Spirituality in Clinical Practice: The Perspective of Brazilian Medical Students

Esperandio, Mary Rute Gomes; Souza, Yasmin Quiroga de; Nadalin, Odenir; Hefti, René

doi:10.1007/s10943-020-01141-1

Cited by 8 publications

(8 citation statements)

References 24 publications

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“…The only regional difference was in spirituality, which was strongest in the regions with higher religiosity, namely the Northeast and Midwest of Brazil (Moreira-Almeida et al, 2010). A recent study found that while medical students in Southern Brazil appreciate the value of spirituality in patient care, they are unfamiliar with spiritual and religious concerns in clinical practice (Esperandio et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Stress, Spirituality, and Altruism of Brazilian Medical Students during the COVID-19 Pandemic: A Cross-sectional Analysis

Junior

Aguiar

Kubrusly

et al. 2022

RSD

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Spirituality and altruism may be critical coping strategies to minimize emotional pain during period of crisis. Here we aim to investigate how spirituality and altruism are related and whether they influence medical students' levels of stress during the COVID-19 pandemic. Data were collected when most Brazilian states had already been promoting social isolation in response to the COVID-19 pandemic using self-reported measures: the Perceived Stress Scale 4, the Self-Spirituality Rating Scale, and Altruistic Attitudes Scale, in an online questionnaire. We found moderate levels of perceived stress, moderate to high levels spirituality, as well as high levels of altruistic attitudes. Reported stress was higher among participants with a previous diagnosis of mental disorder and women, while more altruistic individuals were less vulnerable to it. Most participants attributed their stress symptoms to the COVID-19 pandemic or to the social isolation and participants with higher level of stress were less able to study during the pandemic. Spirituality correlated positively with altruistic thoughts and emotions, but only participants who act altruistically reported lower levels of stress. Our results indicate that the mental health status before the COVID-19 pandemic is related to the actual level of stress and suggest that altruism may allow for collective coping of emotional burden during the health crisis.

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Section: Discussionmentioning

confidence: 99%

Stress, Spirituality, and Altruism of Brazilian Medical Students during the COVID-19 Pandemic: A Cross-sectional Analysis

Junior

Aguiar

Kubrusly

et al. 2022

RSD

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“…Despite the promising numbers found in Brazil, it is important to highlight that there are several challenges and barriers to the full incorporation of S/H content in medical training, which includes the way that S/H content is taught. Although required courses addressing only S/H have the advantages of focusing on the topic and being able to provide intensive training for students [ 20 ], they have the weaknesses of being nonlongitudinal, and students are not exposed to the content in the later stages of the course [ 21 ]. These problems are even worse for elective S/H courses that tend to include only students who are more interested in the subject.…”

Section: Discussionmentioning

confidence: 99%

“…These problems have also been identified in other international contexts, such as in the USA [ 5 ] and UK [ 6 ]. In Brazil, a previous study [ 21 ] showed that some medical students did not even know the meaning of the term “spiritual history” or how to address spiritual issues in clinical practice, highlighting the lack of practical classes. Future S/H discussions should draw attention to promoting S/H exposure at different moments of medical training and stimulate practical educational strategies.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, linear regression showed the feeling that there is a “lack of institutional support” and that “others have preconceptions regarding the topic” were associated with greater importance of S/H in medical education. Although this view seems contradictory at first, due to the cross-sectional nature of the present survey, our hypothesis is that respondents who confer greater importance of S/H content tend to be those who have more familiarity and have addressed this issue more in clinical practice and medical education [ 21 ]. Thus, these participants may feel more frustrated with the lack of support from the institution and feel that their peers have preconceptions.…”

Section: Discussionmentioning

confidence: 99%

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The current status of “spirituality and health” teaching in Brazilian medical schools: a nationwide survey

et al. 2023

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Background Recent data on the teaching of “spirituality and health” (S/H) in medical schools are needed. In this study, we aimed to investigate the current status of S/H teaching in Brazilian medical schools, the opinions of medical directors/deans on this topic and the factors associated with its incorporation into the curriculum. Methods A nationwide cross-sectional survey was carried out in 2021. Information concerning the S/H content in the curricula of medical schools was obtained through medical school representatives and other sources. Medical school representatives were asked about their opinions of and barriers to S/H teaching. Regression models were used to evaluate the factors associated with the incorporation of such content into the curriculum. Results Information on the incorporation of S/H content in medical curricula was retrieved from different sources for all 342 (100%) Brazilian medical schools. Among the representatives, 150 (43.9%) completed the online form. An increase in the S/H content in Brazilian medical schools was observed (from 40% to 2011 to 65.5% in 2021). Most medical school representatives agreed that this issue is important in medical training and that more space in the curriculum is needed. However, they also observed several barriers, such as a lack of knowledge of medical teachers/faculty, a lack of time, and the topic not being included in teaching plans. The most important factors that influenced the incorporation of S/H teaching in medical schools and representatives’ opinions were a lack of time and knowledge, professor preparedness and standardized national competency requirements. Conclusion These results could help medical educators rethink the incorporation of S/H content into their curricula.

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“…Poor integration of spiritual care into caregivers' education is a reason for health professionals' lack of competency in providing spiritual care (Balboni & Balboni, 2019). In particular, newly graduated, less experienced health professionals do not feel confident in their spiritual care competency and believe that universities are not providing enough information on this topic (Giezendanner et al, 2017;de Diego Cordero et al, 2019;Esperandio et al, 2021). Relevant training can enhance the quality of spiritual care delivery and helps to prepare students in social and health care professions for this area (Moosavi et al, 2019).…”

Section: Introduction Backgroundmentioning

confidence: 99%

Impact of an online spiritual care course on perceived competency in spiritual care of students in social and health care professions / Wirksamkeit eines Online-Spiritual Care-Seminars auf die wahrgenommene Spiritual Care-Kompetenz bei Studierenden in Sozial- und Gesundheitsberufen

Magin

Frick

Maier

2022

International Journal of Health Professions

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This study examines the impact of an online spiritual care course on perceived spiritual care competency of students in social and health care professions. A quasi-experimental, pre-post-test study using questionnaires was conducted in Bavaria, Southern Germany, with a sample of 78 participants and 67 respondents in a comparison group. A repeated measures ANOVA was performed, with time and group as factors. Statistically significant increases were found in participants' perceived knowledge, skills, and attitudes concerning spiritual care, in different facets of spiritual care competency, in spiritual awareness, and in general self-efficacy (p < .05). Results suggest the effectiveness of online spiritual care training, which can help prepare future caregivers in providing holistic care.

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Spirituality in Clinical Practice: The Perspective of Brazilian Medical Students

Cited by 8 publications

References 24 publications

Stress, Spirituality, and Altruism of Brazilian Medical Students during the COVID-19 Pandemic: A Cross-sectional Analysis

Stress, Spirituality, and Altruism of Brazilian Medical Students during the COVID-19 Pandemic: A Cross-sectional Analysis

The current status of “spirituality and health” teaching in Brazilian medical schools: a nationwide survey

Impact of an online spiritual care course on perceived competency in spiritual care of students in social and health care professions / Wirksamkeit eines Online-Spiritual Care-Seminars auf die wahrgenommene Spiritual Care-Kompetenz bei Studierenden in Sozial- und Gesundheitsberufen

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