O paciente cirúrgico e suas expectativas de comunicação com a enfermeira

Abstract

The cbjective of this investigaticn on the expectaticns □ f the patient was to study the mteraction oetween the iHirse the surgic 3. _L J3 atient. The patients studied had been hospitalized more than 6 days in the surgical unit of a teachmg Hospital xn Ribeirão Freto, SF, Brasil. They included patients who had been operated and others who had not yet been operated. We identified the situ ations in whxcn the nurse communicated with these patients, her behavior during the interaction, and We chase the technique xnterview of the patients resulte showed that nurses patients are afraid or tsnse, the patient‘s expectations. of criticai incident with direct to obtain our objectives. The interact with patients wnen the when they are in pain, or need , teel depressed. alone or in af fection , over or when the nurse perforras some type of control negative si tuat ions as the result of communica- primarily the patient to feel uncomfortable Gr was negligent in her care We observed that nursing behavior related as positive was always accompanied by affection, whether during a procedure or emotional interaction. In the negativa behavior, there was no affection, only preoccupation with mechanical and impersonal action. Àbandonment, lack of interest in the patient’s needs, insecunty and ímpotency in a situation, nervousness, loss af canfidence in the prafessianal ar the hospital, iack af comiaitment to resolve the patienfs problem and reinforced negative self-image were consequences af the nupersoiiax oenavion af the uttrse most irequemly reporTcO > Tris greatest cause of dissatisiacticn wxtn nursmg behaviür was the iack of communication with the patient, The expectation of patients is that the nurse performs her activities with affection and not in an automatio and impersanal manner. These patients value and expect a professicnal who assumes leadership in the interaction, but who sees the necessities of the patient. An ill individual hospitalized in a surgical clinic feels dissatisfied with the techmcal performance of nursing care, relating that the consequences of this behavior are generally negative, causing a Iack of confidence in care and in the staff, irritatian, feelings of rejection, reinforcsment of negative self-image and tension.