/10.1016/S0140-6736(00)04169-6
Tsou K-I, Lin C-HC-S, Cho S-L, et al. Using personal qualities assessment to measure the moral orientation and personal qualities of medical students in a non-Western culture. Eval Health Prof 2013;36:174–90.
https://doi.org/10.1177/0163278712454138
Gao L, Peranson J, Nyhof-Young J, et al. The role of “improv” in health professional learning: A scoping review. Med Teach 2019;41:561–8. https://doi.org/10.1080/0142159X.2018.1505033
Holen A, Manandhar K, Pant DS, et al. Medical students’ preferences for problem-based learning in relation to culture and personality: a multicultural study. Int J Med Educ 2015;6:84–92. https://doi.org/10.5116/ijme.558e.6451
Ryder AJ, Reason RD, Mitchell JJ, et al. Climate for learning and students’ openness to diversity and challenge: A critical role for faculty. J Divers High Educ 2016;9:339–52. https://doi.org/10.1037/a0039766
Ounounou E, Aydin A, Brunckhorst O, et al. Nontechnical Skills in Surgery: A Systematic Review of Current Training Modalities. J Surg Educ 2019;76:14–24. https://doi.org/10.1016/j.jsurg.2018.05.017
Lievens F, Coetsier P, De Fruyt F, Maeseneer JD. Medical students’ personality characteristics and academic performance: a five-factor model perspective. Med Educ 2002;36:1050–6. https://doi.org/10.1046/j.1365-2923.2002.01328.x
Lourinho I, Ferreira MA, Severo M. Personality and achievement along medical training: Evidence from a cross-lagged analysis. PLoS One 2017;12:e0185860. https://doi.org/10.1371/journal.pone.0185860
Koceic A, Mestrovic A, Vrdoljak L, et al. Analysis of the elective curriculum in undergraduate medical education in Croatia. Med Educ 2010;44:387–95. https://doi.org/10.1111/j.1365-2923.2010.03621.x
Agarwal A, Wong S, Sarfaty S, Devaiah A , Hirsch AE. Elective courses for medical students during the preclinical curriculum: a systematic review and evaluation. Med Educ Online 2015;20:26615. https://doi.org/10.3402/meo.v20.26615
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2020 Scientia Medica
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.