Problemi speciali
Migliorare la comunicazione in terapia intensiva neonatale
IMPROVING COMMUNICATION IN NEONATAL INTENSIVE CARE UNIT
Augusto Biasini, Francesca Gobbi, Rossella Bravaccini
UO di Terapia Intensiva Pediatrica e Neonatale, Ospedale M. Bufalini, Cesena
Gennaio 2011 - pagg. 40 -43
Abstract
A good relation in Neonatal Intensive Care Units (NICUs) is necessary to treat and care
for the newborn and his family. The preterm birth and the admitting to NICUs put the parents
under great stress. A therapeutic alliance is necessary to avoid conflicts. This is possible
if all the people working there try to find the way to get the best communication. The
experience of counselling learning course attended by the whole team and the initial use
of specific communication tools like the “Communication algorithms” and the “Communication
Case Sheet” are described. The results on the relationship between families and all
the health care professionals are reported.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Sabatè E. Adherence to long term therapies: Evidence for action. Geneve: World Health Organization, 2003.
2. Samson-Fisher R, Bowman J, Armstrong S. Factors affecting non adherence with antibiotics. Diagn Microbial Infect Dis 1992;15(4S): 103S-9S.
3. Majani G. Compliance, adesione, aderenza. I punti critici della relazione terapeutica. Mc- Graw-Hill, 2001.
4. Haskarad Zolnierek KB, Di Matteo MR. Physician communication and patient adherence to treatment. A meta-analysis. Med Care 2009;47:826-34.
5. Zani B, Selleri P, David D. La comunicazione. Modelli teorici e contestuali. Roma: Carocci Editore, 2003.
6. Charon R. Story Matter: the role of Medicine Narrative in Medical Ethics. Brunner Routledge, 2003.
7. www.cittadinanzattiva.it/i-tuoi-diritti-pit-salute/
8. Jotzo M, Poets CF. Helping Parents Cope with the trauma of premature birth: an evaluation of a trauma-preventive psychological intervention. Pediatrics 2005;115:915-92.
9. Aite L. Comunicazione della diagnosi di malformazione congenita alla nascita. I genitori narrano la loro storia. Quaderni acp 2006; 13:114-7.
10. Barlow J, Coren E. Parent-training programmes for improving maternal psychosocial health. Cochrane Database Syst Rev 2004; (1):CD002020.
11. Bert G, Quadrino S. L’arte di comunicare, teoria e pratica del counselling sistemico. Napoli: CUEN, 1998 (seconda ed. Edizioni Change, 2005).
12. Craig KD, Lilley CM, Gilbert CA. Social barriers to optimal pain management in infant and children. Clin J Pain 1996;12:232-42.
13. www.counselling.it - Istituto Change di Torino.
14. Kaempf JW, Tomlinson M, Arduza C, et al. Medical staff guidelines for periviability pregnancy counselling and medical treatment of extremely premature infants. Pediatrics 2006; 117:22-9.
15. Blanco F, Suresh G, Howard D. Ensuring accurate knowledge of prematurity outcome for prenatal counselling. Pediatrics 2005;115: 478-87.
16. Greenhalgh T. La formazione del medico in tre controversie dei giorni d’oggi. Intervento a Wonca Europe 2006. Quaderni acp 2007;14: 128-30.
Corrispondenza: abiasini@ausl-cesena.emr.it
