Communication and safe and effective nursing care in surgical center and intensive care: integrative review
Article Sidebar
Main Article Content
Abstract
Objective: To identify the importance of communication for safe and effective nursing care in the surgical center and intensive care. Methods: An integrative review with a survey of productions in February 2023 in the databases Lilacs, MEDLINE, CINAHL, and Scopus. Primary studies, available in full in English, Portuguese, and Spanish, were included. Results: Of the 1,904 productions initially found, 19 were included for analysis. The studies pointed out that communication is essential to guaranty patient safety and to insert the family in the care process. This skill goes beyond verbal expression and involves other ways of communicating. However, it needs to be improved in some situations, mainly to avoid damage to the customer. It is also suggested that some forms of communication require to be standardized. Conclusion: Communication is one of the priorities and fundamental actions for the safety and effectiveness of nursing care, whether in surgical centers or intensive care units. Given this context, it is necessary that communication barriers are identified and that strategic organizational actions are put into practice, including the permanent education of professionals and the standardization of information. Actions like these minimize the potential risks that permeate critical care and positively impact relationships in the work environment.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors maintain copyright and grant the HSJ the right to first publication. From 2024, the publications wiil be licensed under Attribution 4.0 International 
, allowing their sharing, recognizing the authorship and initial publication in this journal.
Authors are authorized to assume additional contracts separately for the non-exclusive distribution of the version of the work published in this journal (e.g., publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
Authors are encouraged to publish and distribute their work online (e.g., in institutional repositories or on their personal page) at any point after the editorial process.
Also, the AUTHOR is informed and consents that the HSJ can incorporate his article into existing or future scientific databases and indexers, under the conditions defined by the latter at all times, which will involve, at least, the possibility that the holders of these databases can perform the following actions on the article.
References
2. Santos GRS, Campos JF, Silva RC. Handoff communication in intensive care: links with patient safety. Escola Anna Nery. 2018;22(2):e20170268. https://doi.org/10.1590/2177-9465-EAN-2017-0268
3. Brasil. Agência Nacional de Vigilância Sanitária. Assistência Segura: Uma Reflexão Teórica Aplicada à Prática [Internet]. Brasília: Anvisa; 2017. 168 p. Available from: https://bit.ly/3CwLQPI
4. Olino L, Gonçalves AC, Strada JKR, Vieira LB, Machado MLP, Molina KL, et al. Comunicação efetiva para a segurança do paciente: nota de transferência e Modified Early Warning Score. Rev Gaúcha Enferm. 2019;40(spe):e20180341.
5. Brasil. Ministério da Saúde. Portaria nº 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP). Brasília/DF: MS; 2013. Available from: https://bit.ly/3NAAqAI
6. Mucelini FC, Matos FGOA, Da Silva EB, Alves DCI, Nishiyama JAP, De Oliveira JLC. Clima de segurança do paciente em centro cirúrgico: avaliação pela equipe multidisciplinar. Rev SOBECC. 2021;26(2):91–8. Available from: https://doi.org/10.5327/Z1414-4425202100020005
7. Becária LM, Bruna M, Barbosa TP, Pereira RAM. Interferências na passagem de plantão de enfermagem em unidade de terapia intensiva. CuidaArte Enferm. 2017;11(01):86-92. Available from: https://bit.ly/3NxOmvc
8. Gutierres LS, Santos JLG, Peiter CC, Menegon FHA, Sebold LF, Erdmann AL. Good practices for patient safety in the operating room: nurses’ recommendations. Rev Bras Enferm. 2018;71(suppl 6):2775–82. https://doi.org/10.1590/0034-7167-2018-0449
9. Farias ES, Santos JO, Góis RMO. Comunicação efetiva: elo na segurança do paciente no âmbito hospitalar. CGCBS. 2018;4(3):139–9. Available from: https://bit.ly/3NAwW11
10. Sousa JBA, Brandão MJM, Cardoso ALB, Archer ARR, Belfort IKP. Comunicação efetiva como ferramenta de qualidade: Desafio na segurança do paciente. Braz J Hea Rev 2020;3(3):6467-79. https://doi.org/10.34119/bjhrv3n3-195
11. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546–53. https://doi.org/10.1111/j.1365-2648.2005.03621.x
12. Lockwood C, Porrit K, Munn Z, Rittenmeyer L, Salmond S, Bjerrum M, et al. Chapter 2: Systematic reviews of qualitative evidence. In: Aromataris E, Munn Z, editors. Australia: JBI Manual for Evidence Synthesis; 2020 [cited 2021 Mar 28]. https://doi.org/10.46658/JBIMES-20-03
13. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5:210. https://doi.org/10.1186/s13643-016-0384-4
14. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Int Med. 2018;169(7):467-473. https://doi.org/10.7326/M18-0850
15. Melnyk BM, Fineout-Overholt E. Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare. A guide to best practice. Philadelphia: Lippincot Williams & Wilkins; 2005; 3-24. Available from: https://bit.ly/3Nd4p0e
16. Tomazoni A, Rocha PK, Ribeiro MB, Serapião LS, Souza S, Manzo BF. Segurança do paciente na percepção da enfermagem e medicina em unidades de terapia intensiva neonatal. Rev Gaúcha Enferm. 2017;38(1):e64996. https://doi.org/10.1590/1983-1447.2017.01.64996
17. Arias RM, Castro Sánchez, Laura, Eva, Teresa, María L. Comunicación mediante imágenes entre enfermera y paciente en estado crítico. Rev Enferm Inst Mex Seguro Soc. 2023;49–51. Available from: https://bit.ly/3Pop8kx
18. Bueno BRM, Moraes SS, Suzuki K, Gonçalves FAF, Barreto RASS, Gebrim CFL. Caracterização da passagem de plantão entre o centro cirúrgico e a unidade de terapia intensiva. Cogitare Enferm. 2015;20(3):512-8. Available from: https://bit.ly/3qRrmyv
19. Starmer AJ, Schnock KO, Lyons A, Hehn RS, Graham DA, Keohane C, Landrigan CP. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26:949-57. https://doi.org/10.1136/bmjqs-2016-006224
20. Milesky JL, Baptiste D-L, Shelton BK. An observational study of patient handover communications among nurses on an oncology critical care unit. Contemp Nurse. 2017;54(1):77–87. https://doi.org/10.1080/10376178.2017.1416306
21. Aktas YY. Problems in Critical Care Nurse-Patient Communication: Examples of Poland and Turkey. Acta Clin Croat. 2017;56:437-45. https://doi.org/10.20471/acc.2017.56.03.10
22. Happ MB, Garrett KL, Tate JA, DiVirgilio D, Houze MP, Demirci JR, George E, Sereika SM. Effect of a multi-level intervention on nurse-patient communication in the intensive care unit: results of the SPEACS trial. Heart Lung. 2014; 43(2):89-98. https://doi.org/10.1016/j.hrtlng.2013.11.010
23. Ganz FD, Yihye G, Beckman N. Family-Centered Communication and Acute Stress in Israeli Intensive Care Units. Am J Crit Care. 2019;28(4):274–80. https://doi.org/10.4037/ajcc2019562
24. Spooner AJ, Corley A, Chaboyer W, Hammond NE, Fraser JF. Measurement of the frequency and source of interruptions occurring during bedside nursing handover in the intensive care unit: An observational study. Austr Crit Care. 2015; 28(1):19–23. https://doi.org/10.1016/j.aucc.2014.04.002
25. Dezordi CCM, Benetti SAW, Tanaka AKSR, Benetti ERR, Treviso P, Carenato RCA, et al. Clima de segurança no centro cirúrgico: atitudes dos profissionais de saúde. Cogitare Enferm. 2020;25:e65577. https://doi.org/10.5380/ce.v25i0.65577
26. Dithole KS, Sibanda S, Moleki MM, Thupayagale-Tshweneagae G. Nurses’ communication with patients who are mechanically ventilated in intensive care: the Botswana experience. Int Nurs Rev. 2016;63(3):415–21. https://doi.org/10.1111/inr.12262
27. Alasad J, Ahmad M. Communication with critically ill patients. J Adv Nurs. 2005;50(4):356–62. https://doi.org/10.1111/j.1365-2648.2005.03400.x
28. Phipps LM, Thomas NJ. The use of a daily goals sheet to improve communication in the paediatric intensive care unit. Intensive Crit Care Nurs. 2007;23(5):264–71. https://doi.org/10.1016/j.iccn.2007.02.001
29. Moon TS, Gonzales MX, Woods AP, Fox PE. Improving the quality of the operating room to intensive care unit handover at an urban teaching hospital through a bundled intervention. J Clin Anest. 2016;31:5–12. https://doi.org/10.1016/j.jclinane.2016.01.001
30. Nilsen ML, Sereika S, Happ MB. Nurse and patient characteristics associated with duration of nurse talk during patient encounters in ICU. Heart Lung. 2013;42(1):5–12. https://doi.org/10.1016/j.hrtlng.2012.10.003
31. Jukkala AM, James D, Autrey P, Azuero A, Miltner R. Developing a Standardized Tool to Improve Nurse Communication During Shift Report. J Nurs Care Qual. 2012;27(3):240–6. https://doi.org/10.1097/NCQ.0b013e31824ebbd7
32. Santos GRS, Barros FM, Silva RC. Comunicação no handover na terapia intensiva: sentidos e práticas da equipe de enfermagem. Rev Gaúcha Enferm. 2020;41:e20180436. https://doi.org/10.1590/1983-1447.2020.20180436
33. Abreu IM, Rocha RC, Avelino FVSD, Guimarães DBO, Nogueira LT, Madeira MZ de A. Cultura de segurança do paciente em centro cirúrgico: visão da enfermagem. Rev Gaúcha Enferm. 2019;40(spe):e20180198. https://doi.org/10.1590/1983-1447.2019.20180198
34. Rodríguez LMB, Velandia MFA, Leiva ZOC. Percepción de los familiares de pacientes críticos hospitalizados respecto a la comunicación y apoyo emocional. Revista CUIDARTE. 2016;7(2):1297. https://doi.org/10.15649/cuidarte.v7i2.330
35. Burgener A. Enhancing Communication to improve patient safety and to increase patient satisfaction. Health Care Manag (Frederick). 2017;36(3):238–43. https://doi.org/10.1097/HCM.0000000000000165
36. Mucelini FC, Matos FGOA, Alves DCI, Silva EB, Nishiyama JAP, Moraes RMR, Campos de Oliveira JL. Clima de segurança do paciente: avaliação de trabalhadores do pronto-socorro de hospital universitário. Rev Cienc Saude. 2020; 10(3):101-8. https://doi.org/10.21876/rcshci.v10i3.969
37. Methangkool E, Tollinche L, Sparling J, Agarwala AV. Communication: Is There a Standard Handover Technique to Transfer Patient Care? Int Anest Clin. 2019; 57(3):35-47. https://doi.org/10.1097/AIA.0000000000000241
38. Bernardes LH; Quintilio MSV. Humanização da enfermagem em centro cirúrgico: a importância do enfermeiro. Rev JRG Estud Acad. 2021;4(8):115–26. https://doi.org/10.5281/zenodo.4612936
39. Junior SV, Machado AG, Alves AMRS, Cordeiro KJS, Barbosa MB, Teodozio GC, et al. Humanizing intensive nursing care for people with COVID-19. Rev Bras Enferm. 2021;22:e62584. https://doi.org/10.15253/2175-6783.20212262584
40. Broca PV, Ferreira MDA. A comunicação da equipe de enfermagem de uma enfermaria de clínica médica. Rev Bras Enferm. 2018; 71:951-958. https://doi.org/10.1590/0034-7167-2017-0208
41. Abraham J, Kannampallil T, Patel B, Almoosa K, Patel VL. Ensuring patient safety in care transitions: an empirical evaluation of a handoff intervention tool. AMIA Annu Symp Proc. 2012; 2012:17-26. PMID: 23304268