Background
A significant increase in distress and mental health illnesses has been identified in medical students during their training. As a result, medical schools have attempted to understand factors linked to well-being. Wellness questionnaires present a useful approach to identifying students with risk factors for mental health to provide appropriate resources for support and referrals. This study aims to identify validated questionnaires in the literature that measure medical student wellness.
Methods
A scoping review methodology was selected and an exhaustive search of MEDLINE, Embase, CINAHL, APA PsycInfo, EPIC, and Education Source, was performed from 1999 to May 27, 2021. A compilation of validated wellness evaluation tools, surveys and questionnaires assessing wellness beyond depression and anxiety was reviewed. All validated methods of wellness assessment for medical students were included.
Results
5,001 studies were identified once duplicate records were removed. After applying inclusion and exclusion criteria, 23 articles were included in a qualitative synthesis and explored in detail. The following six validated questionnaires measuring the wellness of medical school students are reported and discussed: the Medical Student Stress Profile (MSSP), the Medical Student Stress Questionnaire (MSSQ), the Medical Student Well-Being Index (MSWBI), the Perceived Medical School Stress (PMSS), the Perceived Stress Scale for Medical Students (PSSMS), and the Oldenburg Burnout Inventory—Medical Student Version (OLBI-MS). These validated questionnaires provide various aspects to the assessment of wellbeing.
Conclusions
Wellbeing evaluations are reliable in identifying medical students who are at risk for mental health illnesses but must be chosen carefully based on contexts, academic environment and student population. A direct comparison between validated questionnaires for student wellbeing is not possible and individual medical schools must determine the appropriateness and validity of such tools based on population-specific characteristics and demands.
A pandemia do novo Coronavírus causou grandes repercussões socioeconômicas e na saúde pública, levando a sociedade a se adaptar a uma realidade que inclui isolamento social e rotina de teletrabalho. Contudo, os profissionais de saúde possuem uma posição fundamental no combate a pandemia, estando constantemente expostos ao vírus. Além disso, o esgotamento físico e mental aos quais estão expostos, faz com que muitos desenvolvam a Síndrome de Burnout. Este estudo analisou os aspectos do processo de desenvolvimento de Burnout pelos profissionais da saúde em virtude da pandemia da Covid-19. Foi realizada revisão integrativa da literatura nas bases de dados Biblioteca Virtual em Saúde (BVS) e PUBMED, com os descritores "COVID-19", "Burnout", "Saúde do Trabalhador" e "Profissional da saúde". A amostra foi composta por 44 artigos analisados por seu conteúdo com base em três núcleos temáticos. Quando abordados os impactos no processo de saúde e doença, a 48% dos artigos apontaram a depressão, 45% Burnout e 41% estresse. Quanto a promoção da saúde, 64% apresentaram propostas de intervenções preventivas em relação à doença mental e 59% o fornecimento de suporte emocional. Quanto aos fatores determinantes sociais da saúde, 50% destacaram o aumento da carga de trabalho, 64% o fato de ser profissional da área da saúde e 31% o esgotamento físico e mental. Dessa forma, faz-se necessário a implementação de estratégias de promoção de saúde no âmbito desses trabalhadores, com o intuito de minimizar os efeitos físicos e emocionais vivenciados por eles, e assim, melhorar a qualidade do serviço prestado.
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