Healthcare professionals’ use of augmentative and alternative communication in an intensive care unit: A survey study

Jansson, Sara; Martin, Tomas Rivera San; Johnson, Ensa; Nilsson, Stefan

doi:10.1016/j.iccn.2019.04.002

Cited by 20 publications

(16 citation statements)

References 32 publications

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“…Our findings indicate that the communication routines and habits need to be embedded in the nurses early in their career; it is more difficult to change the behaviour of experienced than newly educated nurses. Studies show that all nurses may experience communication difficulties with intubated patients irrespective of their level of experience (Jansson et al, 2019 ; Karlsson & Bergbom, 2015 ; Mortensen et al, 2019 ; Rodriguez et al, 2015 ). However, it remains unknown if a difference exists in the ease of behaviour change in relation to patient communication for novices, competent or expert nurses in the ICU.…”

Section: Critical Analysis and Discussionmentioning

confidence: 99%

Nurses’ experiences of serving as a communication guide and supporting the implementation of a communication intervention in the intensive care unit

Holm

Karlsson

Dreyer

2021

International Journal of Qualitative Studies on Health and Well

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Purpose : To explore the experience of serving as a nurse communication guide, supporting the bottom-up implementation of a multi-component communication intervention prototype in the intensive care unit. Methods : The overall frame was Complex Interventions, and the study was conducted within the phenomenological-hermeneutic tradition. Semi-structured telephone interviews were conducted with eight nurse communication guides. Data were analysed using a Ricoeur-inspired interpretation method. Results : Two main themes emerged: 1) “The communication intervention components provided overview, a conceptual framework, awareness and room for reflection” and 2) “Being a communication guide illuminated the barriers and challenges of implementation”. Furthermore, a comprehensive understanding was established that illuminated experiences throughout the analysis: “An ICU communication intervention has to be adaptable to the specific situation and the double need for individualization but also provide overall guidance”. Conclusion : Findings showed that as communication is inherent to all human beings, it can be difficult to change the communication behaviour of nurses. Therefore, a communication intervention in the intensive care unit must be sensitive to the nurse communication guides’ individual communication style. Furthermore, a communication intervention should provide nurse communication guides with overall guidance while at the same time remaining adaptable to the needs of each specific situation.

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Section: Critical Analysis and Discussionmentioning

confidence: 99%

Nurses’ experiences of serving as a communication guide and supporting the implementation of a communication intervention in the intensive care unit

Holm

Karlsson

Dreyer

2021

International Journal of Qualitative Studies on Health and Well

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“…Other studies, furthermore, found that communication with critically ill patients is necessary to manage the latter's health optimally 5,14,38 . Nurses need to obtain information from patients about their health history to ensure individualized and appropriate interventions 6,37 . Through communication, nurses are able to provide patient care with humanity and respect, based on the patients' needs and preferences 6,39 …”

Section: Discussionmentioning

confidence: 99%

“…Regrettably, health care professionals working in CCUs sometimes do not give patients the opportunity to provide input and be part of decision making for their treatment. Thus, they deprive patients of their right to communicate 6,7 …”

Section: Introductionmentioning

confidence: 99%

Nurses' perspectives on alternative communication strategies use in critical care units

Johnson

Heyns

Nilsson

2021

Nursing in Critical Care

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Background Critically ill patients have the right to communicate and participate in their treatment to avoid adverse medical outcomes due to the severity of their illness, their responsiveness, and level of consciousness. This human right has often been neglected by health care professionals, as a result of limited alternative communication support provided to patients who are unable to speak due to, for example, endotracheal intubation. Despite the successful use of alternative communication strategies in critical care units (CCUs) in other countries, limited implementation in South African hospitals has been reported. Aims and objectives This study aimed to determine the perspectives of South African nurses working in CCUs on the frequency of use of alternative communication strategies to support patient‐centred communication with critically ill adult patients. Design The study followed a quantitative non‐experimental survey research design. Methods A total of 210 nurses working in both private and public hospitals completed a survey on their perspectives on the use of alternative communication strategies in CCUs. Results Nurse participants reported experience working with critically ill and communication‐vulnerable patients. Nurse–patient communication mainly involved the use of pen and paper, facial expressions and gestures to obtain information relating to patients' needs and their health history. Limited use of speech‐generating communication devices was reported. Conclusion Nurse training on the use and implementation of alternative communication strategies, such as communication boards or electronic speech‐generating devices, should be investigated to improve nurses' communication with communication‐vulnerable patients in South Africa. Relevance to clinical practice The results are applicable in clinical practice due to patients' need for alternative communication. The nurses mainly used low‐tech solutions, which are cheap and easy to access. However, there exists an opportunity to increase the use of available digital solutions.

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“…It has also been applied in the context of intensive care unit and diversity of auxiliary communication tools. However, medical staff have little understanding of the communication board and the communication strategies used by medical staff may affect the communication ability of patients [26]. According to different needs, AAC uses high-tech, low-tech, and non-tech assistance.…”

Section: Aac Is Applied To Doctor-patient Communicationmentioning

confidence: 99%

Exploring Pictorial Health Education Tools for Long-Term Home Care: A Qualitative Perspective

2020

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Regarding long-term home care needs, nurses need to communicate effectively and reasonably when teaching home caregivers. Designers can assist medical staff and develop pictorial tools to enhance communication. The purpose of this study is to explore a theoretical basis from the perspective of designers, patients’ home caregivers, and medical staff to construct a theoretical framework that can jointly develop pictorial health education tools and healthcare system. The qualitative methods, including in-depth interview and observation, are applied to this study; ground theory sets out to construct a framework from the verbatim transcript of the interviews. Based on interview results, six axial codes were extracted: (1) the method of interdisciplinary cooperation; (2) medical research ethics; (3) communication methods; (4) forms of health education tools; (5) development of health education tools; (6) home care intubation procedure. Eight groups of home caregivers offered suggestions from their experiences. The designers need to assist medical staff to solve real problems, pay attention to professional norms, and forms of cooperation. Health education tools need to meet the needs of medical staff and home caregivers and designers should pay attention to the processes of communication. This study can also assist in interdisciplinary cooperation to explore the theoretical basis of pictorial health education tools for nurses in the context of long-term care at home.

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Healthcare professionals’ use of augmentative and alternative communication in an intensive care unit: A survey study

Cited by 20 publications

References 32 publications

Nurses’ experiences of serving as a communication guide and supporting the implementation of a communication intervention in the intensive care unit

Nurses’ experiences of serving as a communication guide and supporting the implementation of a communication intervention in the intensive care unit

Nurses' perspectives on alternative communication strategies use in critical care units

Exploring Pictorial Health Education Tools for Long-Term Home Care: A Qualitative Perspective

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