Trabalho em Equipe: Um Estudo Multimetodológico em Instituição Hospitalar de Reabilitação

Abstract

This study was designed to describe, understand and analyze the communicational aspects of the decision making process (DMP) of two clinical teams at a rehabilitation hospital. Direct observations, videotaping of meetings for case discussion, individual and group interviews with the professionals were made. Results indicate that, in the structured situation of case discussion, the DMP was centered on the patient with a predominant use of an amplified focus on discussions and higher frequencies of “offers” and “asks for information”. The mechanism “expands discussion” was the most used by professionals. Inter-professional support was perceived as a facilitating factor. Personal characteristics, aspects of the interaction and aspects of the programs activities structuring were seen as hampering factors in DMP. The adopted multimethodological approach proved to be satisfactory.