4.8
Papel da comunicação no processo de enfermagem II: planejamento e implementação
Vários fatores são considerados ao criar o plano de cuidados de um paciente. A motivação é um fator para melhorar a comunicação e os pacientes frequen…
O planejamento de metas e resultados é um processo mútuo e interdisciplinar que se inicia após a identificação de um diagnóstico e ajuda a determinar as intervenções de enfermagem.
Os enfermeiros estabelecem metas priorizando as necessidades dos pacientes usando a comunicação oral e escrita.
Por exemplo, depois que um paciente é diagnosticado com risco de nutrição desequilibrada, os enfermeiros comunicam as descobertas à equipe de saúde, ao paciente e suas famílias.
Eles auxiliam o paciente conversando com ele e envolvendo-o no planejamento de um gráfico de dieta apropriado.
O resultado esperado é que o paciente entenda e cumpra o plano de dieta para atingir seu peso ideal.
Depois que as metas são claramente definidas, a implementação coloca o plano em ação, usando intervenções de enfermagem para transformar as metas de enfermagem em resultados esperados.
Por exemplo, as metas podem ser implementadas explicando a perda de peso relacionada ao diabetes e encaminhando o paciente a um nutricionista.
Os enfermeiros usam a comunicação verbal para descrever a intervenção ao paciente e a comunicação escrita para documentar os procedimentos.
A comunicação não verbal, como ouvir e observar, permite que os enfermeiros determinem a compreensão do paciente sobre o plano de cuidados e apoiem o paciente, fornecendo esclarecimentos, se necessário.
Q1: How do nurses prioritize patient needs when planning care goals?
Nurses prioritize patient needs using oral and written communication with the healthcare team, patient, and families. After identifying a diagnosis, they set mutual and interdisciplinary goals that determine nursing interventions. For example, if a patient has a risk of imbalanced nutrition, nurses communicate findings and involve the patient in planning an appropriate diet chart to achieve optimal weight.
Q2: What role does non-verbal communication play during nursing implementation?
Non-verbal communication, such as listening and observing, allows nurses to determine the patient's understanding of the care plan and support the patient by providing clarification if required. These techniques help nurses assess whether patients comprehend interventions and adjust explanations accordingly to ensure effective care delivery and patient compliance.
Q3: How do nurses document and communicate nursing interventions to patients?
Nurses use verbal communication to describe interventions to the patient and written communication to document procedures. For example, a nurse explains how weight loss relates to diabetes and refers the patient to a dietitian. This dual approach ensures patients understand their care plan while maintaining accurate medical records for the healthcare team.
Q4: What makes expected outcomes effective in a nursing care plan?
Expected outcomes must be specific and measurable to determine whether broader goals are met. Effective outcomes include the patient initiating conversations about their diagnosis, attending to appropriate stimuli, conveying clear messages to the healthcare team, and expressing increased satisfaction with the communication process. These criteria help nurses evaluate whether implementation successfully achieves planned goals.
Q5: How does implementation transform nursing goals into patient outcomes?
Implementation puts the care plan into action by using nursing interventions to turn nursing goals into expected outcomes. This phase involves direct patient care, administering medication, teaching patients about health management, and arranging follow-up care. Customized interventions focus on attainable goals specific to each patient's needs and circumstances.
Q6: Why is patient and family involvement important during care planning?
Involving the patient and family in decisions about the care plan determines whether suggested methods are acceptable and increases motivation for change. Patients often require encouragement to try different approaches involving significant lifestyle changes. This collaborative approach ensures the care plan aligns with patient values and improves compliance with nursing interventions.
Q7: What factors should nurses consider before introducing new communication methods?
Nurses should meet critical comfort and safety needs before introducing new communication methods and techniques. Allowing adequate time for practice and being patient with patients and families supports effective communication. Motivation and encouragement help patients adapt to new approaches, making the implementation phase more successful and improving overall care outcomes.