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Background: Interruptions have been reported to contribute to clinical errors and procedural failures. Objective: To analyze the interruptions experienced by nurses during the preparation and administration of high-risk medications. Methodology: A cross-sectional study was conducted in an intensive care and inpatient unit. The interruptions experienced by nurses during the medication process were observed through two checklists. The sample was selected by convenience in April-May 2019. Descriptive statistics was used to analyze quantitative data in IBM SPSS Statistics software, version 24.0, while content analysis was used to analyze qualitative data. Results: In 193 medication processes, there were 137 interruptions. Other members of the healthcare team initiated most interruptions through conversations. These interruptions were mostly negative and occurred during the preparation phase. The multitasking strategy was used to manage them. Conclusion: Interruptions during the medication process were primarily associated with professional and social communications. The impact of these interruptions varied depending on the phase of the process. [ABSTRACT FROM AUTHOR]

Introduction: The difficulty in communicating with mechanically ventilated patients is a daily reality in intensive care units, which may have a major impact on patients at the physiological (increasing the predisposition to clinical status changes), psychological (leading to feelings of frustration, fear, and anxiety), and even psychological (which may lead to depression or post-traumatic stress) levels. Objective: To identify the nursing interventions that promote communication with patients under invasive mechanical ventilation. Method: Umbrella review, including reviews from the last 10 years. Based on the question "Which are the strategies for communication with the person under ventilation in the intensive care unit?", prepared according to the PICo strategy, the inclusion and exclusion criteria of the reviews were defined, obtained from the CINAHL, Scopus, MEDLINE and B-on search engine databases. The bibliographic sample used for the preparation of this review consists of five articles. Results: The most commonly used communication strategies involve simple and cost-effective interventions such as gestures or lip-syncing; alternative and augmentative communication strategies are also frequently used, with moderate effectiveness. The use of electronic devices is highly effective, however, the frequency of use is still low due to the lack of resources and training of professionals. Conclusion: There is a wide diversity of communication strategies with the person under invasive mechanical ventilation, among which we should highlight the use of gestures, facial expression, body language, head movements, shaking hands, touch, the use of materials such as pencil and paper, alphabet letters, word and image boards, communication valves, electro-larynx, tracheostomy tubes with devices allowing communication, and high-tech alternative and augmentative communication devices. [ABSTRACT FROM AUTHOR]

Difficulties related to communication are the main causes of adverse events in the context of health care, which emphasizes the need for new strategies aimed at efficient communicability, especially in the nursing team. Objective: To know the perception of nurses in a surgical clinic regarding the standardization of the shift change. Method: Descriptive study, with a qualitative approach, carried out at the Surgical Clinic of a medium-sized Hospital of the State Public Network, located in Fortaleza, Ceará, Brazil. Data collection took place through a semi-structured interviews, between April and June 2021, after respondents signing the Free and Informed Consent Form. For data encoding and information categorization, the NVivo® 12 Plus software was used. The substantive analysis of the results was carried out by the researchers using bardanian content analysis. Results: Seven professionals who work as assistants in the health unit, referred to as the empirical field of this essay, participated in the study. The categories showed: The importance of building a checklist to standardize the shift change; The difficulties encountered in the shift change and, Suggestions of items to compose a checklist for the shift change. Conclusion: The important role of nurses in the search for knowledge, in information management and in the possibility of effectively contributing to the construction of resources that expand patient safety strategies was evidenced. The study reveals the importance of qualitative studies to solve praxis problems in the health field, in addition to emphasizing the use of support software to support the analysis of qualitative data. [ABSTRACT FROM AUTHOR]

Objective: to understand the care for the frail elderly provided by family-related inpatient caregivers, as well as their interaction with the Family Health Strategy, from the perspective of caregivers. Method: exploratory-descriptive, qualitative study conducted with 17 informal family-related caregivers of frail elderly from a Family Health Strategy in Minas Gerais, Brazil. Data collected between September/2019 and February/2020, through an interview with semi-structured script and questionnaire. Content analysis was performed, thematic type. Results: most caregivers were women, 26-79 years old, white and brown, married and low schooling. Effective communication between the health team and the family/elderly caregiver, to the detriment of high turnover of professionals of the Family Health Strategy, excessive demand for functions and lack of training and technical ability of the caregiver. Final thoughts: care for the frail elderly belonged to the female universe and aroused a mixture of feelings. Interaction between caregivers and family health strategy was generally mediated by the Community Health Agent. [ABSTRACT FROM AUTHOR]

Objective: to understand the influence of communication as a basic nursing instrument in the promotion of dignity in Palliative Care. Method: theoretical reflection through literature review and using Chochinov's Dignity Model. The research of scientific articles was carried out on the online knowledge library, on the Elsevier publications database and on the database-aggregating platform EBSCO Host Web, published during the period 2010-2016. Results: interventions associated with nurses' communication skills that promote the dignity of clients in palliative care were identified. The communication interventions that most promote dignity are those that transmit to the palliative client respect for their individuality and appreciation of their personal history. Conclusion: nurses should adopt a posture of empathic understanding, active listening, availability, attention to emotional needs, nonverbal components (such as physical presence and visual contact), management of expectations and encouragement of self-care. [ABSTRACT FROM AUTHOR]

Objective: to identify nurses' training needs in Health Education for the child/adolescent/family. Method: quantitative survey applied to a sample of 311 nurses who performed Health Education for the child/adolescent/family in two hospital centers and two primary care groupings in the province of Trás-os-Montes e Alto Douro in the second half of 2018. Results: among the respondents, 84.9% (n=264) did not follow any model/theory of health education; 66.2% (n=206) did not attend any training in the context of Health Education in the past five years; 98.7% (n=307) considered that the training in Health Education is important for their professional development; and 93.6% (n=291) reported the need for specific training in the field of Health Education, particularly in "communication techniques" (50.5%; n=157) and "technical-pedagogical strategies" (50.5%; n=157). Conclusion: the nurses felt the need for training in models/theories, communication techniques and technical-pedagogical strategies of intervention in Health Education. [ABSTRACT FROM AUTHOR]

Objective: To identify the perception of the nursing team about the motivational factors in the work environment. Methods: An exploratory study with a qualitative approach, carried out from January to February, 2015, in the pediatrics sector of a reference hospital of medium complexity, with 12 nursing technicians and nine nurses. The data collection was based on interviews guided by a semi-structured instrument and the data collected were analyzed according to Bardin. Results: The main factors that could contribute to the motivation of the nursing team were: sufficient supply of materials; motivational meetings; standardization of conduits and elaboration of assistance protocols; training courses and training; increased communication and feedback among the team of activities performed. The factors that discouraged them were: lack of recognition of the profession, lack of material, poor remuneration, excessive workload, high number of patients and nonconstructive criticism. Conclusions: The results identified could contribute with nursing managers to the planning of strategies that aim to increase the motivation in the professionals of the team. [ABSTRACT FROM AUTHOR]

Introduction: Communication is a creative action, used to promote interaction, to understand social and psychological factors among individuals. It permeates human evolution. Objective: To search for studies that applied the interpersonal communication in the health area and to discuss how it is applied in the area of nursing. Method: This is a theoretical-reflexive study due to its characteristic of being problematizing, anti-dogmatic without, however, dispensing with logical- methodological rigor with coherence of argumentation and critical spirit. Barnlund's Theory of Transactional Communication was used as a reference. Result: Aiming to enable greater understanding and discussion, we chose to discuss interpersonal communication in three thematic categories: Barnlund Transactional Communication Theory, Characterizing Communication and Interpersonal Communication in Nursing. Conclusion: In nursing, the difficulty of interaction and communication between the professionals and the patients is also evidenced, a fact that proves that this difficulty compromises the integral attention to the individual, also compromising the quality of life of the same. [ABSTRACT FROM AUTHOR]

Aim: to analyze the relations between the communication process and the occurrence of adverse events and to reflect on a model for care handover in hospital institutions. Method: theoretical reflexive study. Results: the analysis of theoretical references, publications of organizations, certifying institutions and scientific articles revealed the relation between communication failures and adverse events. It was noticed that many communication problems among healthcare professionals happen during care handover. However, when information is standardized, positive results are evidenced. Conclusions: the standardization of care handover should be encouraged, since communication is essential for human relations that involve patients, their families and professionals. This procedure contributes for transformations in healthcare institutions and for improvement of safety culture. [ABSTRACT FROM AUTHOR]

Objective: to understand the nurse's view on the use of the Manchester protocol and on the user population in the risk assessment of an Emergency Care Unit (ECU). Method: qualitative case study based on Comprehensive Sociology of Daily Life; open interviews were carried out with 12 nurses who perform the risk assessment. Results: there was a reversal of flow of users between the basic network and urgency/emergency services resulting in overcrowding in the ECU and work overload due to lack of information and effective communication in the Health System (publicprivate) to make users aware of the real function of the urgency/emergency service. We also identified flaws in the management of the ECU. Conclusion: despite the challenges to perform risk assessment as a welcoming and equanimous strategy to meet the demand, the nurses believed that the Manchester protocol has brought safety to the practice and quality to the care provided. [ABSTRACT FROM AUTHOR]