Analysis of the integration of competencies in a Humanization Curricular Line: Case study on the curriculum of a technical career in health
DOI:
https://doi.org/10.56294/saludcyt2024.985Keywords:
Competency based education, Nursing education, Curriculum, Clinical competence, Health professional education, care’s humanizationAbstract
Introduction: the curricular insertion of humanization in sociosanitary education faces the challenge of counteracting the predominant biomedical approach, which fragments healthcare. This technical model has led to the dehumanization of care, ignoring emotional, social, and cultural dimensions, and generating dissatisfaction among patients and professionals.
Methods: descriptive case study, which analyzes the pre- and post-intervention learning outcomes of a humanization curricular line, evaluating the relevance of competencies and subcompetencies for humanization in healthcare through a descriptor matrix.
Results: between 2017 and 2024, the humanization curricular line showed a significant change in the addressed competencies. The relational competence became predominant, increasing from 41% to 48% of the learning outcomes. Competencies such as ethics, emotional, spiritual, cultural, and management notably increased, while the scientific-technical competence decreased from 71% to 44%, becoming equivalent to the others.
Conclusions: the incorporation of competencies for humanization in the health education curriculum reflects a more integral and human-centered approach, integrating relational, ethical, cultural, emotional, and spiritual competencies. This is essential for training professionals capable of providing inclusive and holistic care that addresses the complex multidimensional needs of users
References
1. Ávila-Morales JC. La deshumanización en medicina. Desde la formación al ejercicio profesional. Iatreia [Internet]. 11 de abril de 2017 [citado 4 de agosto de 2024];30(2):216-29. Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/26067
2. Oseguera Rodríguez JF. El humanismo en la edu-cación médica. Educación [Internet] 2006. [citado 4 de agosto de 2024];30(1):[51-63]. Disponible en: http://revistas.ucr.ac.cr/index.php/educacion/article/view/1794/1767
3. Adams SM, Case TI, Fitness J, Stevenson RJ. Dehumanizing but competent: The impact of gender, illness type, and emotional expressiveness on patient perceptions of doctors. J Appl Soc Psychol [Internet]. 2017;47(5):247–55. Available from: http://dx.doi.org/10.1111/jasp.12433
4. Romero Parra RM, Barboza Arenas LA. Relación entre Los sistemas DE representación DE la programación neurolingüística y El aprendizaje significativo en estudiantes universitarios. Nueva Rev Pac [Internet]. 2022;(76):62–87. Available from: http://dx.doi.org/10.4067/s0719-51762022000100062
5. Dec-Pietrowska J, Szczepek A. A study of differences in compulsory courses offering medicine humanization and medical communication in Polish medical schools: Content analysis of secondary data. Int J Environ Res Public Health [Internet]. 2021;18(24):13326. Available from: http://dx.doi.org/10.3390/ijerph182413326
6. Bu, X., Wang, Y., Du, Y. et al. Bridge the gap caused by public health crises: medical humanization and communication skills build a psychological bond that satisfies patients. Int J Equity Health 23, 40 (2024). https://doi.org/10.1186/s12939-024-02116-4
7. Wang P, Wang Y, Wu Q, Su F, Chang X. Influence of medical humanization on patients’ attribution in negative medical situations with communication as the mediator: a questionnaire study. Front Public Health [Internet]. 2023;11. Available from: http://dx.doi.org/10.3389/fpubh.2023.1152381
8. Riedel P-L, Kreh A, Kulcar V, Lieber A, Juen B. A scoping review of moral stressors, moral distress and moral injury in healthcare workers during COVID-19. Int J Environ Res Public Health [Internet]. 2022;19(3):1666. Available from: http://dx.doi.org/10.3390/ijerph19031666
9. Mansilla MA, Canova Barrios CJ. Autoeficacia para brindar cuidados humanizados por parte del personal de enfermería. Gac médica boliv [Internet]. 2024;47(1):20–6. Available from: http://dx.doi.org/10.47993/gmb.v47i1.763
10. López-Tarrida ÁC, Ruiz-Romero V, González-Martín T. Cuidando con sentido: la atención de lo espiritual en la práctica clínica desde la perspectiva del profesional. Rev Esp Salud Publica [Internet]. 2020;94:202001002. Available from: http://dx.doi.org/10.4321/s1135-57272020000100024
11. Busch IM, Moretti F, Travaini G, Wu AW, Rimondini M. Humanization of care: Key elements identified by patients, caregivers, and healthcare providers. A systematic review. Patient [Internet]. 2019;12(5):461–74. Available from: http://dx.doi.org/10.1007/s40271-019-00370-1
12. O’Connor J. Introduccion a la Pnl -Ed.Revisada- Vintage. Ediciones Urano; 2022.
13. Monje V. P, Miranda C. P, Oyarzün G. J, Seguel P. F, Flores G. E. Percepción DE cuidado humanizado DE enfermería desde la perspectiva DE usuarios hospitalizados. Cienc Enferm (Impresa) [Internet]. 2018;24. Available from: http://dx.doi.org/10.4067/s0717-95532018000100205
14. Blanco-Nistal MM, Tortajada Soler M, Rodríguez-Puente Z, Puente-Martínez MT, Méndez-Martínez C, Fernández-Fernández JA. Percepción de los pacientes sobre los cuidados de enfermería en el contexto de la crisis del COVID-19. Enferm Glob [Internet]. 2021;20(4):26–60. Available from: http://dx.doi.org/10.6018/eglobal.479441
15. Bermejo, José Carlos; Muñoz, Cristina; Villacieros, Marta. Conceptualización de la competencia profesional en el ámbito de la humanización de la salud. Estudio Delphi. Ética de los Cuidados. 2021; 14: e13869. Disponible en: https://ciberindex.com/c/et/e13869 [acceso: 18/07/2024]
16. Díaz-Rodríguez Mercedes, Alcántara Rubio Lucía, Aguilar García David, Puertas Cristóbal Esther, Cano Valera Mercedes. Orientaciones formativas para un cuidado humanizado en enfermería: una revisión integrativa de la literatura. Enferm. glob. [Internet]. 2020 [citado 2024 Ago 10] ; 19( 58 ): 640-672. Disponible en: https://dx.doi.org/eglobal.392321.
17. Torres-Alzate H. Nursing Global Health Competencies Framework. Nurs Educ Perspect [Internet]. 2019;40(5):295–9. Available from: http://dx.doi.org/10.1097/01.nep.0000000000000558
18. Gallagher CW. Disrupting the game-changer: Remembering the history of competency-based education. Change [Internet]. 2014;46(6):16–23. Available from: http://dx.doi.org/10.1080/00091383.2014.969177
19. van Loon KA, Teunissen PW, Driessen EW, Scheele F. The role of generic competencies in the entrustment of professional activities: A nationwide competency-based curriculum assessed. J Grad Med Educ [Internet]. 2016;8(4):546–52. Available from: http://dx.doi.org/10.4300/JGME-D-15-00321.1
20. Serrano GP. Investigación Cualitativa: Retos E interrogantes. Madrid: La Muralla; 2016
21. Parson L, Childs B, Elzie P. Using competency-based curriculum design to create a health professions education certificate program the meets the needs of students, administrators, faculty, and patients. Health Prof Educ [Internet]. 2018;4(3):207–17. Available from: http://dx.doi.org/10.1016/j.hpe.2018.03.008
22. Lewis LS, Rebeschi LM, Hunt E. Nursing education practice update 2022: Competency-based education in nursing. SAGE Open Nurs [Internet]. 2022;8:23779608221140774. Available from: http://dx.doi.org/10.1177/23779608221140774
23. Jokiniemi K, Pietilä A-M, Mikkonen S. Construct validity of clinical nurse specialist core competency scale: An exploratory factor analysis. J Clin Nurs [Internet]. 2021;30(13–14):1863–73. Available from: http://dx.doi.org/10.1111/jocn.15587
24. Caggiano V, Redomero-Echeverría T, Poza-Lujan J-L, Bellezza A. Soft skills in engineers, a relevant field of research: Exploring and assessing skills in Italian engineering students. Ing Investig [Internet]. 2020;40(2):81–91. Available from: http://dx.doi.org/10.15446/ing.investig.v40n2.83717
25. Espinoza Mina MA, Gallegos Barzola D. Habilidades blandas en la educación y la empresa: Mapeo Sistemático. RCUI [Internet]. 10 de mayo de 2020 [citado 25 de agosto de 2024];7(2):39-56. Disponible en: https://revista.uisrael.edu.ec/index.php/rcui/article/view/245
26. Gunarathne N, Senaratne S, Herath R. Addressing the expectation–performance gap of soft skills in management education: An integrated skill-development approach for accounting students. Int J Manag Educ [Internet]. 2021;19(3):100564. Available from: http://dx.doi.org/10.1016/j.ijme.2021.100564
27. Ng LK. The perceived importance of soft (service) skills in nursing care: A research study. Nurse Educ Today [Internet]. 2020;85(104302):104302. Available from: http://dx.doi.org/10.1016/j.nedt.2019.104302
28. Ernawati E, Bratajaya CNA. Senior nurses’ perceptions of essential soft skills for novice nurses in a private hospital in Jakarta, Indonesia: A phenomenological study. Belitung Nurs J [Internet]. 2021;7(4):320–8. Available from: http://dx.doi.org/10.33546/bnj.1549
29. Ferrández-Antón T, Ferreira-Padilla G, del-Pino-Casado R, Ferrández-Antón P, Baleriola-Júlvez J, Martínez-Riera JR. Communication skills training in undergraduate nursing programs in Spain. Nurse Educ Pract [Internet]. 2020;42(102653):102653. Available from: http://dx.doi.org/10.1016/j.nepr.2019.102653
30. Dimitrov Y, Vazova T. Developing capabilities from the scope of emotional intelligence as part of the soft skills needed in the long-term care sector: Presentation of pilot study and training methodology. J Prim Care Community Health [Internet]. 2020;11:2150132720906275. Available from: http://dx.doi.org/10.1177/2150132720906275
31. Pérez de la Cruz NA, Díaz-Mujica JY, Araujo-Robles ED, Gallardo-Lolandes Y, Mendoza-Jimenez HR. Empathy in competencies of specific norms in Obstetrics students from Ica universities - 2022. Salud Cienc Tecnol [Internet]. 2023;3:571. Available from: http://dx.doi.org/10.56294/saludcyt2023571
32. Cordero R de D, Romero BB, de Matos FA, Costa E, Espinha DCM, Tomasso C de S, et al. Opinions and attitudes on the relationship between spirituality, religiosity and health: A comparison between nursing students from Brazil and Portugal. J Clin Nurs [Internet]. 2018;27(13–14):2804–13. Available from: http://dx.doi.org/10.1111/jocn.14340
33. Kwiećkowska LB, Kiersnowska I, Krzych-Fałta E. Spirituality in Polish nursing and chosen tools used for its measuring – subject matter presentation based on literature review. Pielęgniarstwo XXI Wieku [Internet]. 2023;22(2):104–7. Available from: http://dx.doi.org/10.2478/pielxxiw-2023-0013
34. Torres-Alzate H. Nursing Global Health Competencies Framework. Nurs Educ Perspect [Internet]. 2019;40(5):295–9. Available from: http://dx.doi.org/10.1097/01.nep.0000000000000558
35. Habibzadeh H, Jasemi M, Hosseinzadegan F. Social justice in health system; a neglected component of academic nursing education: a qualitative study. BMC Nurs [Internet]. 2021;20(1):16. Available from: http://dx.doi.org/10.1186/s12912-021-00534-1
36. O’Brien E-M, O’ Donnell C, Murphy J, O’ Brien B, Markey K. Intercultural readiness of nursing students: An integrative review of evidence examining cultural competence educational interventions. Nurse Educ Pract [Internet]. 2021;50(102966):102966. Available from: http://dx.doi.org/10.1016/j.nepr.2021.102966
37. Paric M, Kaihlanen A-M, Heponiemi T, Czabanowska K. Nurse teacher’s perceptions on teaching cultural competence to students in Finland: a descriptive qualitative study. Nurse Educ Today [Internet]. 2021;99(104787):104787. Available from: http://dx.doi.org/10.1016/j.nedt.2021.104787
38. West R, Mills K, Rowland D, Creedy DK. Validation of the first peoples cultural capability measurement tool with undergraduate health students: A descriptive cohort study. Nurse Educ Today [Internet]. 2018;64:166–71. Available from: http://dx.doi.org/10.1016/j.nedt.2018.02.022
39. Heinen M, van Oostveen C, Peters J, Vermeulen H, Huis A. An integrative review of leadership competencies and attributes in advanced nursing practice. J Adv Nurs [Internet]. 2019;75(11):2378–92. Available from: http://dx.doi.org/10.1111/jan.14092
40. Kuivila H-M, Mikkonen K, Sjögren T, Koivula M, Koskimäki M, Männistö M, et al. Health science student teachers’ perceptions of teacher competence: A qualitative study. Nurse Educ Today [Internet]. 2020;84(104210):104210. Available from: http://dx.doi.org/10.1016/j.nedt.2019.104210
41. Ljungbeck B, Sjögren Forss K, Finnbogadóttir H, Carlson E. Content in nurse practitioner education – A scoping review. Nurse Educ Today [Internet]. 2021;98(104650):104650. Available from: http://dx.doi.org/10.1016/j.nedt.2020.104650
42. Bvumbwe T, Mtshali NG. Transforming nursing education to strengthen health system in Malawi: An exploratory study. Open Nurs J [Internet]. 2018;12(1):93–105. Available from: http://dx.doi.org/10.2174/1874434601812010093
43. Jamaludin TSS, Nurumal MS, Ahmad N, Muhammad SA@. N, Chan CM. Soft skill elements in structured clinical nursing assessment for undergraduate nursing students: A systematic review. Enferm Clin [Internet]. 2021;31:S58–62. Available from: http://dx.doi.org/10.1016/j.enfcli.2020.10.019
44. Huston CL, Phillips B, Jeffries P, Todero C, Rich J, Knecht P, et al. The academic-practice gap: Strategies for an enduring problem. Nurs Forum [Internet]. 2018;53(1):27–34. Available from: http://dx.doi.org/10.1111/nuf.12216
45. Vaismoradi M, Salsali M, Marck P. Patient safety: nursing students’ perspectives and the role of nursing education to provide safe care: Nursing students and patient safety. Int Nurs Rev [Internet]. 2011;58(4):434–42. Available from: http://dx.doi.org/10.1111/j.1466-7657.2011.00882.x
46. Collier-Sewell F, Atherton I, Mahoney C, Kyle RG, Hughes E, Lasater K. Competencies and standards in nurse education: The irresolvable tensions. Nurse Educ Today [Internet]. 2023;125(105782):105782. Available from: http://dx.doi.org/10.1016/j.nedt.2023.105782
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