Response to college students’ mental health needs: a rapid review
DOI:
https://doi.org/10.11606/s1518-8787.2021055003363Keywords:
Students, Health Occupations, Student Health Services, Mental Health, ReviewAbstract
OBJECTIVE To present strategic options to support the adoption of mental health strengthening policies for university students in the field of health, to be implemented by university institutions. METHODS Rapid review, without period delimitation, with searches carried out from May to June 2020, in 21 sources of bibliographic data, including gray literature. The following keywords were used: mental health, students and university. The selection process prioritized systematic reviews of mental health interventions for university students in health care courses, and also considered other types of review and relevant primary studies. RESULTS Forty-five studies were included: 34 systematic reviews, an evidence synthesis, an overview, a scope review, three narrative reviews, three experience reports and two opinion articles. The evidence from these studies supported the development of four options: 1) to establish and support policies to strengthen the mental health of students in health care courses; 2) to integrate mental health care programs, expand their offer and facilitate access by students; 3) to promote educational programs and communication strategies related to contemporary psychic suffering and its confrontation, so that students can get to know the services and resources and identify strengthening practices; 4) to continuously monitor and assess the mental health needs of students in health care courses. CONCLUSIONS The options are challenging and require universities to establish institutional commissions to implement a policy to strengthen the mental health of university students in the health area, with the ability to recognize the different health needs, including manifestations of psychic suffering ; to integrate the university’s internal actions with each other and with the services of the Unified Health System; to implement and monitor the actions that make up the mental health policy.
References
World Health Organization. Preventing suicide: a global imperative executive summary. Geneva (CH): WHO; 2014 [citado 22 out 2020]. Disponível em: https://www.who.int/mental_health/suicide-prevention/exe_summary_english.pdf?ua=1
World Health Organization. Mental health atlas 2017. Geneva (CH): WHO; 2018 [citado 22 out 2020]. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/272735/9789241514019-eng.pdf?ua=1
Souza M, Caldas T, De Antoni C. Fatores de adoecimento dos estudantes da área da saúde: uma revisão sistemática. Rev Psicol Saude Debate. 2017;3(1):99-126. https://doi.org/10.22289/2446-922X.V3N1A8
Costa MC, Moreira YB. Saúde mental no contexto universitário. Semin Ensino Design. 2016;2(10):73-9. https://doi.org/10.5151/despro-sed2016-009
Gomes CFM, Pereira Junior RJ, Cardoso JV, Silva DA. Common mental disorders in university students: epidemiological approach about vulnerabilities. SMAD Rev Eletron Saude Ment Alcool Drogas. 2020;16(1):1-8. https://doi.org/10.11606//issn.1806-6976.smad.2020.157317
Fernandes MA, Vieira FER, Silva JS, Avelino FVSD, Santos JDM. Prevalence of anxious and depressive symptoms in college students of a public institution. Rev Bras Enferm. 2018;71 Suppl 5:2169-75. https://doi.org/10.1590/0034-7167-2017-0752
Bleicher T, Oliveira RCN. Políticas de assistência estudantil em saúde nos institutos e universidades federais. Psicol Esc Educ. 2016;20(3):543-9. https://doi.org/10.1590/2175-3539201502031040
Carvalho EA, Bertolini SMMG, Milani RG, Martins MC. Índice de ansiedade em universitários ingressantes e concluintes de uma instituição de ensino superior. Cienc Cuid Saude. 2015;14(3):1290-8. https://doi.org/10.4025/cienccuidsaude.v14i3.23594
Evans TM, Bira L, Gastelum JB, Weiss LT, Vanderford NL. Evidence for a mental health crisis in graduate education: Nat Biotechnol. 2018;36(3):282-4. https://doi.org/10.1038/nbt.4089
Auerbach RP, Mortier P, Bruffaerts R, Alonso J, Benjet C, Cuijpers P, et al; WHO WMH-ICS Collaborators. WHO World Mental Health Surveys International College Student Project: prevalence and distribution of mental disorders. J Abnorm Psychol. 2018;127(7):623-38. https://doi.org/10.1037/abn0000362
Graner KM, Cerqueira ATAR. Revisão integrativa: sofrimento psíquico em estudantes universitários e fatores associados. Cienc Saude Coletiva. 2019;24(4):1327-46. https://doi.org/10.1590/1413-81232018244.09692017
Fórum Nacional de Pró-Reitores de Assuntos Comunitários e Estudantis. IV Pesquisa do perfil socioeconômico e cultural dos estudantes de graduação das instituições federais de ensino superior brasileiras - 2014. Uberlândia, MG: Fonaprace; 2016 [citado 22 out 2020]. Disponível em: http://www.andifes.org.br/wp-content/uploads/2017/11/Pesquisa-de-Perfi l-dos-Graduansodas-IFES_2014.pdf
Cerchiari EAN, Caetano D, Faccenda O. Prevalência de transtornos mentais menores em estudantes universitários. Estud Psicol. 2005;10(3):413-20. https://doi.org/10.1590/S1413-294X2005000300010
Viana GM, Silva TG, Oliveira CT, Castro MFR, Carreiro DL, Coutinho LTM, et al. Relação entre Síndrome de Burnout, ansiedade e qualidade de vida entre estudantes de Ciências da Saúde. Rev Univ Vale Rio Verde. 2014;12(1):876-85. https://doi.org/10.5892/ruvrd.v12i1.1471
Rocha ES, Sassi AP. Transtornos mentais menores entre estudantes de medicina. Rev Bras Educ Med. 2013;37(2):210-6. http://www.scielo.br/pdf/rbem/v37n2/08.pdf
Esperidião E, Barbosa JA, Silva NS, Munari DB. A saúde mental do aluno de Enfermagem: revisão integrativa da literatura. SMAD Rev Eletron Saude Ment Alcool Drogas. 2013;9(3):144-53. https://doi.org/10.11606/issn.1806-6976.v9i3p144-153
Silva ARS, Silva AL, Bezerra MPM, Mendes MLM, Santos IN. Estudo do estresse na graduação de enfermagem: revisão integrativa de literatura. Cad Grad Cienc Biol Saude. 2015 [citado 22 out 2020];2(3):75-86. Disponível em: https://periodicos.set.edu.br/index.php/facipesaude/article/view/3211/2082
Cuijpers P, Auerbach RP, Benjet C, Bruffaerts R, Ebert D, Karyotaki E, Kessler RC. Introduction to the special issue: The WHO World Mental Health International College Student (WMH-ICS) initiative. Int J Methods Psychiatr Res. 2019;28(2):e1762. https://doi.org/10.1002/mpr.1762
Tricco AC, Langlois EV, Straus SE, editors. Rapid reviews to strengthen health policy and systems: a practical guide. Geneva (CH): World Health Organization; 2017 [citado 22 out 2020]. Licence: CC BY-NC-SA 3.0 IGO. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/258698/9789241512763-eng.pdf?sequence=1
The World Bank. World Bank Country and Lending Groups. Washington, DC; 2020 [cited 2021 Nov 29]. Available from: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups
Shea BJ, Grimshaw JM, Wells GA, Boers M, Andersson N, Hamel C, et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol. 2007;7:10. https://doi.org/10.1186/1471-2288-7-10
McArthur A, Klugarova J, Yan H, Florescu S. Innovations in the systematic review of text and opinion. Int J Evid Based Healthc. 2015;13(3):188-95. https://doi.org/10.1097/XEB.0000000000000060
Center for Evidence Based Management. Critical appraisal checklist for a qualitative study. Leiden (NL): CEBMa; 2014 [citado 22 nov 2020) Disponível em: https://www.cebma.org/wp-content/uploads/Critical-Appraisal-Questions-for-a-Qualitative-Study.pdf
Baethge C, Goldbeck-Wood S, Mertens S. SANRA - a scale for the quality assessment of narrative review articles. Res Integr Peer Rev. 2019;4:5. https://doi.org/10.1186/s41073-019-0064-8
Aromataris E, Fernandez R, Godfrey CM, Holly C, Kahlil H, Tungpunkom P. Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach. Int J Evid Based Healthc. 2015;13(3):132-40. https://doi.org/10.1097/XEB.0000000000000055
Universidade Federal de Juiz de Fora. Critérios para avaliação de relatos de experiência. Juiz de Fora, MG: UFJF; 2014 [citado 1 nov 2020]. Disponível em https://www.ufjf.br/edfinanceira/files/2014/03/Crit%c3%a9rio-de-Avalia%c3%a7%c3%a3o-do-trabalhos.pdf
Ministério da Saúde (BR), Secretaria de Ciência, Tecnologia, Inovação e Insumos Estratégicos, Departamento de Ciência e Tecnologia. Diretriz metodológica: síntese de evidências para políticas. Brasília, DF; 2020 [citado 1 nov 2020]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/diretriz_sintese_evidencias_politicas.pdf
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097
Bleicher T. Criação de Política de Saúde Mental da Universidade Federal de São Carlos. Trabalho apresentado na Conferência sobre a Criação de Política de Saúde Mental da Universidade de São Carlos; jun 2018; Manaus, AM [citado 1 nov 2020]. Disponível em: https://www.researchgate.net/publication/325679239_CRIACAO_DE_POLITICA_DE_SAUDE_MENTAL_DA_UNIVERSIDADE_FEDERAL_DE_SAO_CARLOS
Metivier K. Envisioning higher education as antiracist. Inside Higher Ed (Washington, DC). 2020 Jul 2 [citado 7 set 2020]. Disponível em: https://www.insidehighered.com/views/2020/07/02/actions-higher-ed-institutions-should-take-help-eradicate-racism-opinion
Harrod CS, Goss CW, Stallones L, Diguiseppi C. Interventions for primary prevention of suicide in university and other post-secondary educational settings. Cochrane Database Syst Rev. 2014;10:CD009439. https://doi.org/10.1002/14651858.CD009439.pub2
Fernandez A, Howse E, Rubio-Valera M, Thorncraft K, Noone J, Luu X, et al. Setting-based interventions to promote mental health at the university: a systematic review. Int J Public Health. 2016;61(7):797-807. https://doi.org/10.1007/s00038-016-0846-4
Tamboly S, Gauvin FP. Issue brief: addressing student mental health needs at McMaster University. Hamilton (CA): McMaster Health Forum; 10 April 2013 [citado 22 out 2020]. Disponível em: https://macsphere.mcmaster.ca/bitstream/11375/14872/1/fulltext.pdf
Livingston JD, Milne T, Fang ML, Amari E. The effectiveness of interventions for reducing stigma related to substance use disorders: a systematic review. Addiction. 2012;107(1):39-50. https://doi.org/10.1111/j.1360-0443.2011.03601.x
Giralt-Palou R, Prat-Vigué G, Tort-Nasarre G. Attitudes and stigma toward mental health in nursing students: a systematic review. Perspect Psychiatr Care 2019;56(2):243-55. https://doi.org/10.1111/ppc.12419
Yamaguchi S, Wu SI, Biswas M, Yate M, Aok Y, Barley EA, et al. Effects of short-term interventions to reduce mental health-related stigma in university or college students: a systematic review. J Nerv Ment Dis. 2013;201(6):490-503. https://doi.org/10.1097/NMD.0b013e31829480df
Heim E, Henderson C, Kohrt BA, Koschorke M, Milenova M, Thornicroft G. Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review. Epidemiol Psychiatr Sci. 2019;29:e28. https://doi.org/10.1017/S2045796019000167
Leckey J. The therapeutic effectiveness of creative activities on mental well-being: a systematic review of the literature. J Psychiatr Ment Health Nurs. 2011;18(6):501-9. https://doi.org/10.1111/j.1365-2850.2011.01693.x
Mansfield L, Kay T, Meads C, Grigsby-Duffy L, Lane J, Alistair J, et al. Sport and dance interventions for healthy young people (15-24 years) to promote subjective well-being: a systematic review. BMJ Open. 2018;8(7):e020959. https://doi.org/10.1136/bmjopen-2017-020959
Meredith GR, Rakow DA, Eldermire ERB, Madsen CG, Shelley SP, Sachs NA. Minimum time dose in nature to positively impact the mental health of college-aged students, and how to measure it: a scoping review. Front. Psychol. 2020;10:2942. https://doi.org/10.3389/fpsyg.2019.02942
Labrague LJ, McEnroe-Petitte DM, Gloe D, Thomas L, Papathanasiou IV, Tsaras K. A literature review on stress and coping strategies in nursing students. J Ment Health. 2017;26(5):471-80. https://doi.org/10.1080/09638237.2016.1244721
Shiralkar MT, Harris TB, Eddins-Folensbee FF, Coverdale JH. A systematic review of stress-management programs for medical students. Acad Psychiatry. 2013;37(3):158-64 https://doi.org/10.1176/appi.ap.12010003
Cordeiro L, Cavalcanti BSG, Campos CMS, Kehl TM, Soares CB, Martins VLS. Ensino sobre drogas psicoativas e redução de danos emancipatória: proposta de disciplina para graduação, na perspectiva da Saúde Coletiva. Rev Sociol Rede. 2016 [citado 7 set 2020];6(6):272-87. Disponível em: https://www.researchgate.net/publication/310572456_Ensino_sobre_drogas_psicoativas_e_reducao_de_danos_emancipatoria_proposta_de_disciplina_para_graduacao_na_perspectiva_da_Saude_Coletiva
Cromlish A. Reframing solutions to mental health in higher education. Essays Educ. 2020 [citado 7 set 2020];25:2. Disponível em: https://openriver.winona.edu/eie/vol25/iss1/2
Bakker EJM, Kox JHAM, Boot CRL, Francke AL, Beek AJ, Roelofs PDDM. Improving mental health of student and novice nurses to prevent dropout: a systematic review. J Adv Nurs. 2020:76(10):2494-509. https://doi.org/10.1111/jan.14453
Witt K, Boland A, Lamblin M, McGorry PD, Veness B, Cipriani A, et al. Effectiveness of universal programmes for the prevention of suicidal ideation, behaviour and mental ill health in medical students: a systematic review and meta-analysis. Evid Based Ment Health. 2019;22(2):84-90. https://doi.org/10.1136/ebmental-2019-300082
El-Den S, Moles R, Choong HJ; O'Reilly C. Mental Health First Aid training and assessment among university students: a systematic review. J Am Pharm Assoc. 2020;60(5):E81-95. https://doi.org/10.1016/j.japh.2019.12.017
Okanlawon K. Homophobia in Nigerian schools and universities: victimization, mental health issues, resilience of the LGBT students and support from Straight Allies. a literature review. J LGBT Youth. 2021;18(4):327-59. https://doi.org/10.1080/19361653.2020.1749211
Maito DC, Panúncio-Pinto MP, Severi FC, Vieira EM. Construção de diretrizes para orientar ações institucionais em casos de violência de gênero na universidade. Interface (Botucatu). 2019;23:e180653. https://doi.org/10.1590/interface.180653
Regehr C, Glancy D, Pitts Al. Interventions to reduce stress in university students: a review and meta-analysis. J Affect Disord. 2013;148(1):1-11. https://doi.org/10.1016/j.jad.2012.11.026
Bamber MD, Morpeth E. Effects of mindfulness meditation on college student anxiety: a meta‐analysis. Mindfulness. 2019;10(2);203-14. https://doi.org/10.1007/s12671-018-0965-5
Huang J, Nigatu YT, Smail-Crevier R, Zhang X, Wang J. Interventions for common mental health problems among university and college students: a systematic review and meta-analysis of randomized controlled trials. J Psychiatr Res. 2018:107:1-10. https://doi.org/10.1016/j.jpsychires.2018.09.018
Winzer R, Lindberg L, Guldbrandsson K, Sidorchuk A. Effects of mental health interventions for students in higher education are sustainable over time: a systematic review and meta-analysis of randomized controlled trials. Peer J. 2018;6:e4598. https//doi.org/10.7717/peerj.4598
Chen D, Sun W, Liu N, Wang J, Guo P, Zhang X, et al. Effects of nonpharmacological interventions on depressive symptoms and depression among nursing students: a systematic review and meta-analysis. Complement Ther Clin Pract. 2019;34:217-28. https://doi.org/10.1016/j.ctcp.2018.12.011
Dawson AF, Brown WW, Anderson J, Datta B, Donald JN, Hong K, et al. Mindfulness-based interventions for university students: a systematic review and meta-analysis of randomised controlled trials. Appl Psychol Health Well Being. 2020;12(2); 384-410. https://doi.org/10.1111/aphw.12188
González-Valero G, Zurita-Ortega F, Ubago-Jiménez JL, Puertas-Molero P. Use of meditation and cognitive behavioral therapies for the treatment of stress, depression and anxiety in students. a systematic review and meta-analysis. Int J Environ Res Public Health. 2019;16(22):4394. https://doi.org/10.3390/ijerph16224394
Li C, Yin H, Zhao J, Shang B, Hu M, Zhang P, et al. Interventions to promote mental health in nursing students: a systematic review and meta-analysis of randomized controlled trials. J Adv Nurs. 2018;74 (12):2727-41. https://doi.org/10.1111/jan.13808
Fu Z, Zhou S, Burguer H, Bockting CLH, Williams AD. Psychological interventions for depression in Chinese university students: a systematic review and meta-analysis. J Affect Disord. 2020;262:440-50. https://doi.org/10.1016/j.jad.2019.11.058
Conley CS, Durlak JA, Kirch AC. A meta-analysis of universal mental health prevention programs for higher education students. Prev Sci. 2015;16(4):487-507. https://doi.org/10.1007/s11121-015-0543-1
Ghilardi A, Buizza C, Carobbio EM, Lusenti R. Detecting and managing mental health issues within young adults. a systematic review on college counselling in Italy. Clin Pract Epidemiol Ment Health. 2017;13:61-70. https://doi.org/10.2174/1745017901713010061
Amanvermez Y, Rahmadiana M, KaryotakI E, Wit L, Ebert DD, Kessler RC, et al. Stress management interventions for college students: a systematic review and meta‐analysis. Clin Psychol Sci [Early View] [postado 22 maio 2020]. https://doi.org/10.1111/cpsp.12342
Conley CS, Shapiro JB, Kirch AC, Durlak JA. A meta-analysis of indicated mental health prevention programs for at-risk higher education students. J Couns Psychol. 2017;64(2):121-40. https://doi.lorg/10.1037/cou0000190
Dietz P, Reichel JL, Edelmann D, Werner AM, Tibubos AN, Schäfer M, et al. A systematic umbrella review on the epidemiology of modifiable health influencing factors and on health promoting interventions among university students. Front Public Health. 2020;8:137. https://doi.org/10.3389/fpubh.2020.00137
Reid AE, Carey KB. Interventions to reduce college student drinking: state of the evidence for mechanisms of behavior change. Clin Psychol Rev. 2015;40:213-24. https://doi.org/10.1016/j.cpr.2015.06.006
Reavley N, Jorm AF. Prevention and early intervention to improve mental health in higher education students: a review. Early Interv Psychiatry. 2010;4(2):132-42. https://doi.org/10.1111/j.1751-7893.2010.00167.x
Samson JE, Tanner-Smith EE. Single-session alcohol interventions for heavy drinking college students: a systematic review and meta-analysis. J Stud Alcohol Drugs. 2015;76(4):530-43. https://doi.org/10.15288/jsad.2015.76.530
Bolinski F, Boumparis N, Kleiboer A, Cuijpers P, Ebert DD, Ripper H. The effect of e-mental health interventions on academic performance in university and college students: a meta-analysis of randomized controlled trials. Internet Interv. 2020;20:100321. https://doi.org/10.1016/j.invent.2020.100321
Gulliver A, Farrer L, Chan JKY, Tait RJ, Bennett K, Calear A, et al. Technology-based interventions for tobacco and other drug use in university and college students: a systematic review and meta-analysis. Addict Sci Clin Pract. 2015;10:5. https://doi.org/10.1186/s13722-015-0027-4
Khadjesari Z, Murray E, Hewitt C, Hartley S, Godfrey C. Can stand-alone computer-based interventions reduce alcohol consumption? A systematic review. Addiction. 2011;106(2):267-82. https://doi.org/10.1111/j.1360-0443.2010.03214.x
Conley CS, Durlak JA, Shapiro JB, Kirsch AC, Zahniser E. A meta-analysis of the impact of universal and indicated preventive technology-delivered interventions for higher education students. Prev Sci. 2016;17(6):659-78. https://doi.org/10.1007/s11121-016-0662-3
Harrer M, Adam SH, Baumeister H, Cuijpers P, Karyotaki E, Auerbach RP, et al. Internet interventions for mental health in university students: a systematic review and meta-analysis. Int J Methods Psychiatr Res. 2019;28:e1759. https://doi.lorg/10.1002/mpr.1759
Johnson kF, Kalkbrenner MT. The utilization of technological innovations to support college student mental health: Mobile Health Communication. J Technol Hum Serv. 2017;35(4):314-39. https://doi.org/10.1080/15228835.2017.1368428
Faculdade de Odontologia da Universidade de São Paulo. Grupo de Apoio ao Estudante. São Paulo; 2020 [citado 22 nov 2020]. Disponível em: http://www.fo.usp.br/?page_id=13852
Leonello VM, Campos CMS, Sigaud CHS, Toriyama ATM, Nogueira PC. Acompanhamento dos estudantes pela Comissão Coordenadora do Curso de Enfermagem da Universidade de São Paulo. Rev Grad USP. 2018;3(2):119-21. https://doi.org/10.11606/issn.2525-376X.v3i2p119-121
Williams DR, Lawrence JA, Davis BA. Racism and health: evidence and needed research. Annu Rev Public Health. 2019;40:105‐25. https://doi.org/10.1146/annurev-publhealth-040218-043750
Araújo DP. “Inclusão com mérito” e as facetas do racismo institucional nas universidades estaduais de São Paulo. Rev Direito Prax. 2019;10(3):2182-213. https://doi.org/10.1590/2179-8966/2019/43879
Souza PGA, Pôrto ACCA, Souza A, Silva Júnior AG, Borges FT. Socio-economic and racial profile of medical students from a public university in Rio de Janeiro, Brazil. Rev Bras Educ Med. 2020;44(3):e090. https://doi.org/10.1590/1981-5271v44.3-20190111.ing
Campos CMS, Dias VFG, Otrenti E, Pascon DM, Meireles E, Mira VL. A study on the social reproduction conditions of nursing undergraduates of two universities in São Paulo. Rev Esc Enferm USP. 2020;54:e03570. https://doi.org/10.1590/s1980-220x2018052103570
Lima SO, Lima AMS, Barros ES, Varjão RL, Santos VF, Varjão LL, et al. Prevalência da depressão nos acadêmicos da área de saúde. Psicol Cienc Prof. 2019;39:e187530. https://doi.org/10.1590/1982-3703003187530
Mass LWD. Análise comparativa da base social da Medicina e Enfermagem no Brasil entre os anos de 2000 e 2010. Cad Saude Publica. 2018;34(3):e00199116. https://doi.org/10.1590/0102-311x00199116
Universidade Federal de São Carlos. Relatório da Comissão para Estudo de Política de Saúde Mental para a UFSCar. São Carlos, SP: UFSCar; 2020.
Bernardo MH. Produtivismo e precariedade subjetiva na universidade pública: o desgaste mental dos docentes. Psicol Soc. 2014;26 Nº Espec:129-39. https://doi.org/10.1590/S0102-71822014000500014
Teixeira TSC, Marqueze EC, Moreno CRC. Academic productivism: when job demand exceeds working time. Rev Saude Publica. 2020;54:117. https://doi.org/10.11606/s1518-8787.2020054002288
Linhart D. Modernisation et précarisation de la vie au travail. Papeles CEIC. 2009 [citado 22 nov 2020];1(43):1-19. Disponível em: https://www.researchgate.net/publication/26597371_Modernisation_et_precarisation_de_la_vie_au_travail
Woolston C. PhD poll reveals fear and joy, contentment and anguish. Nature. 2019 [citado 22 nov 2020];575:403-6. Disponível em: https://media.nature.com/original/magazine-assets/d41586-019-03459-7/d41586-019-03459-7.pdf
Costa EG, Nebel L. O quanto vale a dor? Estudo sobre a saúde mental de estudantes de pós-graduação no Brasil. Polis (Santiago). 2018;17(50):207-27. https://doi.org/10.4067/S0718-65682018000200207
Canaan JE. Resisting the English neoliberalising university: what critical pedagogy can offer? J Crit Educ Policy Stud. 2013 [citado 22 dez 2020];11(2):16-56. Disponivel em: http://www.jceps.com/wp-content/uploads/PDFs/11-2-02.pdf
Asher G. Working in, against and beyond the neoliberal university. Paper for SCUTREA 2015 [citado 1 nov 2020]. Disponível em: https://www.academia.edu/13925922/Working_in_against_and_beyond_the_neoliberal_university
Santos LRCS, Sampaio RJ. Crise social das instituições de ensino superior e a formação em saúde para o mercado. Saude Debate. 2017;41 Nº Espec 3:277-87. https://doi.org/10.1590/0103-11042017s321
Andrade KRC, Pereira MG. Tradução do conhecimento na realidade da saúde pública brasileira. Rev Saude Publica. 2020;54:72. https://doi.org/10.11606/s1518-8787.2020054002073
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