Use of a User-Friendly Tablet Application to Communicate with Pediatric Patients on Mechanical Ventilators

Tantacharoenrat, Chanita; Prasopkittikun, Tassanee; Rungamornrat, Somsiri; Limprayoon, Kawewan

doi:10.5294/aqui.2018.18.3.3

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…Our development was supported by previous studies where tablets were used to assist communication. 17 The tablet's user-friendly design and adequate illustration of needs and feelings for communicating with this group of patients may be the reason why it can improve communication efficacy. The nursing staff's conclusion that the application was appropriate for use demonstrated its apparent support.…”

Section: Discussionmentioning

confidence: 99%

“…16 Rarely have devices been provided to assist the patients with intubation in communicating their needs. 17 In practice, the nurses try to supply the devices that assist patients to communicate through writing on paper. In some instances, the patients attempt to write to express their needs, yet it has been observed that they cannot control their writing and deliver understandable messages.…”

Section: Introductionmentioning

confidence: 99%

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Needs Communicative Digital Technology Program for Intubated Patients with Critical Illnesses: A Quasi-Experimental Study

Nuttapol Chaihan,

Bunthan

2023

PRIJNR

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Patients with critical illnesses and on intubation cannot express their needs through verbal language. Thus, nurses and other healthcare professionals might not meet their needs, resulting in frustration and more stress for nurses and patients. This situation may interfere with patients’ recovery. In this quasi-experiment study, we developed and tested the effectiveness of the Needs Communicative Digital Technology Program. Sixty participants who were critically ill and intubated were recruited from an intensive care unit of a secondary care hospital in a province close to Bangkok, Thailand. They were alternately assigned weekly to the experimental (n = 30) and control groups (n = 30). The experimental group received the program for 48 hours, including the usual care in the intensive care unit. The control group received only usual care in the intensive care unit. Questionnaires for data collection were a demographic data form, the Met Needs Questionnaire, and theEffectiveness of Communication Questionnaire. Data were analyzed using descriptive statistics, a chi-squared test, a Fisher exact test, a t-test, and ANCOVA. Findings revealed that after 48 hours of program implementation, the experimental group had significantly higher mean scores on met needs and effective communication than before starting the program and higher than that of the control group. Thus, it can be concluded that this program effectively met the needs of intubated people with critical illnesses with advanced technology and communication strategies that can be used easily, conveniently, and quickly. Nurses can use this program in practice and further evaluate its effectiveness before widespread use in the country.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Needs Communicative Digital Technology Program for Intubated Patients with Critical Illnesses: A Quasi-Experimental Study

Nuttapol Chaihan,

Bunthan

2023

PRIJNR

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Augmentative and Alternative Communication Interventions in Critical and Acute Care With Mechanically Ventilated and Tracheostomy Patients: A Scoping Review

LaValley,

Chavers-Edgar,

et al. 2024

Am J Speech Lang Pathol

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Purpose: Communication with nonspeaking patients is a critical challenge of person-centered care. This scoping review aimed to map the literature on augmentative and alternative communication (AAC) interventions for nonspeaking mechanically ventilated and tracheostomy patients in critical and acute care settings. Method: Electronic database, ancestry, and forward citation searches were conducted using eligibility criteria established a priori. Data were extracted, synthesized, and summarized according to scoping review methodology. Studies were categorized by type of intervention and summarized in terms of purpose, participants, design, quality appraisal (including validity and reliability of selected efficacy measures), and efficacy. Results: Small-to-large treatment effect sizes indicated demonstrable impact on patient health and communication efficacy with high-tech and no-tech visual interface–based interventions and systematic nurse training interventions. Treatment effects primarily pertained to dependent variables of patient anxiety, communication satisfaction, comfort, symptom self-reporting, and nursing practice changes. Conclusions: There is a paucity of high-quality AAC intervention research for mechanically ventilated and tracheostomy patients in critical and acute care settings. Emergent evidence suggests that select visual interface and nurse training interventions can impact efficacy of patient–provider communication and patients' overall health. Supplemental Material: https://doi.org/10.23641/asha.26506102

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A critical perspective on institutional violence against hospitalized children: Testimonies by health professionals and family members

Santos,

de Camargo,

Vargas

et al. 2024

Nursing Inquiry

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The purpose of this study is to understand institutional violence (IV) in the relationships between health professionals, hospitalized children, and family members. This is a qualitative study developed at the pediatric inpatient unit of a university hospital in the city of Salvador, Bahia, Brazil. The research participants consisted of 39 health professionals who specialized in pediatrics and 10 family members of hospitalized children. Semi‐structured interviews were the method used for data collection. Using discourse analysis as a basis and taking a Foucauldian perspective, the researchers observed that the expressions of IV could be traced to abusive power relations within the system. We found four discursive forms within the data set: communication problems as IV, violence through inattention and neglect, violence as an action and consequent materialization on the body, and psychological violence as a submission mechanism. Based on these findings, we argue that professionals, managers, the scientific community, and users might be able to better guarantee the safety of children by recognizing IV and effectively intervening in it.

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Use of a User-Friendly Tablet Application to Communicate with Pediatric Patients on Mechanical Ventilators

Cited by 4 publications

References 19 publications

Needs Communicative Digital Technology Program for Intubated Patients with Critical Illnesses: A Quasi-Experimental Study

Needs Communicative Digital Technology Program for Intubated Patients with Critical Illnesses: A Quasi-Experimental Study

Augmentative and Alternative Communication Interventions in Critical and Acute Care With Mechanically Ventilated and Tracheostomy Patients: A Scoping Review

A critical perspective on institutional violence against hospitalized children: Testimonies by health professionals and family members

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