A espiritualidade nos currículos das escolas médicas da região norte e a visão do interno de medicina sobre sua importância na formação

Abstract

Introduction: Extended health care should include spiritual well-being. In Brazil, previous studies show little insertion of spirituality in the curricula of health areas. Objective: this study investigated the presence of this theme in the curricula of the medical schools of the North region of the country and analyzed the medical intern’s view on the importance of the theme and his own spiritual well-being. Methods: developed transversal and descriptive research, exploring pedagogical projects of seventeen medical schools; plus the application of two likert-type scales to 92 graduates of the last semester of medicine, from two medical schools in the region. The first scale was based on three dimensions (Spirituality and Health, Spirituality and Disease, Spirituality and Medical Formation), with scores of 1 to 4. The averages of the assertions were divided into three scoring intervals: from 1 to 1.99 - zone of Danger; from 2 to 2,99 - alert zone; and 3 to 4 - comfort zone, according to the attitudinal behavior of the group. After the application of the questionnaire, there was the process of validation and reliability of the same. The second scale referred to spiritual well-being using the FACIT‑Sp‑Non‑Illnes - Version4 score, from 0 to 48 points. Results: sixteen institutions answered the questionnaire and in 12.5% the presence of the spirituality theme was identified in their curricula. The average scores of the dimension’s spirituality and health, spirituality and disease and spirituality and training were 3.29; 3.47 and 2.61, respectively, revealing fragility in the forming aspect. The final spiritual well-being score of the graduates of the courses was 37 points. Conclusion: It was concluded that there is a low insertion of spirituality in the curricula, and although the students are in spiritual well-being and recognize its importance, there are great gaps in their formation.