Características da comunicação não-verbal entre o enfermeiro e o cego

Detalhes bibliográficos
Autor(a) principal: Rebouças, Cristiana Brasil de Almeida
Data de Publicação: 2005
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
Texto Completo: http://www.repositorio.ufc.br/handle/riufc/1827
Resumo: Study on the characteristics of non-verbal communication between the nurse and the blind patient, whose objectives are the following: analyzing the nurse’s non-verbal communication with the blind patient during the nursing attendance; testing the reliability index among the referees of non-verbal communication analysis; classifying the non-verbal signs, according to Hall’s referential (1986); verifying the association between the video recordings and the non-verbal communication factors; and identifying the barriers to non-verbal communication between the nurse and the blind patient. The approach adopted is exploratory, descriptive, and quantitative, aiming at gathering information for intervention and, therefore, for improvement in the quality of assistance to this clientele. The study has been developed during the period of February to April of 2005, in a reference healthcare unit, of secondary level, in the city of Fortaleza-Ce, with nurses that attended to diabetic patients, as diabetes may cause several ocular disorders, such as cataract and diabetic retinopathy. Previously, the fourteen nurses who attended to diabetic patients at the institution had been contacted. Of those, seven agreed in participating of the study, but only four made part of the study group. In what regards the selection of blind diabetic patients, it was performed at random, considering the ethical principles that govern studies with human beings. The group has been constituted, therefore, by people who went blind as a consequence of diabetes, and who were going to be attended by the nurses who were part of the study group. Five blind people integrated the study group. To the data collection, a video camera was employed, which recorded the entire nursing attendance between the nurse, the blind person and his/her companion. The instrument for data analysis to evaluate the non-verbal communication between the nurse and the blind person was elaborated according to Hall’s theoretical referential (1986), with emphasis on the proxemic theory, and received the designation Nurse - Blind Patient Non-Verbal Communication (CONVENCE). Simultaneously to the data analysis, CONVENCE was sent to three referees in order to be analyzed. To the analysis of the video recordings, three other referees were chosen, who agreed in participating in the study and that were trained according to the proposed referential. From CONVENCE, five categories were elaborated, with their respective sub-categories. Category 1: Spatial distance, with the sub-categories 1.1- distance, 1.2- posture, 1.3- axis, 1.4-contact. Category 2 – Social behavior, with the subcategories: 2.1-emblematic gestures, 2.2 illustrating gestures, 2.3 –regulating gestures. Category 3 – Facial behavior. Category 4 – Visual Code, with the subcategories: 4.1 – ocular opening, 4.2 looking direction. Category 5 – Voice volume. The training sessions and the data analysis were carried out with all the referees present in the same room and at the same time that had been preset in the beginning of the training. The video recordings were analyzed each fifteen seconds, summing up 1.131 non-verbal communication analyses. When analyzing the categories and subcategories, the main results that were observed are the following: In category 1, the subcategory minimal distance prevailed with 1.030 (91%), due to the fact that the environment were the attendance took place favored the adoption of almost exclusively that distance, either by the professional or by the patient. In this category, the subcategory 2 has shown that the sitting posture (98.3 %) almost obtained unanimity in the images that were analyzed. When addresser and addressee maintain the same posture, it means that they are attuned, sharing the same rhythm, degree of interest, and movement. Also, in this category, the subcategory 4, denominated contact, demonstrated that in 943 (83.3 %) interactions there was no contact. The most observed gesture in the subcategory ‘emblematic gestures’ was the moving of hands (762 or 67.4%). The looking direction, subcategory 4.2, deviated from the interlocutor added up 597 (52.8%) and centered in the interlocutor, 502 (44.4%). In all the video recordings, there were considerable interferences in the moment of the interaction nurse-patient. Such fact was considered a hindrance to communication. The nurse has to demonstrate interest during the interaction, and it is the look towards the patient that will favor this attention during the nursing attendance. It can be concluded, according to the data, that the nurse needs to know and to intensify the studies in non-verbal communication, and to adequate its use to the kind of patient being attended.
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spelling Características da comunicação não-verbal entre o enfermeiro e o cegoCharacteristics of the non-verbal communication between the nurse and the blind patientPortadores de Deficiência VisualDislexia AdquiridaStudy on the characteristics of non-verbal communication between the nurse and the blind patient, whose objectives are the following: analyzing the nurse’s non-verbal communication with the blind patient during the nursing attendance; testing the reliability index among the referees of non-verbal communication analysis; classifying the non-verbal signs, according to Hall’s referential (1986); verifying the association between the video recordings and the non-verbal communication factors; and identifying the barriers to non-verbal communication between the nurse and the blind patient. The approach adopted is exploratory, descriptive, and quantitative, aiming at gathering information for intervention and, therefore, for improvement in the quality of assistance to this clientele. The study has been developed during the period of February to April of 2005, in a reference healthcare unit, of secondary level, in the city of Fortaleza-Ce, with nurses that attended to diabetic patients, as diabetes may cause several ocular disorders, such as cataract and diabetic retinopathy. Previously, the fourteen nurses who attended to diabetic patients at the institution had been contacted. Of those, seven agreed in participating of the study, but only four made part of the study group. In what regards the selection of blind diabetic patients, it was performed at random, considering the ethical principles that govern studies with human beings. The group has been constituted, therefore, by people who went blind as a consequence of diabetes, and who were going to be attended by the nurses who were part of the study group. Five blind people integrated the study group. To the data collection, a video camera was employed, which recorded the entire nursing attendance between the nurse, the blind person and his/her companion. The instrument for data analysis to evaluate the non-verbal communication between the nurse and the blind person was elaborated according to Hall’s theoretical referential (1986), with emphasis on the proxemic theory, and received the designation Nurse - Blind Patient Non-Verbal Communication (CONVENCE). Simultaneously to the data analysis, CONVENCE was sent to three referees in order to be analyzed. To the analysis of the video recordings, three other referees were chosen, who agreed in participating in the study and that were trained according to the proposed referential. From CONVENCE, five categories were elaborated, with their respective sub-categories. Category 1: Spatial distance, with the sub-categories 1.1- distance, 1.2- posture, 1.3- axis, 1.4-contact. Category 2 – Social behavior, with the subcategories: 2.1-emblematic gestures, 2.2 illustrating gestures, 2.3 –regulating gestures. Category 3 – Facial behavior. Category 4 – Visual Code, with the subcategories: 4.1 – ocular opening, 4.2 looking direction. Category 5 – Voice volume. The training sessions and the data analysis were carried out with all the referees present in the same room and at the same time that had been preset in the beginning of the training. The video recordings were analyzed each fifteen seconds, summing up 1.131 non-verbal communication analyses. When analyzing the categories and subcategories, the main results that were observed are the following: In category 1, the subcategory minimal distance prevailed with 1.030 (91%), due to the fact that the environment were the attendance took place favored the adoption of almost exclusively that distance, either by the professional or by the patient. In this category, the subcategory 2 has shown that the sitting posture (98.3 %) almost obtained unanimity in the images that were analyzed. When addresser and addressee maintain the same posture, it means that they are attuned, sharing the same rhythm, degree of interest, and movement. Also, in this category, the subcategory 4, denominated contact, demonstrated that in 943 (83.3 %) interactions there was no contact. The most observed gesture in the subcategory ‘emblematic gestures’ was the moving of hands (762 or 67.4%). The looking direction, subcategory 4.2, deviated from the interlocutor added up 597 (52.8%) and centered in the interlocutor, 502 (44.4%). In all the video recordings, there were considerable interferences in the moment of the interaction nurse-patient. Such fact was considered a hindrance to communication. The nurse has to demonstrate interest during the interaction, and it is the look towards the patient that will favor this attention during the nursing attendance. It can be concluded, according to the data, that the nurse needs to know and to intensify the studies in non-verbal communication, and to adequate its use to the kind of patient being attended.Pesquisa sobre as características da comunicação não-verbal entre o enfermeiro e o cego, cujos objetivos são os seguintes: analisar a comunicação não-verbal do enfermeiro com o cego durante a consulta de enfermagem; testar o índice de confiabilidade entre os juízes da análise da comunicação não-verbal; classificar os sinais não-verbais, segundo o referencial de Hall (1986); verificar a associação entre as filmagens e os fatores de comunicação não-verbal; e identificar as barreiras da comunicação não-verbal entre a enfermeira e o cego. Adotou-se uma abordagem exploratória, descritiva, quantitativa, com vistas a fornecer subsídios para a intervenção e, portanto, melhoria na qualidade do atendimento a esta clientela. O estudo foi desenvolvido no período de fevereiro a abril de 2005, em uma unidade de saúde de referência, de nível secundário, na cidade de Fortaleza-CE, com enfermeiras que atendiam a diabéticos, haja vista que a diabetes pode causar várias doenças oculares, como catarata, glaucoma e retinopatia diabética. Previamente, foram contatadas as quatorze enfermeiras da instituição que realizavam consultas de enfermagem a diabéticos. Destas, sete concordaram em participar da pesquisa, mas apenas quatro fizeram parte da amostra. Quanto à seleção dos pacientes diabéticos cegos, foi feita de forma aleatória, respeitando-se os princípios éticos de pesquisa com seres humanos. Constituiu-se, portanto, de pessoas que adquiriram a cegueira em decorrência da diabetes e que iriam ser atendidas pelas enfermeiras que concordaram em participar da pesquisa. Cinco cegos compuseram a amostra. Para a coleta de dados utilizou-se uma câmera filmadora que registrou toda a consulta de enfermagem entre a enfermeira, o cego e o acompanhante. O instrumento de análise dos dados para avaliar a comunicação não-verbal da enfermeira com o cego foi elaborado conforme o referencial teórico de Hall (1986), com ênfase na Teoria Proxêmica, e recebeu a denominação de Comunicação Não-Verbal Enfermeira – Cego (CONVENCE). Concomitantemente à coleta de dados, o CONVENCE foi enviado a três juízes para ser analisado. Para a análise das filmagens escolheram-se outros três juízes que concordaram em participar da pesquisa a que foram treinados segundo o referencial proposto. A partir do CONVENCE foram elaboradas cinco categorias, com suas respectivas subcategorias. Categoria 1 - Distância Espacial, com as subcategorias 1.1 - distância, 1.2 - postura, 1.3- eixo, 1.4 - contato. Categoria 2 - Comportamento Social, com as subcategorias: 2.1 - gestos emblemáticos, 2.2 - gestos ilustradores, 2.3 - gestos reguladores. Categoria 3 - Comportamento Facial. Categoria 4 - Código Visual, com as subcategorias: 4.1 - abertura ocular, 4.2 - direção do olhar. Categoria 5 - Volume da Voz. As sessões de treinamento e análise dos dados foram realizadas com todos os juízes presentes na mesma sala e no mesmo horário predeterminado no início da capacitação. As filmagens foram analisadas a cada quinze segundos, totalizando 1.131 análises de comunicação não-verbal. Ao analisar as categorias e subcategorias, os principais resultados observados foram os seguintes. Na categoria 1, a subcategoria distância íntima prevaleceu com 1.030 (91,0%), pelo fato do ambiente onde aconteciam as consultas favorecer, tanto ao profissional quanto ao paciente, adotar quase unicamente esta distância. Nesta categoria, a subcategoria 2 mostrou que a postura sentada, 1.112, (98,3%) obteve quase unanimidade nas imagens analisadas. Quando emissor e receptor mantêm a mesma postura significa que ambos estão em sintonia, partilhando do mesmo ritmo, grau de interesse e movimento. Também nesta categoria, a subcategoria 4, denominada contato, demonstrou que em 943 (83,3%) interações não houve contato. O gesto mais observado na subcategoria gestos emblemáticos foi mover as mãos, com 762 (67,4%). A direção do olhar, subcategoria 4.2, desviado do interlocutor, contabilizou 597 (52,8%) e centrado no interlocutor, 502 (44,4%). Em todas as filmagens, houve interferências consideráveis no momento da interação enfermeiro-paciente. Tal fato foi considerado como barreira à comunicação. O enfermeiro deve-se mostrar interessado durante a interação, e é o olhar sobre o paciente que favorecerá esta atenção na consulta de enfermagem. Conclui-se, de acordo com os dados, que o enfermeiro precisa conhecer e aprofundar os estudos em comunicação não-verbal e adequar o seu uso ao tipo de pacientes assistidos durante as consultas.Pagliuca, Lorita Marlena FreitagRebouças, Cristiana Brasil de Almeida2012-02-02T14:04:45Z2012-02-02T14:04:45Z2005info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfREBOUÇAS, C. B. A. Características da comunicação não-verbal entre o enfermeiro e o cego. 2005. 87 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, 2005.http://www.repositorio.ufc.br/handle/riufc/1827porreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2019-02-19T17:44:55Zoai:repositorio.ufc.br:riufc/1827Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:33:35.821207Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Características da comunicação não-verbal entre o enfermeiro e o cego
Characteristics of the non-verbal communication between the nurse and the blind patient
title Características da comunicação não-verbal entre o enfermeiro e o cego
spellingShingle Características da comunicação não-verbal entre o enfermeiro e o cego
Rebouças, Cristiana Brasil de Almeida
Portadores de Deficiência Visual
Dislexia Adquirida
title_short Características da comunicação não-verbal entre o enfermeiro e o cego
title_full Características da comunicação não-verbal entre o enfermeiro e o cego
title_fullStr Características da comunicação não-verbal entre o enfermeiro e o cego
title_full_unstemmed Características da comunicação não-verbal entre o enfermeiro e o cego
title_sort Características da comunicação não-verbal entre o enfermeiro e o cego
author Rebouças, Cristiana Brasil de Almeida
author_facet Rebouças, Cristiana Brasil de Almeida
author_role author
dc.contributor.none.fl_str_mv Pagliuca, Lorita Marlena Freitag
dc.contributor.author.fl_str_mv Rebouças, Cristiana Brasil de Almeida
dc.subject.por.fl_str_mv Portadores de Deficiência Visual
Dislexia Adquirida
topic Portadores de Deficiência Visual
Dislexia Adquirida
description Study on the characteristics of non-verbal communication between the nurse and the blind patient, whose objectives are the following: analyzing the nurse’s non-verbal communication with the blind patient during the nursing attendance; testing the reliability index among the referees of non-verbal communication analysis; classifying the non-verbal signs, according to Hall’s referential (1986); verifying the association between the video recordings and the non-verbal communication factors; and identifying the barriers to non-verbal communication between the nurse and the blind patient. The approach adopted is exploratory, descriptive, and quantitative, aiming at gathering information for intervention and, therefore, for improvement in the quality of assistance to this clientele. The study has been developed during the period of February to April of 2005, in a reference healthcare unit, of secondary level, in the city of Fortaleza-Ce, with nurses that attended to diabetic patients, as diabetes may cause several ocular disorders, such as cataract and diabetic retinopathy. Previously, the fourteen nurses who attended to diabetic patients at the institution had been contacted. Of those, seven agreed in participating of the study, but only four made part of the study group. In what regards the selection of blind diabetic patients, it was performed at random, considering the ethical principles that govern studies with human beings. The group has been constituted, therefore, by people who went blind as a consequence of diabetes, and who were going to be attended by the nurses who were part of the study group. Five blind people integrated the study group. To the data collection, a video camera was employed, which recorded the entire nursing attendance between the nurse, the blind person and his/her companion. The instrument for data analysis to evaluate the non-verbal communication between the nurse and the blind person was elaborated according to Hall’s theoretical referential (1986), with emphasis on the proxemic theory, and received the designation Nurse - Blind Patient Non-Verbal Communication (CONVENCE). Simultaneously to the data analysis, CONVENCE was sent to three referees in order to be analyzed. To the analysis of the video recordings, three other referees were chosen, who agreed in participating in the study and that were trained according to the proposed referential. From CONVENCE, five categories were elaborated, with their respective sub-categories. Category 1: Spatial distance, with the sub-categories 1.1- distance, 1.2- posture, 1.3- axis, 1.4-contact. Category 2 – Social behavior, with the subcategories: 2.1-emblematic gestures, 2.2 illustrating gestures, 2.3 –regulating gestures. Category 3 – Facial behavior. Category 4 – Visual Code, with the subcategories: 4.1 – ocular opening, 4.2 looking direction. Category 5 – Voice volume. The training sessions and the data analysis were carried out with all the referees present in the same room and at the same time that had been preset in the beginning of the training. The video recordings were analyzed each fifteen seconds, summing up 1.131 non-verbal communication analyses. When analyzing the categories and subcategories, the main results that were observed are the following: In category 1, the subcategory minimal distance prevailed with 1.030 (91%), due to the fact that the environment were the attendance took place favored the adoption of almost exclusively that distance, either by the professional or by the patient. In this category, the subcategory 2 has shown that the sitting posture (98.3 %) almost obtained unanimity in the images that were analyzed. When addresser and addressee maintain the same posture, it means that they are attuned, sharing the same rhythm, degree of interest, and movement. Also, in this category, the subcategory 4, denominated contact, demonstrated that in 943 (83.3 %) interactions there was no contact. The most observed gesture in the subcategory ‘emblematic gestures’ was the moving of hands (762 or 67.4%). The looking direction, subcategory 4.2, deviated from the interlocutor added up 597 (52.8%) and centered in the interlocutor, 502 (44.4%). In all the video recordings, there were considerable interferences in the moment of the interaction nurse-patient. Such fact was considered a hindrance to communication. The nurse has to demonstrate interest during the interaction, and it is the look towards the patient that will favor this attention during the nursing attendance. It can be concluded, according to the data, that the nurse needs to know and to intensify the studies in non-verbal communication, and to adequate its use to the kind of patient being attended.
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dc.date.none.fl_str_mv 2005
2012-02-02T14:04:45Z
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dc.identifier.uri.fl_str_mv REBOUÇAS, C. B. A. Características da comunicação não-verbal entre o enfermeiro e o cego. 2005. 87 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, 2005.
http://www.repositorio.ufc.br/handle/riufc/1827
identifier_str_mv REBOUÇAS, C. B. A. Características da comunicação não-verbal entre o enfermeiro e o cego. 2005. 87 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, 2005.
url http://www.repositorio.ufc.br/handle/riufc/1827
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