Comunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopo
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional Manancial UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/22222 |
Resumo: | Introduction: In the pediatric field, the diagnosis of HIV infection in childhood is understood as a difficult communication, as it is a permanent serological condition immersed in a stigmatizing context. This indicates that family members and professionals use different strategies for such communication, aiming to minimize failures and negative associations with the situation. However, there is a gap in the elements that make up the communicative process of this diagnosis. Objective: to map how the diagnosis of HIV infection occurs in pediatrics. Method: scope review according to the guidelines of the Joanna Briggs Institute. The inclusion criteria were original articles whose participants were the child, family and/or health professional, whose theme was the communication of the diagnosis of HIV infection, published from 2011 and in Portuguese, English or Spanish. Considering that communication can extend to the teaching and, sometimes, investigations include both participants, there was a need, during the study, for inclusion of HIV adolescents infected in childhood. In January 2020, the following sources were accessed: PubMed, CINAHL, Scopus, WoS, ASSIA, PsycINFO, ERIC, Sociological Abstracts, Edubase and LILACS, BDENF and IndexPsi by VHL, in addition to the reference list of the included studies. Results: 64 articles were included and the results organized from the elements of the communicative process such as sender, receiver, message, context, channel and effect. The emitters were health professionals and family members and the recipients were family members, children and adolescents. The message was the diagnosis of HIV infection for the child and sometimes happening in adolescence. The main context that family members and professionals analyzed to communicate refers to the preparation of children or adolescents. As a communication channel, professionals and family members used physical materials and other strategies and evaluated the amount of information and the quality of the content. In the vast majority, the effects were beneficial for those involved, and the negative effects occurred when there was a delay in communication and it happened in adolescence. The noises occurred, especially when the family members were the emitters and the professionals recognized that they had committed failures due to the lack of preparation for the situation. Final thoughts: it is important that the services establish conditions to have an appropriate context for the communication of bad news in pediatrics. Moreover, health professionals must develop skills to support family members as senders of this message. It is noteworthy that the use of communication strategies appropriate for the age group is positive, as well as the monitoring of the effects of this communication by a multidisciplinary team, being the procedural communication early and timely, avoiding noise and failures, as they can generate negative effects. Further studies are necessary especially to assess the communication failures of the diagnosis of HIV infection in the children’s experience. |
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2021-09-15T11:24:51Z2021-09-15T11:24:51Z2020-10-02http://repositorio.ufsm.br/handle/1/22222Introduction: In the pediatric field, the diagnosis of HIV infection in childhood is understood as a difficult communication, as it is a permanent serological condition immersed in a stigmatizing context. This indicates that family members and professionals use different strategies for such communication, aiming to minimize failures and negative associations with the situation. However, there is a gap in the elements that make up the communicative process of this diagnosis. Objective: to map how the diagnosis of HIV infection occurs in pediatrics. Method: scope review according to the guidelines of the Joanna Briggs Institute. The inclusion criteria were original articles whose participants were the child, family and/or health professional, whose theme was the communication of the diagnosis of HIV infection, published from 2011 and in Portuguese, English or Spanish. Considering that communication can extend to the teaching and, sometimes, investigations include both participants, there was a need, during the study, for inclusion of HIV adolescents infected in childhood. In January 2020, the following sources were accessed: PubMed, CINAHL, Scopus, WoS, ASSIA, PsycINFO, ERIC, Sociological Abstracts, Edubase and LILACS, BDENF and IndexPsi by VHL, in addition to the reference list of the included studies. Results: 64 articles were included and the results organized from the elements of the communicative process such as sender, receiver, message, context, channel and effect. The emitters were health professionals and family members and the recipients were family members, children and adolescents. The message was the diagnosis of HIV infection for the child and sometimes happening in adolescence. The main context that family members and professionals analyzed to communicate refers to the preparation of children or adolescents. As a communication channel, professionals and family members used physical materials and other strategies and evaluated the amount of information and the quality of the content. In the vast majority, the effects were beneficial for those involved, and the negative effects occurred when there was a delay in communication and it happened in adolescence. The noises occurred, especially when the family members were the emitters and the professionals recognized that they had committed failures due to the lack of preparation for the situation. Final thoughts: it is important that the services establish conditions to have an appropriate context for the communication of bad news in pediatrics. Moreover, health professionals must develop skills to support family members as senders of this message. It is noteworthy that the use of communication strategies appropriate for the age group is positive, as well as the monitoring of the effects of this communication by a multidisciplinary team, being the procedural communication early and timely, avoiding noise and failures, as they can generate negative effects. Further studies are necessary especially to assess the communication failures of the diagnosis of HIV infection in the children’s experience.Introdução: No campo da pediatria o diagnóstico de infecção pelo HIV na infância é compreendido como uma comunicação difícil, por se tratar de uma condição sorológica permanente e imersa em um contexto estigmatizante. Isso indica que familiares e profissionais utilizem diferentes estratégias para tal comunicação, visando minimizar falhas e associações negativas a situação. Porém, há lacuna quanto aos elementos que compõe o processo comunicativo deste diagnóstico. Objetivo: mapear como acontece a comunicação do diagnóstico de infecção pelo HIV em pediatria. Método: revisão de escopo conforme as orientações do Joanna Briggs Institute. Os critérios de inclusão foram artigos originais que tiveram como participantes, criança, familiar e/ou profissional de saúde, que o tema fosse a comunicação do diagnóstico de infecção pelo HIV; recorte temporal de 2011 e os idiomas português, inglês ou espanhol. Considerando que a comunicação pode se estender à adolescência e, por vezes, as investigações incluem ambos participantes, houve a necessidade, no decorrer do estudo, de inclusão de adolescentes infectados pelo HIV na infância. Foram acessadas, em janeiro de 2020, as fontes: PubMed, CINAHL, Scopus, WoS, ASSIA, PsycINFO, ERIC, Sociological Abstracts, Edubase e LILACS, BDENF e IndexPsi via BVS. Bem como, a lista de referência dos estudos incluídos. Resultados: foram incluídos 64 artigos e os resultados organizados a partir dos elementos do processo comunicativo como o emissor, receptor, mensagem, contexto, canal e efeito. Os emissores foram os profissionais da saúde e familiares e os receptores foram familiares, crianças e adolescentes. A mensagem foi o diagnóstico de infecção pelo HIV para a criança e, por vezes, acontecendo na adolescência. O principal contexto que os familiares e profissionais analisaram para comunicar se refere ao preparo das crianças ou adolescentes. Como canal da comunicação os profissionais e familiares utilizaram materiais físicos e outras estratégias e avaliaram a quantidade de informações e a qualidade do conteúdo. Na grande maioria, os efeitos foram benéficos para os envolvidos, sendo que os efeitos negativos aconteceram quando houve atraso na comunicação e ela aconteceu na adolescência. Os ruídos aconteceram, especialmente quando os familiares foram os emissores e os profissionais reconheceram que cometeram falhas devido a falta de preparo para a situação. Considerações finais: é importante que os serviços estabeleçam condições de ser ter um contexto apropriado para a comunicação de más noticias em pediatria. E, também, para que os profissionais de saúde desenvolvam habilidades para apoiarem os familiares como emissores desta mensagem. Destaca-se que é positivo o uso de estratégias de comunicação adequadas para a faixa etária, o acompanhamento dos efeitos dessa comunicação por equipe multiprofissional, sendo a comunicação processual, precoce e oportuna, evitando ruídos e falhas, pois podem gerar efeitos negativos. Novos estudos são necessários especialmente para avaliar as falhas de comunicação do diagnóstico de infecção pelo HIV na experiência das crianças.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESporUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em EnfermagemUFSMBrasilEnfermagemAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessSaúde da criançaSaúde do adolescenteComunicação em saúdeHIVRevisão de escopoChild healthAdolescent healthHealth communicationScoping reviewCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMComunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopoCommunication of the diagnosis of HIV infection in pediatrics: scoping reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisPaula, Cristiane Cardoso dehttp://lattes.cnpq.br/8247264269439154Padoin, Stela Maris de MelloGomes, Antonio Marcos TosoliSoares, Cássia BaldiniFontes, Cassiana Mendes BertoncelloLomba, Maria de Lurdes Lopes de Freitashttp://lattes.cnpq.br/0694947922451943Cremonese, Luiza400400000000600600600600600600600955f52bc-fa26-4000-9f63-fe6b25fb65c7c51caf34-101c-4411-a1ad-934246b9b3463f3f6dfc-e60a-41eb-85b1-95c67743cf2c376e24e7-7780-42a1-95f2-3fbd2f0e29c7c2620813-fa72-4b23-8c80-d6940a2ddb979bb390c6-c645-4324-a823-c55546c284cd46e78a66-3b18-4d62-9a5a-785f81b1e304reponame:Repositório Institucional Manancial UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.ufsm.br/bitstream/1/22222/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-816http://repositorio.ufsm.br/bitstream/1/22222/3/license.txtf8fcb28efb1c8cf0dc096bec902bf4c4MD53TEXTTES_PPGENFERMAGEM_2020_CREMONESE_LUIZA.pdf.txtTES_PPGENFERMAGEM_2020_CREMONESE_LUIZA.pdf.txtExtracted texttext/plain376765http://repositorio.ufsm.br/bitstream/1/22222/4/TES_PPGENFERMAGEM_2020_CREMONESE_LUIZA.pdf.txt771e64b5cf34788a8ca334aaaec71ac3MD54THUMBNAILTES_PPGENFERMAGEM_2020_CREMONESE_LUIZA.pdf.jpgTES_PPGENFERMAGEM_2020_CREMONESE_LUIZA.pdf.jpgIM Thumbnailimage/jpeg4225http://repositorio.ufsm.br/bitstream/1/22222/5/TES_PPGENFERMAGEM_2020_CREMONESE_LUIZA.pdf.jpg3fa2957012f5d5e49e0d7c4699ae156aMD55ORIGINALTES_PPGENFERMAGEM_2020_CREMONESE_LUIZA.pdfTES_PPGENFERMAGEM_2020_CREMONESE_LUIZA.pdfTese de Doutoradoapplication/pdf4031424http://repositorio.ufsm.br/bitstream/1/22222/6/TES_PPGENFERMAGEM_2020_CREMONESE_LUIZA.pdf3cd5749587758162381cdc4be504d447MD561/222222023-05-31 10:03:29.594oai:repositorio.ufsm.br:1/22222Q3JlYXRpdmUgQ29tbW9ucw==Repositório Institucionalhttp://repositorio.ufsm.br/PUBhttp://repositorio.ufsm.br/oai/requestouvidoria@ufsm.bropendoar:39132023-05-31T13:03:29Repositório Institucional Manancial UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.por.fl_str_mv |
Comunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopo |
dc.title.alternative.eng.fl_str_mv |
Communication of the diagnosis of HIV infection in pediatrics: scoping review |
title |
Comunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopo |
spellingShingle |
Comunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopo Cremonese, Luiza Saúde da criança Saúde do adolescente Comunicação em saúde HIV Revisão de escopo Child health Adolescent health Health communication Scoping review CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Comunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopo |
title_full |
Comunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopo |
title_fullStr |
Comunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopo |
title_full_unstemmed |
Comunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopo |
title_sort |
Comunicação do diagnóstico de infecção pelo HIV em pediatria: revisão de escopo |
author |
Cremonese, Luiza |
author_facet |
Cremonese, Luiza |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Paula, Cristiane Cardoso de |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8247264269439154 |
dc.contributor.advisor-co1.fl_str_mv |
Padoin, Stela Maris de Mello |
dc.contributor.referee1.fl_str_mv |
Gomes, Antonio Marcos Tosoli |
dc.contributor.referee2.fl_str_mv |
Soares, Cássia Baldini |
dc.contributor.referee3.fl_str_mv |
Fontes, Cassiana Mendes Bertoncello |
dc.contributor.referee4.fl_str_mv |
Lomba, Maria de Lurdes Lopes de Freitas |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0694947922451943 |
dc.contributor.author.fl_str_mv |
Cremonese, Luiza |
contributor_str_mv |
Paula, Cristiane Cardoso de Padoin, Stela Maris de Mello Gomes, Antonio Marcos Tosoli Soares, Cássia Baldini Fontes, Cassiana Mendes Bertoncello Lomba, Maria de Lurdes Lopes de Freitas |
dc.subject.por.fl_str_mv |
Saúde da criança Saúde do adolescente Comunicação em saúde HIV Revisão de escopo |
topic |
Saúde da criança Saúde do adolescente Comunicação em saúde HIV Revisão de escopo Child health Adolescent health Health communication Scoping review CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Child health Adolescent health Health communication Scoping review |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Introduction: In the pediatric field, the diagnosis of HIV infection in childhood is understood as a difficult communication, as it is a permanent serological condition immersed in a stigmatizing context. This indicates that family members and professionals use different strategies for such communication, aiming to minimize failures and negative associations with the situation. However, there is a gap in the elements that make up the communicative process of this diagnosis. Objective: to map how the diagnosis of HIV infection occurs in pediatrics. Method: scope review according to the guidelines of the Joanna Briggs Institute. The inclusion criteria were original articles whose participants were the child, family and/or health professional, whose theme was the communication of the diagnosis of HIV infection, published from 2011 and in Portuguese, English or Spanish. Considering that communication can extend to the teaching and, sometimes, investigations include both participants, there was a need, during the study, for inclusion of HIV adolescents infected in childhood. In January 2020, the following sources were accessed: PubMed, CINAHL, Scopus, WoS, ASSIA, PsycINFO, ERIC, Sociological Abstracts, Edubase and LILACS, BDENF and IndexPsi by VHL, in addition to the reference list of the included studies. Results: 64 articles were included and the results organized from the elements of the communicative process such as sender, receiver, message, context, channel and effect. The emitters were health professionals and family members and the recipients were family members, children and adolescents. The message was the diagnosis of HIV infection for the child and sometimes happening in adolescence. The main context that family members and professionals analyzed to communicate refers to the preparation of children or adolescents. As a communication channel, professionals and family members used physical materials and other strategies and evaluated the amount of information and the quality of the content. In the vast majority, the effects were beneficial for those involved, and the negative effects occurred when there was a delay in communication and it happened in adolescence. The noises occurred, especially when the family members were the emitters and the professionals recognized that they had committed failures due to the lack of preparation for the situation. Final thoughts: it is important that the services establish conditions to have an appropriate context for the communication of bad news in pediatrics. Moreover, health professionals must develop skills to support family members as senders of this message. It is noteworthy that the use of communication strategies appropriate for the age group is positive, as well as the monitoring of the effects of this communication by a multidisciplinary team, being the procedural communication early and timely, avoiding noise and failures, as they can generate negative effects. Further studies are necessary especially to assess the communication failures of the diagnosis of HIV infection in the children’s experience. |
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