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护理沟通的人文方法:以一名住院青少年女性为例

[Humanistic approach to nursing communication: the case of a hospitalized adolescent female].

作者信息

Mendes I A, Trevizan M A, Nogueira M S, Hayashida M

机构信息

Seção de Apoio Laboratorial da EERP-USP.

出版信息

Rev Bras Enferm. 2000 Jan-Mar;53(1):7-13.

PMID:12138445
Abstract

Nursing is a profession committed to the promotion of human beings. It takes into consideration their freedom, uniqueness and dignity. Therefore, communication plays an important role within the nursing process and its results, and it is also a fundamental component of the treatment. However, in the context of Brazilian hospitals, communication between nurses and patients is limited to the performance of these professionals' technical role. The purpose of this study is to analyse the case of a hospitalized female adolescent, focusing on the communication that happens between her and the nursing professionals who provide her assistance. This analysis was based on Bales' categories. Through the technique of direct observation, the behavior resultant from the interaction between nurses and the adolescent was analysed on a total of 30 hours during five days. The observation showed 428 units of interaction which were classified, by qualified professionals, in positive, negative and neutral socio-emotional areas. Considering the high incidence of interactions in the neutral area (89.2%), authors recommend a humanistic correction in the communication during the nursing process. This change in communication can qualify patient's care as well as generate satisfaction at work through empathy and solidarity.

摘要

护理是一项致力于促进人类福祉的职业。它考虑到人的自由、独特性和尊严。因此,沟通在护理过程及其结果中起着重要作用,也是治疗的基本组成部分。然而,在巴西医院的背景下,护士与患者之间的沟通仅限于这些专业人员的技术角色表现。本研究的目的是分析一名住院女性青少年的案例,重点关注她与提供护理的专业人员之间的沟通情况。该分析基于贝尔斯的分类法。通过直接观察技术,在五天内共30小时对护士与青少年之间互动产生的行为进行了分析。观察显示有428个互动单元,由专业人员将其分类到积极、消极和中性的社会情感领域。考虑到中性领域互动的高发生率(89.2%),作者建议在护理过程中的沟通进行人文修正。这种沟通上的改变可以提升患者护理质量,并通过同理心和团结产生工作满意度。

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