&lt;b&gt;Action plan for the communication process in a nursing team

Broca, Priscilla Valladares; Ferreira, Márcia de Assunção

doi:10.4025/actascihealthsci.v38i1.29758

Cited by 6 publications

(10 citation statements)

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“…However, the time spent in its accomplishment can be reduced so that the exchange of information within the team and between nursing and multi-professional teams is carried out in a way that avoids noise, interruptions and interference. Noise interferes with the concentration of those involved, favoring a loss of information or even forgetfulness (23)(24) . Interruptions and interferences fragment or even render impossible the finalization of information transmission, thereby generating repetition (8,23) and duplication of messages.…”

Section: Discussionmentioning

confidence: 99%

“…Noise interferes with the concentration of those involved, favoring a loss of information or even forgetfulness (23)(24) . Interruptions and interferences fragment or even render impossible the finalization of information transmission, thereby generating repetition (8,23) and duplication of messages. Parallel conversations among professionals during the shift can also increase the time spent on this activity (24) .…”

Section: Discussionmentioning

confidence: 99%

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Workload of nurses: observational study of indirect care activities/interventions

Campos¹,

Oliveira²,

Perroca³

2018

Rev. Bras. Enferm.

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Objective: Observe the workfl ow of nurses in hospitalization units identifying indirect care activities/interventions; measure the frequency and average time spent in performing them; and to verify the associations between average time of the activities interventions grouped into categories and per hospitalization unit. Method: Observational exploratory study using the timed technique. It was conducted in medical, surgical and specialized clinic units of a teaching hospital in the northwest of São Paulo Brazil, with 16 attending nurses as participants. Results: 90 hours of observation were performed, of which 58% (52 hours and 10 minutes) were related to indirect care activities of the patients. The most frequent activities/interventions were: "Communication" -1,852 (44.1%), mean 34.6 (SD = 54); "Walking" -1,023 (24.3%), mean 22 (SD = 49.2); and "Documentation" -663 (15.8%), mean 82.7 (SD = 144.4). Conclusion: These fi ndings favor a redesign of the work process and foster the need to update and refi ne the current workload measurement instruments. Descriptors: Workload; Nursing care; Nursing; Time Management; Nursing Human Resources in Hospitals. RESUMO Objetivos:Observar o fl uxo de trabalho de enfermeiros em unidades de internação identifi cando atividades/intervenções de cuidado indireto; mensurar a frequência e o tempo médio despendido na realização das mesmas; e verifi car as associações entre o tempo médio das atividades/intervenções agrupadas em categorias e por unidade de internação. Método: Estudo exploratório observacional utilizando a técnica de tempos cronometrados. Foi conduzido em unidades de clínica médica, cirúrgica e especializada de um hospital de ensino do noroeste paulista, tendo como participantes 16 enfermeiros assistenciais. Resultados: Foram realizadas 90 horas de observação, sendo 58% (52 horas e 10 minutos) referentes às atividades de cuidado indireto ao paciente. As atividades/intervenções mais executadas constituíram-se em: "Comunicação" -1.852 (44,1%), média 34,6 (DP=54); "Deslocamento" -1.023 (24,3%), média 22 (DP=49,2); e "Documentação" -663 (15,8%), média 82,7 (DP=144,4). Conclusão: Esses achados favorecem o redesenho do processo de trabalho e fomentam a necessidade de atualização e refi namento dos instrumentos de mensuração de carga de trabalho atuais. Descritores:

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Workload of nurses: observational study of indirect care activities/interventions

Campos¹,

Oliveira²,

Perroca³

2018

Rev. Bras. Enferm.

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“…As for the Source and Receivers, since both are represented by registered nurses, a minimum standard of nursing knowledge can be assumed. However, differences may be present in their communication skills (i.e., between a newly licensed nurse and an experienced counterpart), culture (i.e., between nurses from different wards or specialties) and possibly even attitudes (Broca, ). As for the Channel, this component refers to the mode of communication for the handover, in which different senses (vision, sound, smell, taste or touch) could be involved depending on whether it is written, verbal or both.…”

Section: Introductionmentioning

confidence: 99%

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Bukoh

Siah

2020

J Nurs Manag

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Nursing handovers, or handoffs, entail the process of transferring and accepting both the responsibility for the care of a patient and patient-specific information. This conveyance of patient data ensures the continuity and safety of the patient care in inpatient setting (The Joint Commission Center for Healthcare, 2014). However, when a misalignment of expectations occurs between the sender of information and the receiver, serious communication failures follow during the handover (The Joint Commission, 2017). A study on Harvard-affiliated hospitals has linked communication failures to 1,744 patient deaths in 5 years (Bailey, 2016). Therefore, it is essential that, in a high-turnover healthcare setting, effective communication be in place to ensure the clear and concise sharing of patient information (Gooch, 2016). AbstractAim: This review aimed to elucidate the effectiveness of structured handovers in improving patient outcomes in the wards.Background: Studies have reported that the lack of quality handovers is one of the main causes of adverse effects. Evaluation: A search over six electronic databases: MEDLINE; CINAHL; Web ofScience; EMBASE; Scopus; and CENTRAL via Ovid concluded nine studies and synthesized by two independent reviewers based on the Cochrane Handbook for Systematic Reviews of Interventions. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used to guide the undertaking of this review and meta-analysis. All studies published up to February 2019 were considered in this review. Key issues:This review has demonstrated that structured handovers reduced the incidences of patient complications, medication errors and general adverse events.However, the results were not statistically significant.Conclusion: Current structured handover formats were effective in reducing problematic handovers such as omission of information, inaccurate information and documentation errors. Implications for Nursing Management:Although there is limited high-quality and rigorous research conducted to gain a clearer understanding of the impacts on patient-related outcomes in nursing care, structured handovers remained effective in reducing the number of mistakes in information transfer. K E Y W O R D S communication, patient safety, handoff | 745 BUKOH and SIaH 2 | BACKG ROU N D Continuity management in an inpatient setting is essential to provide safe and effective patient care to minimize risks of medical errors and to achieve this, good communication within the nursing team is vital. A structured and standardized nursing handover can improve patient outcomes, including lowered patient fall rates, lengths of stay in the hospital, mortality and the number of code or medical emergency team calls (Mardis et al., 2017). Additionally, measures for nurse-related outcomes demonstrated improvement, with enhanced continuity of care for patients through better compliance to plans of care, timely delivery of care and improved recall of information provided (Smeulers, Lucas, & Vermeulen, 2014). As su...

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“…Apesar de antigo, esse conceito ainda é o mais utilizado na literatura brasileira 26. Outro ponto nos discursos é o uso das ferramentas que organizam os serviços como reuniões e planejamento, das mais simples e empíricas às mais sofisticadas, como as que facilitam a comunicação. A comunicação é fundamental para o desenvolvimento do trabalho dos enfermeiros junto à equipe e a pacientes atendidos nas instituições e para a transmissão de uma informação universal, além de exercer influência direta sobre os indivíduos 11,27 .…”

Section: Discussionunclassified

“…(11) possuíam de um a seis anos de experiência na Atenção Básica. Em relação à área de atuação, o maior número se encontrou nas USF dentro das ESF, isto é 67,5% (27). Sobre a realização de pós-gradução, 90% (36) dos participantes já haviam cursado, sendo a maioria em Saúde da Família, seguida pelas áreas de saúde pública e/ou Atenção Básica.…”

Section: Methodsunclassified

Ferramentas gerenciais na prática de enfermeiros da atenção básica em saúde

et al. 2017

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Introdução: Para que a prestação de serviços à saúde seja de qualidade, se faz necessário que a assistência e a gerência estejam interligadas na execução do trabalho de enfermagem. Sendo assim o objetivo foi identificar e caracterizar as ferramentas gerenciais utilizadas pelos enfermeiros que atuam na atenção básica à saúde para o gerenciamento das ações de enfermagem e saúde. Materiais e Métodos: Pesquisa de abordagem qualitativa do tipo descritiva exploratória. Participaram da pesquisa 40 enfermeiros que atuam na Atenção Primária à Saúde de um município do sul do Brasil, região de tríplice fronteira. Os dados foram coletados mediante entrevistas semiestruturadas e analisados conforme a técnica do Discurso do Sujeito Coletivo. Resultados: Os enfermeiros da Atenção Primária à Saúde entendem ferramentas gerenciais como meio de organização e direcionamento dos serviços de saúde, sendo referido seu uso diário na prática profissional. Porém, uma parte dos enfermeiros relatou ainda não utilizar ferramentas gerenciais ou realizam o uso de forma empírica, ou seja, ainda não há uma reflexão na prática diária sobre o uso dessas ferramentas. Entre as ferramentas utilizadas por estes enfermeiros foram citadas as de organização, controle, avaliação e direcionamento dos serviços. Conclusão: Apesar de os enfermeiros entenderem a relevância de desenvolver competências gerenciais e conhecer ferramentas de gestão para auxiliá-los no processo gerencial, torna-se necessário que estes profissionais se desvinculem das ações embasadas apenas no conhecimento empírico e tornem a sua prática crítica e reflexiva.

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<b>Action plan for the communication process in a nursing team

Cited by 6 publications

References 6 publications

Workload of nurses: observational study of indirect care activities/interventions

Workload of nurses: observational study of indirect care activities/interventions

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Ferramentas gerenciais na prática de enfermeiros da atenção básica em saúde

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