Comunicação interprofissional colaborativa para segurança do paciente em terapia intensiva: revisão integrativa

Autores

  • Dayara Ainne de Sousa Araújo
  • Ana Clara Dantas
  • Ana Beatriz Marinho de Medeiros
  • Pedro Henrique Azevedo dos Santos
  • João Pedro Saraiva Figuerêdo
  • Jéssica Naiara de Medeiros Araújo

Palavras-chave:

Comunicação, Segurança do Paciente, Unidades de Terapia Intensiva, EdEducação Interprofissional, Revisão

Resumo

Objetivo: Identificar os fatores que interferem na comunicação interprofissional colaborativa na Unidade de Terapia Intensiva. Método: Revisão integrativa, realizada através das bases de dados: SCOPUS, Web of Science e MEDLINE/PubMed. A última data de acesso nas bases foi em 15 de setembro de 2023. Incluíram-se estudos disponíveis que respondessem à questão de pesquisa. Foram excluídos os editoriais, cartas ao editor, opinião de especialistas, correspondências, resumos, resenhas, capítulos de livros, teses e dissertações. Resultados: Com uma amostra de 20 artigos, foram identificados seis fatores que interferem de modo positivo as saber: treinamento da equipe interprofissional, capacidade de liderança de enfermeiros e modelos estruturados para troca de informações conjunta da tomada de decisão. E nove fatores que interferem negativamente como as relações interprofissionais pouco colaborativas na tomada de decisão, dificuldade de implementar treinamento interprofissional e dificuldade de gerenciar funções e responsabilidades. Conclusão: o estudo permite que a equipe interprofissional e a gestão da Unidade de Terapia Intensiva conheçam e possam identificar os fatores que impulsionam ou impedem a colaboração em equipes.

Referências

Gessesse AG, Haile JM, Woldearegay AG. The nexus between physician-patient communication and health outcomes: level of patient communication satisfaction and its impact on adherence in Ethiopian comprehensive specialized hospitals. Patient Prefer Adher. 2022;16:2509-19. doi: https://doi.org/10.2147/PPA.S381937

Velásquez ST, Ferguson D, Lemke KC, Bland L, Ajtai R, Amezaga B, et al. Interprofessional communication in medical simulation: fndings from a scoping review and implications for academic medicine. BMC Med Educ. 2022;22:204. doi: https://doi.org/10.1186/s12909-022-03226-9

World Health Organization (WHO). Global Patient Safety Action Plan 2021-2030 [Internet]. 2021 [cited Set 12, 2023]. Available from: https://www.who.int/publications/i/item/9789240032705

Nwosu ADG, Ossai E, Ahaotu F, Onwuasoigwe O, Amucheazi A, Akhideno I. Patient safety culture in the operating room: a cross-sectional study using the Hospital Survey on Patient Safety Culture (HSOPSC) Instrument. BMC Health Serv Res. 2022;22(1). doi: https://doi.org/10.1186/s12913-022-08756-y

Chen Y, Gong Y. Teamwork and patient safety in intensive care units: challenges and opportunities. Stud Health Technol Inform. 2022;290:469-473. doi: https://doi.org/10.3233/SHTI220120

Hopia H, Latvala E, Liimatainen L. Reviewing the methodology of an integrative review. Scand J Caring Sci. 2016;30(4):662-9. doi: https://doi.org/10.1111/scs.12327

Araújo DAS, Dantas AC. Comunicação interprofissional colaborativa para segurança do paciente em terapia intensiva: revisão integrativa. Mendeley Data. 2023. doi: https://doi.org/10.17632/sbhnr4kwzs.1

Aromataris E, Munn Z. JBI Manual for Evidence Synthesis. JBI. 2020. doi: https://doi.org/10.46658/JBIMES-20-01

Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372(160). doi: https://doi.org/10.1136/bmj.n160

Arrogante Ó, Raurell-Torredà M, Zaragoza-García I, Sánchez-Chillón FJ, Aliberch-Raurell AM, Amaya-Arias A, et al. TeamSTEPPS®-based clinical simulation training program for critical care professionals: A mixed-methodology study. Enferm Intensiva (Engl Ed). 2023;34(3):126-37. doi: https://doi.org/10.1016/j.enfie.2022.10.002

Digby R, Manias E, Haines KJ, Orosz J, Ihle J, Bucknall TK. Staff experiences, perceptions of care, and communication in the intensive care unit during the COVID-19 pandemic in Australia. Aust Crit Care. 2023;36(1):66-76. doi: https://doi.org/10.1016/j.aucc.2022.10.004

Häggström M, Ingelsson P, Sten L-M, Bäckström I. Success Factors for Quality and Safety of Intensive Care Unit Transitional Care – Listening to the Sharp End. Qual Innov Prosper. 2023;27(1):1-20. doi: https://doi.org/10.12776/qip.v27i1.1789

Matusov Y, Matthews A, Rue M, Sheffield L, Pedraza IF. Perception of interdisciplinary collaboration between ICU nurses and resident physicians during the COVID-19 pandemic. J Interprof Educ Pract. 2022;27:e100501. doi: https://doi.org/10.1016/j.xjep.2022.100501

Shields HM, Pelletier SR, Zambrotta ME. Agreement of Nurses’ and Physicians’ Attitudes on Collaboration During the Covid-19 Pandemic Using the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. Adv Med Educ Pract. 2022;13:905-12. doi: https://doi.org/10.2147/AMEP.S370912

Yamamoto K. Association between interdisciplinary collaboration and leadership ability in intensive care unit nurses: a cross-sectional study. J Nurs Res. 2022;30(2):e202, 2022. doi: https://doi.org/10.1097/jnr.0000000000000483

Kiessling A, Amiri C, Arhammar J, Lundbäck M, Wallingstam C, Wikner J, et al. Interprofessional simulation-based team-training and self-efficacy in emergency medicine situations. J Interprof Care. 2022;36(6):873-81. doi: https://doi.org/10.1080/13561820.2022.2038103

Jonsson K, Brulin C, Härgestam M, Lindkvist M, Hultin M. Do team and task performance improve after training situation awareness? A randomized controlled study of interprofessional intensive care teams. Scand J Trauma Resusc Emerg Med. 2021;29(73). doi: https://doi.org/10.1186/s13049-021-00878-2

Ntinga MN, Aswegen HV. Physiotherapists’ perceptions of collaborations with inter professional team members in an ICU setting. SAJCC. 2020;36(2):86-91. doi: https://doi.org/10.7196/SAJCC.2020.v36i2.431

Liaw YS, Ooi SW, Rusli KDB, Lau TC, Tam WWS, Chua WL. Nurse-Physician Communication Team Training in Virtual Reality Versus Live Simulations: Randomized Controlled Trial on Team Communication and Teamwork Attitudes. J Med Internet Res. 2020;22(4):e17279. doi: https://doi.org/10.2196/17279

Michalsen A, Long AC, Ganz FD, Branco DB, Jensen HI, Metaxa V. Interprofessional Shared Decision-Making in the ICU: A Systematic Review and Recommendations From an Expert Panel. Crit Care Med. 2019;47(9):1258-66. doi: https://doi.org/10.1097/CCM.0000000000003870

Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. BMJ Open. 2019;9:e028280. doi: https://doi.org/10.1136/bmjopen-2018-028280

Walter JK, Schall TE, DeWitt AG, Faerber J, Griffis H, Galligan M, et al. Interprofessional team member communication patterns, teamwork, and collaboration in pre–family meeting huddles in a pediatric cardiac intensive care unit. J Pain Symptom Manage. 2019;58(1):11-8. doi: https://doi.org/10.1016/j.jpainsymman.2019.04.009

Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2017;6. doi: https://doi.org/10.1002/14651858.CD000072.pub3

Reeves S, Clark E, Lawton S, Ream M, Ross F. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Int J Qual Health Care. 2017;29(2):144-50. doi: https://doi.org/10.1093/intqhc/mzx008

Stocker M, Pilgrim SB, Burmester M, Allen ML, Gijselaers WH. Interprofessional team management in pediatric critical care: some challenges and possible solutions. J Multidiscip Healthc. 2016;9:47-58. doi: https://doi.org/10.2147/JMDH.S76773

Foronda C, MacWilliams B, McArthur E. Interprofessional communication in healthcare: An integrative review. Nurse Educ Pract. 2016;19:36-40. doi: https://doi.org/10.1016/j.nepr.2016.04.005

Costa DK, Barg FK, Asch DA, Kahn JM. Facilitators of an interprofessional approach to care in medical and mixed medical/surgical ICUs: a multicenter qualitative study. Res Nurs Health. 2014;37(4):326-35. doi: https://doi.org/10.1002/nur.21607

Brock D, Abu-Rish E, Chiu C-R, Hammer D, Wilson S, Vorvick L, et al. Interprofessional education in team communication: working together to improve patient safety. Postgrad Med J. 2013;89:642-51. doi: https://doi.org/10.1136/postgradmedj-2012-000952rep

Reader TW, Cuthbertson BH. Teamwork and team training in the ICU: Where do the similarities with aviation end? Crit Care. 2011;15(313). doi: https://doi.org/10.1186/cc10353

Boll B, Neandrup JH, Reifarth E, Borrega JG. Interdisciplinary and interprofessional communication in intensive and emergency care. Med Klin Intensivmed Notfmed. 2022;117(8):588-94. doi: https://doi.org/10.1007/s00063-022-00955-z

Nieuwoudt L, Hutchinson A, Nicholson P. Pre-registration nursing and occupational therapy students' experience of interprofessional simulation training designed to develop communication and team-work skills: A mixed methods study. Nurse Educ Pract. 2021;53:103073. doi: https://doi.org/10.1016/j.nepr.2021.103073

Aldawood F, Kazzaz Y, AlShehri A, Alali H, Al-Surimi K. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. BMJ Open Qual. 2020(9):e000753. doi: https://doi.org/10.1136/bmjoq-2019-000753

Oliveira EM, Andolhe R, Padilha KG. Patient safety culture and incidents recorded during nursing shift changes in intensive care units. Rev Bras Ter Intensiva. 2022;34(3):386-96. doi: https://doi.org/10.5935/0103-507X.20220446-pt

Firmino JSC, Amante LN, Anders JC, Girondi JBR, Trombeta AP, Oliveira MC, et al. Shift handover, effective communication, and the sbar method, in the perception of nurses in a coronary care unit. Rev Min Enferm. 2022;26:e-1435. doi: https://doi.org/10.35699/2316-9389.2022.39241

Muller M, Jurgens J, Redaèlli M, Klingberg K, Hautz, WE, Stock S. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi: https://doi.org/10.1136/bmjopen-2018-022202

Liu P, Lyndon A, Holl JL, Johnson J, Bilmoria KY, Stey AM. Barriers and facilitators to interdisciplinary communication during consultations: a qualitative study. BMJ Open.

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Publicado

2024-09-03

Como Citar

Araújo, D. A. de S., Dantas, A. C., Medeiros, A. B. M. de, Santos, P. H. A. dos, Figuerêdo, J. P. S., & Araújo, J. N. de M. (2024). Comunicação interprofissional colaborativa para segurança do paciente em terapia intensiva: revisão integrativa. REVISA, 13(3), 712–723. Recuperado de https://rdcsa.emnuvens.com.br/revista/article/view/283

Edição

v. 13 n. 3 (2024): REVISA

Seção

Revisão de Literatura

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Copyright (c) 2024 REVISA

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