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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]

Objective: To identify how care is provided to people living with ostomy in the health care network from the perspective of nurses. Methods: Qualitative, descriptive study, developed with 29 nurses who worked in the Health Care Network who provide care to patients with ostomy. The methodological theoretical framework used was Minayo's social research, which is based on historical and dialectical materialism.Data collection carried out in March and April 2018, through a semi-structured interview. Thematic analysis of the data was carried out. Results: Weaknesses were identified in communication in the health care network, as well as in the care actions carried out by nurses to people living with stomas, demonstrating a centralized care and failure in care due to the lack of continuing education. Conclusion: The care of ostomy patients has points to be improved, such as defining an itinerary for this patient, centralization of care, ensuring continuity of care and completeness, referral and counter-referral, need for effective communication between the health teams that care for these patients as well as lack of continuing education. [ABSTRACT FROM AUTHOR]

Objective: To develop and validate an educational folder for use in people with Heart Failure. Methods: Study with a methodological approach for the elaboration of an educational folder and validation by experts. Technical specialists were nurses, cardiology specialists, who validated content and appearance; Specialist designers validated appearance, aesthetics and visual communication. The content validity index (IVC) was calculated; responses were consistent when Cronbach's alpha > 0.60 and the inter-rater agreement index (IRA) was calculated. Results: High agreement among nurses (ARI = 1), almost perfect internal consistency (Cronbach's alpha = 0.84), total and isolated CVI above 0.8. The booklet was considered valid. For graphic designers, the overall IVC achieved a value that guaranteed appearance validity. Conclusion: The educational booklet was validated by the judges and is presented as an instrument to assist in the preparation for discharge and long-term follow-up of patients with HF. [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]

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]

The Brazilian Sign Language - LIBRAS is an important communication tool in the life of the deaf and of special relevance when it comes to enjoying their rights as a citizen, especially access to health. Despite the importance, LIBRAS is not yet part of the education of health professionals so that the necessary fluency level for this communication is guaranteed. Like the vast majority of health professionals, because they are not fluent or even know pounds, nursing professionals use as communication strategy: a) gestures, which hinders the process of immediate assistance and help, and / or b) conversation with a relative or companion, which is contrary to the ethical guidelines regarding the inherent secrecy of every human being. Medical care for the deaf person becomes a challenge for both the healthcare professional and the deaf person, since the use of verbal language does not exist and needs to be replaced by another communication mechanism. In addition, LIBRAS does not have several signs in the medical field, so that even with the presence of an interpreter or family member fluent in this language, part of the message is not decoded to satisfaction, which results in negative consequences in the care of this population. The purpose of this study is to investigate the perception of future nurses in relation to the knowledge and use of LIBRAS in their future profession. Although there is a sanctioned law that guides the inclusion of pounds in some courses, including the study participant course, the data obtained in this study allow us to observe the students' reflection on the difficulties faced in the nurse's professional environment in the care of the deaf, especially regarding the information provided by the patient and the understanding by the professional. This study stimulated the identification of problems in communication between the nurse and the deaf patient by nursing students, also pointing to the need for the elaboration of new curriculum guidelines essential to the education of nurses, from the point of view of social inclusion and improvement of care in nursing deafness perspective. [ABSTRACT FROM AUTHOR]

The demotivation in nursing work conditions leads nurses to perform their duties less productively and hinders the development of their potential and a satisfactory professional performance, with negative results in interpersonal relationships and in the provision of care to users and their families, with lower quality. Instituting motivational strategies in nursing work is a challenge for nurses in their professional practice, team leaders, managers and supervisors. Purpose: Synthesize the analysis of the scientiic evidence of selected studies on motivational strategies in nursing work. Objectives: The general objective of this scientiic Systematic Literature Review is to identify strategies that promote motivation in the context of nursing work. The speciic objectives are: describe the scientiic evidence available on the subject under study, clarify the concepts of motivation and satisfaction and summarize the decision-making process in the promotion of motivational strategies in nursing work. Method: The methodological strategy used was the Joanna Briggs Institute (JBI). A research question was structured according to the PICo mnemonic, in Portuguese, English and Spanish, with the Boolean operator AND and the keywords were transcribed according to the Health Sciences Descriptors (DeCS). Data collection took place in May 2020 in the following databases: SciELO with Full Text from the Open Journal System (OJS) platform, IBECS with Full Text and LILACS with Full Text from the Virtual Health Library (BVS) platform. Sixty-ive studies resulted and after applying the inclusion and exclusion criteria and evaluating the methodological quality of the selected studies through critical evaluation, degrees of recommendation for practice and levels of evidence, six studies were considered eligible for the study. The methodological quality assessment was performed by two independent reviewers. Results: The results obtained in the selected studies indicate a multiplicity of factors that inluence motivation: the quality of the work environment, the age of the nurse, the performance of functions in the public or private sector and the presence/absence of feelings of autonomy, recognition, accomplishment and professional development, motivational meetings, standardization of conducts and elaboration of care/intervention protocols, communication and feedback between collaborating nurses, managers and supervisors, the possibility of attending training courses, the availability of materials for the provision of care and the existence of facilitating/non-facilitating factors in the face of stressful situations with the relatives of end-of-life patients. Conclusion: The strategies that promote motivation in the context of nursing work are related to the policies of health organizations/institutions, the conduct of nurse managers and supervisors, interpersonal relationships in the nursing team, the construction of protocols, continuous training attendance, the care provided and the existence of a feeling of self-fulillment. [ABSTRACT FROM AUTHOR]

In a way, the reflection if the nurse's knowledge of the self promotes care for the puerperal woman in the hospital context, a scope review is scientific with the question: Does self-knowledge promote the care for the puerperal woman in the hospital context? The research was carried out with MeSH descriptors, combining a research expression: Nursing AND Empowerment AND Communication AND Postpartum period, in the EBSCOhost database. Articles published between 11/2015 and 11/2020 were searched. The selection process of the studies developed was in accordance with the PRISMA 2009 flow diagram, thus guaranteeing their methodological quality. In the results obtained, it appears that nurses tend to mobilize their knowledge of themselves, in order to be able to pay attention to women in this phase of transition from pregnant to puerperal women, so that this experience of this developmental transition in a healthier way, thus promoting a positive view of motherhood. [ABSTRACT FROM AUTHOR]

Objective: To describe the development of the nursing process in the psychic and emotional dimensions of patients in a general hospital. Methods: Exploratory and qualitative research with the participation of nine nurses from a hospital in Curitiba, Paraná, Brazil, in 2018. Data were collected through semi-structured interviews and submitted to Content Analysis. The phases of the Nursing Process described in Resolution 358/2009 of the Federal Nursing Council were used as an analytical matrix. Results: The participants described the observation, perception, active search in medical records, communication as strategies for collecting nursing data; demonstrated difficulties in using nursing diagnoses, planning and implementing specific care in the psychosocial dimension. Collaborative care with the multiprofessional team was emphasized. They stated that some nursing evaluations were impaired due to the reduced time spent by patients in the services. Conclusion: The development of the nursing process with a focus on the psychological and emotional dimensions in a general hospital is a challenge for nursing. Health institutions should invest in permanent education to train the nursing staff for quality care. [ABSTRACT FROM AUTHOR]

Families throughout the life cycle experience different transitions and have undergone many transformations, mainly in their structures, some resulting from the construction of conjugality or the paths of its dissolution. In this case study we appreciate the Rocha family, using Olson's Circumplex Model (2000) and the dimensions of the Dynamic Model of Family Assessment as references (Figueiredo, 2012). The nursing diagnoses were validated by the family and are located in the development and functioning dimensions: Marital satisfaction, not maintained by ineffective communication; Parental role, not suitable, due to knowledge of the role not shown; Parental role, not suitable, due to no consensus on the role. Role of appropriate caregiver; Non-dysfunctional family process; Ineffective family communication. In view of these diagnoses, it was possible to develop a care plan with the family to improve family well-being. [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 describe the experience with the use of the problematizing methodology uses the Maguerez Arch in extension actions of integration between epidemiological surveillance and health care. Methods: Experience report of students of the undergraduate Nursing course, in a university extension project, in which problematizing methodology with the Maguerez Arch was used. Results: The stage that led to the identification of the problem in the compulsory notification of diseases and conditions also stimulated the development of the competence to diagnose health problems and decision-making skills. Meanwhile, the steps that led to the choice and implementation of the intervention with educational activities stimulated the development of the skills to intervene in health problems; communication and permanent education. Conclusion: The use of a teaching-learning methodology to solve a real problem and applied to extension actions contributed to the development of important competences and skills in training as Nurses. [ABSTRACT FROM AUTHOR]

In order to analyze and describe the importance of humanized nursing care and show the relationship between technological advancement and nursepatient communication in the care process. In the twentieth century, after the occurrence of two world wars, it generated the discovery of new technologies. Communication is the means by which people interact with each other. Traditional literature review study, based on article data, indexed in LILACS and SCIELO, made available in full and published between 2003 to 2016, totaling 20 references. In nursing practice, the professional is qualified to develop various activities, the systematization of perioperative nursing care (SAEP) is part of these activities. Therefore, nurse-patient communication is designed with the purpose of identifying and meeting the patient's health needs and contributing to improving nursing practice, by creating learning environments and awakening feelings of trust in patients, providing that they feel satisfied and insurance. However, humanized care is an instrument that favors the care process and organizes the conditions for its performance in nursing in the perioperative period. [ABSTRACT FROM AUTHOR]

Objective: To describe the elaboration process and implementation of a care checklist to suspected persons of the new coronavirus with severe signs in Primary Health Care. Methods: Report of experience of a health center in the region of the greater Florianópolis, Santa Catarina, developed in two phases: elaboration and implementation of a checklist for care of people with severe respiratory symptoms. Results: The checklist was elaborated collectively by nurses and physicians in four versions, and its final version consists of the items: vital signs, ventilation, procedures, medication, biosafety, family care, drug allergy, communication with other branches within the Urgent Care Network, and observations. Implemented in the care of persons with severe respiratory symptoms suspected of the new coronavirus, the checklist provided greater safety in care, quick access to information and it guaranteed that no data was neglected, in addition it facilitated the dialogue between professionals during the service, the communication with the family and with other branches within the Urgent Care Network. Conclusions: The elaborated checklist was clear and objective in its implementation, and fulfilled the need to guarantee more quality and safety in assistance of suspected person of the new coronavirus with severe signs in Primary Health Care. [ABSTRACT FROM AUTHOR]

Introduction: In the context of health care, cultural and linguistic barriers happen due to the lack of cultural knowledge, of health professionals, towards people's beliefs and interactions in the social, spiritual, cultural and community dimensions. Objective: Understand which strategies are adopted by nurses to overcome cultural and linguistic barriers, with culturally diverse people. Method: Scoping Review, based on the principles advocated by the Joanna Briggs Institute. The databases for research were Proquest and PubMed, in Portuguese, English, French and Spanish. A period of 5 years was defined, for the research of key concepts and controlled vocabulary. Results: Two studies were included in this review. Both selected articles focus on nurses' interventions during care delivery in different countries. Conclusion: Nurses' intervention strategies to overcome cultural and linguistic barriers differ in the two studies, with identical recommendations for improving health care. [ABSTRACT FROM AUTHOR]

Objective: To describe the perception of nursesabout managerial competencies in the hospital context. Method: A descriptive study performed in a hospital in the northwest of Paraná, Brazil, with data collected from 25 nurses. It was used an instrument composed of questions of sociodemographic characterization and focused on the perception about the importance of managerial competences in nurses' practice, being they leadership, communication, decision making and planning and organization. The answers were arranged in a Likert scale, in which the higher the score, the more indispensable the competence was considered. Data were analyzed using descriptive statistics. Results: 76% of the participants were female, with a mean age of 35 years. The leadership domain obtained a score of 44.84 (SD ± 0.8), communication of 14.52 (SD ± 1.32), decision making of 16.12 (SD ± 3.2) and planning and organization of 17.24 (SD ± 1.56). All domains scored near the maximum score. Conclusion: Nurses perceive as indispensable the managerial competences determined for the training, in their professional practice in the hospital context. [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 report the implementation of coordinated actions through the teaching-service integration for implantation and consolidation of the systematization of nursing care in a hospital complex. Methodology: Technical report by professors of the Postgraduate Program in Nursing / UFCSPA about their work in the health service through the professional master's degree. This experience has taken place progressively since 2009, and there was an incentive for the CAPES / COFEN agreement, which fostered professional master's degrees related to SAE. Results: Five products were developed with actions in different areas such as education, communication, improvement of the system, and management. All are interconnected and have repercussions on SAE improvements with electronic nursing records. Conclusion: Research developed with the professional master's degree helped in the implementation and consolidation of SAE. [ABSTRACT FROM AUTHOR]

Objective: to evaluate which sociodemographic and professional factors interfere in nurses' competence in interpersonal communication during physical examination. Methodology: Quantitative, cross-sectional, analytical study performed with nursing assistants. The "Self-Assessment Scale on Professionalism and Interpersonal Communication between Nurses and Patients" was used. Results: The sample consisted of 171 nurses with a mean age of 33.93 (± 7.14%), the majority of whom were female (87.7%) and had a stable partner (63.1%). The mean total score was 47.7 (± 5.1). There was a statistical difference in the comparison between the self-reported color and the sincerity factor in the relationships (p = 0.04) and in the comparison between age and the interpersonal ability factor (p = 0.05). Conclusions: Nurses perceive themselves with moderate to high professionalism and competent in the nurse-patient relationship. The factors that interfered in the interpersonal communication and professionalism of the nurse were: age, self-referenced color, training time, schooling, religion, sex and unit of performance. [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 describe how the use of technology in communication has contributed to promote dialogue and compassion in patient care, minimizing isolation and facilitating communication with loved ones at the end of life. Method: Study based on an opinion article. Results: A study points to the use of Face Time as an important communication tool, during the care of patients admitted to the Intensive Care Unit and their families. Final Considerations: Nursing care in the Intensive Care Unit with the use of communication technologies favors affection between client-family-nurse, in addition to stimulating compassion and empathy. [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]

Non technical skills such as communication, leadership and teamwork, in a cardio respiratory arrest situation in an adult patient in a hospital environment, in complementarity with the clinical competence needed to the emergent situation, contributes for the outcomes of an complex intervention such as the cardio respiratory arrest to be more successful. The singularity of the person to who is performed a cardio respiratory resuscitation supports the decision - making, in each situation, through the clinical judgment. The aim is to understand the care process in a cardio respiratory resuscitation in critical ill patients in a hospital environment. We formulate the investigation question through the PICo question:" Which are the nurses non technical skills in a cardio respiratory reanimation in critical ill patients in a hospital environment?" Research was conducted in scientific data base and ProQuest. Then three articles were analyzed after the assessment of methodological quality and data extraction though the JBI-MASTARI1. Although the outcomes didn't answer to the PICo question in her entirety, they satisfy the non technical skills, communication and leadership and their significance in cardio respiratory arrest situation. [ABSTRACT FROM AUTHOR]

Health promotion in teenagers is a complex theme which justifies deepening the investigation, in order to research supportive scientific evidence, and developing a nursing intervention program to allow health improvements. Adolescence is a stage that should be understood in the interaction nurse-person like a step on the individual growth and development. In the process of caring there should be implied the search for an increasing autonomy. In order to achieve this, there was a systematic literature review, using the method PI[C]OD, with the following question: Which are the Intervention Programs in promoting health concerning young people's eating habits? A study was selected out of a search in an electronic database from the platform (EBSCO), 26th July 2013. After analyzing the study, one concludes that the development of intervention programs in promoting health is important for qualification of teenagers because they are in a stage of development transition which makes them vulnerable. [ABSTRACT FROM AUTHOR]

Becoming the parents of a premature baby, despite the unique challenges faced, also represents an opportunity for the growth and development of parenting skills. However, this moment is filled with intense emotions, which are often confusing and difficult for both parents and nursing to manage. Thus, in this article we intend to understand how nurses manage emotions when interacting with new-borns and parents in the context of prematurity. The CINAHL, MEDLINE, SciELO and Google Scholar databases were searched between March 2003 and March 2013, using the search expression: [(Prematur* OR Low birth weight) AND (Nurs*) AND (Emot*)], in English and Portuguese. The emotions most frequently identified by parents of premature infants were anguish, suffering, insecurity, anxiety, fear, stress, sadness, maternal guilt, feelings of insignificance, anger and depression. Of nursing interventions that enable the management of feelings/emotions, we highlight the importance of family-centred care as a driver of the development of parental competence, binding, and effective communication. It reinforces the importance of emotional management in the care of premature infants and their parents. More studies should be developed on the subject, in order to better understand and give visibility to emotionality in care in paediatric nursing. [ABSTRACT FROM AUTHOR]

Theoretical framework: Over the years there have been substantial changes in the amount of documentation in nursing as a result of information technologies that are part of the daily work of health professionals. Physicians are the greatest consumers of the information collected, processed and documented by nurses, given the relevance of this information in the process of clinical decision-making. Objectives: To identify and describe the information collected, processed and documented by nurses that appears most relevant to the medical profession. Methodology: Qualitative and exploratory study using participant observation (98 hours) and interviews (3) with key informants, conducted in the hospital. Inductive content analysis of field notes and interviews. Results: The most relevant information for doctors depends on the context of the subject, action and professions and can be aggregated into three categories: «monitoring parameters»; «medications and therapeutic attitudes»; and «recurrent data». Conclusion: Strategies for data collection are capable of generating valid data for the identification of categories of information most relevant to physicians («monitoring parameters», «medications and therapeutic attitudes» and «recurrent data»). The information relevant for physicians is not influenced by the person who decides that the data are collected. [ABSTRACT FROM AUTHOR]

Introduction: The communication between nurses and patients in the hospital environment excessively intervenes with the process of treatment of the health. From the moment that imperfections, these can be identified to improve the interaction and the assistance of nursing. Aims: To characterize the therapeutical communication between nurses and patients in the hospital environment according to estimated of Stefanelli. Material and Method: Study description with carried through quantitative boarding in a hospital of the state of the Ceará in julho/2007. The citizens of the study had been five nurses. Comment of 21 interactions established between nurses and patients was carried through. For the registers of the data a suitable instrument's Stefanelli was used daily of field. Results: The not-therapeutical's item had been gifts in the interactions of the majority of the nurses, occurring 32 times during the 21 interactions. Intent it the fact of that, the used item more was the use of professional jargon. The unidirectional communication occurred frequently. Conclusions: The nurses if communicate little of efficient and not directed form during the interactions that establish with the patients of the hospital. [ABSTRACT FROM AUTHOR]

In order to establish interpersonal relations in their professional and personal day-to-day, evaluate care and work, and guarantee the wellbeing of the patient, health professionals rely on communication to share ideas, feelings, and experiences. This is a qualitative, exploratory, and descriptive study carried out in 2007 with 44 employees of a psychiatric institution. The objective of the study was to discover how the employees perceive their interpersonal relationships with mentally ill patients. The data was gathered through group discussions organized in thematic categories and presented in a descriptive manner. The results highlight that: interpersonal relations should be characterized by the respect to the mentally ill, understanding of their suffering, and establishing mutual trust; communication is based on interpersonal relations; the therapeutic process demands the use of various forms of human communication. The study concludes that there is a need to reflect about care for the mentally ill, and that the establishment of effective communication with the patient and with other team members leads to quality in day-today interpersonal relations. [ABSTRACT FROM AUTHOR]

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]