Formação docente em comunicação não verbal: avaliação do desempenho docente / Formación del profesor en comunicación no verbal: evaluación de su desempeño / Teacher training in nonverbal communication: Teacher performance assessment

Objetivo: Evaluar el desempeño de profesores de la salud que participaron de un programa de formación en comunicación no verbal. Método: Investigación descriptivatransversal, con abordaje cuantitativo, realizada en una institución de enseñanza superior localizada en la ciudad de Guarujá, Brasil. El curso se impartió a dos grupos (A y B), con ocho horas de duración cada uno. Fue de un único día para el grupo A y de dos días (con cuatro horas de duración cada día) para el grupo B. El contenido comprendía las funciones y las dimensiones de la comunicación no verbal, la importancia de la retroalimentación y los principios de la androgogía. Para hacer efectivo el curso, se usaron metodologías activas de aprendizaje. El desempeño del profesor se analizó con evaluaciones antes del curso y después de este compuestas de dos instrumentos: un formulario con catorce aspectos de la comunicación no verbal, relacionados con dos escenas de película proyectadas (situaciones de enseñanza y aprendizaje entre profesor y estudiantes), y un cuestionario con cuatro preguntas sobre dimensiones y funciones de la comunicación no verbal. Resultados: En la muestra de trece profesores, en relación con el análisis de las escenas de la película, aumentó la percepción del profesor del 69,2 % al 82,6 %, comparados con la percepción de la investigadora. En las preguntas evaluativas de las funciones del componente no verbal, también hubo aumento cuantitativo en las respuestas de los profesores. Conclusión: El programa se mostró adecuado para aumentar la percepción de los profesores en cuanto a las señales no verbales y adecuación de estrategias comunicativas para la sala de clase en evaluación inmediata después de su aplicación.

Objetivo: Avaliar o desempenho de docentes da área da saúde que participaram de um Programa de Formação em Comunicação Não Verbal. Método: Pesquisa descritiva, transversal, com abordagem quantitativa, realizada em uma instituição de ensino superior localizada na cidade de Guarujá, Brasil. O curso foi ministrado para duas turmas (A e B), com oito horas de duração, sendo em um único dia para a turma A e em dois dias (com quatro horas de duração cada dia) para a turma B. O conteúdo do curso abrangia as funções e dimensões da comunicação não verbal, a importância do feedback e os princípios da andragogia. Para efetivação do curso foram utilizadas metodologias ativas de aprendizagem. Para avaliar o desempenho docente foram feitas avaliações pré- e pós-curso, compostas de dois instrumentos, um formulário com 14 aspectos da comunicação não verbal relacionadas a duas cenas do filme projetadas (com situações de ensino aprendizagem entre docente e discentes) e um questionário com quatro questões sobre dimensões e funções da comunicação não verbal. Resultados: Na amostra de 13 docentes, em relação à análise das cenas do filme, houve aumento da percepção docente de 69,2% para 82,6%, comparados à percepção da pesquisadora. Nas questões avaliativas das funções do não verbal, também houve aumento quantitativo nas respostas dos docentes. Conclusão: O programa se mostrou adequado para aumentar a percepção dos docentes quanto aos sinais não verbais e adequação de estratégias comunicativas para a sala de aula em avaliação imediata após sua aplicação.

Objective: To evaluate the performance of health care teachers who participated in a Training Program in Nonverbal Communication. Method: Descriptive, cross-sectional survey with a quantitative approach, carried out on the premises of a higher education institution located in Guaruja, Brazil. The course was taught for two classes (A and B), with 8-hour in both groups, and in a single day for the class A and 2 in days (4 hours each day) to the class B. The course content covered the functions and dimensions of nonverbal communication, the importance of feedback and principles of andragogy. For realization of the course active learning methodologies were used. To evaluate the performance of teachers were made pre- and post-course, composed of two instruments, a form with 14 aspects of nonverbal communication related to 2 designed movie scenes (with situations of teaching and learning between teachers and students) and a questionnaire with four questions about dimensions and functions of nonverbal communication. Results: In the sample of 13 teachers, for the analysis of scenes from the film, there was an increase of teacher perception 69.24% to 82.61%, compared to the perception of the researcher. In evaluative questions of the functions of non-verbal, there was also a quantitative increase in the responses of teachers. Conclusion: The program was adequate to increase the perception of teachers as to non-verbal cues and adequacy of communication strategies for the classroom in immediate evaluation after application.

Atypical mycobacterias associated to acupuncuture: an integrative review.

AIM: to evaluate evidence concerning sources or mechanisms of infection transmission of atypical mycobacteria associated with acupuncture, and the species causing infections. METHOD: research was performed in December 2011 in the databases of LILACS, MEDLINE, EMBASE, OvidSP and the Cochrane Library, without restrictions regarding publication date, study type or language. RESULTS: of the 16 publications, only one identified the contamination source: diluted glutaraldehyde solution used to clean equipment. Three established likely sources: towels, hot packs or boiling tank water, and the reuse of reprocessed needles. Four indicated possible sources: contaminated needles, reuse of personal needles, patient's skin colonized by mycobacteria and reuse of needles at different sites in the same patient. Eight of the studies did not mention the sources. CONCLUSION: among 295 cases, M. abscessus was the pathological agent in over 96%. Well-established control practices for infection prevention should be implemented and adapted for complementary and alternative medicine.

Nursing care of patients with disorders of consciousness.

Management of severely brain-injured patients constitutes a social, economical, and ethical dilemma as well as a real challenge for the medical staff, as it requires specific expertise. The aim of this article is to explore the aspects of nursing care in patients recovering from coma such as difficulty of diagnosis, residual perception, clinical assessment, care and management, and communication with the patient and the family. The nursing care of patients with disorder of consciousness must be particular and specific for various reasons such as the difficult diagnosis, the problem of unconsciousness or lack of demonstration of consciousness, extremely complex clinical assessment, daily management with total dependence, communication with patients that requires special attention and training by health professionals, and communication with the family of these patients that requires more sensitivity and full involvement by the team.

Nurses' visibility according to the perceptions of the communication professionals.

UNLABELLED: This study aimed to further our understanding of the social representations of nurses and the nursing profession by communication professionals, since they are intermediates in the decoding of imaging and written representations about society. METHOD: this is a qualitative study, based on the social representation theory of Moscovici. Five communication professionals working on radio, television, written press, advertising and events were interviewed. Results suggest 1) ignorance about the nurse's field of work, job market and nursing profession categorization. 2) nurses' invisibility before the media and society and 3) nurse's own responsibility to obtain professional recognition and visibility. Participants in this study pointed two essential processes for building a more coherent image of nursing and nurses: 1) exposing the profession primarily before the media, which ignores its potentialities, and 2) through the media in order to reach the population in general.

Communication with dying patients--perception of intensive care units nurses in Brazil.

AIMS AND OBJECTIVES: This study aimed to assess whether nurses working in intensive care units view the establishment of communication with patients beyond therapeutic possibilities as an effective palliative therapeutic resource, and which aspects of this communication they valued most. METHOD: Data were collected in November 2002, by semi-structured interviews with 10 nurses of both clinical and surgical intensive care unit at a school hospital in Sao Paulo city, Brazil. Interviews were recorded and transcribed to be further analysed according to the qualitative methodology of content analysis. RESULTS: Four categories of thematic order raised from the collected statements, which clarify (i) the value of communication with terminal patients; (ii) the obstacles found during this process; (iii) the need to identify the individual demands of each patient, (iv) be able to use communication as a tool in the palliative care of the dying patient. CONCLUSION: In conclusion, we found that the nurses working at the intensive care unit do consider communication with dying patients an effective therapeutic resource, in spite of their own difficulties in communicating with dying patients, viewing themselves as ill prepared to the task, and often, distancing themselves from the dying patients because of their inability to deal with their own feelings, which were brought forth by the confrontation with the imminence of death. RELEVANCE TO CLINICAL PRACTICE: Although the number of interviewed nurses in our study was small, the results corroborated the findings of other studies and revealed an educational aspect in nursing training that deserves serious consideration.