A espiritualidade na formação médica: elaboração de um guia didático a partir da autopercepção de alunos da graduação

Abstract

Introduction: Spirituality is an intangible way of seeking meaning in life. However, religiosity runs through a concrete system based on doctrines or cults that aims to attain the Sacred from behavioral, social and moral values. In this context, there is currently an important involvement between health and spirituality. Since 1988, the World Health Organization involves the spiritual dimension in the concept of health. Scientific research on the subject is still incipient, but with relevant results. Medical education in the field of humanistic skills is instigated to promote training for teachers and students on the subject. Objective: To develop a pedagogical guide on Spirituality and clinical practice based on the perception of the subject in undergraduate medical students. Methods: This is a descriptive, observational, cross-sectional study with a qualitative and quantitative approach. Self-assessment of medical students was carried out (n = 233). A selfapplied questionnaire, of the Brief Multidimensional Measure of Religiousness and Spirituality (BMMRS protocol) validated for the Portuguese language - Brazil. Results: The profile of the population ranged from 18 to 49 years (median: 21), most of whom were single (n = 222), of the female gender, and when they were grouped by semesters, the female gender was also predominant. The religious distribution shows a majority of Catholics (65%), followed by evangelicals (9.8%), which predominates over spiritist (5.1%). In relation to the spiritual dimensions analyzed: spiritual experiences, beliefs and values, religious overcoming and organizational religiosity, were more valued (greater percentage) by the group of students of the first semester compared to the twelfth semester in all variables. However, when the global selfassessment dimension was analyzed, students in the last semester of the course feel more religious and more spiritual. As for the qualitative analysis of the responses related to spirituality and the medical course, using the criterion of Bardin 2011. The comparison of the responses of the groups particularly values this research because it reflects in the first group a probable expectation of the subject to be approached and for the complete a record of the subject in medical training. Conclusion: The students' perception about spirituality and graduation, brings us to propose a didactic guide on spirituality and clinical practice. A large part of the studied population favored the subject in the medical course. It is necessary, however, more research proposing ways to address this dimension of health in medical education.