Banca de DEFESA: Cibele Dayana de Souza

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Cibele Dayana de Souza
DATE: 31/01/2023
TIME: 14:00
LOCAL: AT 46/8
TITLE:

Knowledge about advanced care planning and advanced will directives: a study with health psychologists from the Federal District, Brazil

KEY WORDS:

health psychology, advance care planning, advance directives, living will, lasting mandate

PAGES: 80
BIG AREA: Ciências Humanas
AREA: Psicologia
SUMMARY:

Health psychologists, especially those who work in hospital contexts, are faced with patient-centered care strategies such as the Advance Care Planning (ACP), the Advance Directives (AD), the Living Will (LW) and the Durable Mandate (DM), resources that value and respect autonomy and human dignity, in treatments received in the future. The objective of the study was to investigate the knowledge of psychologists who work in the Federal District, inserted in multidisciplinary health teams responsible for patient care, about these four terms, as well as identifying associations between levels of knowledge, training and professional insertion. This study is justified by the need to investigate the professional practice of psychologists regarding tools for the humanization of care. This is a cross-sectional study, in the online modality, with qualitative and quantitative data analysis techniques. A questionnaire designed for the study was applied, with open and closed questions. Sixty-nine psychologists participated, most of them women (91.3%), with diversified training (graduated courses) and professional insertion, with predominance in hospital services (79.7%). Results revealed that from 17.3% to 50% of the participants reported not have had contact with the themes ACP, AD, LW and DM and professional activity was the one that most provided the opportunity to obtain knowledge on AD (n=43; 62.3%) and about LW (n=37; 53.6%). Based on the concepts adopted about ACP, AD, LW and DM, the written reports of the respondents were analyzed and categorized into four levels by two researchers independents (agreement rates ranged from 82.6% to 97.1%). The four categories and their distributions, highlighting the most frequent ones, were: Lack of knowledge about DM (n=45; 65.2%); the Non-coverage category (unsatisfactory description of the concepts) had more frequency about AD (n=25; 36.2%); Poor description had the most frequent percentage for ACP (n=22; 31.9%); the Sufficient description category,  revealing greater knowledge, had more correct answers for AD (n=28; 40.6%). With the purpose of grouping knowledge about the four themes, a score was defined based on the mistakes and successes of the participants, allowing them to be classified into null knowledge; precarious knowledge; knowledge from fair to good. Associations between this variable were analyzed using chi-square tests, with variables of graduate training, time since undergraduation and professional insertion. Professional insertion (acting in the ICU and/or urgency/emergency units versus other insertions) differentiated the three groups, with greater knowledge of psychologists/those who had this insertion (c²=6.17; df=2;
p≤.05). The other associations were not significant. The results indicate limited knowledge on the part of psychologists in relation to these concepts, a fact that is in line with the relatively recent nature of these themes in care, despite the expansion of this knowledge in Brazil. The role of the health psychologist in the country becomes a fundamental part in the process of implementing ACP, AD, LW and DM, as the psychological work with the patient provides opportunities for the implementation of humanization, the comprehensive care and quality of care.

BANKING MEMBERS:
Externa à Instituição - CAROLINE MOTA BRANCO SALLES - IESB
Externa à Instituição - SILVIA MARIA GONÇALVES COUTINHO - SESDF
Presidente - 241748 - ELIANE MARIA FLEURY SEIDL
Interna - 1509363 - ELIZABETH QUEIROZ