title: Communication difficulties and strategies used by the nurses and their team in caring for the hearing impaired.
abstract: OBJECTIVE
  To identify communication difficulties faced by the nursing staff and to learn the strategies developed for non-oral communication.
  
  
  METHODS
  This is a descriptive, exploratory, level I study with a quantitative approach. The sample group comprised 37 registered nurses and 63 licensed practical nurses of a private hospital who, after undergoing the ethical-legal procedures, answered a questionnaire to identify difficulties faced and strategies used in the care for hearing-impaired patients.
  
  
  RESULTS
  Difficulty in explaining matters of interest to the patient was reported by 66% of professionals; and 32% reported difficulties in understanding patients in their way of communicate. The strategy adopted by 100% of respondents was mimicry, followed by lip reading, used by 94% of respondents; help from a person accompanying the patient was used by 65%, and written communication by 42% of respondents. Only 1% used communication via the Brazilian Sign Language (LIBRAS).
  
  
  CONCLUSIONS
  The difficulties found and the strategies adopted by the nursing staff in communicating with hearing-impaired patients justify the need to train these professionals to deliver a more humanized care, developing a more inclusive society for those with special needs.
authors.affiliation: Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brazil.
authors.forename: Fernanda da Rocha
authors.initials: Fda R
authors.lastname: Britto
authors.affiliation: Faculdade de Enfermagem, Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brazil.
authors.forename: Maria Mercedes Fernandez
authors.initials: MM
authors.lastname: Samperiz