O contributo das competências de comunicação dos médicos e enfermeiros para a literacia em saúde: O MODELO ACP ASSERTIVIDADE (A), CLAREZA (C) E POSITIVIDADE (P) NA RELAÇÃO TERAPÊUTICA
Creators: name: ALMEIDA, CRISTINA VAZ DE
Publisher: name: Zenodo
Year: 2020
Subjects: Health communication; Communication skills; health literacy; therapeutic relationship; ACP Model

description: This research answers the question of how, in the therapeutic relationship, the communication skills of doctors and nurses, namely assertiveness, clarity of language and positivity, contribute to patient health literacy in relation to the understanding dimension. The specific objectives are to understand how doctors and nurses value their communication skills, how they are perceived and used in the therapeutic relationship, and the importance given to the ACP model (assertiveness - clarity - positivity), used in an aggregate and interdependent manner to improve patient health literacy. The research is based, epistemologically, on the interpretativist and functionalist current and, theoretically, on relational theory, the situational theory of the public, the theory of problem solving, the persuasion approach, the codification-decoding model and the cognitive social theory combined with the theory of planned behaviour. The mixed method was used, which included the focus group, questionnaire survey (Q-COM-LIT), interview and qualitative content analysis techniques. The collection techniques involved 484 health professionals. The results showed that the use of communication skills - assertiveness, clarity and positivity - facilitates the therapeutic relationship and health instructions, contributing significantly to increase patient understanding and compliance, and that communication skills are an indispensable condition to increase the quality of health care and patient health literacy. The analysis of main components combined with clusters has made it possible to reduce and aggregate 39 A-C-P indicators into seven dimensions. The value of the ACP model in the health dyad was highlighted as a recommended model for health communication and health literacy.
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