Comunicação entre profissionais de saúde durante a assistência a pacientes críticos em UTI de um hospital do Triângulo Mineiro

Abstract

Introduction: For production processes to be successful, it is essential that the relationship between teams, which requires communication as one of its pillars, is clear and objective. Intra-team communication in the Intensive Care Unit develops during the shift, as information from the various specialties is important and complements knowledge about the patient. This is reflected in the reduction of treatment costs related to shorter ICU stays and, consequently, the mortality of critically ill patients, as well as in the reduction of errors and adverse events. Thus, knowing the communication process, its determinants and its consequences increases the individual's ability to understand and overcome barriers related to communication in the workplace. Objectives: To understand how the nursing team perceives communication between themselves and other teams, correlating the quality of this communication with the occurrence of factors that trigger work stress and patient insecurity. Methodology: This dissertation involved two studies. The first aimed to identify the association between the different perceptions of the nursing staff at the Intensive Care Center of the Hospital de Clínicas of the Federal University of Uberlândia about the communication profile in the workplace. It was a cross-sectional study with a mixed approach, which used a questionnaire prepared by the authors, containing twelve sociodemographic questions and nine that addressed communication processes. The data was interpreted using Jamovi® software and thematic content analysis. The second study, with a mixed approach, consisted of correlating the results of the Team Climate Scale (TSC) with the perception of nursing professionals regarding the quality of communication in the workplace. Results:47 nursing professionals took part in the survey, 26 (55%) female and 21 (45%) male, with a mean age of 38.79 ±11.08 years. The majority, 78.7%, said that communication between members of the nursing team was not ideal. The communications that were prone to adverse events were related to shifts, medications, complications and invasive procedures. When we correlated workers' perceptions of nursing team communication in the intensive care unit with the results obtained from the ECE evaluation, we found that workers who considered communication to be ideal had a higher average than those who disagreed with this statement. It is also notable that the workers who considered the forms of communication to be effective had a higher average than those who did not consider them to be effective. There were no differences between workers who reported an adverse event due to a failure in communication and in conflict management for this dimension. Conclusion:This study showed how important communication is in the workplace, but for it to be beneficial, it must be carried out effectively. In health services, such as Intensive Care Units, communication needs to be prudent and clear, so that the recipient understands what has been communicated. It was found that in the hospital researched, in line with what the literature has shown, this action should be a permanent training item, with the implementation of protocols to be carried out in medical records and duty rosters, which has proved to be an effective strategy.