Ana Claudia Puggina

A comunicação não-verbal enquanto fator iatrogênico

The current study has the purpose of verifying if nurses are able to identify situations in which the nonverbal aspects of interpersonal communication between health professionals and patients constitute an iatrogenic factor. The data were collected through semistructured interviews with eight nurses and were analyzed according to the content analysis methodology. Three categories appeared from the professional discourses, and these categories make evident the perception of iatrogenesis, its consequences and characteristics and the interrelation between nonverbal language and nursing care.O estudo teve como objetivo verificar se os enfermeiros identificam situacoes nas quais os aspectos nao-verbais da comunicacao interpessoal entre profissionais de saude e pacientes constituem fator iatrogenico. Os dados foram coletados por meio de entrevista semi-estruturada com oito enfermeiros e analisados segundo a metodologia de analise de conteudo. Do discurso dos profissionais emergiram tres categorias, que evidenciam a percepcao da iatrogenia, suas consequencias e caracteristicas e a interrelacao entre a linguagem nao-verbal e o cuidado.

A alteridade nas relações de enfermagem

A desumanizacao das relacoes entre os profissionais de saude e os pacientes estao cada vez mais evidentes. Nao nascemos eticos, mas nos tornamos eticos atraves do nosso desenvolvimento. O presente estudo entrevista enfermeiros que atuam em unidades hospitalares com o objetivo de identificar a representacao do outro (paciente e familiar) nas relacoes de Enfermagem e compreender como se dao essas relacoes. O estudo mostra uma clara dicotomia existente entre a teoria e a pratica; os enfermeiros estao, em sua grande maioria, insatisfeitos com o seu trabalho e com o reconhecimento da profissao; tem dificuldade de se comunicar com o paciente sem deixar de demonstrar autoridade; e reconhecem a importância da familia, porem ainda nao conseguem lidar com ela.The lack of humanization between health professionals and patients are becoming more common. We are not ethical, but we become ethical through our behavior. The hereby study interviews nurses who act in the hospital departments with the objective to identify the representation of the other (patient and familiar) in the relationship of nursing and to understand how these relationships occur. The study shows a clear dichotomy between theory and practice; nurses are, in most cases, unsatisfied with work and the recognition of the profession; there is difficulty in communicating with the patient without demonstrating authority; recognizing the importance of the family, however still not dealing with it.

Espiritualidade dos familiares de pacientes internados em unidade de terapia intensiva

OBJECTIVE: To assess spiritual/religious coping of relatives of patients hospitalized in the Intensive Care Unit of two hospitals. METHODS: Quantitative descriptive study. Data were collected from 45 family members (80% female and 20% male, mean age 37.5 years) using a questionnaire for sample characterization and SRCOPE scale. RESULTS: The value of total SRCOPE scale obtained was 3.4 showing that the family participants mean made use of SRC strategies. Regarding the value of the ratio negative SRC/positive SRC, the mean value was 0.7, demonstrating that the positive SRC strategies were used more often. CONCLUSION: Family members use positive SRC strategies more than negative during the hospitalization of a family member in the ICU, they all believe in God and most believe that spirituality has helped them to cope with the stress of hospitalization.

Percepção da comunicação, satisfação e necessidades dos familiares em Unidade de Terapia Intensiva

Objective: To identify and compare the nonverbal perception during hospital visits with the level of satisfaction and importance for the family related to their needs during these visits to the ICU. Methods: a descriptive and cross-sectional quantitative study. An identifying instrument for the adapted nonverbal communication and the Critical Care Family Needs Inventory (CCFNI) Portuguese version were used. Results: the family members have needs that were considered important and these needs were not fulfilled by the multiprofesional and dynamic team in the ICU. Nonverbalsignals for approach and comfort (body position facing the patient and the low voice volume suitable for a ICU) and defense and discomfort (tense facial expression showing anxiety, fear, doubt or even being inexpressive body movements and a rapid rigid and tense posture) expressed by them during the hospital visit. Conclusion: The higher the importance of support-related needs assessment, the greater the use of effective nonverbal behaviors during the visit.O objetivo deste estudo foi identificar e comparar a percepcao da comunicacao nao verbal expressa durante a visita hospitalar com o grau de satisfacao e de importância dos familiares em relacao as suas necessidades na UTI. Metodos: estudo descritivo e transversal quantitativo. Um instrumento de identificacao da comunicacao nao verbal adaptado e o Inventario de Necessidades e Estressores de Familiares em Terapia Intensiva (INEFTI) foram utilizados. Resultados: os familiares tem necessidades consideradas importantes que ainda nao sao satisfeitas pela equipe multiprofissional e dinâmica na UTI. Perceberam sinais nao verbais de aproximacao e conforto e de defesa e desconforto (expressao facial tensa, de ansiedade, medo, duvida ou inexpressiva, movimentos corporais rapidos e uma postura corporal rigida e tensa) expressos por eles mesmos durante a visita hospitalar. Conclusao: quanto maior a avaliacao da importância das necessidades relacionadas ao suporte, maior foi o uso de comportamentos nao verbais efetivos pelo familiar durante a visita.

Nonverbal communication as an iatrogenic factor

The current study has the purpose of verifying if nurses are able to identify situations in which the nonverbal aspects of interpersonal communication between health professionals and patients constitute an iatrogenic factor. The data were collected through semistructured interviews with eight nurses and were analyzed according to the content analysis methodology. Three categories appeared from the professional discourses, and these categories make evident the perception of iatrogenesis, its consequences and characteristics and the interrelation between nonverbal language and nursing care.O estudo teve como objetivo verificar se os enfermeiros identificam situacoes nas quais os aspectos nao-verbais da comunicacao interpessoal entre profissionais de saude e pacientes constituem fator iatrogenico. Os dados foram coletados por meio de entrevista semi-estruturada com oito enfermeiros e analisados segundo a metodologia de analise de conteudo. Do discurso dos profissionais emergiram tres categorias, que evidenciam a percepcao da iatrogenia, suas consequencias e caracteristicas e a interrelacao entre a linguagem nao-verbal e o cuidado.

Perception of communication, satisfaction and importance of family needs in the Intensive Care Unit

Objective: To identify and compare the nonverbal perception during hospital visits with the level of satisfaction and importance for the family related to their needs during these visits to the ICU. Methods: a descriptive and cross-sectional quantitative study. An identifying instrument for the adapted nonverbal communication and the Critical Care Family Needs Inventory (CCFNI) Portuguese version were used. Results: the family members have needs that were considered important and these needs were not fulfilled by the multiprofesional and dynamic team in the ICU. Nonverbalsignals for approach and comfort (body position facing the patient and the low voice volume suitable for a ICU) and defense and discomfort (tense facial expression showing anxiety, fear, doubt or even being inexpressive body movements and a rapid rigid and tense posture) expressed by them during the hospital visit. Conclusion: The higher the importance of support-related needs assessment, the greater the use of effective nonverbal behaviors during the visit.O objetivo deste estudo foi identificar e comparar a percepcao da comunicacao nao verbal expressa durante a visita hospitalar com o grau de satisfacao e de importância dos familiares em relacao as suas necessidades na UTI. Metodos: estudo descritivo e transversal quantitativo. Um instrumento de identificacao da comunicacao nao verbal adaptado e o Inventario de Necessidades e Estressores de Familiares em Terapia Intensiva (INEFTI) foram utilizados. Resultados: os familiares tem necessidades consideradas importantes que ainda nao sao satisfeitas pela equipe multiprofissional e dinâmica na UTI. Perceberam sinais nao verbais de aproximacao e conforto e de defesa e desconforto (expressao facial tensa, de ansiedade, medo, duvida ou inexpressiva, movimentos corporais rapidos e uma postura corporal rigida e tensa) expressos por eles mesmos durante a visita hospitalar. Conclusao: quanto maior a avaliacao da importância das necessidades relacionadas ao suporte, maior foi o uso de comportamentos nao verbais efetivos pelo familiar durante a visita.

Validação e adaptação cultural para o português daInterpersonal Communication Competence Scale

Objective: To validate and culturally adapt the Interpersonal Communication Competence Scale to Brazilian Portuguese, bringing about a new tool that can be used by healthcare professionals. Methods: A descriptive and cross-sectional validation study using a quantitative and qualitative approach. Factor analysis, principal components analysis with flag 40 and an evaluation of internal correlation through Cronbachs alpha were performed. Results: The final version of the scale was named Escala de Competencia em Comunicacao Interpessoal and consisted of 17 items and five domains. The Cronbachs alpha across the five domains was 0.71 and between the items it was 0.82. Conclusion: The scale was validated and adapted in relation to the content and the construct with a good correlation index between the domains and items.

Validation of the self-assessment of communication skills and professionalism for nurses

Objectives:nto translate, adapt cross-culturally and validate into Brazilian Portuguese the following instrument: Self-assessment of communication skills and professionalism in residents for the nursing professional, and to determine if personal characteristics and performance of the nurse interfere in the self-assessment about professionalism and interpersonal communication.nnnMethod:nquantitative study.nnnResults:nthe sample consisted of 110 nurses with mean age of 32 years old (± 7.3), most of them were women (n = 80; 72.7%). The internal consistency of the scale Autoavaliação sobre profissionalismo e comunicação interpessoal entre enfermeiro e paciente presented moderate and satisfactory reliability (α=0,712). Factorial analysis identified four factors: Interpersonal Skills, Exchange of Information, Honesty in the Relationship and Professionalism.nnnConclusion:nthe instrument is valid and reliable in Portuguese and for Brazilian culture. Interpersonal Skills changed with gender and marital status. Ability to exchange information was influenced by gender and working sector. Self-assessment of professionalism changed with marital status.nnnObjetivos:ntraduzir, adaptar culturalmente e validar para o português o instrumento Self-assessment of communication skills and professionalism in residents para o profissional enfermeiro e avaliar se características pessoais e de atuação do enfermeiro interferem na autoavaliação sobre o profissionalismo e comunicação interpessoal.nnnMétodo:nestudo metodológico quantitativo.nnnResultados:nA amostra foi de 110 enfermeiros com média de idade de 32 anos (±7,3) e a maioria mulheres (n=80; 72,7%). A consistência interna da escala Autoavaliação sobre profissionalismo e comunicação interpessoal entre enfermeiro e paciente apresentou confiabilidade moderada e satisfatória (α=0,712). A análise fatorial identificou quatro fatores: Habilidade Interpessoal, Troca de Informação, Sinceridade na Relação e Profissionalismo.nnnConclusão:no instrumento é válido e confiável na língua portuguesa e para a cultura brasileira. A habilidade interpessoal modificou-se com sexo e estado civil. A troca de informações foi influenciada pelo sexo e setor de atuação. A autoavaliação do profissionalismo modificou-se com estado civil.

Relación entre la necesidad de adornos con la satisfacción de la imagen corporal y del autoconcepto profesional de un equipo de enfermería

Objetivo: Relacionar a sensacao de falta de adornos com a satisfacao da imagem corporal e o autoconceito profissional dos membros da equipe de enfermagem. Metodos: Estudo analitico quantitativo. Profissionais da equipe de enfermagem (n = 46) responderam a Escala de Autoconceito Profissional, a Escala de Avaliacao da Satisfacao da Imagem Corporal e um questionario de caracterizacao. Resultados: O escore medio total da Escala de Autoconceito Profissional foi de 111,6 (± 13,3) e da Escala Avaliacao da Satisfacao com a Imagem Corporal foi de 81,6 (± 14,1). Houve diferencas estatisticamente significativas na comparacao da sensacao de falta de adornos nas dimensoes Realizacao (valor de p = 0,0074), Autoconfianca (valor de p = 0,0386) e Saude (valor de p = 0,0109) da Escala Autoconceito Profissional. Conclusao: Individuos mais realizados, mais autoconfiantes, que mais percebem a influencia do trabalho na propria saude e mais satisfeitos com a aparencia nao sentiram falta de adornos no ambiente hospitalar.Objective: To explore the relationship between the feeling of missing not wearing adornments and body image satisfaction and the professional self-concept of the members of the nursing team. Methods: Quantitative analytical study. Professionals from a nursing team (n = 46) responded to a Professional Self-Concept Scale, Body Image Satisfaction Assessment Scale and a characterization questionnaire. Results: The total mean score for the Professional Self-Concept Scale was 111.6 (± 13.3) and for the Body Image Satisfaction Assessment Scale it was 81.6 (± 14.1). There were statistically significant differences in the comparison of the feeling of missing not wearing adornments in the dimensions of Realization (p-value = 0.0074), Self-confidence (p-value = 0.0386) and Health (p-value = 0.0109) of the Professional Self-Concept Scale. Conclusion: Individuals who are more realized, more self-confident, more perceive the influence of work on own health and more satisfied with their appearance do not miss wearing adornments in the hospital environment.

Relationship between need for adornments, body image satisfaction and professional self-concept of nursing team

Objetivo: Relacionar a sensacao de falta de adornos com a satisfacao da imagem corporal e o autoconceito profissional dos membros da equipe de enfermagem. Metodos: Estudo analitico quantitativo. Profissionais da equipe de enfermagem (n = 46) responderam a Escala de Autoconceito Profissional, a Escala de Avaliacao da Satisfacao da Imagem Corporal e um questionario de caracterizacao. Resultados: O escore medio total da Escala de Autoconceito Profissional foi de 111,6 (± 13,3) e da Escala Avaliacao da Satisfacao com a Imagem Corporal foi de 81,6 (± 14,1). Houve diferencas estatisticamente significativas na comparacao da sensacao de falta de adornos nas dimensoes Realizacao (valor de p = 0,0074), Autoconfianca (valor de p = 0,0386) e Saude (valor de p = 0,0109) da Escala Autoconceito Profissional. Conclusao: Individuos mais realizados, mais autoconfiantes, que mais percebem a influencia do trabalho na propria saude e mais satisfeitos com a aparencia nao sentiram falta de adornos no ambiente hospitalar.Objective: To explore the relationship between the feeling of missing not wearing adornments and body image satisfaction and the professional self-concept of the members of the nursing team. Methods: Quantitative analytical study. Professionals from a nursing team (n = 46) responded to a Professional Self-Concept Scale, Body Image Satisfaction Assessment Scale and a characterization questionnaire. Results: The total mean score for the Professional Self-Concept Scale was 111.6 (± 13.3) and for the Body Image Satisfaction Assessment Scale it was 81.6 (± 14.1). There were statistically significant differences in the comparison of the feeling of missing not wearing adornments in the dimensions of Realization (p-value = 0.0074), Self-confidence (p-value = 0.0386) and Health (p-value = 0.0109) of the Professional Self-Concept Scale. Conclusion: Individuals who are more realized, more self-confident, more perceive the influence of work on own health and more satisfied with their appearance do not miss wearing adornments in the hospital environment.