Navegando por Palavras-chave "Communication barriers"

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    Avaliação da qualidade da comunicação no atendimento terciário em oftalmologia
    (Universidade Federal de São Paulo (UNIFESP), 2017-04-28) Bernardo, Marlene [UNIFESP]; Cavascan, Nivea Nunes [UNIFESP]; Sacai, Paula Yuri [UNIFESP]; http://lattes.cnpq.br/6877836442964718; http://lattes.cnpq.br/0768359963029007; http://lattes.cnpq.br/1988123044861560; Universidade Federal de São Paulo (UNIFESP)
    Objective: The objective of this study was to evaluate the quality of communication during patient care in a tertiary eye care service. For in the health area, communication has a direct impact on health status and patient care since it permeates the correct understanding of diagnosis, adherence to treatment, as well as its risks and benefits. Method: We included users of a federal public university hospital; being that the users less than 18 years and with verbal or cognitive deficit were represented by their respective parents / companions. A questionnaire was developed to evaluate the quality of communication in the customer service with closed questions of ordinal classification, and the interviews were conducted by a single interviewer. The questions were grouped in domains according to the type of care received by the user: communication of the reception / scheduling team and communication of the medical team and ophthalmic technologists. Two other domains were evaluated: verbal and non-verbal communication. Each question received a score of zero, 25, 50, 75 or 100, according to the classification assigned by the participant, representing the frequency with which he experienced specific situations associated with attendance. The higher the score, the greater the satisfaction of the participant in the area investigated, that is, the satisfaction with the service performed. For each domain and subdomain, the arithmetic mean of the score obtained in the related questions was calculated. In the end, the overall quality score of the communication in the care was calculated. Verbal communication, non-verbal communication scores and overall quality of care communication score were analyzed according to age, sex, schooling and family income. The statistical models used were Student's t-test, paired t-test, one-way ANOVA and Pearson's correlation. When there was no normal distribution of the variables, the nonparametric tests of Mann Whitney, Wilcoxon, Kruskal-Wallis ANOVA (followed by the Dunnet or Tukey multiple comparisons test) and Spearman's correlation were used. The internal consistency of the responses was measured by Cronbach's alpha coefficient. The level of statistical significance was considered as p≤0.05 with two-tailed rejection region. Results: Of the 257 interviewed users, 126 (49.0%) were male and 131 (51.0%) were female. The participants' ages ranged from 18 to 84 years (mean = 44 ± 17 years, median = 43 years). Cronbach's alpha coefficient showed good internal consistency of responses for all domains: communication from the reception / scheduling team, communication from the medical team / ophthalmic technologists, verbal communication, non-verbal communication and global communication quality score, being 0.83 , 0.78, 0.65, 0.80 and 0.62, respectively. The overall quality score of the communication was 64.2, and the overall quality score of the communication of care was 64.2. The calculated score for the attendance of the reception / scheduling team (61.7) was on average statistically lower when compared to the value calculated for the medical team / ophthalmic technologists (68.6, p <0.001). Regarding verbal communication, the calculated score for the reception / scheduling team (62.0) was statistically lower when compared to the value obtained by the medical team / ophthalmic technologists (75.8, p <0.001). However, in relation to non-verbal communication, we observed the inverse (p <0.001). There was no association between age and mean scores calculated for verbal, nonverbal communication and overall quality of communication in care. The mean scores calculated for male and female participants were statistically comparable. Participants with higher or higher scores attributed, on average, significantly lower scores on verbal communication and overall quality compared to those with medium level (p = 0.0180 and p = 0.0369, respectively). In the participants with family income of 4 to 6 minimum wages, the score attributed to verbal communication was statistically lower (p = 0.0190). Conclusions: The overall quality of communication in care (64.2) and the score assigned by the users to the communication in the service (8.2) indicate that the quality of communication in the tertiary health care service studied was well evaluated . The communication quality assessment questionnaire was constructed and validated, allowing the measurement of this quality management indicator. The issues studied may serve as a basis for the elaboration of a user assistance manual and for the establishment of adequate internal and external communication that favors the development of an organized.
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    Comunicação em adultos surdocegos com síndrome de Usher: estudo observacional retrospectivo
    (Sociedade Brasileira de Fonoaudiologia, 2013-01-01) Figueiredo, Marília Zannon De Andrade [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Goulart, Bárbara Niegia Garcia De [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Rio Grande do Sul
    PURPOSE: To characterize the communication and the main mechanisms that facilitate interpersonal relationships of deafblind, especially in relation to communication and locomotion and the impact of these aspects on deafblindness. METHODS: Report of a series of cases conducted from semi-structured interviews with questions relating to the functionality of communication, with Usher syndrome patients attended in a specialized clinic in a university service, in the year 2007. The sample consisted of 11 deafblind subjects, with Usher syndrome, aged between 20 and 57 years (mean age 43 years and SD=12.27), of which 7 (63.6%) were female. The responses were analyzed by qualitative-quantitative technique of the Discurso do Sujeito Coletivo (DSC). RESULTS: All participants reported that visual and auditory symptoms began in childhood. Of the 11 interviewed, 6 reported that the disease has negatively affected their daily activities, 6 experienced difficulty at work, and 2 at leisure. Four reported that there was a change in family relationships, and 5 reported no change in the interaction with family and friends. In discourse analysis, almost 30% of respondents reported to use alternative forms of communication, 40% said move alone if the way is known before. Only 1 of 11 participants said they did not ask for help when needed. CONCLUSION: Individuals diagnosed with Usher syndrome face challenging situations in daily activities, personal relationships, at work and at play. Alternative forms of communication are often used when verbal communication is not possible. The majority of respondents have independence of locomotion, or seeking ways to achieve it.
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    Construção do questionário para levantamento de Características Comunicativas no Aprendizado Compulsório da Língua de Acolhimento - QCALAc
    (Universidade Federal de São Paulo (UNIFESP), 2021) Alves, Amália Helena Amaral [UNIFESP]; Ávila, Clara Regina Brandão de [UNIFESP]; Furuie, Raquel de Aguiar [UNIFESP]; http://lattes.cnpq.br/5833015430638063; http://lattes.cnpq.br/4265004102490366; http://lattes.cnpq.br/5373530967308300; Universidade Federal de São Paulo (UNIFESP)
    Introdução: Diz-se refugiado aquele que foi obrigado a sair de seu local de origem e migrar para outro, devido a perseguições políticas, religiosas, raciais, étnicas, de nacionalidade e/ou conflitos armados e grave e generalizada violação de direitos humanos (ACNUR, 2020). O Brasil foi considerado pioneiro internacional na proteção dos refugiados pela ACNUR. Porém, barreiras linguísticas, geralmente, são enfrentadas no início do processo de acolhimento e, assim, salientam dilemas já vividos por essa população. Não há trabalhos que investiguem essas barreiras enfrentadas durante o aprendizado compulsório da Língua de Acolhimento (LAc). Objetivo: Elaborar um questionário que permita investigar características comunicativas do aprendizado da LAc de pessoas adultas refugiadas, com tempo de 0 a 12 meses de permanência no município de São Paulo, que não tenham o Português como língua materna. Método: Este projeto, de estudo prospectivo, foi submetido ao CEP-UNIFESP/EPM (CAAE 37282820.2.0000.5505) e aprovado sob o número: 4.458.957. Com base em pesquisa bibliográfica identificaram-se os principais fatores associados à qualidade de vida e as barreiras de comunicação que pessoas refugiadas recém-chegadas ao Brasil podem enfrentar. Para identificar as situações em que a falta de conhecimento do idioma pode ser um impeditivo, foram criados 08 domínios para os questionamentos (trabalho, social, saúde, educação, transporte público, acesso a produtos, eventos culturais, espaços religiosos). Vinte e nove questões, agrupadas, foram apresentadas a duas diferentes bancas de consenso, de juízes que as analisaram quanto às características linguísticas e sociolinguísticas (fonoaudiólogos pós-graduandos) e a coerência entre as questões e os domínios definidos e destes com o objetivo do estudo (dois docentes da UNIFESP) para análise linguística e da coerência. Desde a 1ª. versão, 13 questões foram modificadas em sua estrutura gramatical e 01 questão foi adicionada. Resultados: Trinta questões compuseram a versão final do Questionário de Características do Aprendizado da Língua de Acolhimento – QCALAc, já preparado, em sua versão final para coleta de respostas por meio de escala Likert, variando de 1 a 5, sendo 1 equivalente a resposta “nunca” e 5 a “sempre”. A última versão do QCALAc, está disponível em 04 idiomas (inglês, francês, espanhol, árabe), além do Português Brasileiro, em que foi elaborado, no Google Formulários de forma a facilitar a resposta do participante. Conclusão: o QCALAc foi elaborado e após modificações foi aprovado em seu formato de 30 questões sobre identificação e contextos comunicativos disponibilizadas em 05 idiomas. Espera-se que este estudo contribua para o desenvolvimento de futuras pesquisas sobre a comunicação dos refugiados no Brasil, em diversas áreas do conhecimento. Os resultados encontrados também poderão auxiliar, com informações, cursos de Português para estrangeiros refugiados a entenderem suas características de comunicação e necessidades relacionadas.
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    Correlação entre ansiedade e performance comunicativa
    (Sociedade Brasileira de Fonoaudiologia, 2011-12-01) Almeida, Anna Alice Figueirêdo de; Behlau, Mara [UNIFESP]; Leite, Jose Roberto [UNIFESP]; Universidade Federal da Paraíba Curso de Fonoaudiologia; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: To investigate the possible existing correlations between trait anxiety, state anxiety, and vocal parameters. METHODS: Participants were 24 adult subjects, 12 men and 12 women, with ages between 19 and 42 years, with no psychiatric history. The score in the State-Trait Anxiety Inventory (STAI), especially the STAI-Trait, enabled the division of participants into two groups: low anxiety (LA) and high anxiety (HA). Psychological parameters (STAI) and vocal parameters (self-assessment through the vocal signs and symptoms questionnaire and the Voice-Related Quality of Life - V-RQoL protocol; perceptual, auditory and visual assessment of vocal behavior with the description of voice, speech and body parameters; and acoustic analysis). The sustained production o the vowel /a/, counting numbers, and a discourse regarding the subjects' greatest anxiety moments constituted the analyzed material. RESULTS: The higher the trait anxiety indicated by STAI, the greater the evidence of anxiety in connected speech and discourse; the higher the vocal pitch, the greater the impairment in speech articulation, coordination between breathing and speech, body movement and facial expression. The higher the state anxiety, the greater the evidence of anxiety in various parameters of the speech, with imbalance in vocal resonance, alterations in the modulation and articulation of speech and in facial expression. CONCLUSION: The trait and state of anxiety differentiated the communicative behavior of individuals, involving changes in the body, speech and voice.
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    Os usuários de álcool, Atenção Primária à Saúde e o que é perdido na tradução
    (UNESP, 2011-06-01) Fontanella, Bruno José Barcellos; Demarzo, Marcelo Marcos Piva [UNIFESP]; Mello, Guilherme Arantes [UNIFESP]; Fortes, Sandra; Universidade Federal de São Carlos Centro de Ciências Biológicas e da Saúde Departamento de Medicina; Universidade Federal de São Paulo (UNIFESP); UFSCar Centro de Ciências Biológicas e da Saúde Departamento de Medicina; Universidade Estadual do Rio de Janeiro Faculdade de Ciências Médicas Departamento de Especialidades Médicas
    The paper discusses the paradox that is present in Primary Health Care (PHC): on the one hand, there are clinical technologies and opportunities to address patients who are problem drinkers and, on the other hand, it is verified that this kind of care is not effective for a considerable portion of those users. This paper is a critical and narrative bibliographic review whose results approach: the delimitation of this paradox; the health professionals' and their patients' difficulties to, respectively, provide and request interventions on patterns of problematic alcohol consumption; the applications and limitations of the motivational techniques, like the brief interventions in PHC; finally, some issues concerning professional training in health are discussed. It is concluded that it is necessary to promote a research agenda that deepens the understanding of the complex psycho-cultural meanings that this issue involves, particularly in Brazil.