Verbal communication of the parturient nurse’s dyad in the active phase of labor

Beserra, Gilmara de Lucena; Oliveira, Paula Marciana Pinheiro de; Pagliuca, Lorita Marlena Freitag; Almeida, Paulo César de; Anjos, Saiwori de Jesus Silva Bezerra dos; Barbosa, Aglauvanir Soares

doi:10.1590/0034-7167-2019-0266

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 73 (5) • 2020 • https://doi.org/10.1590/0034-7167-2019-0266 copy

Verbal communication of the parturient nurse’s dyad in the active phase of labor

Comunicación verbal de la diade enfermera parturienta en la fase activa del trabajo de parto

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to analyze verbal communication between the nurse and the parturient during the active phase of labor in two Lusophone countries.

Methods:

quantitative analytical study. Sample of 709 interactions between nurses and parturients using verbal communication during the active phase of labor in Brazil and Cape Verde. The following variables were analyzed: companion, conative vocative, conative imperative, emotive/expressive and referential/context functions, contact/channel and code.

Results:

the absence of interaction predominated in most of the variables analyzed during the active phase of labor in both countries. In Cape Verde all interactions occurred during the absence of the companion.

Conclusions:

considering the social and cultural aspects of each country, nurses need to develop skills to communicate verbally with the parturient, offering a better interaction during the parturition process.

Descriptors:
Communication; Obstetric Nursing; Labor; Natural Childbirth; Nurses

Variable	Brazil		Cape Verde		p value**
Variable	n	%	n	%	p value**
Sender					< 0.0001
Nurse to parturient	258	43.7	67	56.3
Absent	332	56.3	52	43.7
Conative vocative function					< 0.0001^1***
Indicates action mode	194	32.9	34	28.6
Requests information/orientation	39	6.6	26	21.8
Requests suggestion	20	3.4	6	5.0
Agrees	5	0.8	1	0.8
Absent	332	56.3	52	43.7
Imperative conative function					< 0.0001
Give orientation	217	36.8	24	20.2
Give suggestion	41	6.9	35	29.4
Does not agree	-	-	8	6.7
Absent	332	56.3	52	43.7
Emotive/expressive function^(1)*
1. Solidarity	35	5.9	15	12.6	0.009
Absent	555	94.1	104	87.4
2. Satisfaction	30	5.1	16	13.4	0.001
Absent	560	94.9	103	86.6
3. Tranquility	142	24.1	19	16.0	0.054
Absent	448	75.9	100	84.0
4. Empathy	74	12.5	13	10.9	0.624
Absent	516	87.5	106	89.1
5. Apathy	3	0.5	4	3.4	0.004
Absent	587	99.5	115	96.6
6. Others	1	0.2	1	0.8	0.280^1***
Absent	589	99.8	118	99.2
Referential/Context					< 0.0001^1***
Treatment	145	24.6	36	30.3
Prevention	30	5.1	19	16.0
Personal matters	7	1.2	6	5.0
Daily matters	6	1.0	3	2.5
Others	70	11.9	3	2.5
Absent	332	56.3	52	43.7
Contact/Channel^(1)*
Hearing	194	32.9	67	56.3	< 0.0001
Absent	396	67.1	52	43.7
Touch	130	22.0	1	0.8	< 0.0001
Absent	460	78.0	118	99.2
Vision	116	19.7	67	56.3	< 0.0001
Absent	474	80.3	52	43.7
Code					0.001
Common speech	235	39.8	67	56.3
Technical language	23	3.9	-	-
Absent	332	56,3	52	43,7

Variable	Brazil		Cape Verde		p value**
Variable	n	%	n	%	p value**
Sender					0.012
Parturient to nurse	258	43.7	67	56.3
Absent	332	56.3	52	43.7
Conative vocative function					< 0.0001
Indicates action mode	52	8.8	18	15.1
Requests information/orientation	110	18.6	29	24.4
Requests suggestion	14	2.4	20	16.8
Agrees	83	14.1	-	-
Absent	331	56.1	52	43.7
Imperative conative function					0.025
Give orientation	104	17.6	21	17.6
Give suggestion	133	22.5	42	35.3
Does not agree	22	3.7	4	3.4
Absent	331	56.1	52	43.7
Emotive/expressive function^(1)*
1. Solidarity	3	0.5	6	5.0	0.001^1***
Absent	587	99.5	113	95.0
2. Satisfaction	3	0.5	12	10.1	< 0.0001
Absent	587	99.5	107	89.9
3. Tranquility	102	17.3	12	10.1	0.051
Absent	488	82.7	107	89.9
4. Empathy	7	1.2	13	10.9	< 0.0001
Absent	583	98.8	106	89.1
5. Others	80	13.6	-	-	< 0.0001
Absent	510	86.4	119	100.0
6. Sadness	34	5.8	1	0.8	0.024
Absent	556	94.2	118	99.2
7. Apathy	3	0.5	20	16.8	< 0.0001
Absent	587	99.5	99	83.2
8. Others	30	5.1	3	2.5	0.226
Absent	560	94.9	116	97.5
Referential/Context					< 0.0001
Treatment	134	22.7	32	26.9
Prevention	34	5.8	19	16.0
Personal matters	11	1.9	10	8.4
Daily matters	9	1.5	4	3.4
Others	69	11.7	2	1.7
Absent	333	56.4	52	43.7
Contact/Channel^(1)*
Hearing	199	33.7	67	56.3	< 0.0001
Absent	391	66.3	52	43.7
Touch	92	15.6	-	-	< 0.0001
Absent	498	84.4	119	100.0
Vision	128	21.7	67	56.3	< 0.0001
Absent	462	78.3	52	43.7
Code					0.003
Common speech	241	40.8	67	56.3
Technical language	17	2.9	-	-
Absent	332	56.3	52	43.7

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[1] Corresponding author: Gilmara de Lucena Beserra. E-mail: gilmaralucenaufc@gmail.com