Parcerias estratégicas entre equipe de saúde, familiares e pacientes assistidos no setor de oncologia pediátrica de um hospital terciário do sul do Brasil

Abstract

Introduction: The higher education system offers health care students high standards of hard skills in the field. However, we do not know how much this contributes to soft skills and moral skills that are also becoming a crucial prerequisite for better health care performance. Good clinical communication skills correlate with better health care outcomes. In pediatric oncology, we need take care, since the diagnosis is already committed to the future and the quality of life from then on. Objectives: Observe the soft skills between doctors who work with children hospitalized or being followed up in the pediatric oncology service of a tertiary hospital in the south of Brazil with perspective of pediatric patients with their responsible family members and health staff. Materials and methods: This is a cross-sectional study with a quantitative approach. The data collection period comprised six months. Evaluated all subjects who were hospitalized in the meantime and their respective family members; the professionals who are part of the medical and multiprofessional team in the hospitalization sector at the Center for the Treatment of Children and Adolescents with Cancer (CTCriAC) and in the outpatient sector Centro do Convivência Turma do IQUE. They were presented to the semi-structured questionnaire, divided into blocks of questions that were later analyzed by the SPSS® software version 21. Results and discussion: The links between doctors, the health team, patients, and family members are important. It is necessary to develop tools for communication. This occurs from the transmission of the diagnosis of a chronic and/or potentially fatal disease to all complications that involve adherence and treatment of pediatric oncological disease. Altogether, the sample studied was 51 subjects, of these, 14 were pediatric patients, 13 family members, five pediatric oncologist doctors and 19 health team professionals. There was a statistically significant association between physicians treating patients and family members with respect and courtesy and listening carefully to their complaints and ease of understanding the information in an easy-to-understand manner and consequently between the ease of dialogue related to the treatment offered. In addition, there was an association between the good quality of hospital information and the satisfaction of the medical support provided, as well as between the appearance and comfort of the hospital. Conclusion: The medical school must incorporate since the graduation the concepts of soft and moral skills. To improve the bond between the medical and multiprofessional team and the patient and his family, since the role of the doctor cannot understand only in diagnosing and treating the patient, avoiding, applying the concept of empathy, and listening if the patient has anything to say to improve adherence to his treatment.