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Handover communication in intensive therapy: nursing team meanings and practices

Comunicación en el proceso de cambio de turno (handover) en cuidados intensivos: sentidos y prácticas del equipo de enfermería

ABSTRACT

Objective:

To analyze the meanings built by the nursing team regarding communication at shift handover in intensive care units.

Method:

A qualitative study, grounded on the theoretical framework of Berlo, was developed in the intensive care unit of a hospital in Rio de Janeiro with the nursing team participating in the handover process or working with patient care. Observation and interviews were conducted, with a thorough description of the data and thematic content analysis.

Results:

There is acknowledgment of the meaning of handover in nursing care, which is expressed in behaviors aimed at avoiding inefficacy or the incorrect perception of communication; on the other hand, there is little participation of nursing technicians, with side talks, lack of attention and incomplete information, which compromises their effectiveness.

Conclusion:

Professionals should understand their role in the communication process by playing it with active participation to reduce handover noises.

Keywords:
Patient handoff; Critical care; Communication; Nursing

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br