Comunicación efectiva en equipos de salud: el liderazgo como puente
Resumen
El presente estudio tuvo como finalidad abordar la comunicación efectiva en los equipos de salud como un aspecto crítico para la calidad en la atención, con especial énfasis en la figura del liderazgo como impulsor de la interacción entre los profesionales. Partiendo de ello, su objetivo general fue analizar cómo el liderazgo condiciona la calidad de la comunicación entre los miembros del equipo de salud, a partir de identificar las barreras y las estrategias efectivas actualizadas en la literatura científica. Para lograrlo, se desarrolló una metodología documental narrativa-descriptiva y explicativa, a través del análisis de 47 artículos seleccionados de bases de datos representativas como SciELO, PubMed y Elsevier; para tal efecto, se establecieron criterios de inclusión de referencias publicadas en los últimos seis años. Un primer resultado hallado decantó en que el liderazgo efectivo contribuye actualmente a mejorar la cohesión, la toma de decisiones, la escucha y la reducción del conflicto, mientras que las principales barreras estriban en la jerarquía que determina el respeto, el estrés, la sobrecarga y la falta de canales. Una segunda línea de resultados traslució distintas estrategias de éxito, tales como la mentorización, las reuniones, el modelo SBAR y el liderazgo transformacional y situacional. Las conclusiones, por su parte, recalcaron que el liderazgo efectivo condiciona el éxito de la comunicación, siempre y cuando esté acompañado de medidas de control, especialmente abordar problemáticas estructurales y culturales. La implementación de estrategias promovedoras de ambientes colaborativos seguros, en definitiva, mejora la seguridad del paciente y la calidad de atención.
Palabras clave
Referencias
Abir, M., & Martin, B. (2024). Surveillance and Security in US Medicine and Equipment Supply Chains. AMA Journal of Ethics, 26(4), 321-326. https://doi.org/10.1001/amajethics.2024.321
Adhikari, B., Ranabhat, K., Khanal, P., Poudel, M., Marahatta, S. B., Khanal, S., Paudyal, V., & Shrestha, S. (2024). Procurement process and shortages of essential medicines in public health facilities: A qualitative study from Nepal. PLOS Global Public Health, 4(5), e0003128. https://doi.org/10.1371/journal.pgph.0003128
Afriyie, D. (2020). Effective communication between nurses and patients: An evolutionary concept analysis. British Journal of Community Nursing, 25(9), 438-445. https://doi.org/10.12968/bjcn.2020.25.9.438
Alharazi, R. M., Abdulrahim, R. J., Mazuzah, A. H., Almutairi, R. M., Almutary, H., & Alhofaian, A. (2025). Barriers and Factors Affecting Nursing Communication When Providing Patient Care in Jeddah. Clinics and Practice, 15(1), Article 1. https://doi.org/10.3390/clinpract15010019
Al-Rjoub, S., Alsharawneh, A., Alhawajreh, M. J., & Othman, E. H. (2024). Exploring the Impact of Transformational and Transactional Style of Leadership on Nursing Care Performance and Patient Outcomes. Journal of Healthcare Leadership, 16, 557-568. https://doi.org/10.2147/JHL.S496266
Balatbat, C., Vernon, W., Herzog, A., & Scannell, T. (s. f.). How Health Care Organizations Can Use the Inflation Reduction Act to Reduce Costs, Enhance Resilience, and Lower Their Environmental Footprint. NAM Perspectives, 2023, 10.31478/202311h. https://doi.org/10.31478/202311h
Bayati, M., Keshavarz, K., Lotfi, F., KebriaeeZadeh, A., Barati, O., Zareian, S., Amiri, A., & Delavari, S. (2020). Effect of two major health reforms on health care cost and utilization in Fars Province of Iran: Family physician program and health transformation plan. BMC Health Services Research, 20, 382. https://doi.org/10.1186/s12913-020-05257-8
Benitez, M. E. C., & Jimenez, E. I. A. (2023). Application of the SBAR-SAER technique by the nursing professional. Minerva, 4(12), Article 12. https://doi.org/10.47460/minerva.v4i12.133
Boniol, M., Kunjumen, T., Nair, T. S., Siyam, A., Campbell, J., & Diallo, K. (2022). The global health workforce stock and distribution in 2020 and 2030: A threat to equity and «universal» health coverage? BMJ Global Health, 7(6), e009316. https://doi.org/10.1136/bmjgh-2022-009316
Carley, S., Bansal, S., Harak, C., Kahn, P., Konisky, D. M., & Simon, K. (2024). The electricity cost burden of durable medical equipment in the United States. Scientific Reports, 14(1), 31152. https://doi.org/10.1038/s41598-024-82464-x
Chernew, M., & Mintz, H. (2021). Administrative Expenses in the US Health Care System: Why So High? JAMA, 326(17), 1679-1680. https://doi.org/10.1001/jama.2021.17318
de Assis-Brito, M., Teixeira-Carneiro, C., Rocha-Bezerra, M. A., Cardoso-Rocha, R., Santiago-da Rocha, S., de Assis-Brito, M., Teixeira-Carneiro, C., Rocha-Bezerra, M. A., Cardoso-Rocha, R., & Santiago-da Rocha, S. (2022). Estrategias de comunicación efectivas entre profesionales de la salud en neonatología. Enfermería Global, 21(67), 548-591. https://doi.org/10.6018/eglobal.502051
Fattahi, M., Keyvanshokooh, E., Kannan, D., & Govindan, K. (2023). Resource planning strategies for healthcare systems during a pandemic. European Journal of Operational Research, 304(1), 192-206. https://doi.org/10.1016/j.ejor.2022.01.023
Grennan, M., Kim, G. H., McConnell, K. J., & Swanson, A. (2022). Hospital management practices and medical device costs. Health Services Research, 57(2), 227-236. https://doi.org/10.1111/1475-6773.13898
Hinrichs-Krapels, S., Ditewig, B., Boulding, H., Chalkidou, A., Erskine, J., & Shokraneh, F. (2022). Purchasing high-cost medical devices and equipment in hospitals: A systematic review. BMJ Open, 12(9), e057516. https://doi.org/10.1136/bmjopen-2021-057516
Homauni, A., Markazi-Moghaddam, N., Mosadeghkhah, A., Noori, M., Abbasiyan, K., & Jame, S. Z. B. (2023). Budgeting in Healthcare Systems and Organizations: A Systematic Review. Iranian Journal of Public Health, 52(9), 1889-1901. https://doi.org/10.18502/ijph.v52i9.13571
Jalali, F. S., Bikineh, P., & Delavari, S. (2021). Strategies for reducing out of pocket payments in the health system: A scoping review. Cost Effectiveness and Resource Allocation, 19(1), 47. https://doi.org/10.1186/s12962-021-00301-8
Janssen Daalen, J. M., den Ambtman, A., Van Houdenhoven, M., & van den Bemt, B. J. F. (2021). Determinants of drug prices: A systematic review of comparison studies. BMJ Open, 11(7), e046917. https://doi.org/10.1136/bmjopen-2020-046917
Lee, K. S., Kassab, Y. W., Taha, N. A., & Zainal, Z. A. (2020). Factors Impacting Pharmaceutical Prices and Affordability: Narrative Review. Pharmacy: Journal of Pharmacy Education and Practice, 9(1), 1. https://doi.org/10.3390/pharmacy9010001
Levitt, L. (2022). The Inflation Reduction Act Is a Foot in the Door for Containing Health Care Costs. JAMA Health Forum, 3(8), e223575. https://doi.org/10.1001/jamahealthforum.2022.3575
Lin, Y., Li, L., & Liu, B. (2024). Assessing the price levels of medical service and influential factors: Evidence from China. BMC Public Health, 24, 119. https://doi.org/10.1186/s12889-024-17639-2
Ma, Y., Li, Z., Liu, K., & Liu, Z. (2022). Price Decision-Making in Dual-Channel Healthcare Services Supply Chain Considering the Channel Acceptance, Price Ceiling, and Public Welfare. International Journal of Environmental Research and Public Health, 19(20), 13028. https://doi.org/10.3390/ijerph192013028
Macchia, A., Mariani, J. A., & Tognoni, G. (2024). Inflation, Economic Policy Changes, and Access to Essential Drugs by Retirees in Argentina. JAMA Network Open, 7(6), e2415929. https://doi.org/10.1001/jamanetworkopen.2024.15929
Merchán, E. J. R., Salinas, A. D. E., Maza, V. A. C., Lojan, A. T. T., Briceño, D. V. Q., & Vega, A. C. (2024). La Comunicación en Enfermería: Una Perspectiva desde los Hospitales del Sur de Ecuador. European Public & Social Innovation Review, 9, 1-18. https://doi.org/10.31637/epsir-2024-405
Michaud, T. L., Pereira, E., Porter, G., Golden, C., Hill, J., Kim, J., Wang, H., Schmidt, C., & Estabrooks, P. A. (2022). Scoping review of costs of implementation strategies in community, public health and healthcare settings. BMJ Open, 12(6), e060785. https://doi.org/10.1136/bmjopen-2022-060785
Müller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W. E., & Stock, S. (s. f.). Impact of the communication and patient hand-off tool SBAR on patient safety: A systematic review. BMJ Open, 8(8), e022202. https://doi.org/10.1136/bmjopen-2018-022202
OMS. (2025). Servicios de salud de calidad. https://www.who.int/es/news-room/fact-sheets/detail/quality-health-services
Onubogu, U., Oyan, B., & Okorie, M. (2024). Spousal Involvement in the Workplace of Doctors: What Is Defined as Appropriate or Inappropriate. Health, 16(3), Article 3. https://doi.org/10.4236/health.2024.163016
OPS. (2025, enero 17). Profesionales de la salud de quince países son capacitados en comunicación efectiva en oncología pediátrica—OPS/OMS | Organización Panamericana de la Salud. https://www.paho.org/es/noticias/17-1-2025-profesionales-salud-quince-paises-son-capacitados-comunicacion-efectiva
Ortiz-Prado, E., Fernandez-Naranjo, R., Torres-Berru, Y., Lowe, R., & Torres, I. (2021). Exceptional Prices of Medical and Other Supplies during the COVID-19 Pandemic in Ecuador. The American Journal of Tropical Medicine and Hygiene, 105(1), 81-87. https://doi.org/10.4269/ajtmh.21-0221
Pennestrì, F., Lippi, G., & Banfi, G. (2019). Pay less and spend more—The real value in healthcare procurement. Annals of Translational Medicine, 7(22), 688. https://doi.org/10.21037/atm.2019.10.93
Powell, B. J., Fernandez, M. E., Williams, N. J., Aarons, G. A., Beidas, R. S., Lewis, C. C., McHugh, S. M., & Weiner, B. J. (2019). Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda. Frontiers in Public Health, 7, 3. https://doi.org/10.3389/fpubh.2019.00003
Quaranta, N. (2020). La comunicación efectiva: Un factor crítico del éxito en el trabajo en equipo. Enfoques, XXXI(1), 21-46.
Safar, M. S., Alcalde, M. B., Grau, M. E., Ortigosa, A., Pessina, L. M., Fresina, K. N., Satarich, G. E., Alegre, M., & González, M. S. (2024). Aplicación de indicadores de calidad de la etapa preanalítica: Experiencia de un laboratorio pediátrico. Revista Bioquímica y Patología Clínica, 88(2), Article 2. https://doi.org/10.62073/bypc.v88i2.243
Severens, J. L., Hoomans, T., Adang, E., & Wensing, M. (2020). Economic Evaluation of Implementation Strategies. En Improving Patient Care (pp. 389-408). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781119488620.ch23
Sharkiya, S. H. (2023). Quality communication can improve patient-centred health outcomes among older patients: A rapid review. BMC Health Services Research, 23, 886. https://doi.org/10.1186/s12913-023-09869-8
Shukar, S., Zahoor, F., Hayat, K., Saeed, A., Gillani, A. H., Omer, S., Hu, S., Babar, Z.-U.-D., Fang, Y., & Yang, C. (2021). Drug Shortage: Causes, Impact, and Mitigation Strategies. Frontiers in Pharmacology, 12, 693426. https://doi.org/10.3389/fphar.2021.693426
Sturmberg, J. P., & Bircher, J. (2019). Better and fulfilling healthcare at lower costs: The need to manage health systems as complex adaptive systems. F1000Research, 8, 789. https://doi.org/10.12688/f1000research.19414.1
Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and Implementing Value-Based Health Care: A Strategic Framework. Academic Medicine, 95(5), 682-685. https://doi.org/10.1097/ACM.0000000000003122
Tesfaye Geta, E., Terefa, D. R., & Desisa, A. E. (2023). Efficiency of Medical Equipment Utilization and Its Associated Factors at Public Referral Hospitals in East Wollega Zone, Oromia Regional State, Ethiopia. Medical Devices (Auckland, N.Z.), 16, 37-46. https://doi.org/10.2147/MDER.S401041
Tichy, E. M., Hoffman, J. M., Suda, K. J., Rim, M. H., Tadrous, M., Cuellar, S., Clark, J. S., Ward, J., & Schumock, G. T. (2022). National trends in prescription drug expenditures and projections for 2022. American Journal of Health-System Pharmacy: AJHP, 79(14), 1158-1172. https://doi.org/10.1093/ajhp/zxac102
Torreele, E. (s. f.). Why are our medicines so expensive? Spoiler: Not for the reasons you are being told…. The European Journal of General Practice, 30(1), 2308006. https://doi.org/10.1080/13814788.2024.2308006
Turner, H. C., Sandmann, F. G., Downey, L. E., Orangi, S., Teerawattananon, Y., Vassall, A., & Jit, M. (2023). What are economic costs and when should they be used in health economic studies? Cost Effectiveness and Resource Allocation, 21(1), 31. https://doi.org/10.1186/s12962-023-00436-w
Vincent, R. (2020). The high cost of prescription drugs: Causes and solutions. Blood Cancer Journal, 10(6), 71. https://doi.org/10.1038/s41408-020-0338-x
Weller, J., Boyd, M., & Cumin, D. (s. f.). Teams, tribes and patient safety: Overcoming barriers to effective teamwork in healthcare. Postgraduate Medical Journal, 90(1061), 149-154. https://doi.org/10.1136/postgradmedj-2012-131168
Xin, H. (2023). Editorial: Healthcare organization and delivery strategies, models, and cost savings. Frontiers in Public Health, 11, 1255493. https://doi.org/10.3389/fpubh.2023.1255493
Yenet, A., Nibret, G., & Tegegne, B. A. (2023). Challenges to the Availability and Affordability of Essential Medicines in African Countries: A Scoping Review. ClinicoEconomics and Outcomes Research: CEOR, 15, 443-458. https://doi.org/10.2147/CEOR.S413546
DOI: https://doi.org/10.23857/pc.v10i8.10321
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