Keywords
Communication
Healthcare Professionals
Cardiac Arrest
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Abstract
Objective: To identify through scientific literature the main communication challenges faced by healthcare professionals during in-hospital cardiac arrest. Methods: An integrative review was conducted between May and June 2024 using the CAPES Journal Portal, searching MEDLINE via PubMed, SCOPUS, Embase, Science Direct, Web of Science, Cochrane Library, SciELO, and the Virtual Health Library (VHL), including LILACS, BDENF, and IBECS. Results: The final sample consisted of seven articles. Evidence demonstrated that effective communication is essential for coordinating interventions during cardiopulmonary resuscitation, being decisive for safety and quality of care. However, several factors hinder communication, such as environmental noise, simultaneous interactions among professionals, and complex technical terminology. Final Considerations: Communication failures among teams can compromise decision-making and collective performance. Stress, lack of rapport, and excessive hierarchy also interfere with communication flow. Therefore, it is recommended to strengthen continuous training programs focused on communication and teamwork, as well as to adopt structured protocols and a culture of open communication to optimize care in critical situations and promote a safer and more efficient hospital environment.
References
BARROSO MSS, et al. Simulação in situ de parada cardíaca em fibrilação ventricular para o treinamento de profissionais de enfermagem. Medicina, 2023; 56(1): 1-11.
BERNOCHE C, et al. Atualização da Diretriz de Ressuscitação Cardiopulmonar e Cuidados de Emergência da Sociedade Brasileira de Cardiologia – 2019. Arq Bras Cardiol, 2019; 113: 449-663.
BLANKENSHIP AC, et al. Multidisciplinary Review of Code Events in a Heart Center. AJCC American Journal Of Critical Care, 2016; 25(4).
BRANDÃO MGSA, et al. Autoconfiança, conhecimento e habilidade acerca da ressuscitação cardiopulmonar de internos de enfermagem. Rev. cuid., 2020.
CALDER LA, et al. Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis. International Journal of Emergency Medicine, 2017; 10(1).
CAMBOIM BBP, et al. Ensino no suporte avançado de vida para estudantes e profissionais de enfermagem. Revista Eletrônica Acervo Saúde, 2023; 23(12): e14702.
FILHO CMC, et al. Fatores que comprometem a qualidade da ressuscitação cardiopulmonar em unidades de internação: percepção do enfermeiro. Rev Esc Enferm USP, 2015; 49(6): 908-914.
FERREIRA FS, et al. Uso do metrônomo na ressuscitação cardiopulmonar em uma unidade de terapia intensiva. Rev. Baiana Enferm, 2018; 32.
HADDAWAY NR, et al. PRISMA2020: An R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis. Campbell Systematic Reviews, 2022; 18.
LIBÂNIO KCRMS e OLIVEIRA HR. A comunicação para a segurança do paciente em passagem de plantão entre médicos de UTI em um hospital no interior do Paraná.e-Acadêmica, 2023; 4(2).
LUNDSGAARD RS e LUNDSGAARD KS. Cardiac arrest teams perspectives on communication and ethical conflicts related to awareness during CPR, a focus group study protocol. Scandinavian Journal of Trauma, Resuscitation and Emergency medicine, 2018; 26.
MARTÍN RGM, et al. Reanimação cardiopulmonar extracorpórea intra-hospitalar: resultados preliminares em um hospital de nível secundário. Crit. Care Sci, 2023;35(4).
MELNYK BM, et al. Evidence-based practice in nursing and health: a guide to best practice. 3nd ed. Wolters Kluwer, 2011.
MENDES KDS, et al. Uso de gerenciador de referências bibliográficas na seleção dos estudos primários em revisão integrativa. Texto Contexto Enferm, 2019; 28.
PARUSH A, et al. Can teamwork and situational awareness (SA) in ED resuscitations be improved with a technological cognitive aid? Design and a pilot study of a team situation display. Journal of Biomedical Informatics, 2017; 76: 154-161.
PEREIRA JF, et al. Nurse-patient communication strategies: A proposal of an educational video for Nursing students. Rev. Latino-Am. Enfermagem, 2023; 31.
RAY CM, et al. Cardiac arrest in the paediatric intensive care unit: defining the problem and developing solutions. BMJ Open Quality, 2020; 25(4): 90-97.
SIGAROUDI AE, et al. Barreiras e facilitadores para a interação em equipes de ressuscitação cardiopulmonar: um estudo qualitativo. Int J Emerg Med, 2025; 18(134): 2-11.
SUMNER BD, et al. Videographic Assessment of the Quality of EMS to ED Handoff Communication During Pediatric Resuscitations. Associação Nacional de Médicos SEM, 2019; 29.
WALENDOWSKY ASSR. Mínimo Produto Viável de sistema de comunicação visual para Segurança do paciente no atendimento de Parada Cardiorrespiratória. Tese de Doutorado - Universidade Federal de Santa Catarina, - Florianópolis, 2025; 24p.