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Advisor(s)
Abstract(s)
Introdução: A comunicação tem um papel essencial no desempenho dos enfermeiros,
sendo em pediatria um fator determinante na relação de ajuda e um indicador na avaliação de
qualidade dos cuidados prestados. A comunicação em pediatria pode ser entendida como a
arma crucial para o sucesso dos cuidados/tratamento e aceitação deste, tanto por parte dos
pais/ cuidadores como da própria criança. Sabe-se que a doença pode ser tratada com
medicamentos e cuidados integrais, mas a comunicação que se estabelece no momento de
prestação destes cuidados é essencial para o sucesso dos mesmos.
Objetivo: Identificar os elementos facilitadores do processo de comunicação, na
prestação de cuidados de saúde em contexto pediátrico.
Métodos: Foi realizada uma revisão scoping através do método proposto pela Joanna
Briggs Institute. A seleção dos estudos, a extração e síntese dos dados foram realizados por
dois revisores independentes.
Resultados: Foram incluídos 4 estudos no corpus do estudo, que revelam alguns
fatores que podem ser considerados elementos facilitadores do processo de comunicação na
prestação de cuidados em contexto pediátrico. Destacamos alguns deles, tais como: uma
abordagem biopsicossocial; diálogo mútuo e horizontal; escuta apurada; relação dialógica
entre os intervenientes; formação, a nível institucional, das equipas de saúde; empatia;
honestidade; e objetividade. A comunicação implica a existência de uma abordagem
biopsicossocial, incluindo discussão de dúvidas, aspetos afetivo-emocionais e vivência
psicossocial de dificuldades associadas aos cuidados.
Conclusão: Reconhece-se que a comunicação em contexto pediátrico, se estabelece
num ambiente em que a criança apenas participa como provadora de informação básica ou
com interesse distrativo durante a prestação de cuidados. Contudo a comunicação deve ter
uma dimensão central, com diálogo mútuo e uma relação dialógica. Reforça-se a importância
da formação das equipas de saúde na área de comunicação em cuidados de saúde, com
objetivo de melhorar esse processo e compreender a sua importância na prática de cuidados
em contexto pediátrico.
Palavras-chave: comunicação; pais ou cuidadores; enfermeira pediátrica ou enfermeira;
relações enfermeiro / utente; contexto pediátrico; emergência
Abstract Introduction: Communication plays a key role in nursing performance, and in pediatrics it is a determining factor in the therapeutic patient-nurse relationship and an indicator in the assessment of the quality of care provided. Communication in pediatrics can be understood as the driving force for the success of care/treatment and its acceptance, both by parents/caregivers and by the child. It is known that diseases can be treated with medication and comprehensive care, but the communication established at the time of providing this care is essential for its success. Objective: To identify the elements that facilitate the communication process in the provision of healthcare in the pediatric context. Methodology: A scoping review was performed using the method proposed by the Joanna Briggs Institute. Study selection, data extraction and synthesis were performed by two independent reviewers. Results: Four studies were included in the corpus of the study, which reveal some factors that can be considered facilitating elements of the communication process in the provision of care in the pediatric context. We highlight some of them, such as: a biopsychosocial approach; mutual and horizontal dialogue; accurate listening; dialogic relationship between the interveners; training, at institutional level, of health teams; empathy; honesty; and objectivity. Communication implies the existence of a biopsychosocial approach, including discussion of doubts, affective-emotional aspects and psychosocial experience of difficulties associated with care. Conclusion: It is recognized that communication in a pediatric context is established in an environment in which the child only participates as a taster of basic information or with a distracting interest during the provision of care. However, communication must have a central dimension, with mutual dialogue and a dialogical relationship. The importance of training health teams in the area of communication in health care is reinforced, with the aim of improving this process and understanding its importance in the practice of care in the pediatric context. Keywords: communication; parents or caregivers; pediatric nurse; nurse/patient relationships; pediatric context; emergency
Abstract Introduction: Communication plays a key role in nursing performance, and in pediatrics it is a determining factor in the therapeutic patient-nurse relationship and an indicator in the assessment of the quality of care provided. Communication in pediatrics can be understood as the driving force for the success of care/treatment and its acceptance, both by parents/caregivers and by the child. It is known that diseases can be treated with medication and comprehensive care, but the communication established at the time of providing this care is essential for its success. Objective: To identify the elements that facilitate the communication process in the provision of healthcare in the pediatric context. Methodology: A scoping review was performed using the method proposed by the Joanna Briggs Institute. Study selection, data extraction and synthesis were performed by two independent reviewers. Results: Four studies were included in the corpus of the study, which reveal some factors that can be considered facilitating elements of the communication process in the provision of care in the pediatric context. We highlight some of them, such as: a biopsychosocial approach; mutual and horizontal dialogue; accurate listening; dialogic relationship between the interveners; training, at institutional level, of health teams; empathy; honesty; and objectivity. Communication implies the existence of a biopsychosocial approach, including discussion of doubts, affective-emotional aspects and psychosocial experience of difficulties associated with care. Conclusion: It is recognized that communication in a pediatric context is established in an environment in which the child only participates as a taster of basic information or with a distracting interest during the provision of care. However, communication must have a central dimension, with mutual dialogue and a dialogical relationship. The importance of training health teams in the area of communication in health care is reinforced, with the aim of improving this process and understanding its importance in the practice of care in the pediatric context. Keywords: communication; parents or caregivers; pediatric nurse; nurse/patient relationships; pediatric context; emergency
Description
Keywords
Comunicação Criança Enfermagem pediátrica Pais Prestadores de cuidados Relação enfermeiro-doente Revisão Caregivers Child Communication Nurse patient relations Parents Pediatric nursing Review