Estrategias educativas para la tolerancia a la incertidumbre en estudiantes y profesionales sanitarios: Revisión sistemática

• Infante Guedes, Aday ^[1] ; Quintana Montesdeoca , María del Pino ^[2] ; Etopa Bitata, María Del Pilar ^[2] ; Álamo Arce, Daniel David ^[2]
  1. [1] Universidad de La Laguna

     Universidad de La Laguna

     San Cristóbal de La Laguna, España

     
  2. [2] Universidad de Las Palmas de Gran Canaria

     Universidad de Las Palmas de Gran Canaria

     Gran Canaria, España

     
• Localización: Revista Española de Educación Médica, ISSN-e 2660-8529, Vol. 4, Nº. 3, 2023 (Ejemplar dedicado a: Revista Española de Educación Médica), págs. 89-103
• Idioma: español
• DOI: 10.6018/edumed.576711
• Títulos paralelos:
  • Educational strategies for uncertainty tolerance in students and healthcare professionals: A systematic review
• Enlaces
  • Texto completo
• Dialnet Métricas: 1 Cita
• Resumen
  • español

    En las últimas décadas, el interés por la tolerancia a la incertidumbre (TI) en los profesionales de la salud ha ido en aumento. Una pobre capacidad de tolerar la incertidumbre se ha relacionado con mayores niveles de estrés y más probabilidades de padecer síndrome de burnout. Sin embargo, la TI no es considerada explícitamente en los currículos de las profesiones sanitarias siendo relegada su presencia al currículo oculto. Se hace necesario conocer que estrategias educativas pueden ser de utilidad al docente para abordar la TI en los futuros profesionales. La presente revisión tiene como objetivo identificar dichas estrategias educativas y cuál es su efectividad. Se realizó una búsqueda en las bases de datos “Pubmed”, “Scopus” y Cinahl” y tras aplicar un proceso de cribado, se seleccionaron 7 artículos que fueron analizados finalmente. Los resultados han identificado 3 modelos de estrategias educativas: “estrategias basadas en pensamiento visual”, “estrategias basadas en interacción con animales” y “estrategias educativas convencionales”. Concluimos destacando, por un lado, que ninguna estrategia ha mostrado mayor eficacia frente al resto y, por otro lado, la TI ha sido estudiada, fundamentalmente en el colectivo médico. Es importante que en un futuro se realicen investigaciones de mayor calidad y orientadas a todas las profesiones sanitarias.

  • English

    In recent decades, interest in uncertainty tolerance (IT) in health professionals has increased. Poor ability to tolerate uncertainty has been linked to higher levels of stress and increased likelihood of burnout syndrome. However, IT is not considered in the health professions curriculum, and its presence is relegated to the hidden curriculum. It is necessary to know what educational strategies can be helpful for teachers to address IT in future professionals. This review aims to identify these educational strategies and their effectiveness. A search was carried out in the databases PubMed, Scopus, and Cinahl, and after applying a screening process, seven articles were selected and finally analysed. The results have identified three models of educational strategies: strategies based on visual thinking, strategies based on interaction with animals, and conventional educational strategies. We conclude by highlighting, on the one hand, that no strategy has shown greater efficacy than the rest and, on the other hand, IT has been studied, mainly in the medical community. In the future, research of higher quality and oriented to all health professions must be carried out.

• Referencias bibliográficas
  • Hillen, M.A.; Gutheil, C.M.; Strout, T.D.; Smets, E.M.A.; Han, P.K.J. Tolerance of Uncertainty: Conceptual Analysis, Integrative Model, and...
  • Ghosh, A.K.; Joshi, S. Tools to Manage Medical Uncertainty. Diabetes and Metabolic Syndrome: Clinical Research and Reviews 2020, 14, 1529–1533,...
  • Helou, M.A.; DiazGranados, D.; Ryan, M.S.; Cyrus, J.W. Uncertainty in Decision Making in Medicine: A Scoping Review and Thematic Analysis...
  • Ilgen, J.S.; Eva, K.W.; Anique De Bruin, ·; Cook, D.A.; Regehr, G. Comfort with Uncertainty: Reframing Our Conceptions of How Clinicians Navigate...
  • Kim, K.; Lee, Y.-M.; Kim, K.; Lee, Y.-M. Understanding Uncertainty in Medicine: Concepts and Implications in Medical Education. Korean J Med...
  • Timmermans, S.; Angell, A. Evidence-Based Medicine, Clinical Uncertainty, and Learning to Doctor. J Health Soc Behav 2001, 42, 342–359, doi:10.2307/3090183.
  • Han, P.K.J.; Klein, W.M.P.; Arora, N.K. Varieties of Uncertainty in Health Care: A Conceptual Taxonomy. Medical Decision Making 2011, 31,...
  • Bhise, V.; Rajan, S.S.; Sittig, D.F.; Morgan, R.O.; Chaudhary, P.; Singh, H. Defining and Measuring Diagnostic Uncertainty in Medicine: A...
  • Lee, C.; Hall, K.; Anakin, M.; Pinnock, R. Towards a New Understanding of Uncertainty in Medical Education. J Eval Clin Pract 2020, jep.13503,...
  • Strout, T.D.; Hillen, M.; Gutheil, C.; Anderson, E.; Hutchinson, R.; Ward, H.; Kay, H.; Mills, G.J.; Han, P.K.J. Tolerance of Uncertainty:...
  • Hancock, J.; Mattick, K. Tolerance of Ambiguity and Psychological Well-Being in Medical Training: A Systematic Review. Med Educ 2020, 54,...
  • Simpkin, A.L.; Khan, A.; West, D.C.; Garcia, B.M.; Sectish, T.C.; Spector, N.D.; Landrigan, C.P. Stress From Uncertainty and Resilience Among...
  • Iannello, P.; Mottini, A.; Tirelli, S.; Riva, S.; Antonietti, A. Ambiguity and Uncertainty Tolerance, Need for Cognition, and Their Association...
  • Luther, V.P.; Crandall, S.J. Commentary: Ambiguity and Uncertainty: Neglected Elements of Medical Education Curricula? Academic Medicine 2011,...
  • Ledford, C.J.W.; Seehusen, D.A.; Chessman, A.W.; Shokar, N.K. How We Teach Us Medical Students to Negotiate Uncertainty in Clinical Care:...
  • Benjamin, A.J.; Riggio ’ , R.E.; Mayes, B.T. Reliability and Factor Structure of Budner’s Tolerance for Ambiguity Scale; 1996;
  • Gerrity, M.S.; Devellis, R.F.; Earp, J.A. Physicians’ Reactions to Uncertainty in Patient Care: A New Measure and New Insights. Care 1990,...
  • Gerrity, M.S.; White, K.P.; DeVellis, R.F.; Dittus, R.S. Physicians’ Reactions to Uncertainty: Refining the Constructs and Scales. Motiv Emot...
  • Politi, M.C.; Légaré, F. Physicians’ Reactions to Uncertainty in the Context of Shared Decision Making. Patient Educ Couns 2010, 80, 155–157,...
  • Zimmermann, C.; Huang, J.T.; Buzney, E.A. Refining the Eye: Dermatology and Visual Literacy. Journal of Museum Education 2016, 41, 116–122,...
  • Fischer, K.; Sullivan, A.M.; Krupat, E.; Schwartzstein, R.M. Assessing the Effectiveness of Using Mechanistic Concept Maps in Case-Based Collaborative...
  • Murphy, L.; Wilson, J.; Greenberg, S. Equine-Assisted Experiential Learning in Occupational Therapy Education. Journal of Experiential Education...
  • Strohbehn, G.W.; Hoffman, S.J.K.; Tokaz, M.; Houchens, N.; Slavin, R.; Winter, S.; Quinn, M.; Ratz, D.; Saint, S.; Chopra, V.; et al. Visual...
  • Gowda, D.; Dubroff, R.; Willieme, A.; Swan-Sein, A.; Capello, C. Art as Sanctuary: A Four-Year Mixed-Methods Evaluation of a Visual Art Course...
  • Liou, K.T.; Jamorabo, D.S.; Geha, R.M.; Crawford, C.M.; George, P.; Schiffman, F.J. Foreign Bodies: Is It Feasible to Develop Tolerance for...
  • Taylor, D.; Picker, B.; Woolever, D.; Thayer, E.; Carney, P.; Galper, A. A Pilot Study to Address Tolerance of Uncertainty Among Family Medicine...
  • Bentwich, M.E.; Gilbey, P. More than Visual Literacy: Art and the Enhancement of Tolerance for Ambiguity and Empathy. BMC Med Educ 2017, 17,...
  • Masini, A. Equine-Assisted Psychotherapy in Clinical Practice. J Psychosoc Nurs Ment Health Serv 2010, 48, 30–34, doi:10.3928/02793695-20100831-08.
  • Taylor, D.A.; Picker, B.J.; Woolever, D.R.; Thayer, E.K.; Galper, A.B.; Carney, P.A. A Pilot Study to Address Tolerance of Uncertainty among...
  • Patel, P.; Hancock, J.; Rogers, M.; Pollard, S.R. Improving Uncertainty Tolerance in Medical Students: A Scoping Review. Med Educ 2022, 56,...
  • Alam, R.; Cheraghi-Sohi, S.; Panagioti, M.; Esmail, A.; Campbell, S.; Panagopoulou, E. Managing Diagnostic Uncertainty in Primary Care: A...
  • Almond, A.; Zou, Y.; Forbes, R. Navigating Diagnostic Uncertainty in Musculoskeletal Practice: The Perspectives and Experiences of New Graduate...