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重症监护中的交接沟通:护理团队的意义和实践。

Handover communication in intensive therapy: nursing team meanings and practices.

机构信息

Universidade Federal do Rio de Janeiro (UFRJ), Escola de Enfermagem Anna Nery, Departamento de Enfermagem Fundamental. Rio de Janeiro, Rio de Janeiro, Brasil.

出版信息

Rev Gaucha Enferm. 2020 Apr 9;41:e20180436. doi: 10.1590/1983-1447.2020.20180436. eCollection 2020.

Abstract

OBJECTIVE

To analyze the meanings built by the nursing team regarding communication at shift handover in intensive care units.

METHOD

A qualitative study, grounded on the theoretical framework of Berlo, was developed in the intensive care unit of a hospital in Rio de Janeiro with the nursing team participating in the handover process or working with patient care. Observation and interviews were conducted, with a thorough description of the data and thematic content analysis.

RESULTS

There is acknowledgment of the meaning of handover in nursing care, which is expressed in behaviors aimed at avoiding inefficacy or the incorrect perception of communication; on the other hand, there is little participation of nursing technicians, with side talks, lack of attention and incomplete information, which compromises their effectiveness.

CONCLUSION

Professionals should understand their role in the communication process by playing it with active participation to reduce handover noises.

摘要

目的

分析护理团队在重症监护病房交接班时构建的沟通意义。

方法

这是一项基于贝洛理论框架的定性研究,在里约热内卢的一家医院的重症监护病房进行,护理团队参与交接班过程或患者护理。进行了观察和访谈,并对数据进行了详细描述和主题内容分析。

结果

护理人员承认护理交接班的意义,这表现在旨在避免无效或错误感知沟通的行为中;另一方面,护理技术人员的参与度较低,存在闲聊、注意力不集中和信息不完整的情况,这影响了他们的工作效率。

结论

专业人员应该通过积极参与来理解他们在沟通过程中的角色,以减少交接班噪音。

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