ABSTRACT
The quality and effectiveness of nursing care depends on, among other factors, communication processes configuration between health care team members. The objectives of this study were: I) to determine how nurses evaluate the diffe-rent dimensions of the communicative process; II) to identify the main obstacles to communication; III) to gauge how nurses evaluate the adequacy of different com-munication channels in health services. This was an investigation of quantitative descriptive and correlational. A structured questionnaire was developed to obtain relevant data on the matter. The research was carried out in four health services (Neonatology, Medicine II, Emergency and Basic Emergency) and a total of 75 nur-ses were surveyed. A comparative analysis between the four services revealed no statistically significant differences in how nurses evaluate the communicative pro-cess. This fact indicates that the way in which communication is configured and evaluated is transversal to nursing practice and independent from the context in which it occurs. The research reveals the generally positive way how nurses evalua-te the communication process. However, some weaknesses of communication in the clinical context are identified, mainly related to the mode in which information of organizational nature is disseminated within each department
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Subject(s)
Humans , Nurse-Patient Relations , Professional-Family Relations , Consumer Health Information/organization & administration , Health Communication/methods , Nursing, Team/organization & administration , Patient Safety/standards , Quality of Health Care/standards , Communication BarriersABSTRACT
Introdução: Em Portugal, as doenças cerebrovasculares continuam a apresentar uma elevada taxa de mortalidade e mobilidade. O AVC apresenta um quadro neurológico de rápida instalação que impõe ao doente um conjunto de incapacidades que podem ter consequências na vida futura. Objetivos: i) Determinar se a intervenção precoce dos enfermeiros de reabilitação contribui para a alteração da demora média de internamento hospitalar dos doentes com AVC isquémico; ii) Comparar a evolução do nível de capacidade funcional do doente com AVC na fase aguda e no momento da alta; Metodologia: É uma investigação de natureza quantitativa de tipo quase-experimental. Serão prestados cuidados de reabilitação cinco dias por semana, sendo excluídos os doentes que faleçam durante o internamento. Resultados: A intervenção do EEER permitiu reduzir significativamente os dias de internamento passando de 7,9 para 5,4 dias. A diferença do índice de dependência médio no momento da admissão e no momento da alta permite concluir que existe diferença estatisticamente significativa entre as amostras. Conclusões: A intervenção precoce do EEER junto do doente que sofreu AVC tem como objetivo a promoção da independência no autocuidado traduzindo-se em ganhos na capacidade funcional, no cumprimento das AVD e na melhoria da perceção da qualidade de vida bem como na diminuição do tempo de internamento.
Introduction: In Portugal, cerebrovascular diseases presents a high rate of mortality and mobility. The stroke is a acute neurological condition that imposes to the patient a set of disabilities that can have consequences in the future life. Objectives: i) determine if the early intervention of the rehabilitation nurses contributes to change the lenght of stay of the patients with ischemic stroke in the hospital; ii) compare the evolution of the level of functional capacity of the patient with stroke in the acute phase and at the discharge. Methodology: It is a quantitative and quasi-experimental investigation. Rehabilitation care will be provided five days a week, excluding patients who die during hospitalization RESULTS: The EEER intervention allowed a significant reduction in days of hospitalization, from 7.9 to 5.4 days. The difference between the mean dependence index at the time of admission and at discharge, shows that there is a statistically significant difference between the samples. Conclusions: The early intervention of the EEER with the patient suffering from stroke pretends to promote the independence in the self-care, which translates into gains in functional capacity, in the acomplishment of daily life activities and in the improvement of the perception of quality of life as well as in the reduction of hospitalization time.
