EDUCAÇÃO A DISTÂNCIA NA FORMAÇÃO EM SAÚDE
EVIDÊNCIAS SOBRE APRENDIZAGEM CLÍNICA, ÉTICA E HUMANIZAÇÃO
Keywords:
Formação em saúde, Aprendizagem clínica, Ética, Humanização, Tecnologia educacionalAbstract
A Educação a Distância (EAD) vem transformando profundamente a forma como o conhecimento é produzido, compartilhado e experienciado nas ciências da saúde. O advento das Tecnologias Digitais de Informação e Comunicação (TDICs) e o fortalecimento das metodologias ativas de ensino abriram espaço para um novo paradigma formativo, no qual o estudante deixa de ser receptor passivo de informações e assume o papel de protagonista da própria aprendizagem. No contexto da formação em saúde, essa transição impõe um desafio essencial: como conciliar a eficiência tecnológica com os valores éticos, humanos e clínicos que fundamentam o cuidado em saúde? Este artigo de revisão tem como objetivo analisar, de forma crítica e abrangente, as evidências científicas sobre o impacto da EAD na formação de profissionais da saúde, com ênfase na aprendizagem clínica, na ética profissional e na humanização do cuidado. O estudo foi conduzido a partir de uma revisão narrativa da literatura (2018–2025), em bases como SciELO, PubMed, ERIC e LILACS. Os resultados apontam que a EAD, quando sustentada por estratégias pedagógicas ativas e mediada por docentes preparados para o diálogo, é capaz de promover o desenvolvimento de competências clínicas, éticas e socioemocionais. A flexibilidade temporal e espacial da EAD permite democratizar o acesso à formação, fortalecer a interdisciplinaridade e ampliar a sensibilidade para o cuidado humanizado. Por outro lado, persistem desafios relativos à infraestrutura tecnológica, à mediação pedagógica empática e à integração entre experiências virtuais e práticas presenciais. Conclui-se que a EAD representa um campo fértil de inovação pedagógica na formação em saúde, desde que orientada por princípios éticos e humanísticos e por práticas avaliativas reflexivas. A tecnologia, nesse contexto, deve ser compreendida como meio, e não como fim, para a construção de sujeitos críticos, autônomos e comprometidos com o cuidado integral do outro.
References
ABDULL MUTALIB, Abdull Assyaqireen; MD. AKIM, Abdah; JAAFAR, Mohamad Hasif. A systematic review of health sciences students’ online learning during the COVID-19 pandemic. BMC Medical Education, [S. l.], v. 22, n. 1, p. 524, 2022. DOI: 10.1186/s12909-022-03579-1.
ALHARBI, Nouf Sulaiman et al. Interprofessional Education: A Systematic Review of Educational Methods in Postgraduate Health Professions Programs. The Clinical Teacher, [S. l.], v. 22, n. 4, 2025. DOI: 10.1111/tct.70114.
ALSHARARI, Abdalkarem Fedgash; SALIHU, Dauda; ALSHAMMARI, Farhan Faleh. Effectiveness of virtual clinical learning in nursing education: a systematic review. BMC Nursing, [S. l.], v. 24, n. 1, p. 432, 2025. DOI: 10.1186/s12912-025-03076-y.
ANDRADE, José Raul de Brito et al. Virtual simulations for health education: how are user skills assessed? Revista Brasileira de Educação Médica, [S. l.], v. 46, n. 4, 2022. DOI: 10.1590/1981-5271v46.4-20210389.ing.
ANTONIO GOMES XAVIER, Marcos; CRISTINE NOVAES SUCENA DE ALMEIDA, Daniele; VICTOR RODRIGUES DE CARVALHO, Paulo; JATOBÁ, Alessandro. Humanização na educação a distância nos contextos socioemocionais e socioconstrutivistas. Revista EDaPECI, [S. l.], v. 24, n. 2, p. 95–113, 2024. DOI: 10.29276/redapeci.2024.24.220230.95-113.
ARYEE, Gifty Francisca Ben et al. Effectiveness of eLearning programme for capacity building of healthcare professionals: a systematic review. Human Resources for Health, [S. l.], v. 22, n. 1, p. 60, 2024. DOI: 10.1186/s12960-024-00924-x.
ATWA, Hani et al. Evaluation of an online interprofessional course on ethics and professionalism: experience of medical, dental, and pharmacy students. Frontiers in Education, [S. l.], v. 8, 2024. DOI: 10.3389/feduc.2023.1338321.
BAGHBANI, Reza et al. Comparison of the effectiveness of the electronic portfolio and online discussion forum methods in teaching professional belonging and ethical behaviors to nursing students: a randomized controlled trial. BMC Medical Education, [S. l.], v. 22, n. 1, p. 618, 2022. DOI: 10.1186/s12909-022-03677-0.
BRASIL. DECRETO Nº 9.057, DE 25 DE MAIO DE 2017. Brasília, DF: Presidência da República, 26 maio 2017.
BRASIL. Política Nacional de Humanização (PNH): documento-base para gestores e trabalhadores do SUS. Distrito Federal: Núcleo Técnico da PNH, 2024.
CARROLL, Johanna S.; NAJAFI, Hedieh; STEINER, Martina. Evaluating the effectiveness of virtual laboratory simulations for graduate‐level training in genetic methodologies. Biochemistry and Molecular Biology Education, [S. l.], v. 53, n. 4, p. 422–432, 2025. DOI: 10.1002/bmb.21898.
CASADO, Javier G.; TARAZONA, Raquel; CORDERO, Hector. Implementation of LABSTER virtual lab in immunology for innovative teaching and improved learning in veterinary degree. Frontiers in Veterinary Science, [S. l.], v. 12, 2025. DOI: 10.3389/fvets.2025.1603469.
COLLINS, Kayla et al. The impact of interprofessional simulation experiences in occupational and physical therapy education: a qualitative study. Cadernos Brasileiros de Terapia Ocupacional, [S. l.], v. 29, 2021. DOI: 10.1590/2526-8910.ctoao2256.
CORTÉS-RODRÍGUEZ, Alda Elena et al. Role-Play versus Standardised Patient Simulation for Teaching Interprofessional Communication in Care of the Elderly for Nursing Students. Healthcare, [S. l.], v. 10, n. 1, p. 46, 2021. DOI: 10.3390/healthcare10010046.
DUARTE, Felipe de Souza et al. O impacto da pandemia da COVID-19 no ensino e aprendizagem de cursos acadêmicos da área da saúde. Research, Society and Development, [S. l.], v. 11, n. 16, p. e531111638669, 2022. DOI: 10.33448/rsd-v11i16.38669.
ELENDU, Chukwuka et al. The impact of simulation-based training in medical education: A review. Medicine, [S. l.], v. 103, n. 27, p. e38813, 2024. DOI: 10.1097/MD.0000000000038813.
ELLAWAY, Rachel; MACLEOD, Anna; VAN SCHALKWYK, Susan; CLELAND, Jennifer. Study the past if you would define the future: Historical methods in medical education scholarship. Medical Education, [S. l.], v. 59, n. 8, p. 823–832, 2025. DOI: 10.1111/medu.15621.
GONZALEZ-MORENO, María; MONFORT-VINUESA, Carlos; PIÑAS-MESA, Antonio; RINCON, Esther. Digital Technologies to Provide Humanization in the Education of the Healthcare Workforce: A Systematic Review. Technologies, [S. l.], v. 11, n. 4, p. 88, 2023. DOI: 10.3390/technologies11040088.
GRAINGER, Rebecca; LIU, Qian; GLADMAN, Tehmina. Learning technology in health professions education: Realising an (un)imagined future. Medical Education, [S. l.], v. 58, n. 1, p. 36–46, 2024. DOI: 10.1111/medu.15185.
GUO, Kaihua et al. Cultivation of humanistic values in medical education through anatomy pedagogy and gratitude ceremony for body donors. BMC Medical Education, [S. l.], v. 20, n. 1, p. 440, 2020. DOI: 10.1186/s12909-020-02292-1.
HAZRATI, Hakimeh et al. Humanism in clinical education: a mixed methods study on the experiences of clinical instructors in Iran. Philosophy, Ethics, and Humanities in Medicine, [S. l.], v. 15, n. 1, p. 5, 2020. DOI: 10.1186/s13010-020-00088-1.
IONESCU, Claudiu Gabriel; LICU, Monica. Ethical use of digital tools in medicine - a review on key-concepts and challenges. In: PROCEEDINGS OF THE INTERNATIONAL CONFERENCE ON VIRTUAL LEARNING - VIRTUAL LEARNING - VIRTUAL REALITY (20TH EDITION), 2025, Bucareste. Anais [...]. Bucareste: The National Institute for Research & Development in Informatics - ICI Bucharest (ICI Publishing House), 2025. p. 255–265. DOI: 10.58503/icvl-v20y202521.
JUUJÄRVI, Soile; MYYRY, Liisa. Online dilemma discussions as a method of enhancing moral reasoning among health and social care graduate students. International Journal of Ethics Education, [S. l.], v. 7, n. 2, p. 271–287, 2022. DOI: 10.1007/s40889-022-00143-9.
KONONOWICZ, Andrzej A. et al. Virtual Patient Simulations in Health Professions Education: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration. Journal of Medical Internet Research, [S. l.], v. 21, n. 7, p. e14676, 2019. DOI: 10.2196/14676.
LEBDAI, Souhil et al. Improving Academic Performance in Medical Students Using Immersive Virtual Patient Simulation: A Randomized Controlled Trial. Journal of Surgical Education, [S. l.], v. 78, n. 2, p. 478–484, 2021. DOI: 10.1016/j.jsurg.2020.08.031.
LEES, Jessica; RISǾR, Torsten; SWEET, Linda; BEARMAN, Margaret. Digital technology in physical examination teaching: clinical educators’ perspectives and current practices. Advances in Health Sciences Education, [S. l.], v. 30, n. 4, p. 1199–1215, 2025. DOI: 10.1007/s10459-024-10401-8.
LEMKE, Kelly C. et al. Simulation interprofessional education in health professions education: a scoping review protocol. JBI Evidence Synthesis, [S. l.], v. 19, n. 11, p. 3058–3072, 2021. DOI: 10.11124/JBIES-20-00487.
LI, Kaiyue et al. Virtual simulation experiments in medical education: technology acceptance, learning outcomes, and motivational impacts. BMC Medical Education, [S. l.], v. 25, n. 1, p. 1462, 2025. DOI: 10.1186/s12909-025-08025-6.
MACNEILL, Heather; MASTERS, Ken; NEMETHY, Kataryna; CORREIA, Raquel. Online learning in Health Professions Education. Part 1: Teaching and learning in online environments: AMEE Guide No. 161. Medical Teacher, [S. l.], v. 46, n. 1, p. 4–17, 2024. DOI: 10.1080/0142159X.2023.2197135.
MASTOUR, Haniye; YOUSEFI, Razieh; NIROUMAND, Shabnam. Exploring the acceptance of e-learning in health professions education in Iran based on the technology acceptance model (TAM). Scientific Reports, [S. l.], v. 15, n. 1, p. 8178, 2025. DOI: 10.1038/s41598-025-90742-5.
MCLEOD, Saul. Teoria do Desenvolvimento Cognitivo de Vygotsky. SimplyPsychology, 2025.
MCNULTY, Jonathan P.; POLITIS, Yurgos. Empathy, emotional intelligence and interprofessional skills in healthcare education. Journal of Medical Imaging and Radiation Sciences, [S. l.], v. 54, n. 2, p. 238–246, 2023. DOI: 10.1016/j.jmir.2023.02.014.
MENDES, Rosana Maria; MISKULIN, Rosana Giaretta Sguerra. A análise de conteúdo como uma metodologia. Cadernos de Pesquisa, [S. l.], v. 47, n. 165, p. 1044–1066, 2017. DOI: 10.1590/198053143988.
MERGEN, Marvin; GRAF, Norbert; MEYERHEIM, Marcel. Reviewing the current state of virtual reality integration in medical education - a scoping review. BMC Medical Education, [S. l.], v. 24, n. 1, p. 788, 2024. DOI: 10.1186/s12909-024-05777-5.
NEWMAN, Laura. Bodies of knowledge: historians, health and education. History of Education, [S. l.], v. 52, n. 2–3, p. 479–494, 2023. DOI: 10.1080/0046760X.2022.2112767.
NOWELL, Lorelli et al. A systematic review of online education initiatives to develop students remote caring skills and practices. Medical Education Online, [S. l.], v. 27, n. 1, 2022. DOI: 10.1080/10872981.2022.2088049.
O’DOHERTY, Diane et al. Barriers and solutions to online learning in medical education – an integrative review. BMC Medical Education, [S. l.], v. 18, n. 1, p. 130, 2018. DOI: 10.1186/s12909-018-1240-0.
PADILHA, José Miguel et al. Clinical Virtual Simulation in Nursing Education: Randomized Controlled Trial. Journal of Medical Internet Research, [S. l.], v. 21, n. 3, p. e11529, 2019. DOI: 10.2196/11529.
PADILHA, José Miguel; COSTA, Patrício; SOUSA, Paulino; FERREIRA, Ana. The integration of virtual patients into nursing education. Simulation & Gaming, [S. l.], v. 56, n. 2, p. 178–191, 2025. DOI: 10.1177/10468781241300237.
PESCE, Lucila; BRUNO, Adriana Rocha; HESSEL, Ana Maria Di Grado. Paulo Freire e cultura digital. Revista e-curriculum, [S. l.], v. 21, p. e61429, 2023. DOI: 10.23925/1809-3876.2023v21e61429.
PROSEN, Mirko; LIČEN, Sabina. Evaluating the digital transformation in health sciences education: a thematic analysis of higher education teachers’ perspectives. BMC Medical Education, [S. l.], v. 25, n. 1, p. 820, 2025. DOI: 10.1186/s12909-025-07420-3.
PUCILLO, Evan M.; PEREZ, Gabriela; PILGRIM, Leiselle. Faculty perceptions of health professional students’ hybrid-online learning strategies: A multi-center qualitative study. Health Professions Education, [S. l.], v. 9, n. 2, p. 1–8, 2023. DOI: 10.55890/2452-3011.1040.
QU, Zhifei et al. The effect of simulated problem learning in nursing ethics on moral sensitivity, empathy and critical thinking of nursing students: A quasi-experimental study. Nurse Education in Practice, [S. l.], v. 80, p. 104119, 2024. DOI: 10.1016/j.nepr.2024.104119.
RAMVI, Ellen et al. Ethics of care in technology‐mediated healthcare practices: A scoping review. Scandinavian Journal of Caring Sciences, [S. l.], v. 37, n. 4, p. 1123–1135, 2023. DOI: 10.1111/scs.13186.
RODRIGUES, Nathiany Damasceno et al. O impacto das simulações realísticas com pacientes virtuais na formação dos alunos de medicina do CESUPA. Research, Society and Development, [S. l.], v. 12, n. 8, p. e12412842981, 2023. DOI: 10.33448/rsd-v12i8.42981.
ROSA DOS SANTOS JUNIOR, Getúlio et al. Simulação realí¬stica no contexto da Educação Interprofissional. Saúde Coletiva (Barueri), [S. l.], v. 11, n. 65, p. 6110–6119, 2021. DOI: 10.36489/saudecoletiva.2021v11i65p6110-6119.
SANTOS ALBUQUERQUE, Emmanuele et al. A Polí¬tica Nacional de Humanização e a formação dos profissionais de saúde. Saúde Coletiva (Barueri), [S. l.], v. 10, n. 59, p. 4172–4183, 2020. DOI: 10.36489/saudecoletiva.2020v10i59p4172-4183.
SEED AHMED, Mohammed et al. Remote online learning reimagined: perceptions and experiences of medical students in a post-pandemic world. BMC Medical Education, [S. l.], v. 25, n. 1, p. 215, 2025. DOI: 10.1186/s12909-025-06815-6.
SILVA, Ana Carolina de Moraes; SEI, Maíra Bonafé. Humanização na Formação Acadêmica em Saúde: Perspectiva de Egressos de um Projeto de Extensão. Revista Psicologia e Saúde, [S. l.], p. 3–18, 2021. DOI: 10.20435/pssa.v13i3.1269.
SIM, Jia Jia Marcia et al. Virtual Simulation to Enhance Clinical Reasoning in Nursing: A Systematic Review and Meta-analysis. Clinical Simulation in Nursing, [S. l.], v. 69, p. 26–39, 2022. DOI: 10.1016/j.ecns.2022.05.006.
SOILIS, Niki; BHANJI, Farhan; KINSELLA, Elizabeth Anne. Virtual reality simulation for facilitating critical reflection and transformative learning: pedagogical, practical, and ethical considerations. Advances in Simulation, [S. l.], v. 9, n. 1, p. 49, 2024. DOI: 10.1186/s41077-024-00319-x.
SUNG, Hyunkyung et al. Effectiveness of Virtual Reality in Healthcare Education: Systematic Review and Meta-Analysis. Sustainability, [S. l.], v. 16, n. 19, p. 8520, 2024. DOI: 10.3390/su16198520.
TANG, Yuk Ming et al. A systematic review of immersive technology applications for medical practice and education - Trends, application areas, recipients, teaching contents, evaluation methods, and performance. Educational Research Review, [S. l.], v. 35, p. 100429, 2022. DOI: 10.1016/j.edurev.2021.100429.
TAVANI, Fatemeh Molaei et al. The effects of e-learning using educational multimedia on the ethical decision-making and professionalism of nursing students during the COVID-19 pandemic: a quasi-experimental study. BMC Medical Education, [S. l.], v. 24, n. 1, p. 1232, 2024. DOI: 10.1186/s12909-024-05846-9.
TSIRULNIKOV, Danielle et al. Game on: immersive virtual laboratory simulation improves student learning outcomes & motivation. FEBS Open Bio, [S. l.], v. 13, n. 3, p. 396–407, 2023. DOI: 10.1002/2211-5463.13567.
TURKOWSKI, Yana; TURKOWSKI, Victor. Florence Nightingale (1820-1910): The Founder of Modern Nursing. Cureus, [S. l.], 2024. DOI: 10.7759/cureus.66192.
VALLE, Paulo Roberto Dalla; FERREIRA, Jacques de Lima. ANÁLISE DE CONTEÚDO NA PERSPECTIVA DE BARDIN: CONTRIBUIÇÕES E LIMITAÇÕES PARA A PESQUISA QUALITATIVA EM EDUCAÇÃO. Educação em Revista, [S. l.], v. 41, 2025. DOI: 10.1590/0102-469849377.
VARGAS, Francisca Maria de Almeida et al. A educação a distância na qualificação de profissionais para o Sistema Único De Saúde: metaestudo. Trabalho, Educação e Saúde, [S. l.], v. 14, n. 3, p. 849–870, 2016. DOI: 10.1590/1981-7746-sol00018.
VAYENA, Effy et al. Digital health: meeting the ethical and policy challenges. Swiss Medical Weekly, [S. l.], v. 148, n. 0304, p. w14571, 2018. DOI: 10.4414/smw.2018.14571.
VIEIRA, Márcia de Freitas. Pedagogia de Paulo Freire e tecnologias digitais na educação. Tecnologias, Sociedade e Conhecimento, [S. l.], v. 8, n. 2, p. e0240025-47, 2021. DOI: 10.20396/tsc.v8i2.15932.
WONG, Paul J. et al. Student Use of Digital Patient Cases May Improve Performance in a Pharmacy Cardiovascular Therapeutics Course. Pharmacy, [S. l.], v. 13, n. 2, p. 31, 2025. DOI: 10.3390/pharmacy13020031.
WOO, Younghee; REEVES, Thomas C. Meaningful interaction in web-based learning: A social constructivist interpretation. The Internet and Higher Education, [S. l.], v. 10, n. 1, p. 15–25, 2007. DOI: 10.1016/j.iheduc.2006.10.005.
YAHYA, Lahoucine Ben et al. Immersive simulation in nursing and midwifery education: a systematic review. Journal of Educational Evaluation for Health Professions, [S. l.], v. 21, p. 19, 2024. DOI: 10.3352/jeehp.2024.21.19.
ZARIF, Azmaeen. The ethical challenges facing the widespread adoption of digital healthcare technology. Health and Technology, [S. l.], v. 12, n. 1, p. 175–179, 2022. DOI: 10.1007/s12553-021-00596-w.
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