Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educación
Objetivo: Explorar percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes en psiquiatría, identificando necesidades formativas para mejorar la calidad asistencial. Métodos: Se realizó un estudio cualitativo de diseño narrativo mediante entrevistas semie...
- Autores:
-
Garzón Luna, Daniel Ignacio
Luque Guzmán, Carlos Eduardo
- Tipo de recurso:
- https://purl.org/coar/resource_type/c_7a1f
- Fecha de publicación:
- 2025
- Institución:
- Universidad El Bosque
- Repositorio:
- Repositorio U. El Bosque
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unbosque.edu.co:20.500.12495/14966
- Acceso en línea:
- https://hdl.handle.net/20.500.12495/14966
- Palabra clave:
- Narración
Investigación cualitativa
Competencia clínica
Servicios de salud mental
Atención al paciente
Narration
Qualitative research
Clinical competence
Mental health services
Patient care
WM 100
- Rights
- License
- Attribution-NonCommercial-ShareAlike 4.0 International
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| dc.title.none.fl_str_mv |
Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educación |
| dc.title.translated.none.fl_str_mv |
Perceptions of patients diagnosed with mental disorders regarding the care of psychiatric residents at a university hospital: A qualitative narrative study to identify training needs in education |
| title |
Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educación |
| spellingShingle |
Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educación Narración Investigación cualitativa Competencia clínica Servicios de salud mental Atención al paciente Narration Qualitative research Clinical competence Mental health services Patient care WM 100 |
| title_short |
Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educación |
| title_full |
Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educación |
| title_fullStr |
Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educación |
| title_full_unstemmed |
Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educación |
| title_sort |
Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educación |
| dc.creator.fl_str_mv |
Garzón Luna, Daniel Ignacio Luque Guzmán, Carlos Eduardo |
| dc.contributor.advisor.none.fl_str_mv |
Arias Ortíz, Wanderley Augusto Ortíz Londoño, Juan Pablo Caviedes Cadena, Deisy Lorena |
| dc.contributor.author.none.fl_str_mv |
Garzón Luna, Daniel Ignacio Luque Guzmán, Carlos Eduardo |
| dc.contributor.orcid.none.fl_str_mv |
Garzón Luna, Daniel Ignacio [0009-0007-9433-9900] Luque Guzmán, Carlos Eduardo [0000-0003-2544-6941] |
| dc.subject.none.fl_str_mv |
Narración Investigación cualitativa Competencia clínica Servicios de salud mental Atención al paciente |
| topic |
Narración Investigación cualitativa Competencia clínica Servicios de salud mental Atención al paciente Narration Qualitative research Clinical competence Mental health services Patient care WM 100 |
| dc.subject.keywords.none.fl_str_mv |
Narration Qualitative research Clinical competence Mental health services Patient care |
| dc.subject.nlm.none.fl_str_mv |
WM 100 |
| description |
Objetivo: Explorar percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes en psiquiatría, identificando necesidades formativas para mejorar la calidad asistencial. Métodos: Se realizó un estudio cualitativo de diseño narrativo mediante entrevistas semiestructuradas a nueve pacientes de un hospital universitario, empleando análisis narrativo multinivel (temático, estructural, identitario y contextual). Resultados: Los pacientes destacaron la empatía, escucha activa y comunicación efectiva como competencias clave. El análisis estructural mostró narrativas organizadas según modelo de Labov, concluyendo frecuentemente en codas pedagógicas. Emergieron roles reflexivos y pedagógicos de los pacientes. Contextualmente, se identificaron barreras institucionales significativas (rotación frecuente, burocracia administrativa) que obstaculizan la continuidad terapéutica y la humanización del cuidado. Conclusiones: La calidad asistencial percibida depende fundamentalmente de habilidades interpersonales y condiciones estructurales favorables. Se recomienda desarrollar currículos longitudinales en habilidades emocionales y comunicativas, optimizar rotaciones, e implementar programas educativos anti-estigma y espacios reflexivos protegidos para mejorar la atención humanizada en psiquiatría. |
| publishDate |
2025 |
| dc.date.accessioned.none.fl_str_mv |
2025-07-15T22:01:40Z |
| dc.date.available.none.fl_str_mv |
2025-07-15T22:01:40Z |
| dc.date.issued.none.fl_str_mv |
2025-06 |
| dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_7a1f |
| dc.type.local.spa.fl_str_mv |
Tesis/Trabajo de grado - Monografía - Especialización |
| dc.type.coar.none.fl_str_mv |
https://purl.org/coar/resource_type/c_7a1f |
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info:eu-repo/semantics/bachelorThesis |
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https://purl.org/coar/version/c_ab4af688f83e57aa |
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https://purl.org/coar/resource_type/c_7a1f |
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https://hdl.handle.net/20.500.12495/14966 |
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instname:Universidad El Bosque |
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reponame:Repositorio Institucional Universidad El Bosque |
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instname:Universidad El Bosque reponame:Repositorio Institucional Universidad El Bosque repourl:https://repositorio.unbosque.edu.co |
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(2019). The Balint group and its application in medical education: A systematic review. Journal of Education and Health Promotion, 8(1), 124. https://doi.org/10.4103/jehp.jehp_423_18 Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2005). The McLean Study of Adult Development (MSAD): overview and implications of the first six years of prospective follow-up. Journal of Personality Disorders, 19(5), 505-523. https://doi.org/10.1521/pedi.2005.19.5.505 |
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Arias Ortíz, Wanderley AugustoOrtíz Londoño, Juan PabloCaviedes Cadena, Deisy LorenaGarzón Luna, Daniel IgnacioLuque Guzmán, Carlos EduardoGarzón Luna, Daniel Ignacio [0009-0007-9433-9900]Luque Guzmán, Carlos Eduardo [0000-0003-2544-6941]2025-07-15T22:01:40Z2025-07-15T22:01:40Z2025-06https://hdl.handle.net/20.500.12495/14966instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coObjetivo: Explorar percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes en psiquiatría, identificando necesidades formativas para mejorar la calidad asistencial. Métodos: Se realizó un estudio cualitativo de diseño narrativo mediante entrevistas semiestructuradas a nueve pacientes de un hospital universitario, empleando análisis narrativo multinivel (temático, estructural, identitario y contextual). Resultados: Los pacientes destacaron la empatía, escucha activa y comunicación efectiva como competencias clave. El análisis estructural mostró narrativas organizadas según modelo de Labov, concluyendo frecuentemente en codas pedagógicas. Emergieron roles reflexivos y pedagógicos de los pacientes. Contextualmente, se identificaron barreras institucionales significativas (rotación frecuente, burocracia administrativa) que obstaculizan la continuidad terapéutica y la humanización del cuidado. Conclusiones: La calidad asistencial percibida depende fundamentalmente de habilidades interpersonales y condiciones estructurales favorables. Se recomienda desarrollar currículos longitudinales en habilidades emocionales y comunicativas, optimizar rotaciones, e implementar programas educativos anti-estigma y espacios reflexivos protegidos para mejorar la atención humanizada en psiquiatría.Especialista en PsiquiatríaEspecializaciónObjective: To explore psychiatric patients' perceptions regarding the care provided by psychiatry residents, identifying specific educational needs to enhance care quality. Methods: A qualitative study with narrative design using semi-structured interviews with nine patients from a university hospital was conducted, applying a multilevel narrative analysis (thematic, structural, identity, and contextual). Results: Patients identified empathy, active listening, and effective communication as critical competencies. Structurally, narratives followed Labov’s model, frequently concluding with pedagogical codas. Patients adopted reflective and pedagogical roles. Contextually, significant institutional barriers (frequent staff rotation, administrative bureaucracy) negatively impacted therapeutic continuity and care humanization. Conclusions: Perceived quality of care strongly depends on interpersonal skills and favourable institutional conditions. Recommendations include longitudinal curricula focusing on emotional and communicational skills, optimized rotation systems, and the implementation of anti-stigma educational programs and protected reflective spaces to enhance humanized psychiatric care.application/pdfAttribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/Acceso abiertohttps://purl.org/coar/access_right/c_abf2http://purl.org/coar/access_right/c_abf2NarraciónInvestigación cualitativaCompetencia clínicaServicios de salud mentalAtención al pacienteNarrationQualitative researchClinical competenceMental health servicesPatient careWM 100Percepciones de pacientes con diagnóstico de trastorno mental sobre la atención de médicos residentes de psiquiatría en un hospital universitario: Estudio cualitativo narrativo para identificar necesidades formativas en educaciónPerceptions of patients diagnosed with mental disorders regarding the care of psychiatric residents at a university hospital: A qualitative narrative study to identify training needs in educationEspecialización en PsiquiatríaUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Especializaciónhttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aaAllen, D., Spencer, G., McEwan, K., Catarino, F., Evans, R., Crooks, S., & Gilbert, P. (2020). The Schwartz Centre Rounds: Supporting mental health workers with the emotional impact of their work. International Journal of Mental Health Nursing, 29(5), 942-952. https://doi.org/10.1111/inm.12729Aviram, R. B., Brodsky, B. S., & Stanley, B. (2006). Borderline personality disorder, stigma, and treatment implications. Harvard Review of Psychiatry, 14(5), 249-256. https://doi.org/10.1080/10673220600975121Barger, L. K., Weaver, M. D., Landrigan, C. P., Sullivan, J. P., Robbins, R., Winn, A. S., & Czeisler, C. A. (2025). Resident physician intentions regarding unionization. JAMA Network Open, 8(4), e253106. https://doi.org/10.1001/jamanetworkopen.2025.3106Bengtsson, T. T., & Andersen, D. (2020). Narrative analysis: Thematic, structural and performative. Qualitative Analysis: Eight Approaches for the Social Sciences. 265-282.Bleakley, A. (2005). Stories as data, data as stories: making sense of narrative inquiry in clinical education: original article. Medical Education, 39(5), 534-540. https://doi.org/10.1111/j.1365-2929.2005.02126.xBranch, W. T., Jr, & Paranjape, A. (2002). Feedback and reflection: teaching methods for clinical settings. Academic Medicine: Journal of the Association of American Medical Colleges, 77(12 Pt 1), 1185-1188. https://doi.org/10.1097/00001888-200212000-00005Brazeau, C. M., Schroeder, R., & Boyd, L. (2020). Incorporating mental health training medical curricula reduce stigma improve patient care. Journal Medical Education Curricular Development, 7. https://doi.org/10.1177/2382120520900731Brinkmann, S., & Kvale, S. (2018). Doing interviews. https://www.torrossa.com/gs/resourceProxy?an=5017966&publisher=FZ7200Bynum, W. E., 4th, & Sukhera, J. (2021). Perfectionism, power, and process: What we must address to dismantle mental health stigma in medical education [Review of Perfectionism, power, and process: What we must address to dismantle mental health stigma in medical education]. 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Journal of Education and Health Promotion, 8(1), 124. https://doi.org/10.4103/jehp.jehp_423_18Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2005). The McLean Study of Adult Development (MSAD): overview and implications of the first six years of prospective follow-up. Journal of Personality Disorders, 19(5), 505-523. https://doi.org/10.1521/pedi.2005.19.5.505spaORIGINALTrabajo de grado.pdfTrabajo de grado.pdfapplication/pdf933411https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/d3df808e-2490-4c66-ab2a-88f5429a5faf/downloade2f6dfa12b58ed7f8fc87f2ece099e55MD51trueAnonymousREAD2030-07-14Anexo 2 Entrevista Semiestructurada.pdfAnexo 2 Entrevista Semiestructurada.pdfapplication/pdf73687https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/96272fd2-dff1-4d45-9011-72356332a13c/downloadd9ef102187429736ba1c5cecb5ffc115MD58falseAnonymousREAD2030-07-14Anexo 5 Tabla de analisis.pdfAnexo 5 Tabla de analisis.pdfapplication/pdf35421https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/40780d8d-4e59-4c96-a8c2-175f3d2ff0a9/downloada618f95972f5fc749b41253a317b2031MD55falseAnonymousREAD2030-07-14Anexo 3 Analisis narrativos individuales.pdfAnexo 3 Analisis narrativos 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