Vivência comunicativa do enfermeiro com pacientes e familiares de unidades críticas: do discurso à prática

Pós-graduação em Enfermagem (mestrado profissional) - FMB

A comunidade da suspensão de cirurgias pediátricas: motivos e sentimentos envolvidos no processo

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Percepção da equipe multiprofissional sobre o cuidado humanizado nas unidades de terapia intensiva de um hospital escola

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Aquisição/aprendizagem de LE na infância: a produção de enunciados em inglês por crianças de 3 a 5 anos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Checklist de cirurgias da OMS: análise da segurança e comunicação da equipe cirúrgica de um hospital escola

WHO has launched the “Safe Surgery Saves Lives” program with the purpose to reduce damage to surgical patients and define safety standards specifically in order to reduce such patients’ morbi-mortality by providing surgery teams and hospital managers with orientation about the standards of safe surgery and a uniform service evaluation instrument for national and international surveillance. Hence, this study aimed at applying the WHO safe-surgery checklist to the surgical specialties of a university hospital and evaluating the team’s opinion about the influence of its application on the safety of surgical process and on the team’s interpersonal communication. It was a descriptive, analytical, qualitative field study conducted in the surgery facilities of a university hospital in a public establishment in São Paulo state. The checklist was applied to eight surgical specialties, resulting in a total number of 30 surgeries. Its application was conducted by the researcher in three phases: Sign in, Time out, Sign Out. Next, one member of the surgery team was invited to voluntarily participate in the study by signing an informed consent form and answering guiding questions. Thirty members of the surgery team participated in the study. Bardin’s Content Analysis Method was used to organize and analyze the data. As regards the safety provided by the checklist, the following thematic categories emerged: “It reduces risk and possible complications”; “It standardizes conducts and reviews safety steps”; “It allows for better understanding of the process”; and “It provides safety to the team as a whole”. The category “It is not included in the institution’s routine” emerged from the subjects’ statements when they understood that, in this form, the checklist does not provide safety to surgical procedures. As regards communication, two thematic categories emerged: ...(Complete abstract click electronic access below)

The Technocrat - v. 35, no. 2

In this issue...2014 Elections, native fish restoration, Ryan Zinke, John Lewis, Academic Center for Excellence, climate change, interpersonal communication, student opinion

Intelligent Virtual Patients for Training Clinical Skills

The article presents the design process of intelligent virtual human patients that are used for the enhancement of clinical skills. The description covers the development from conceptualization and character creation to technical components and the application in clinical research and training. The aim is to create believable social interactions with virtual agents that help the clinician to develop skills in symptom and ability assessment, diagnosis, interview techniques and interpersonal communication. The virtual patient fulfills the requirements of a standardized patient producing consistent, reliable and valid interactions in portraying symptoms and behaviour related to a specific clinical condition.

Frequency of and predictors for withholding patient safety concerns among oncology staff: a survey study.

Speaking up about patient safety is vital to avoid errors reaching the patient and to improve a culture of safety. This study investigated the prevalence of non-speaking up despite concerns for safety and aimed to identify predictors for withholding voice among healthcare professionals (HCPs) in oncology. A self-administered questionnaire assessed safety concerns, speaking up beliefs and behaviours among nurses and doctors from nine oncology departments. Multiple regression analysis was used to identify predictors for withholding safety concerns. A total of 1013 HCPs returned the completed survey (response rate 65%). Safety concerns were common among responders. Fifty-four per cent reported to recognise their colleagues making potentially harmful errors at least sometimes. A majority of responders reported at least some episodes of withholding concerns about patient safety. Thirty-seven per cent said they remained silent at least once when they had information that might have helped prevent an incident. Respondents believed that a high level of interpersonal, communication and coping skills are necessary to speak up about patient safety issues at their workplace. Higher levels of perceived advocacy for patient safety and psychological safety significantly decreased the frequency of withholding voice. Remaining silent about safety concerns is a common phenomenon in oncology. Improved strategies are needed to support staff in effective communication and make cancer care safer.

Head movement synchrony in social interactions of patients with schizophrenia indicates symptoms, cognition and social functioning

Background: Disturbed interpersonal communication is a core problem in schizophrenia. Patients with schizophrenia often appear disconnected and "out of sync" when interacting with others. This may involve perception, cognition, motor behavior, and nonverbal expressiveness. Although well-known from clinical observation, mainstream research has neglected this area. Corresponding theoretical concepts, statistical methods, and assessment were missing. In recent research, however, it has been shown that objective, video-based measures of nonverbal behavior can be used to reliably quantify nonverbal behavior in schizophrenia. Newly developed algorithms allow for a calculation of movement synchrony. We found that the objective amount of movement of patients with schizophrenia during social interactions was closely related to the symptom profiles of these patients (Kupper et al., 2010). In addition and above the mere amount of movement, the degree of synchrony between patients and healthy interactants may be indicative of various problems in the domain of interpersonal communication and social cognition. Methods: Based on our earlier study, head movement synchrony was assessed objectively (using Motion Energy Analysis, MEA) in 378 brief, videotaped role-play scenes involving 27 stabilized outpatients diagnosed with paranoid-type schizophrenia. Results: Lower head movement synchrony was indicative of symptoms (negative symptoms, but also of conceptual disorganization and lack of insight), verbal memory, patients’ self-evaluation of competence, and social functioning. Many of these relationships remained significant even when corrected for the amount of movement of the patients. Conclusion: The results suggest that nonverbal synchrony may be an objective and sensitive indicator of the severity of symptoms, cognition and social functioning.

Nonverbal synchrony in social interactions of patients with schizophrenia indicates socio-communicative deficits

Background Disordered interpersonal communication can be a serious problem in schizophrenia. Recent advances in computer-based measures allow reliable and objective quantification of nonverbal behavior. Research using these novel measures has shown that objective amounts of body and head movement in patients with schizophrenia during social interactions are closely related to the symptom profiles of these patients. In addition to and above mere amounts of movement, the degree of synchrony, or imitation, between patients and normal interactants may be indicative of core deficits underlying various problems in domains related to interpersonal communication, such as symptoms, social competence, and social functioning. Methods Nonverbal synchrony was assessed objectively using Motion Energy Analysis (MEA) in 378 brief, videotaped role-play scenes involving 27 stabilized outpatients diagnosed with paranoid-type schizophrenia. Results Low nonverbal synchrony was indicative of symptoms, low social competence, impaired social functioning, and low self-evaluation of competence. These relationships remained largely significant when correcting for the amounts of patients‘ movement. When patients showed reduced imitation of their interactants’ movements, negative symptoms were likely to be prominent. Conversely, positive symptoms were more prominent in patients when their interaction partners’ imitation of their movements was reduced. Conclusions Nonverbal synchrony can be an objective and sensitive indicator of the severity of patients’ problems. Furthermore, quantitative analysis of nonverbal synchrony may provide novel insights into specific relationships between symptoms, cognition, and core communicative problems in schizophrenia.

CATCH across Texas: Building a model for the diffusion of effective school-based health promotion programs

The impact of health promotion programs is related to both program effectiveness and the extent to which the program is implemented among the target population. The purpose of this dissertation was to describe the development and evaluation of a school-based program diffusion intervention designed to increase the rate of dissemination and adoption of the Child and Adolescent Trial for Cardiovascular Health, or CATCH program (recently renamed the Coordinated Approach to Child Health). ^ The first study described the process by which schools across the state of Texas spontaneously began to adopt the CATCH program after it was tested and proven effective in a multi-site randomized efficacy trial. A survey of teachers and administrator representatives of all schools on record that purchased the CATCH program, but were not involved in the efficacy trial, was used to find out who brought CATCH into the schools, how they garnered support for its adoption, why they decided to adopt the program, and what was involved in deciding to adopt. ^ The second study described how the Intervention Mapping framework guided the planning, development and implementation of a program for the diffusion of CATCH. An iterative process was used to integrate theory, literature, the experience of project staff and data from the target population into a meaningful set of program determinants and performance objectives. Proximal program objectives were specified and translated into both media and interpersonal communication strategies for program diffusion. ^ The third study assessed the effectiveness of the diffusion program in a case-comparison design. Three of the twenty Education Service Center regions in Texas were chosen, selected based on similar demographic criteria, and were followed for adoption of the CATCH curriculum. One of these regions received the full media and interpersonal channel intervention; a second received a reduced media-only intervention, and a third received no intervention. Results suggested the use of the interpersonal channels with media follow-up is an effective means to facilitate program dissemination and adoption. The media-alone condition was not effective in facilitating program adoption. ^

Lo público en lo privado : la calle elevada como catalizador del encuentro colectivo

En la actualidad, el individualismo social originado por las nuevas sociedades de la información, la crisis económica, y, aún más acusado por aquella arquitectura que busca la máxima rentabilidad, ha provocado una creciente incomunicación entre las personas que comparten los mismos espacios residenciales. La presente tesis doctoral aborda el estudio del espacio común dentro del proyecto de vivienda colectiva, desde la noción de espacio intermedio, entendido como frontera espacial –entre el espacio público de la ciudad y la atmosfera íntima de la vivienda– donde tienen lugar los encuentros sociales entre residentes. El principal objetivo de la investigación es rescatar y poner en valor principios básicos del diseño arquitectónico –muchos de ellos en desuso– que mejoran la calidad del espacio colectivo y favorecen la aparición de una atmósfera agradable para el encuentro interpersonal, así como un intento de codificación de estos aspectos, atendiendo a criterios conceptuales que definen el espacio público contemporáneo. La hipótesis de partida se basa en la consideración del proyecto de viviendas como modelo análogo al proyecto urbano de la ciudad –con el que guarda sugerentes similitudes–, y los espacios intermedios como espacio de referencia que pone en valor aquello que liga – integrado en el propio proyecto–. Este supuesto básico ha permitido a diferentes autores poner en relación fecunda el diseño de la casa, el edificio y la ciudad, con el individuo, la comunidad y la sociedad; y ha posibilitado plantear la trasposición de conceptos arquitectónicos fructíferos, en relación con el espacio público –usando como representante la idea de calle elevada–, que ahora pueden enriquecer el entorno privado del edificio. Sirviéndose de instrumentos específicos de la disciplina arquitectónica, la tesis trata de explicar la devaluación a nivel social de los espacios colectivos, derivada de la construcción en altura y del uso excesivo de la estandarización en el proyecto de viviendas a partir del período de postguerra, e intensificada en el postmodernismo por la revolución de las comunicaciones. Se puede así reorientar el diseño de los proyectos de vivienda colectiva no como una simple agrupación de viviendas que favorecen la incomunicación, sino tratando de impulsar unas edificaciones que potencien la comunicación interpersonal. La reunión y reagrupación de un vocabulario arquitectónico específico, acorde con la complejidad social intrínseca en los espacios colectivos, amplia el alcance de los conceptos tratados. Dicha terminología se basa principalmente en mecanismos de cualificación espacial y permite evaluar la dimensión colectiva de la esfera semipública en el edificio de viviendas. ABSTRACT Currently, the social individualism caused by the new societies of information, the economic crisis and even more by architecture, which looks for maximum profitability, has led to a rising lack of communication between people that share the same living space. This doctoral thesis deals with the study of common space, which is based on the notion of in-between space, within the collective housing project. It is considered as a spatial frontier –between the public space of the city and the intimate atmosphere of the housing– where social contact between residents takes place. The main purpose of this research is to collect basic principles of architectural design –many of them no longer in use– that improve the quality of collective space. Following conceptual criteria that define the contemporary public space, they encourage the emergence of a pleasant atmosphere for interpersonal meeting as well as an attempt to codify these aspects. The initial hypothesis is based on the consideration of the housing project as a model analogous to the urban project of the city, with which it bears some similarities. Furthermore, it is based on the in-between spaces as space of reference that valuates what binds – integrated in the project-. That basic supposition has served various authors to connect the design of the house, the building and the city with the individual, the community and the society. In addition –regarding public space and using the idea of the street in the sky as representative–, it has enabled to bring up the transposition of productive architectural concepts, which can now enrich the private environment of the building. Using specific architectural instruments, this thesis deals with explaining the social devaluation of collective spaces. It has resulted from the high rise building construction as well as from the excessive standardization in the housing project since the postwar period and is intensified by the communications revolution in postmodernism. Thus, it is possible to change the design of collective housing projects not as a mere cluster of dwellings that enhance isolation, but by trying to promote buildings that improve interpersonal communication. The collection and regrouping of a specific architectural vocabulary, in accordance with the social complexity inherent in collective spaces, expands the scope of the discussed concepts. Such terminology is mainly based on qualifying spatial strategies and allows to assess the collective dimension of the semi-public sphere in dwelling.

O PAPEL DA COMUNICAÇÃO FACE A FACE NAS ORGANIZAÇÕES NO CONTEXTO DA SOCIEDADE MIDIATIZADA

Este estudo trata da comunicação face a face nas organizações sob diferentes abordagens teóricas. Considera a perspectiva da simultaneidade dos meios, já que as empresas utilizam diversos canais para dialogar com seus públicos de interesse. Leva em conta o fenômeno da midiatização, que reestrutura o modo como as pessoas se relacionam na sociedade contemporânea. O objetivo geral da pesquisa é sistematizar papeis potencialmente exercidos pela interação face a face e conhecer algumas circunstâncias que envolvem sua prática nas organizações. Por se tratar de uma tese teórica, a pesquisa bibliográfica se apresenta como um dos principais procedimentos metodológicos; análises de casos empíricos e um estudo de caso desenvolvido na Embrapa Pantanal constituem situações ilustrativas. Conclui-se que a comunicação face a face nas empresas ocorre de forma simultânea e combinada a outros canais de comunicação, porém, ela proporciona resultados práticos e filosóficos ainda pouco explorados. É rara a utilização estratégica de contatos presenciais como mecanismo para estabelecer relacionamentos, conhecer as reações alheias e ajustar a comunicação, aliar o discurso corporativo às práticas empresariais e avaliar o contexto onde se desenvolvem as interações, o que pode ser decisivo para a comunicação organizacional.

Effects of Dialogic Reading in the Improvement of Reading Comprehension in Students of Primary Education

Reading is an essential factor for success at school that requires certain skills and strategies of great complexity rarely taught in schools. Verbalization of comprehension strategies can be considered an effective measure in learning to read. The purpose of this study was to analyze the effect of a program of teaching reading strategies implemented through interactive dialogic reading groups in the learning of reading comprehension. A quasi-experimental comparison with pretest and posttest design between groups was used. A sample of 355 participants aged between 8 and 9 years aged was used. The results weigh the potential value of the program and support the development of teaching models that integrate dialogic reading practices as they facilitate learning of reading comprehension.

Equal Partners in Dialogue? Participation Equality in a Transnational Deliberative Poll (Europolis)

By gathering a representative sample of citizens from all 27 EU Member States, the deliberative poll Europolis created the opportunity for the inclusion of a wide variety of European voices. Taking up claims of difference democrats who argue that informal hurdles to participation can endure even after individuals gain formal access to the floor, this article argues for an extended approach to evaluate equality in deliberative minipublics. Specifically, it assesses whether participants contributed in roughly equal measures to the discussion and whether their discussion partners considered their contributions on equal merits. In doing so, the article adds to the small but growing literature on deliberation that expresses reservations about taking the willingness to engage with others' claims for granted. In order to account for the intrinsically relational aspect of interpersonal communication, measures of social network analysis are introduced as possible tools to evaluate participation equality in deliberative encounters.