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The objective of this study was to investigate the scientific research that adress the issue of comunication of the clinic deterioration, through a bibliographical research. It is a systematic review of the literature, which were selected 20 articles from the database Lilacs and Medline between 2010 and 2015. From the analysis of the material, it was observed that communication is still a barrier that hinders the bond between the professional and the patient. The training in order to enable the professional for this dificult task is the ideal choice, in order to provide an environment for sharing feelings and not only the daily activities mechanized by too much routine work in intensive care units. It was possible to create three categories: I - Perception and means of the nurse in communication to the patient with clinical deterioration in the intensive care unit, II - Strategies for good practice about patient safety in the intensive care unit and III - use of the Protocol SPIKES by nurses as an instrument in the intensive care unit. It was found that the distance of the nurse's actions with regard to communication of the deterioration of the clinical condition of the patient in the intensive care unit, good practices on patient safety, and implementation of the SPIKES protocol by nurses, create a bond and quality care. It was concluded that nurses need training regarding the communication of clinical deterioration, good practice about patient safety and use of the SPIKES protocol by nurses, but there is a need to be more research on the topic. [ABSTRACT FROM AUTHOR]