Migrant and ethnic minority nurses' experience of working in European health services: a qualitative study.

OBJECTIVE: To analyze the perception of culture and experience of working in European health services of a purposive sample of qualified migrant and ethnic minority nurses currently living in Belgium, Portugal, Spain and Turkey. METHOD: A qualitative phenomenological method was chosen. Individual interviews took place with 8 qualified migrant and ethnic minority nurses currently living in four European countries. Thematic analysis was conducted using Braun and Clark's stages after qualitative data had been verbatim transcribed, translated into English, and analyzed. RESULTS: Four themes and 4 subthemes emerged from thematic analysis of the transcripts. CONCLUSION: Migrant and ethnic minority nurses working in the European Union experience and witness discrimination and prejudice from patients and colleagues due to cultural differences. European health services should closely monitor and address discrimination and prejudice towards migrant and ethnic minority staff and patients, and take initiatives to reduce and, eventually, eradicate them.

Qualified Nurses' Perceptions of Cultural Competence and Experiences of Caring for Culturally Diverse Patients: A Qualitative Study in Four European Countries.

BACKGROUND: European nurses are expected to provide appropriate care for patients from diverse cultural backgrounds. However, there is limited knowledge and understanding of this process. The aim of this study was to analyse the perceptions of culture and experiences of caring for patients from diverse cultural backgrounds of a purposive sample of qualified nurses from four European countries, namely Belgium, Portugal, Spain and Turkey. METHODS: A qualitative phenomenological approach was selected in order to understand complex phenomena through the participants' lived experiences, meanings and perspectives. Individual interviews and focus groups took place with 28 staff nurses and 11 nurse managers from four European countries. The sociodemographic and cultural characteristics of the sample were described and analysed using descriptive statistics. Qualitative data were transcribed verbatim, translated into English and analysed following Braun and Clark's phases for thematic analysis. RESULTS: Five themes and twelve subthemes emerged from thematic analysis of the transcripts. The themes included: (1) relevance of culture for nursing; (2) culture in the healthcare service; (3) qualities of the healthcare professionals; (4) challenges to culturally competent care; (5) becoming a culturally competent nurse. CONCLUSIONS: There are challenges to the delivery of culturally congruent care, namely language and communication difficulties, prejudices and stereotyping in the health service, a tendency for ethnocentrism, a lack of education and training in cultural competence and a lack of support from the health service to facilitate new ways of acting.

Migrant and ethnic minority nurses' experience of working in European health services: a qualitative study / Experiência de enfermeiros migrantes e de minorias étnicas em trabalho em serviços de saúde europeus: estudo qualitativo / Experiencia de trabajo de enfermeras inmigrantes y de minorías étnicas en los servicios de salud europeos: un estudio cualitativo

ABSTRACT Objective: To analyze the perception of culture and experience of working in European health services of a purposive sample of qualified migrant and ethnic minority nurses currently living in Belgium, Portugal, Spain and Turkey. Method: A qualitative phenomenological method was chosen. Individual interviews took place with 8 qualified migrant and ethnic minority nurses currently living in four European countries. Thematic analysis was conducted using Braun and Clark's stages after qualitative data had been verbatim transcribed, translated into English, and analyzed Results: Four themes and 4 subthemes emerged from thematic analysis of the transcripts. Conclusion: Migrant and ethnic minority nurses working in the European Union experience and witness discrimination and prejudice from patients and colleagues due to cultural differences. European health services should closely monitor and address discrimination and prejudice towards migrant and ethnic minority staff and patients, and take initiatives to reduce and, eventually, eradicate them.

RESUMO Objetivo: Analisar a percepção da cultura e experiência de trabalho em serviços de saúde europeus de uma amostra intencional de enfermeiros qualificados migrantes e de minorias étnicas que moram atualmente na Bélgica, Portugal, Espanha e Turquia. Método: Optou-se pelo método fenomenológico qualitativo. Realizaram-se entrevistas individuais com 8 enfermeiros qualificados migrantes e de minorias étnicas que moram atualmente em quatro países europeus. A análise temática foi realizada por meio das etapas de Braun e Clark após os dados qualitativos terem sido transcritos na íntegra, traduzidos para o inglês e analisados. Resultados: Quatro temas e 4 subtemas emergiram da análise temática das transcrições. Conclusão: Enfermeiros migrantes e de minorias étnicas que trabalham na União Europeia vivenciam e testemunham discriminação e preconceito de pacientes e colegas devido a diferenças culturais. Os serviços de saúde europeus devem acompanhar de perto e combater a discriminação e o preconceito contra os trabalhadores e pacientes migrantes e de minorias étnicas, e tomar iniciativas para os reduzir e, em seguida, erradicá-los.

RESUMEN Objetivo: Analizar la percepción de la cultura y la experiencia de trabajar en los servicios de salud europeos de una muestra intencional de enfermeros calificados de minorías étnicas y migrantes que actualmente viven en Bélgica, Portugal, España y Turquía. Método: Se decidió utilizar un método cualitativo fenomenológico. Se realizaron entrevistas individuales con 8 enfermeros calificados inmigrantes y de minorías étnicas que actualmente viven en cuatro países europeos. El análisis temático se realizó utilizando las etapas de Braun y Clark después de que los datos cualitativos fueran transcritos palabra por palabra, traducidos al inglés y analizados. Resultados: Del análisis temático de las transcripciones surgieron 4 temas y 4 subtemas. Conclusión: Los enfermeros de minorías étnicas y migrantes que trabajan en la Unión Europea experimentan y son testigos de la discriminación y de los prejuicios de los pacientes y colegas sobre la base de la diferencia cultural. Los servicios de salud europeos deben monitorear de cerca y abordar la discriminación y los prejuicios hacia el personal y los pacientes de minorías étnicas y migrantes, y tomar iniciativas para reducirlos y, eventualmente, erradicarlos.

Nursing students' experience of learning cultural competence.

INTRODUCTION: European societies are rapidly becoming multicultural. Cultural diversity presents new challenges and opportunities to communities that receive immigrants and migrants, and highlights the need for culturally safe healthcare. Universities share a responsibility to build a fair and equitable society by integrating cultural content in the nursing curricula. This paper aims to analyze European student nurses´ experience of learning cultural competence and of working with patients from diverse cultural backgrounds. MATERIALS AND METHODS: A phenomenological approach was selected through a qualitative research method. 7 semi-structured focus groups with 5-7 students took place at the participants' respective universities in Spain, Belgium, Turkey and Portugal. RESULTS: 5 themes and 16 subthemes emerged from thematic analysis. Theme 1, concept of culture/cultural diversity, describes the participants' concept of culture; ethnocentricity emerged as a frequent element in the students' discourse. Theme 2, personal awareness, integrates the students' self-perception of cultural competence and their learning needs. Theme 3, impact of culture, delves on the participants' perceived impact of cultural on both nursing care and patient outcomes. Theme 4, learning cultural competence, integrates the participants' learning experiences as part of their nursing curricula, as part of other academic learning opportunities and as part of extra-academic activities. Theme 5, learning cultural competence during practice placements, addresses some important issues including witnessing unequal care, racism, prejudice and conflict, communication and language barriers, tools and resources and positive attitudes and behaviors witnesses or displayed during clinical practice. CONCLUSION: The participants' perceived level of cultural competence was variable. All the participants agreed that transcultural nursing content should be integrated in the nursing curricula, and suggested different strategies to improve their knowledge, skills and attitudes. It is important to listen to the students and take their opinion into account when designing cultural teaching and learning activities.

Nursing Lecturers' Perception and Experience of Teaching Cultural Competence: A European Qualitative Study.

Cultural competence is an essential component in providing effective and culturally responsive healthcare services, reducing health inequalities, challenging racism in health care and improving patient safety, satisfaction and health outcomes. It is thus reasonable that undergraduate nursing students can develop cultural competency through education and training. The aim of this paper was to investigate nursing lecturers' perception and experience of teaching cultural competence in four undergraduate nursing programs. A phenomenological approach was selected to illicit nursing lecturers' perception of culture and experience of teaching cultural competence. Semi-structured personal interviews were held with a sample of 24 lecturers from four European universities. The anonymized transcripts were analyzed qualitatively following Braun and Clark's phases for thematic analysis. Six themes and fifteen subthemes emerged from thematic analysis of the transcripts. Cultural competence was not explicitly integrated in the nursing curricula. Instead, the lecturers used mainly examples and case studies to illustrate the theory. The integration of cultural content in the modules was unplanned and not based on a specific model. Nursing programs should be examined to establish how cultural content is integrated in the curricula; clear guidelines and standards for a systematic integration of cultural content in the nursing curriculum should be developed.

Measuring invisible nursing interventions: Development and validation of Perception of Invisible Nursing Care-Hospitalisation questionnaire (PINC-H) in cancer patients.

Visible nursing work is usually associated with formal work and physician-delegated tasks which are protocolised and usually well documented. Nevertheless, nurses carry out many actions and display specific attitudes and behaviours which, despite contributing to the well-being, recovery of patients and satisfaction with the attention received, are not as visible. Previous studies have been conducted in order to define 'invisible nursing interventions', but no quantitative instruments focused on measuring invisible nursing interventions have been found in the literature. PURPOSE: To test the psychometric properties of the Perception of Invisible Nursing Care-Hospitalisation (PINC-H) questionnaire. METHODS: Cross-sectional survey design. A self-administered questionnaire was completed by 381 participants recruited consecutively after discharge from a Spanish hospital. Data were collected from 2012 to 2020. RESULTS: Three factors were identified from exploratory factor analysis, namely 'Caring for the person', 'Caring for the environment and the family' and 'Caring presence'. Criterion Validity Coefficient was highly significant (p < 0.001) with values ranging between 0.63 and 0.71. Cronbach's alpha was 0.96. Test-retest reliability was estimated in a subsample of 187 participants; in all the items, correlation coefficients were highly significant (p < 0.001) and within range (0.532-0.811) with a mean value of 0.680. Also, correlations between each dimension and the complete questionnaire indicated good temporal stability between measurements. CONCLUSIONS: The instrument had satisfactory validity and reliability. PINC-H can contribute to highlight nursing interventions and behaviours which are often unseen and, thus, less valued. We argue that PINC-H will also be useful to evaluate the quality of invisible nursing care to oncology inpatients.

Association between adherence to the Mediterranean diet and the prevalence of cardiovascular risk factors.

OBJECTIVE: to determine the prevalence of cardiovascular risk factors in a cohort of workers and to quantify its association with compliance with the Mediterranean diet follow-up. METHOD: a cross-sectional descriptive study was carried out on a cohort of 23,729 workers. Clinical data from annual medical examinations and the Mediterranean Diet Adherence Screener were used to assess adherence to the Mediterranean diet. RESULTS: 51.3% of the participants showed good adherence to the Mediterranean diet. The multivariate analysis showed an inverse and significant association between the follow-up of the Mediterranean diet and the prevalence of abdominal obesity (Odds Ratio = 0.64, 95% CI 0.56; 0.73), dyslipidemia (Odds Ratio = 0.55, 95% CI 0.42; 0.73), and metabolic syndrome (Odds Ratio = 0.76, 95% CI 0.67; 0.86). CONCLUSIONS: our results suggest that the Mediterranean diet is potentially effective in promoting cardiovascular health. Implementing the interventions promoting the Mediterranean diet in the working population seems justified.

The Teaching and Learning Cultural Competence in a Multicultural Environment (CCMEn) Model.

BACKGROUND: Within the European higher education context, students and lecturers are encouraged to engage in teaching and learning activities abroad. This frequently involves using a second language and being exposed to students and lecturers from culturally different backgrounds. OBJECTIVE: To design a model for teaching and learning cultural competence in a multicultural environment (CCMEn). DESIGN: Theory development from empirical experience, research, and scholarly works. METHOD: This model was developed based on our experience of teaching and learning cultural competence in a multicultural environment in a nursing education context; it rests on three pillars, namely, Coyle's Content and Language Integrated Learning educational approach, the concept of social and emotional learning, as defined by the Collaborative for Academic, Social and Emotional Learning, and the existing literature surrounding teaching and learning cultural competence in higher education. RESULTS: The CCMEn model is intended to guide the process of teaching and learning cultural competence in a multicultural environment through the use of a second language and has been adapted from existing educational approaches and theory. CONCLUSION: Teaching and learning in multilingual and multicultural contexts in Europe is becoming more common. Students who learn alongside students and teachers from different cultural backgrounds need to be supported from an academic, linguistic and socioemotional perspective. We believe that the CCMEn model can serve as a guide to enhancing student learning in this context.

Association between adherence to the Mediterranean diet and the prevalence of cardiovascular risk factors / Associação entre adesão à dieta mediterrânea e prevalência de fatores de risco cardiovascular / Asociación entre la adherencia a la dieta mediterránea y la prevalencia de factores de riesgo cardiovascular

Objective: to determine the prevalence of cardiovascular risk factors in a cohort of workers and to quantify its association with compliance with the Mediterranean diet follow-up. Method: a cross-sectional descriptive study was carried out on a cohort of 23,729 workers. Clinical data from annual medical examinations and the Mediterranean Diet Adherence Screener were used to assess adherence to the Mediterranean diet. Results: 51.3% of the participants showed good adherence to the Mediterranean diet. The multivariate analysis showed an inverse and significant association between the follow-up of the Mediterranean diet and the prevalence of abdominal obesity (Odds Ratio = 0.64, 95% CI 0.56; 0.73), dyslipidemia (Odds Ratio = 0.55, 95% CI 0.42; 0.73), and metabolic syndrome (Odds Ratio = 0.76, 95% CI 0.67; 0.86). Conclusions: our results suggest that the Mediterranean diet is potentially effective in promoting cardiovascular health. Implementing the interventions promoting the Mediterranean diet in the working population seems justified.

Objetivo: determinar a prevalência de fatores de risco cardiovascular em uma coorte de trabalhadores e quantificar sua associação com o monitoramento da dieta mediterrânea. Método: estudo descritivo transversal, realizado em uma coorte de 23.729 trabalhadores. Dados clínicos dos exames médicos anuais e a Mediterranean Diet Adherence Screener foram usados para avaliar a adesão à dieta mediterrânea. Resultados: 51,3% dos participantes apresentaram boa adesão à dieta mediterrânea. A análise multivariada mostrou associação inversa e significativa entre o acompanhamento da dieta mediterrânea e a prevalência de obesidade abdominal (Odds Ratio = 0,64, IC 95% 0,56, 0,73), dislipidemia (Odds Ratio = 0,55, IC 95% 0,42, 0,73) e de síndrome metabólica (Odds Ratio = 0,76, IC 95% 0,67, 0,86). Conclusões: nossos resultados sugerem que a dieta mediterrânea é potencialmente eficaz na promoção da saúde cardiovascular. A implementação de intervenções que promovem a dieta mediterrânea na população trabalhadora parece justificada.

Objetivo: determinar la prevalencia de factores de riesgo cardiovascular en una cohorte de trabajadores y cuantificar su asociación con el seguimiento de la dieta mediterránea. Método: se llevó a cabo un estudio descriptivo transversal sobre una cohorte de 23.729 trabajadores. Se utilizaron los datos clínicos procedentes de los exámenes médicos anuales y el Mediterranean Diet Adherence Screener para evaluar la adherencia a la dieta mediterránea. Resultados: el 51,3% de los participantes presentó una buena adherencia a la dieta mediterránea. El análisis multivariante evidenció una asociación inversa y significativa entre el seguimiento de la dieta mediterránea y la prevalencia de obesidad abdominal (Odds Ratio = 0,64, IC 95% 0,56; 0,73), dislipidemia (Odds Ratio = 0,55, IC 95% 0,42; 0,73) y de síndrome metabólico (Odds Ratio = 0,76, IC 95% 0,67; 0,86). Conclusión: nuestros resultados sugieren que la dieta mediterránea es potencialmente eficaz en la promoción de la salud cardiovascular. Parece justificada la implementación de intervenciones que promuevan la dieta mediterránea en la población trabajadora.

¿Provocan las enfermeras su propia invisibilidad? A propósito del caso de María / Are nurses causing their own invisibility? In relation to Maria's case

Se presenta un caso extraído de la práctica asistencial hospitalaria en el que se analizan las acciones que realizan y omiten las enfermeras, lo cual contribuye a fomentar la visibilidad o invisibilidad de las mismas. Tras el mencionado análisis se proponen mejoras relacionadas con distintas habilidades, conocimientos y actitudes en las enfermeras que van a redundar en la mejora de los niveles de bienestar, autocuidado y seguridad de la paciente

A case report of hospital care practice is presented. The performed and the omitted actions that promote the visibility or invisibility of nurses are analyzed. Following the afore mentioned analysis, some suggestions are proposed regarding different skills, knowledge and attitudes from nurses that will lead to improved welfare levels, self-care and patient safety

La enfermera novel en la relación de cuidado a propósito de un caso de hemorragia / The Novice Nurse In The Relationship Based Care. A Case Report Of Haemorrhage

En el presente trabajo se expone un caso en el que una enfermera novel establece una interacción con una paciente ingresada debido a un dolor abdominal agudo. Tras la asistencia a las necesidades físicas, la enfermera decide indagar en las dimensiones emocional y social para detectar aspectos que requieren atención y aplicar conocimientos teóricos para el abordaje de una Relación de Cuidado eficiente, entendiendo ésta como un proceso de atención enfermero verdaderamente integral que contribuye a la construcción de una relación de confianza que transmite seguridad y fomenta el bienestar

This paper presents a case in which a novice nurse establishes interaction with a patient admitted in a hospital due to acute abdominal pain. Having care for the physical needs nurse decides to investigate the emotional and social dimensions identifies issues that need to be addressed and implements theoretical knowledge for the approach of an efficient Relationship Based Care. This is a process of truly holistic nursing care that contributes to build a relationship of trust that conveys security and promotes well-being

El estudio de casos, un instrumento de aprendizaje en la relación de cuidado / Case study, a learning tool of relationship-based care

La Relación de Cuidado es considerada como un proceso de atención integral que incluye los aspectos físicos, emocionales, comunicativos y espirituales que se sustenta en la individualización de los cuidados cuyos ejes principales son la construcción de una relación de confianza y seguridad y el fomento de la autonomía de la persona. El Estudio de casos es un método útil para analizar diferentes situaciones clínicas, identificar puntos fuertes y débiles de la Relación de Cuidado establecida por la enfermera y plantear soluciones y estrategias para mejorarla. Con este trabajo pretendemos mostrar las potencialidades del Estudio de casos como instrumento para aprender y visibilizar la Relación de Cuidado, de manera que pueda ser utilizado tanto para comunicar experiencias obtenidas en la práctica clínica, como para el adiestramiento del estudiante en ciclos degrado y posgrado

Relationship-Based Care is considered as an integral process of caring which includes physical, emotional, communicative and spiritual aspects. It is based on the individualization of care and it requires a relationship of trust, security and promoting personal autonomy. We propose the Case study as a method for analyzing different clinical situations through which we can identify strengths and weaknesses of the relationship established by the nurse and raise solutions and strategies to improve it. The Case study is a useful method to analyze different clinical situations, to identify strengths and weaknesses of the Relationship-Based Care established by the nurse and propose solutions and strategies to improve it. This paper expects to show the potentiality of the Case study as a tool to learn and make visible the Relationship-Based Care, so it can be used to communicate experiences obtained in clinical practice as well as a tool in Bachelor and postgraduate training

Cuidado Invisible: donde los medicamentos no llegan / Invisible care: what medicines cannot reach

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Experiencia clínica, parte I: Una aproximación a un caso práctico de comunicación terapéutica / Experiência clínica, parte I: Uma aproximação com um caso prático de comunicação terapêutica / Clinical experience, part I: An approach to a practical case of therapeutic communication

Enfermería es una profesión eminentemente humanística y de relación de ayuda, que requiere una actitud de especial sensibilidad, respeto y amor frente al ser humano y es en este contexto en el que debe situarse nuestro quehacer enfermero. Esta intervención se basa en la creencia de que para que nuestra labor como enfermeras/os resulte terapéutica y significativa debe tener en cuenta el significado de la enfermedad para la persona y acompañarla hacia un proceso activo con el fin de encontrar juntos nuevas conductas más constructivas para ella (Piulach, 1984).Este trabajo es un caso teórico-práctico real en una unidad de hospitalización de cardiología, con una mujer que ha sufrido un IAM. En él se han puesto en juego emociones y sentimientos profundos, se hace balance de lo ocurrido y se plantea el futuro tras el acontecimiento de enfermedad. Incluye dos intervenciones comunicativas, la primera se presenta en este artículo, se analiza el miedo que ella muestra y lo que conlleva. En la segunda (se presenta en la parte II del artículo), se tratan más temas, con el propósito de evaluar si el miedo se ha resuelto, si se han puesto en práctica estrategias y valorar su autoestima, además de buscar la capacitación para su autocuidado (AU)

A enfermagem é uma profissão, eminentemente, humanística e voltada para a relação de ajuda. Tal fato requer uma atitude de especial sensibilidade, respeito e amor perante o cuidado do ser humano, pois é nessa perspectiva que se deve situar o trabalho da enfermagem. Assim, a presente investigação volta-se para a crença de que o trabalho da enfermagem deve contribuir para um resultado terapêutico e significativo, levando-se em consideração o significado do adoecimento para a pessoa e o acompanhamento dela em um processo ativo com o intuito de encontrar juntos novas maneiras ou formas de conduta mais construtivas na interação com ela (Piulach, 1984). O presente trabalho trata de um caso teórico-prático, ocorrido em uma unidade de atendimento em cardiologia, no qual uma senhora havia sofrido um IAM. Nessa situação, colocase em jogo emoções e sentimentos profundos, bem como se descreve o ocorrido e se planeja o futuro depois do agravo. Incluem-se duas intervenções comunicativas: sendo a primeira apresentada neste artigo, analisando-se o medo que a pessoa demonstrou e o que comportava tal situação. Na segunda (que se apresenta na parte II do artigo), são enunciados outros temas, com o intuito de avaliar se o sentimento de medo resolvido, e se foram colocadas em prática estratégias e se foi valorizada a autonomia da pessoa, além de se buscar a capacitação para o seu auto cuidado (AU)

Nursing is an eminently humanistic career, based on therapeutic communication. It requires an especial attitude, sensitivity, respect and love for human beings, it’s in this context where we should work as a nurses. is intervention is based on the belief that to do our work therapeutic and significant to our patients, it must take into account which is the meaning of the disease for each person and comforted him or her in an active process to find together new behaviours more constructives for the person. is work is a real theoric and practice case, what it happened in a hospital, specifically in a Cardiology Unit, with a woman who had a myocardial infarction. We can find in this conversation deep emotions and feelings, she has taken stock of the events related to the MI and she consider her future after it. The work has two communicative interventions, first of them is developed in this article, we analize patient’s fears and its implications. In the second part, we discuss more subjects, the aims were to know if fears were resolved, strategies were put on practice, evaluate her self-esteem and training her to become self-sufficient for her own care (AU)

Experiencia Clínica parte II. Una aproximación a un caso práctico de comunicación terapéutica / Experiência clínica, parte II. Uma aproximação com um caso prático de comunicação terapêutica / Clinical Experience, part II. An approach to a practical case of therapeutic communication

Enfermería es una profesión eminentemente humanística y de relación de ayuda, que requiere una actitud de especial sensibilidad, respeto y amor frente al ser humano y es en este contexto en el que debe situarse nuestro quehacer enfermero. Esta intervención se basa en la creencia de que para que nuestra labor como enfermeras/os resulte terapéutica y significativa debe tener en cuenta el significado de la enfermedad para la persona y acompañarla hacia un proceso activo con el fin de encontrar juntos nuevas conductas más constructivas para ella (Piulach, 1984). Este trabajo es un caso teórico-práctico real en una unidad de hospitalización de cardiología, con una mujer que ha sufrido un IAM. En él se han puesto en juego emociones y sentimientos profundos, se hace balance de lo ocurrido y se plantea el futuro tras el acontecimiento de enfermedad. Incluye dos intervenciones comunicativas, en la primera se analiza el miedo que ella presenta y lo que conlleva (en el artículo previo, parte I). En la segunda se tratan más temas, con el propósito de evaluar si el miedo se ha resuelto, si se han puesto en práctica estrategias y valorar su autoestima, además de buscar la capacitación para su autocuidado (AU)

A enfermagem é uma profissão, eminentemente, humanística e voltada para a relação de ajuda. Tal fato requer uma atitude de especial sensibilidade, respeito e amor perante o cuidado do ser humano, pois é nessa perspectiva que se deve situar o trabalho da enfermagem. Assim, a presente investigação volta-se para a crença de que o trabalho da enfermagem deve contribuir para um resultado terapêutico e significativo, levando-se em consideração o significado do adoecimento para a pessoa e o acompanhamento dela em um processo ativo como intuito de encontrar juntos novas maneiras ou formas de conduta mais construtivas na interação com ela (Piulach, 1984). O presente trabalho trata de um caso teórico-prático, ocorrido em uma unidade de atendimento em cardiologia, no qual uma senhora havia sofrido um IAM. Nessa situação, colocase em jogo emoções e sentimentos profundos, bem como se descreve o ocorrido e se planeja o futuro depois do agravo. Incluem-se duas intervenções comunicativas: sendo a primeira apresentada neste artigo, analisando-se o medo que a pessoa demonstrou e o que comportava tal situação. Na segunda (que se apresenta na parte II do artigo), são enunciados outros temas, com o intuito de avaliar se o sentimento de medo resolvido, e se foram colocadas em prática estratégias e se foi valorizada a autonomia da pessoa, além de se buscar a capacitação para o seu auto cuidado (AU)

Nursing is an eminently humanistic career, based on therapeutic communication. It requires an especial attitude, sensitivity, respect and love for human beings, it’s in this context where we should work as a nurses. is intervention is based on the belief that to do our work therapeutic and significant to our patients, it must take into account which is the meaning of the disease for each person and comforted him or her in an active process to find together new behaviours more constructives for the person is work is a real theoric and practice case, what it happened in a hospital, specifically in a Cardiology Unit, with a woman who had a myocardial infarction. We can find in this conversation deep emotions and feelings, she has taken stock of the events related to the MI and she consider her future after it. The work has two communicative interventions, first of them is developed in this article, we analize patient’s fears and its implications. In the second part, we discuss more subjects, the aims were to know if fears were resolved, strategies were put on practice, evaluate her self-esteem and training her to become self-sufficient for her own care (AU)