A Importância da Inteligência Emocional para a Prática Médica do Internista no Futuro

Autores

  • Maria João Lobão Serviço de Medicina Interna, Hospital de Cascais; Cascais, Portugal; NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa; Lisboa, Portugal; Comprehensive Health Research Center (CHRC), Universidade NOVA de Lisboa, Lisboa, Portugal https://orcid.org/0000-0002-3837-4476

DOI:

https://doi.org/10.24950/Revisao/MJLobao/4/2020

Palavras-chave:

Inteligência Emocional, Medicina Interna, Relação Médico-Doente

Resumo

No futuro próximo as inovações tecnológicas a par do envelhecimento da população justificarão mudanças adaptativas dos sistemas de saúde e da forma como exercemos medicina, colocando muitos desafios à especialidade de Medicina Interna. Apesar da capacidade sem precedentes para prevenir, diagnosticar e tratar a doença, o foco na pessoa doente no seu contexto circunstancial continuará a ser central nos cuidados prestados. A Inteligência Emocional, que pode ser desenvolvida ao longo da vida, tem sido alvo de investigação aplicada à medicina a longo das últimas décadas, tendo vindo a demonstrar- se o seu impacto em áreas diversas como a relação médico- doente, a satisfação profissional, a satisfação e segurança do doente, a formação médica e desenvolvimento de lideranças na área da saúde. Com esta revisão narrativa pretende-se definir e enquadrar a inteligência emocional como ferramenta importante para a prática clínica futura do internista.

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Referências

McKinsey&Company. The future hospital care: a better patient experience [Internet]. 2020 [cited 2020 Jul 27]. Available from: https://www.mckinsey.com/featured-insights/the-next-normal/hospitals

Vatandsoost M, Litkouhi S. The Future of Healthcare Facilities: How Technology and Medical Advances May Shape Hospitals of the Future. Hosp Pract Res. 2019 ;4:1–11. doi: 10.15171/hpr.2019.01

Beckmann JS, Lew D. Reconciling evidence-based medicine and precision medicine in the era of big data: Challenges and opportunities. Genome Med. 2016;8:134. doi: 10.1186/s13073-016-0388-7.

Terry T. The patient of the future [Internet]. Health Care Design. 2012 [cited 2020 Sep 16]. Available from: https://www.healthcaredesignmagazine.com/architecture/patient-future/

OECD. Society at a Glance 2019, Social Indicators. In Paris: OECD; 2019.

Yaphe J. The future of the patient and the patient of the future. Rev Port Med Geral e Fam. 2016;32:370–1.

Kim E-Y. Patient Will See You Now: The Future of Medicine is in Your Hands. Healthc Inform Res. 2015;21:321. doi:10.4258/hir.2015.21.4.321

Tonelli MR, Shirts BH. Knowledge for precision medicine: Mechanistic reasoning and methodological pluralism. JAMA. 2017;318:1649-50. doi: 10.1001/jama.2017.11914.

Blackstone EH. Precision Medicine Versus Evidence-Based Medicine: Individual Treatment Effect Versus Average Treatment Effect. Circulation. 2019;140:1236-38. doi: 10.1161/CIRCULATIONAHA.119.043014.

Salovey P, Mayer JD. Emotional Intelligence. J Pers Assess. 1990;54:772-81. doi: 10.1080/00223891.1990.9674037.

Damásio A. O erro de Descartes. Lisboa: Temas&Debates; 2011..

Tomaz C, Giugliano LG. A razão das emoções: um ensaio sobre “O erro de Descartes.” Estud Psicol. 1997;2:407–11.

Bechara A, Damasio H, Damasio AR. Emotion, decision making and the orbitofrontal cortex. Cereb Cortex. 2000;10:295–307. doi: 10.1093/cercor/10.3.295.

Gallagher M, Chiba AA. The amygdala and emotion. Curr Opin Neurobiol. 1996 ;6:221–7. doi: 10.1016/s0959-4388(96)80076-6.

Brosch T, Scherer KR, Grandjean D, Sander D. The impact of emotion on perception, attention, memory, and decision-making. Swiss Med Wkly. 2013 May 14;143:w13786. doi: 10.4414/smw.2013.13786.

Mayer JD. What Is Emotional Intelligence? Contents [Internet]. 2004 [cited 2020 Aug 4]. Available from: https://scholars.unh.edu/personality_lab

Mayer, John D; Salovey, Peter; Caruso DR. Emotional Intelligence: Theory, Findings, and Implications. Psychol Inq. 2004;15: 197–215. doi:10.1207/s15327965pli1503_02

Mayer J, Salovey P. What is emotional intelligence? What is emotional intelligence? In: Salovey P, Sluyter D, editors. Emotional Development and Emotional Intelligence: Implications for Educators. New York: Basic Books;1997. p.3-31.

Mayer JD, Caruso DR, Salovey P. The Ability Model of Emotional Intelligence: Principles and Updates. Emot Rev. 2016;8:290–300. doi: 10.1177/1754073916639667

Goleman D. Inteligência Emocional. 17ª ed. Lisboa: Temas e Debates; 2012.

Goleman D. What makes a leader? Harv Bus Rev. 1998; 76:93–102.

Goleman D. O que é a empatia? In: Empatia. Harvard: Harvard Business Review Press; 2017. p. 125.

Fernandez-Berrocal P, Extremera N. The concept of Emotional Intelligence. Psicothema. 2006;18:7–12.

Satterfield J, Swenson S, Rabow M. Emotional Intelligence in Internal Medicine Residents: Educational Implications for Clinical Performance and Burnout. Ann Behav Sci Med Educ. 2009;14:65–8.

Lewis NJ, Rees CE, Hudson JN, Bleakley A. Emotional intelligence medical education: Measuring the unmeasurable? Adv Heal Sci Educ. 2005;10:339–55. doi: 10.1007/s10459-005-4861-0.

Shouhed D, Beni C, Manguso N, Ishak WW, Gewertz BL. Association of Emotional Intelligence with Malpractice Claims: A Review. JAMA Surg. 2019;154:250-6. doi: 10.1001/jamasurg.2018.5065.

Weng HC, Chen HC, Chen HJ, Lu K, Hung SY. Doctors’ emotional intelligence and the patient-doctor relationship. Med Educ. 2008;42:703–11. doi: 10.1111/j.1365-2923.2008.03039.x.

Weng HC, Hung CM, Liu YT, Cheng YJ, Yen CY, Chang CC, et al. Associations between emotional intelligence and doctor burnout, job satisfaction and patient satisfaction. Med Educ. 2011 ;45:835–42. doi: 10.1111/j.1365-2923.2011.03985.x.

Lindeman B, Petrusa E, McKinley S, Hashimoto DA, Gee D, Smink DS, et al. Association of Burnout With Emotional Intelligence and Personality in Surgical Residents: Can We Predict Who Is Most at Risk? J Surg Educ. 2017;74:e22–30. doi: 10.1016/j.jsurg.2017.11.001.

Holliday EB, Bonner JA, Formenti SC, Hahn SM, Kalnicki S, Liu FF, et al. Emotional Intelligence and Burnout in Academic Radiation Oncology Chairs. J Healthc Manag. 2017;62:302-13. doi: 10.1097/JHM-D-16-00001.

Lin DT, Liebert CA, Tran J, Lau JN, Salles A. Emotional Intelligence as a Predictor of Resident Well-Being. J Am Coll Surg. 2016 Aug;223:352-8. doi: 10.1016/j.jamcollsurg.2016.04.044.

Weng HC. Does the physician’s emotional intelligence matter?: Impacts of the physician’s emotional intelligence on the trust, patient-physician relationship, and satisfaction. Health Care Manage Rev. 2008;33:280–8. doi: 10.1097/01.HCM.0000318765.52148.b3.

Weng HC, Steed JF, Yu SW, Liu Y Ten, Hsu CC, Yu TJ, et al. The effect of surgeon empathy and emotional intelligence on patient satisfaction. Adv Heal Sci Educ. 2011;16:591–600. 10.1007/s10459-011-9278-3.

Kozlowski D, Hutchinson M, Hurley J, Rowley J, Sutherland J. The role of emotion in clinical decision making: An integrative literature review. BMC Med Educ. 2017;17:255. doi: 10.1186/s12909-017-1089-7.

Croskerry P, Abbass A, Wu AW. Emotional influences in patient safety. J Patient Saf. 2010;6:199–205. doi: 10.1097/pts.0b013e3181f6c01a.

Isbell LM, Boudreaux ED, Chimowitz H, Liu G, Cyr E, Kimball E. What do emergency department physicians and nurses feel A qualitative study of emotions, triggers, regulation strategies, and effects on patient care. BMJ Qual Saf. 2020;29:1-2. doi: 10.1136/bmjqs-2019-010179.

Salyers MP, Bonfils KA, Luther L, Firmin RL, White DA, Adams EL, et al. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Med. Gen Intern Med. 2017;32:475-82. doi: 10.1007/s11606-016-3886-9.

Codier E, Codier D. A model for the role of emotional intelligence in patient safety. Asia-Pacific J Oncol Nurs. 2015;2:112-7. doi: 10.4103/2347-5625.157594.

Mintz LJ, Stoller JK. A Systematic Review of Physician Leadership and Emotional Intelligence. J Grad Med Educ. 2014;6:21–31. doi: 10.4300/JGME-D-13-00012.1.

Libbrecht N, Lievens F, Carette B, Côté S. Emotional intelligence predicts success in medical school. Emotion. 2014 Feb;14:64-73. doi: 10.1037/a0034392.

Emanuel EJ, Gudbranson E. DoesMedicine overemphasize IQ? JAMA. 2018;319:651-2. doi: 10.1001/jama.2017.20141.

Shaikh FA, Gilmour J. Emotional intelligence in medical students: Should we be assessing this more vigorously during the admissions process? Korean J Med Educ. 2019;31:177-8. doi: 10.3946/kjme.2019.129.

Ghahramani S, Jahromi ART, Khoshsoroor D, Seifooripour R, Sepehrpoor M. The relationship between emotional intelligence and happiness in medical students. Korean J Med Educ. 2019;31:29-38. doi: 10.3946/kjme.2019.116.

Ghani SA, Salam MA, Oyekwe GC, Choudhury SR. How can educators improve the perception of happiness for pre-clinical medical students? BMC Med Educ. 2020 3;20:291. doi: 10.1186/s12909-020-02216-z.

Martins A, Ramalho N, Morin E. A comprehensive meta-analysis of the relationship between Emotional Intelligence and health. Pers Individ Dif. 2010; 49: 554-64. doi: 10.1016/j.paid.2010.05.029

Croskerry P, Sinclair D. Emergency medicine: A practice prone to error? Can J Emerg Med. 2001;3:271-6. doi: 10.1017/s1481803500005765.

Crock C, Hansen K. Error and safety in Emergency Medicine. Emerg Med Australas. 2019;31:662-4. doi: 10.1111/1742-6723.13348.

Lerner JS, Li Y, Valdesolo P, Kassam KS. Emotion and decision making. Annu Rev Psychol. 2015 Jan 3;66:799-823. doi: 10.1146/annurev-psych-010213-115043.

Satterfield JM, Hughes E. Emotion skills training for medical students: A systematic review. Med Educ. 2007;41:935-41. doi: 10.1111/j.1365-2923.2007.02835.x.

Hodzic S, Scharfen J, Ripoll P, Holling H, Zenasni F. How Efficient Are Emotional Intelligence Trainings: A Meta-Analysis. Emotion Rev. 2018;10:138-48. doi:10.1177/1754073917708613

Mattingly V, Kraiger K. Can emotional intelligence be trained? A meta-analytical investigation. Hum Resour Manag Rev. 2019;29:140–55. doi: 10.1016/j.hrmr.2018.03.002

Bellini LM, Shea JA. Mood change and empathy decline persist during three years of internal medicine training. Acad Med. 2005;8:164–7. doi: 10.1097/00001888-200502000-00013.

Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, et al. Empathy decline and its reasons: A systematic review of studies with medical students and residents. Acad Med. 2011;86:996-1009. doi: 10.1097/ACM.0b013e318221e615.

Gorgas DL, Greenberger S, Bahner DP, Way DP. Teaching emotional intelligence: A control group study of a brief educational intervention for emergency medicine residents. West J Emerg Med. 2015;16:899-906. doi: 10.5811/westjem.2015.8.27304.

Kantor BN, Kantor J. Importance of Intelligence and Emotional Intelligence

for Physicians. JAMA. 2018;320:204. doi: 10.1001/jama.2018.6282.

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Publicado

23-09-2021

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Lobão MJ. A Importância da Inteligência Emocional para a Prática Médica do Internista no Futuro. RPMI [Internet]. 23 de Setembro de 2021 [citado 6 de Julho de 2022];27(4):328-33. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/105

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