De barreiras a facilitadores

explorando os facilitadores do pensamento crítico na graduação em medicina

Autores

DOI:

https://doi.org/10.22633/rpge.v29iesp4.20767

Palavras-chave:

Pensamento crítico, Educação médica, Estudo qualitativo, Ambiente de aprendizagem, Aprendizagem baseada em problemas

Resumo

O pensamento crítico é essencial na educação médica, contudo, as pesquisas frequentemente enfatizam suas barreiras em vez de seus facilitadores. Este estudo qualitativo examinou os facilitadores do pensamento crítico entre treze participantes, incluindo estudantes de medicina e docentes de uma grande universidade. Os dados foram coletados por meio de entrevistas semiestruturadas e analisados utilizando análise de conteúdo convencional. Cinco temas principais emergiram: ambientes de aprendizagem acolhedores, estratégias de ensino interativas, feedback construtivo, incentivo à curiosidade e a influência de modelos de comportamento. Os participantes observaram que o respeito e o diálogo aberto criaram segurança psicológica; métodos ativos, como a aprendizagem baseada em problemas e simulações, promoveram um raciocínio mais profundo; e o feedback e a mentoria fomentaram a reflexão e a honestidade. O estudo reformula o pensamento crítico como um processo moldado por fatores culturais, pedagógicos e relacionais. Ele destaca a necessidade de reformas educacionais que integrem esses facilitadores em todo o currículo e recomenda mais pesquisas sobre a adaptação dessas condições a diversos contextos.

Downloads

Não há dados estatísticos.

Biografia do Autor

Abdullah bin Abdulrahman Al-Bader, Universidade King Saud bin Abdulaziz de Ciências da Saúde

Professor da Faculdade de Ciências e Profissões da Saúde da Universidade King Saud bin Abdulaziz de Ciências da Saúde e do Centro Internacional de Pesquisa Médica King Abdullah (KAIMRC), vinculado ao Ministério da Guarda Nacional – Assuntos de Saúde, Arábia Saudita.

Referências

Agnes, M., & Mary, M. C. (2005). Strategies to overcome barriers in the facilitation of critical thinking in nursing education. Nurse Education Today, 25(4), 291–298. https://doi.org/10.1016/j.nedt.2005.01.012

Alipour, V., Seif Naraghi, M., Naderi, A., & Shariatmadari, A. (2013). Reflection on critical thinking barriers in secondary education curriculum. Research in Curriculum Planning, 10(9), 11–15.

Amini, M., & Fazlinejad, N. (2010). Assessment of critical thinking skills in medical students of Shiraz. Hormozgan Medical Journal, 14(3), 214–220.

Araújo, B., Gomes, S. F., & Ribeiro, L. (2024). Critical thinking pedagogical practices in medical education: A systematic review. Frontiers in Medicine, 11, 1358444. https://doi.org/10.3389/fmed.2024.1358444

Athari, Z., Sharif, S. M., Tasar, A. R., & Nematbakhsh, M. (2011). Evaluation of critical thinking skills of students of Isfahan University of Medical Sciences during two consecutive semesters: Critical thinking of missing curriculum. Iranian Journal of Medical Education, 11(9), 1040–1049.

Aulakh, J., Wahab, H., Richards, C., et al. (2025). Self-directed learning versus traditional didactic learning in undergraduate medical education: A systemic review and meta-analysis. BMC Medical Education, 25, 70. https://doi.org/10.1186/s12909-024-06449-0

Azar, N. G., Yazdani, S., & Khoshgoftar, Z. (2024). Development of higher-order thinking in health profession education: A comprehensive toolkit for medical educators. Journal of Education and Health Promotion, 12, 455. https://doi.org/10.4103/jehp.jehp_240_23

Barzegar, M., Faghihi, S. A., Amini, M., et al. (2023). Outpatient education, a momentous in clinical education: A qualitative study of medical students’, faculty members’, and residents’ perspectives. BMC Medical Education, 23, 719. https://doi.org/10.1186/s12909-023-04694-3

Batarfi, M. A., & Agha, S. (2025). Exploring faculty perspectives on critical thinking in medical education: Challenges, strategies, and institutional support. Saudi Medical Journal, 46(6), 670–678. https://doi.org/10.15537/smj.2025.46.6.20250148

Blalock, A. E., Phillips, J. P., Ledford, C. J. W., Wendling, A. L., Kovar-Gough, I., & Lee, A. L. (2025). Qualitative methods for medical education research. PRiMER, 9, 35. https://doi.org/10.22454/PRiMER.2025.865981

Bugaj, T. J., Schwarz, T. A., Terhoeven, V., Nagy, E., Cranz, A., Friederich, H. C., & Nikendei, C. (2023). Measuring an understudied factor in medical education – development and validation of the medical curiosity scale. Medical Education Online, 28(1), 2198117. https://doi.org/10.1080/10872981.2023.2198117

Burgess, A., van Diggele, C., Roberts, C., et al. (2020). Facilitating small group learning in the health professions. BMC Medical Education, 20(Suppl 2), 457. https://doi.org/10.1186/s12909-020-02282-3

Carlton, F. J., Kim, D. Y., Hoang, C. W., & Kim, Y. W. (2017). A meta-analysis on critical thinking and community college. Thinking Skills and Creativity, 26, 71–83. https://doi.org/10.1016/j.tsc.2017.06.001

Châlon, B., & Lutaud, R. (2024). Enhancing critical thinking in medical education: A narrative review of current practices, challenges, and future perspectives in context of infodemics. La Presse Médicale Open, 5, 100047. https://doi.org/10.1016/j.lpmope.2024.100047

Cosgrove, R. (2011). The role of representation in teaching and learning critical thinking: Critical thinking in the Oxford tutorial – on the need for a more explicit and systematic approach. University of Cambridge, Foundation for Critical Thinking.

Dang, H., Li, S., Li, J., & Long, L. (2024). Critical thinking disposition and influencing factors among sophomore pediatric medical students. Advances in Medical Education and Practice, 15, 1005–1017. https://doi.org/10.2147/AMEP.S484157

DeWaelsche, S. A. (2015). Critical thinking, questioning and student engagement in Korean university English courses. Linguistics and Education, 32(2), 131–147. https://doi.org/10.1016/j.linged.2015.10.003

Dewi, S. P., Wilson, A., Duvivier, R., Kelly, B., & Gilligan, C. (2023). Perceptions of medical students and their facilitators on clinical communication skills teaching, learning, and assessment. Frontiers in Public Health, 11, 1168332. https://doi.org/10.3389/fpubh.2023.1168332

Facione, N., & Facione, P. (2006). The cognitive structuring of patient delay. Social Science & Medicine, 63(12), 3137–3149. https://doi.org/10.1016/j.socscimed.2006.08.014

Fonseca, M., Marvão, P., Oliveira, B., Heleno, B., Carreiro-Martins, P., Neuparth, N., & Rendas, A. (2023). The effectiveness of concept mapping as a tool for developing critical thinking in undergraduate medical education – a BEME systematic review: BEME Guide No. 81. Medical Teacher, 46(9), 1120–1133. https://doi.org/10.1080/0142159X.2023.2281248

Freire, P. (1970). Pedagogy of the oppressed. Continuum.

Ge, W. L., Zhu, X. Y., Lin, J. B., et al. (2025). Critical thinking and clinical skills by problem-based learning educational methods: An umbrella systematic review. BMC Medical Education, 25, 455. https://doi.org/10.1186/s12909-025-06951-z

Giroux, H. A. (2011). On critical pedagogy. Bloomsbury.

Grijpma, J. W., Ramdas, S., Broeksma, L., Meeter, M., Kusurkar, R. A., & de la Croix, A. (2024). Learning from the experts: Stimulating student engagement in small-group active learning. Perspectives on Medical Education, 13(1), 229–238. https://doi.org/10.5334/pme.1245

Gundler, C. M., & Allison, S. (2025). Navigating uncharted territory: A qualitative analysis of challenges and advantages experienced by early career medical educators. Medical Science Educator, 35, 403–414. https://doi.org/10.1007/s40670-024-02205-7

Hale, J. (2008). A critical thinking framework for any discipline. Critical Thinking Press.

Hammond, L., Berg, C., Howard, B., Diug, B., & Sorinola, O. (2023). What is the role and value of facilitation in case-based learning (CBL) in undergraduate medicine: A scoping review of the literature. Education in the Health Professions, 6(3), 139–150. https://doi.org/10.4103/EHP.EHP_11_23

Kellner, D. (2001). Cultural studies, multiculturalism, and critical pedagogy. In V. Torres (Ed.), The critical pedagogy reader (pp. 52–60). Routledge.

Kitto, S., Fantaye, A. W., Ghidinelli, M., Andenmatten, K., Thorley Wiedler, J., & de Boer, K. (2025). Barriers and facilitators to the cultivation of communities of practice for faculty development in medical education: A scoping review. Medical Teacher, 47(10), 1654–1668. https://doi.org/10.1080/0142159X.2025.2495628

Koh, E. Y. H., Koh, K. K., Renganathan, Y., et al. (2023). Role modelling in professional identity formation: A systematic scoping review. BMC Medical Education, 23, 194. https://doi.org/10.1186/s12909-023-04144-0

Maqsood, Z., Sajjad, M., & Yasmin, R. (2025). Effect of feedback-integrated reflection on deep learning of undergraduate medical students in a clinical setting. BMC Medical Education, 25, 66. https://doi.org/10.1186/s12909-025-06648-3

Mengesha, A. K., Ayele, H. S., Misker, M. F., et al. (2024). Assessing the effectiveness of flipped classroom teaching–learning method among undergraduate medical students at Gondar University, College of Medicine and Health Sciences: An interventional study. BMC Medical Education, 24, 1108. https://doi.org/10.1186/s12909-024-06105-7

Nabeiei, P., Amini, M., Ghanavati, S., & Marhamati, S. (2016). Research priorities in medical education at Shiraz University of Medical Sciences: Categories and subcategories in the Iranian context. Journal of Advances in Medical Education & Professionalism, 4(1), 26–32.

Najafianzadeh, M., Khorsandi, M., & Mobarakabadi, A. (2014). Critical thinking skills and its relationship with stress coping strategies in Arak University of Medical Sciences students. Developmental Steps in Medical Education, 11(3), 387–393.

Nicola-Richmond, K., Lyons, N., Ward, N., Logan, S., & Ajjawi, R. (2024). Feedback practices in clinical placement: How students come to understand how they are progressing. Assessment & Evaluation in Higher Education, 50(2), 323–335. https://doi.org/10.1080/02602938.2024.2400349

Patel, R., Mirza, J., Van de Ridder, J. M. M., & Rajput, V. (2023). Role modeling in medical education: A twenty-first century learner’s perspective. Medical Science Educator, 33(6), 1557–1563. https://doi.org/10.1007/s40670-023-01930-9

Quintero, B., Maldonado-Rengel, R., Morillo-Puente, S., et al. (2025). Attitudes toward and perceptions of barriers to research among medical students. BMC Medical Education, 25, 635. https://doi.org/10.1186/s12909-025-07229-0

Reddi, S., & Javidi, D. (2025). A critical narrative review of medical school curricula: Teaching methods, assessment strategies, and technological integration. Cureus, 17(4), e82015. https://doi.org/10.7759/cureus.82015

Rezaiee, R., & Pourbairamian, G. (2016). Relationship between critical thinking and information literacy in students of Ardabil University of Medical Sciences. Journal of Health, 7(3), 365–376.

Sharifi, S., Seif Naraghi, M., Naderi, A., & Ahghar, G. (2018). The place of critical thinking in Iran’s upstream education documents. Journal of Research in Educational Systems, 12, 249–266.

Shi, X. Y., Lu, B. R., Yin, Q., et al. (2025). Whether case-based teaching combined with the flipped classroom is more valuable. BMC Medical Education, 25, 906. https://doi.org/10.1186/s12909-025-07465-4

Shi, L., Zhang, P., & Wang, Q. (2025). Is the flipped classroom more effective than the traditional classroom? Frontiers in Education, 9, 1485540. https://doi.org/10.3389/feduc.2024.1485540

Shrivastava, S. R. (2024). Role of curiosity in facilitating learning among medical students. Journal of Datta Meghe Institute of Medical Sciences University, 19(1), 1–2. https://doi.org/10.4103/jdmimsu.jdmimsu_68_24

Simpson, E., & Courtney, M. (2002). Critical thinking in nursing education: Literature review. International Journal of Nursing Practice, 8(2), 89–98. https://doi.org/10.1046/j.1440-172x.2002.00340.x

Spaic, D., Bukumiric, Z., Rajovic, N., Markovic, K., Savic, M., Milin-Lazovic, J., Grubor, N., Milic, N., Stanisavljevic, D., Despotovic, A., Bokonjic, D., Masic, J. V., Janicijevic, V., Masic, S., & Milic, N. (2025). The flipped classroom in medical education: Systematic review and meta-analysis. Journal of Medical Internet Research, 27, e60757. https://www.jmir.org/2025/1/e60757

Su, T., Chen, W., & Hu, L. (2025). The effectiveness of problem-based learning in enhancing critical thinking skills: A systematic review. Frontiers in Education, 10, 1565556. https://doi.org/10.3389/feduc.2025.1565556

Sutcliffe, H., O’Donnell, P., & Andrews, J. (2025). Learning from the best: How medical students construct role models during COVID-19. MedEdPublish, 14, 278. https://doi.org/10.12688/mep.20594.2

Talebzadeh, M., Nematollah, F., & Hatemi, F. (2009). Cultivating critical thinking in the secondary school curriculum. Research in Education, 13, 105–124.

Tan, C. (2017). Teaching critical thinking: Cultural challenges and strategies in Singapore. British Educational Research Journal, 43(5), 775–791. https://doi.org/10.1002/berj.3280

Windish, D. M. (2000). Teaching medical students reasoning skills. Academic Medicine, 75(1), 90. https://doi.org/10.1097/00001888-200001000-00022

Publicado

20/12/2025

Como Citar

Al-Bader, A. bin A. (2025). De barreiras a facilitadores: explorando os facilitadores do pensamento crítico na graduação em medicina. Revista on Line De Política E Gestão Educacional, 29(esp4), e025098. https://doi.org/10.22633/rpge.v29iesp4.20767