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Barreiras à Comunicação entre Enfermeiros e Doentes em Contexto de Urgência: Perceções e Estratégias para a sua Superação
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O presente relatório de estágio surge no âmbito do Mestrado em Enfermagem Médico-Cirúrgica na área de Enfermagem à Pessoa em Situação Crítica, da Escola Superior de Saúde do Instituto Politécnico de Bragança. O documento encontra-se estruturado em duas partes fundamentais que refletem o percurso de desenvolvimento de competências avançadas e a investigação científica.
A primeira parte consiste numa análise crítico-reflexiva das atividades desenvolvidas ao longo dos três Estágios, realizados no Serviço de Hemodiálise, no Serviço de Urgência e no Serviço de Medicina Intensiva do Hospital Pedro Hispano (Unidade Local de Saúde de Matosinhos).
Esta secção evidencia a aquisição e consolidação de competências comuns e específicas do Enfermeiro Especialista, com especial foco na prestação de cuidados de elevada complexidade à pessoa em situação crítica, na gestão da melhoria contínua da qualidade e na promoção de um ambiente terapêutico seguro.
A segunda parte apresenta um estudo de investigação transversal, descritivo e de abordagem mista, intitulado "Barreiras à Comunicação entre Enfermeiros e Doentes em Contexto de Urgência: Perceções e Estratégias para a sua Superação", estruturado sob a forma de artigo científico. O estudo, que envolveu a participação de 78 enfermeiros através de questionários e 7 entrevistas semiestruturadas, teve como objetivo identificar os fatores que dificultam a comunicação neste contexto exigente e as estratégias sugeridas para mitigar esta problemática. Os resultados revelaram que as principais barreiras são de natureza organizacional (elevada carga de trabalho e interrupções), ambiental (ruído e falta de privacidade) e profissional (stress e falta de formação específica). O estudo conclui destacando a necessidade de intervenções organizacionais e de investimento na formação em competências comunicacionais para assegurar a qualidade e a humanização dos cuidados de enfermagem.
This internship report was developed within the scope of the master’s degree in medical-Surgical Nursing, specializing in Nursing Care for the Person in Critical Condition, at the School of Health of the Polytechnic Institute of Bragança. The document is organized into two main sections that reflect the process of advanced competency development and scientific research. The first section consists of a critical and reflective analysis of the activities carried out throughout the three Clinical Placements, undertaken in the Hemodialysis Unit, the Emergency Department, and the Intensive Care Unit of Hospital Pedro Hispano (Local Health Unit of Matosinhos). This section highlights the acquisition and consolidation of both common and specific competencies of the Specialist Nurse, with particular emphasis on the provision of highly complex care to individuals in critical condition, the management of continuous quality improvement processes, and the promotion of a safe therapeutic environment. The second section presents a cross-sectional, descriptive research study using a mixed-methods approach, entitled “Barriers to Communication between Nurses and Patients in the Emergency Context: Perceptions and Strategies for Overcoming Them”, structured in the form of a scientific article. The study involved the participation of 78 nurses through questionnaires and seven semi-structured interviews and aimed to identify the factors that hinder communication in this demanding clinical context. The findings revealed that the main barriers are organizational in nature (high workload and frequent interruptions), environmental (noise and lack of privacy), and professional (stress and insufficient specific training). The study concludes by emphasizing the need for organizational interventions and increased investment in communication skills training to ensure the quality and humanization of nursing care.
This internship report was developed within the scope of the master’s degree in medical-Surgical Nursing, specializing in Nursing Care for the Person in Critical Condition, at the School of Health of the Polytechnic Institute of Bragança. The document is organized into two main sections that reflect the process of advanced competency development and scientific research. The first section consists of a critical and reflective analysis of the activities carried out throughout the three Clinical Placements, undertaken in the Hemodialysis Unit, the Emergency Department, and the Intensive Care Unit of Hospital Pedro Hispano (Local Health Unit of Matosinhos). This section highlights the acquisition and consolidation of both common and specific competencies of the Specialist Nurse, with particular emphasis on the provision of highly complex care to individuals in critical condition, the management of continuous quality improvement processes, and the promotion of a safe therapeutic environment. The second section presents a cross-sectional, descriptive research study using a mixed-methods approach, entitled “Barriers to Communication between Nurses and Patients in the Emergency Context: Perceptions and Strategies for Overcoming Them”, structured in the form of a scientific article. The study involved the participation of 78 nurses through questionnaires and seven semi-structured interviews and aimed to identify the factors that hinder communication in this demanding clinical context. The findings revealed that the main barriers are organizational in nature (high workload and frequent interruptions), environmental (noise and lack of privacy), and professional (stress and insufficient specific training). The study concludes by emphasizing the need for organizational interventions and increased investment in communication skills training to ensure the quality and humanization of nursing care.
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Enfermagem médico-cirúrgica Cuidados críticos Serviço de urgência Comunicação em saúde Relação enfermeiro-doente