Comunicação efetiva para segurança do paciente no cuidado de enfermagem à criança hospitalizada

Abstract

Each pediatric hospitalization situation is unique, care and treatment vary according to the child's condition, from a multidisciplinary and comprehensive perspective. In recent years, concern about patient safety has also grown, seen in national and international programs. Among the conditional goals, Effective Communication stands out as one of the important factors for its promotion, as well as nursing care inserted in this care context.Objective: To investigate scientific productions related to effective communication for patient safety in nursing care for hospitalized children. Methodology: Integrative literature review, carried out from 2018 to 2023, using the descriptors “nursing care”, “patient safety”, “communication” and “child, hospitalized” together with the Boolean operator “AND” and “OR” applied in the following Virtual Health Library (VHL) databases; Embase; and PubMed. The inclusion criteria were: scientific productions written in Portuguese, English or Spanish and full text and exclusion criteria: theses, books, conference or congress annals, technical reports. Of the total of 486, 16 articles were included in the final sample. Results:There was a concentration of productions in the years 2018, 2019 and 2022, published in the English language (15) and in the United States (13) with studies whose predominant research approach was qualitative. In the studies analyzed, interventions and instruments that benefit effective communication and the importance of Nursing with regard to the care of hospitalized children were addressed. Three themes were identified for analysis from the perspective of effective communication: 1. Focus on Technology, Family and Patient (7); 2. Professionals and Information Systems (8); and 3. Protocols and In-Service Training (8). Conclusion: Regarding effective communication, it was observed that the inclusion of the family, interprofessional interaction and the implementation of digital systems can reduce failures in the process, improve the flow of information and increase adherence to safe practices.